Development and validation of the newly developed Preschool Theory of Mind Assessment (ToMA-P).

Introduction: Theory of mind (ToM) refers to the ability to understand and attribute mental states to oneself and others. A ToM measure is warranted for preschool children to assess their ToM development from a multidimensional perspective (i.e., cognitive and affective dimensions). This study aimed to develop the Preschool Theory of Mind Assessment (ToMA-P) and to evaluate its construct validity and applicability. Methods: The ToMA-P was developed based on comprehensive literature review and revised with expert panel feedback. Its psychometric properties were evaluated in 205 typically developing preschoolers with Rasch analysis for its dimensionality, item difficulties, and convergent validity. Results: The results indicated that all ToMA-P items, except for one, fit the hypothesized two-dimensional construct. The item difficulties in the cognitive and affective dimensions followed developmental sequences. The ToMA-P scores exhibited good convergent validity, as evidenced by its significant correlations with age, verbal comprehension, adaptive functions, and daily ToM performance (p < 0.05). Children's responses and behaviors also showed that the ToMA-P has good applicability. Discussion: This study provides empirical evidence that the ToMA-P measures cognitive and affective ToM following developmental sequences, and that it has potential as a clinical tool for assessing ToM in preschool children.

Impacts of mining on vegetation phenology and sensitivity assessment of spectral vegetation indices to mining activities in arid/semi-arid areas.

Measuring the impact of mining activities on vegetation phenology and assessing the sensitivity of vegetation indices (VIs) to it are crucial for understanding land degradation in mining areas and enhancing the carbon sink capacity following the ecological restoration of mines. To this end, we have developed a novel technical framework to quantify the impact of mining activities on vegetation, and applied it to the Bainaimiao copper mining area in Inner Mongolia. Phenological indices are extracted based on the VI time series data of Sentinel-2, and changes in phenological differences in various directions are used to quantify the impact of mining activities on vegetation. Finally, indicators such as mean difference, standard deviation, index value distribution interval, and concentration of index value distribution were selected to assess the sensitivity of the Enhanced Vegetation Index (EVI), Green Chlorophyll Index (GCI), Global Environmental Monitoring Index (GEMI), Green Normalized Difference Vegetation Index (GNDVI), Normalized Difference Vegetation Index (NDVI), Renormalized Difference Vegetation Index (RDVI), Red-Edge Chlorophyll Index (RECI), and Soil-Adjusted Vegetation Index (SAVI) to mining activities. The results of the study show that the impact of mining activities on surrounding vegetation extends to an area three times larger than the actual mining activity area. When compared with the reference and unaffected areas, the affected area experienced a delay of approximately 10 days in seasonal vegetation development. Environmental pollution caused by the tailings pond was identified as the primary factor influencing this delay. Significant variations in the sensitivity of each VI to assess mining activities in arid/semi-arid areas were observed. Notably, GCI, GNDVI and RDVI displayed relatively high sensitivity to discrepancies in the spectral attributes of vegetation within the affected area, while SAVI reflected the overall spectral stability of the vegetation in the affected area. The research findings have the potential to provide valuable technical guidance for holistic environmental management in mining areas and hold great significance in preventing further land degradation and supporting ecological restoration in mining areas.

The moderating effect of gender equality consciousness on environmental concern among males and females.

BACKGROUND: In the discourse on the heterogeneity of gender and environmental concern, gender equality awareness can further illuminate the complexity of gender and environmental concern across different cultural backgrounds. OBJECTIVE: Differing from prior research, our study focuses on exploring the relationship between different genders, gender equality awareness, and environmental concern, as well as investigating whether gender equality awareness has distinct effects on environmental concern among different genders. METHODS: Utilizing data from the 2021 China General Social Survey (CGSS), we conducted a theoretical investigation into gender differences in environmental concern. First, we used descriptive statistics to observe the differences between the samples. Secondly, in order to compare the influence of gender equality awareness on different genders, we conducted t-tests on gender subgroups. Subsequently, an Ordinary Least Squares (OLS) regression model was employed to examine the effects of gender and gender equality awareness on environmental issues. Finally, gender equality awareness was introduced as a moderating variable to explore its potential interaction with gender and investigate whether a moderation mechanism exists between gender and environmental concern. RESULTS: Findings indicate that 1) male respondents in China exhibit greater concern for the environment compared to female respondents; 2) higher levels of gender equality awareness are positively correlated with higher levels of environmental concern; 3) the influence of gender on environmental concern is moderated by the degree of gender equality awareness. Specifically, when gender equality awareness is strengthened, female respondents exhibit a higher degree of environmental concern. CONCLUSION: Enhancing gender equality awareness contributes to improving both social gender equality and equitable concern for the environment. The findings could provide insights for similar developing countries like China.

Studying financial development with low-carbon architecture development and green technological innovation: sustaining SDG-9.

In order to accomplish Sustainable Growth Goal 9, this research analyzes in detail how green technological innovation, low-carbon architectural improvement, and more significant financial growth all work together to reach the goal. This research meticulously integrates secondary data from reputable sources to examine the relationship between economic growth, technological innovation in the built environment, and environmental sustainability from 1994 to 2019. For economic insights, the World Bank's World Development Indicators is a go-to resource, while Yale University's Environmental Performance Index (EPI) is a go-to for environmental metrics. Our research is based on this synthesis of multi-dimensional data, which enables an in-depth investigation of the interplay between financial development, sustainable architecture, and technical progress toward SDG-9. This research employs quantitative and qualitative methodologies to shed light on the intricate interaction between these elements, making it useful for policymakers, scholars, and stakeholders dedicated to directing sustainable development paths.

[Simulation of land use and assessment of ecosystem service value in the eastern coastal cities of Zhejiang Province, China]. / 浙江东部沿海城市土地利用模拟及生态系统服务价值评估.

Simulating the change of ecosystem service values (ESV) caused by land use/cover change (LUCC) in the eastern coastal cities of Zhejiang Province is of great significance for regional sustainable development and ecological security. Based on remote sensing images of land use and Statistics Yearbook of 2000, 2010, and 2020, we analyzed the influence of LUCC on ESV in the study area during 2000-2020. We used the PLUS model to simulate land use change under three scenarios, including inertial development, ecological protection, and urban development in 2030, analyzed the spatial distribution and concentration degree of ESVs based on grid scale, and clarified the sensitivity characteristics of ESVs. The results showed that the construction land area showed an increasing trend during 2000-2020. The area of forest, cultivated land and water decreased significantly, resulting in a continuous downward trend of ESVs, which decreased by 160×108 yuan. Under the simulation of three scenarios of inertial development, ecological development, and urban development, the construction land area would increase by 93624, 54927, and 111966 hm2, respectively. The eastern plain would become the agglomeration area of construction land expansion. The ESVs of those three scenarios was 1693×108, 1729×108, and 1688×108 yuan, respectively, which were all lower than the ESVs of the study area in 2020. The decline rate of ESV in the ecological protection scenario slowed down. The spatial distribution of ESVs in the study area was high in the west and low in the east. Hot spots and cold spots of ESVs were distributed in a large range with strong agglomeration. Hot spots were mainly concentrated in the west, while cold spots were mainly distributed in the east and north.

Clinical epidemiology and disease burden of bronchiolitis in hospitalized children in China: a national cross-sectional study.

BACKGROUND: Bronchiolitis is a common acute lower respiratory tract infection (ALRTI) and the most frequent cause of hospitalization of infants and young children with ALRTI. Respiratory syncytial virus is the main pathogen that leads to severe bronchiolitis. The disease burden is relatively high. To date, few descriptions of the clinical epidemiology and disease burden of children hospitalized for bronchiolitis are available. This study reports the general clinical epidemiological characteristics and disease burden of bronchiolitis in hospitalized children in China. METHODS: This study included the face sheet of discharge medical records collected from 27 tertiary children's hospitals from January 2016 to December 2020 that were aggregated into the FUTang Update medical REcords (FUTURE) database. The sociodemographic variables, length of stay (LOS) and disease burden of children with bronchiolitis were analyzed and compared using appropriate statistical tests. RESULTS: In total, 42,928 children aged 0-3 years were hospitalized due to bronchiolitis from January 2016 to December 2020, accounting for 1.5% of the total number of hospitalized children of the same age in the database during the period and 5.31% of the hospitalizations for ALRTI. The male to female ratio was 2.01:1. Meanwhile, more boys than girls were observed in different regions, age groups, years, and residences. The 1-2 year age group had the greatest number of hospitalizations for bronchiolitis, while the 29 days-6 months group had the largest proportion of the total inpatients and inpatients with ALRTI in the same age group. In terms of region, the hospitalization rate of bronchiolitis was the highest in East China. Overall, the number of hospitalizations from 2017 to 2020 showed a decreasing trend from that in 2016. Seasonally, the peak hospitalizations for bronchiolitis occurred in winter. Hospitalization rates in North China in autumn and winter were higher than those in South China, while hospitalization rates in South China were higher in spring and summer. Approximately, half of the patients with bronchiolitis had no complications. Among the complications, myocardial injury, abnormal liver function and diarrhea were more common. The median LOS was 6 days [interquartile range (IQR) = 5-8], and the median hospitalization cost was 758 United States dollars (IQR = 601.96-1029.53). CONCLUSIONS: Bronchiolitis is a common respiratory disease in infants and young children in China, and it accounts for a higher proportion of both total hospitalizations and hospitalizations due to ALRTI in children. Among them, children aged 29 days-2 years are the main hospitalized population, and the hospitalization rate of boys is significantly higher than that of girls. The peak season for bronchiolitis is winter. Bronchiolitis causes few complications and has a low mortality rate, but the burden of this disease is heavy.

Potential risk of co-occurrence of microplastics and chlorinated persistent organic pollutants to coastal wetlands: Evidence from a case study.

Microplastic (MP) pollution in coastal wetlands is of a global concern. Little attention has been paid to the co-occurrence and corresponding risk of MPs with pollutants, especially refractory chlorinated persistent organic pollutants (CPOPs). A case study of Zhejiang, China was conducted to investigate the occurrence of MPs and targeted CPOPs in coastal wetlands. MPs were 100% detected, but with the lowest abundance in coastal wetlands (average: 666.1 ± 159.1 items kg-1), as compared to other 6 terrestrial ecosystems (average: 1293.9 ± 163.7 items kg-1) including paddy field, upland, facility vegetable field, forestland, urban soil, and grassland. A total of 35 kinds CPOPs were also detected in all studied coastal wetlands, with their concentration almost under 10 µg kg-1 (90.1%). Both enrichment of MPs and CPOPs was affected by sediment TOC, wetland vegetation and land use simultaneously. Interestingly, the occurrence of MPs was significantly correlated with polychlorinated biphenyls (PCBs) but not organochlorine pesticides (OCPs). Results of co-occurrence pollution assessment of MPs and CPOPs further indicated only Hangzhou Bay showed the ecological risk among all tested wetlands. This would suggest a potential risk of co-occurrence of MPs and modern CPOPs in coastal wetland in economic development area. Possible reason may lie on strong MP vector effect to CPOPs. More attention should thus be paid to other wetlands polluted by MPs and MP-carrying CPOPs in area with relatively great environmental pressure induced by human activity. This study may provide reference for a better understanding with respect to the risk level posed by co-occurrence of MPs and CPOPs to global coastal wetlands.

Condition optimization of iron-air fuel cell to treat phosphate-containing wastewater regarding sustainable development.

Increasing use of phosphorus products and excessive exploitation of phosphorus resources become two major problems in perspective of phosphorus sustainable development. Phosphorus recovery is the shortcut to solve this dilemma. Combining electrochemistry, an iron-air fuel cell was adopted to recover phosphate and electricity from phosphate-containing wastewater in our previous studies. The present study focused on investigating the effects of catholyte/anolyte conductivity, external resistance, and anolyte pH on the performance of iron-air fuel cell, and obtaining the optimized conditions. Furthermore, the electrochemical methods of phosphate recovery were compared and assessed, and it is concluded that iron-air fuel cell has great potential for energy recovery. The phosphate removal efficiencies and vivianite yield roughly positively correlated with the catholyte conductivity and the anolyte pH, but negatively correlated with the external resistance and the anolyte conductivity. The electricity generation roughly positively correlated with the catholyte conductivity and anolyte conductivity, but showed limitations in the test range of anolyte pH and external resistance. To pursue high phosphate removal efficiencies and vivianite yield, the catholyte conductivity, external resistance, anolyte pH and anolyte conductivity were suggested to be 35 g-NaCl/L, 10 Ω, 8 and 0 g-NaCl/L. While if electricity generation was the primary goal, these parameters should be 35 g-NaCl/L, 220 Ω, 5 and 70 g-NaCl/L. The optimized conditions will help to improve the phosphate removal efficiency, vivianite yield and electricity generation, and to promote the development of iron-air fuel cell technology.

Towards a culture of open scholarship: the role of pedagogical communities.

The UK House of Commons Science and Technology Committee has called for evidence on the roles that different stakeholders play in reproducibility and research integrity. Of central priority are proposals for improving research integrity and quality, as well as guidance and support for researchers. In response to this, we argue that there is one important component of research integrity that is often absent from discussion: the pedagogical consequences of how we teach, mentor, and supervise students through open scholarship. We justify the need to integrate open scholarship principles into research training within higher education and argue that pedagogical communities play a key role in fostering an inclusive culture of open scholarship. We illustrate these benefits by presenting the Framework for Open and Reproducible Research Training (FORRT), an international grassroots community whose goal is to provide support, resources, visibility, and advocacy for the adoption of principled, open teaching and mentoring practices, whilst generating conversations about the ethics and social impact of higher-education pedagogy. Representing a diverse group of early-career researchers and students across specialisms, we advocate for greater recognition of and support for pedagogical communities, and encourage all research stakeholders to engage with these communities to enable long-term, sustainable change.

Reliability and validity of DSM-IV and DSM-5 methamphetamine use disorder diagnoses using the Chinese Version of the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA).

BACKGROUND: The Semi-structured Assessment for Drug Dependence and Alcoholism (SSADDA) was developed to assess substance-use disorders and other psychiatric traits. We translated the SSADDA into Chinese and evaluated its inter-rater reliability and concurrent validity in diagnosing DSM-IV methamphetamine (MA) dependence and DSM-5 MA-use disorder (MUD). METHODS: The sample comprised 231 participants who were interviewed using the Chinese SSADDA and the Mini-International Neuropsychiatric Interview (Chinese MINI) for concurrent validation. Of the 231 participants, 191 were interviewed by two different interviewers two weeks apart. We evaluated the inter-rater reliability and concurrent validity of the diagnoses using percent agreement and Cohen's kappa coefficient (κ). Cohen's linear weighted kappa was used to assess the reliability of DSM-5 MUD severity. RESULTS: It showed good inter-rater reliability and no significant differences among the DSM-5 MUD (κ = 0.71), DSM-IV MA abuse or dependence (κ = 0.72), and the DSM-IV diagnoses of MA dependence (κ = 0.66) and abuse (κ = 0.68) tested separately. The weighted kappa was 0.67 across the three DSM-5 MUD severity levels. The reliability of each individual diagnostic criterion for DSM-5 MUD ranged from fair to excellent (κ = 0.41-0.80), except for "repeated attempts to quit/control use" (κ = 0.38). The concurrent validity based on MINI-derived diagnoses ranged from good to excellent (κ = 0.65-0.78). CONCLUSIONS: This study shows that the Chinese version of SSADDA has good reliability and validity among Chinese MA users.

Health-related quality of life in Chinese workers: a systematic review and meta-analysis.

BACKGROUND: Studies of health-related quality of life among workers have generated varying results. The purpose of this study was to conduct a systematic review to synthesize the scores of health-related quality of life measured by the World Health Organization Quality of Life questionnaire among Chinese workers and compare the results across gender, age, occupation and region. METHODS: Six databases including China National Knowledge Infrastructure, WanFang Data, China Science and Technology Journal Database, PubMed, Web of science and Scopus were searched for relevant publications in both English and Chinese from their inception to February 2021. Inclusion and exclusion criteria were established, and study and participant characters as well as health-related quality of life scores were extracted from included publications. Study quality was assessed by using the Crombie tool. The meta-analysis including individual publications used random-effects models. Subgroups analyses by gender, age, occupation and region were also conducted to explore the source of heterogeneity. RESULTS: One hundred thirty-nine out of 1437 potential publications were included. The pooled mean scores of health-related quality of life were 14.1 for the physical domain (95%CI: 13.9-14.3), 13.7 for the psychological domain (95%CI: 13.5-13.8), 14.0 for the social relationship domain (95%CI: 13.8-14.2), 12.3 for the environment domain (95%CI: 12.1-12.5). No significant statistical difference was found between the different subgroups. Publication bias was present in the independence domain and the pooled scores were corrected to 15.0 (95%CI: 14.6-15.5) using the trim and fill method. Sensitivity analysis suggested that the results of the meta-analysis were stable. Region might be a source of heterogeneity. Workers in northeast China reported higher scores in the social relationship domain, and those in the central region reported lower scores in the environmental domain. CONCLUSIONS: Chinese workers reported lower scores in four health-related quality of life domains than the general population. Region might be a potential influencing factor for workers' scores different, which needs further study. The pooled scores can served as benchmarks for workplace health promotion programes in Chinese workers and global occupational health studies.

Synthesis of Low Cost Titanium Silicalite-1 Zeolite for Highly Efficient Propylene Epoxidation.

Developing an effective and low-cost system to synthesize titanium silicalite-1 (TS-1) zeolite is desirable for a range of industrial applications. To date, the poor catalytic activity of the synthesized zeolite due to the low amount of framework titanium and large crystal size is the main obstacle limiting the widespread application of this material. Moreover, a large amount of wastewater is often produced by the existing synthesis process. Herein, a green and sustainable route for synthesizing small-crystal TS-1 with a high fraction of framework Ti was demonstrated via a seed-assisted method using a tetrapropylammonium bromide (TPABr)-ethanolamine hydrothermal system. The influence of the synthesis conditions on the physicochemical properties and catalytic activities of TS-1 was investigated. With the assistance of nanosized S-1 seeds, the incorporation of Ti into the framework of TS-1 was promoted, and the crystallization rate was effectively accelerated. After alkaline etching, the obtained hierarchical TS-1 had higher catalytic activity towards propylene epoxidation with an extremely high turnover frequency of 1,650 h-1. Furthermore, the mother liquid during the hydrothermal reaction could be reused for the next synthesis procedure. Consequently, utilization ratios of both ethanolamine and TPABr exceeding 95% were achieved by recycling the mother liquid. This low-cost approach for reducing wastewater could be easily scaled up to provide a promising synthesis method for the industrial production of TS-1 and other topological zeolites.

Effect of Environmental Regulation on High-quality Economic Development in China-An Empirical Analysis Based on Dynamic Spatial Durbin Model.

In 2017, the 19th National Congress of the Communist Party of China put forward the concept of high-quality economic development, indicating that the Chinese economy has shifted from rapid growth to high-quality development. High-quality economic development is the growth mode of an innovation-driven economy, an innovative, high-efficiency, energy-saving, environmentally friendly, and high-value-added growth mode. Environmental regulation is an important means to solve economic development and environmental pollution and plays an important role in high-quality economic development. In order to explore the impact of China's environmental regulations on the high-quality economic development, this paper based on the panel data of 30 provinces (cities) in China from 2004 to 2015 uses the dynamic spatial Dubin model (DSDM) to analyze the direct and indirect effects of China's environmental regulations on high-quality economic development and regional heterogeneity. It also incorporates R&D (Research and Development) investment, government investment in environmental governance, and fiscal decentralization into the model and analyzes the direct and indirect effects of the above three factors in the process of environmental regulation affecting high-quality economic development. We found that China's high-quality economic development is spatially related between different provinces. And environmental regulations have obvious direct and indirect effects in the impact of high-quality economic development in the central and eastern regions, and this effect phenomenon is not significant in the western region. R&D investment, environmental protection investment, and fiscal decentralization have different adjustment effects on environmental regulation and high-quality economic development, and the same kind of adjustment variable also shows obvious heterogeneity among different regions. Finally, we put forward relevant policy recommendations based on the conclusions, with a view to improving China's high-quality economic development.

An emission stable vertical air channel diode by a low-cost and IC compatible BOE etching process.

Nanoscale air/vacuum channel devices have shown great potential in extreme environments, high speed and low power consumption applications. Progress in fabrication, structure and material optimization keeps emerging. However, it remains challenging to achieve a stable large current emission at low voltages, which limit the practical application of nanoscale air/vacuum channel devices. Here, a vertical structure consisting of two asymmetric flat emitters and a sub-100 nm air channel is proposed and fabricated by a low-cost and IC compatible BOE etching process. Typical diode characteristics have been demonstrated and controlled by the channel length. More importantly, emission currents up to several hundreds of microamp have been achieved in air with voltages lower than 2 volts and remain stable under sweep, fixed and periodic voltages. Along with the stable emission, a rise/fall time of 25 ns has been achieved for 1 MHz input signal. The present study provides an emission-stable nanoscale air channel diode with good manufacturing and integration possibilities, which can be an element for the future logic circuits of nanoscale air/vacuum channel electronics.

Age and cohort trajectories of gender inequality in health among elderly people in China.

Using a multistate model, this article examines gender gap and its trend in health transition, life expectancy (LE), and active life expectancy (ALE) in different age groups and birth cohorts. The transition rate from life independence/disability to death for elderly women is lower than for elderly men. However, their disability rate is higher. The gender gap in LE, ALE, and DLE (disabled life expectancy) declines as age increases. In successive birth cohorts, men's LE increases more, and gender gaps in LE and ALE decrease over time. In the future, gender issues should be considered for health-care policy to provide nursing care for elderly women in China.

Epidemiology of imported infectious diseases, China, 2014-18.

BACKGROUND: The frequent movement of population between countries brings an increasing number of travel-related infections. This study aims to define the spectrum and dynamics of imported infections observed from international travel in the Chinese mainland. METHODS: Sick travellers were screened by inbound sentinel surveillance and post-travel clinic visits from 2014 to 18. The infections were classified as respiratory, gastrointestinal, vector-borne, blood/sexually transmitted and mucocutaneous. The analysed variables included the place of origin of the travellers (Chinese or foreign) and the time when travel-related infection was present (at the time of return, during travel and post-travel visits to the clinic). RESULTS: In total, 58 677 cases were identified amongst 1 409 265 253 travellers, with an incidence of 41.64/million, comprising during-travel incidence of 27.44/million and a post-travel incidence of 14.20/million. Respiratory infections constituted the highest proportion of illnesses during travel (81.19%, 31 393 of 38 667), which mainly came from Asian countries and tourists; with influenza virus and rhinovirus infections being mainly diagnosed. Vector-borne diseases constituted the highest proportion of post-travel illnesses (98.14%, 19 638 of 20 010), which were mainly diagnosed from African countries and labourers; with malaria and dengue fever being mainly diagnosed. The differential infection spectrum varied in terms of the traveller's demography, travel destination and travel purpose. As such, a higher proportion of foreign travellers had blood/sexually transmitted diseases (89.85%, 2832 of 3152), while Chinese citizens had a higher prevalence of vector-borne diseases (85.98%, 19 247 of 22 387) and gastrointestinal diseases (79.36%, 1115 of 1405). The highest incidence rate was observed amongst travellers arriving from Africa, while the lowest was observed amongst travellers arriving from Europe. CONCLUSIONS: The findings might help in preparing recommendations for travellers and also aid in primary care or other clinics that prepare travellers before trips abroad. The findings will also help to identify locations and the associated types of infections that might require attention.

The control of clonorchiasis in Guangdong province, southern China.

Oriental liver fluke disease (clonorchiasis), caused by Clonorchis sinensis, is endemic in 81 counties in Guangdong province, China. This study was conducted following increasing lack of clonorchiasis awareness and increased consumption of raw freshwater fish and raw fish porridge at home and restaurants, which has been attributed to improved living standards in China, and is considered to have led to a higher C. sinensis infection rate in the country. A total of 61,517 individuals were investigated from 123 sites during a provincial survey in 1988, with average C. sinensis infection rate of 1.82% that increased to 4.08% (335/8217) in 1997. Higher infection rate was observed in adult men than women, with heavy infection rate in fishermen and businessmen because they have access and means to get raw fishes for consumption. Thus, clonorchiasis has become a serious public health problem in Guangdong province. Efforts targeting clonorchiasis prevention and control in Guangdong province started in the 1990s. These included carrying out large-scale surveys and chemotherapy in epidemic regions, research on promotion of environmental sanitation and methods for freshwater aquaculture. Establishment and promotion of clonorchiosis demonstration plots for comprehensive control measures, as well as the development of clonorchiasis-prevention community-out-patient clinics were initiated and their effectiveness was evaluated. However, there seem to be no obvious decline in the prevalence of C. sinensis with 4.90% (608/12,401) in 2015, at Guangdong province due to the people's habit of eating raw fishes in endemic areas. This has led to increasing calls to improve environmental sanitation in the aquaculture industry. It is, however, believed that control efforts on clonorchiosis in the province are at an early stage and require strengthening through the cooperation of different departments to work out effective strategies for sustainable field application of control mechanisms.

[Detection Method, Distribution, and Risk Assessment of Pharmaceuticals and Personal Care Products in the Yellow Sea and the East China Sea].

At present, research findings on pharmaceuticals and personal care products (PPCPs) in coastal areas are still unclear, and there is a need to develop a method to detect more PPCPs simultaneously in seawater. In this study, nine compounds of non-steroidal anti-inflammatory drugs, antibiotics, lipid regulators. and stimulants were selected as analytes. Solid phase extraction (SPE) was used to extract the compounds, which were then analyzed by high-performance liquid chromatography coupled to mass spectrometry (HPLC-MS). The optimum experimental conditions, such as the filler, eluent, pH, flow rate, and the reduction of matrix effect were optimized during the SPE. The results showed that the best extraction column was CNW HLB, the best eluent was methanol:acetonitrile (1:1, volume ratio), the best eluent volume was 6 mL, the best pH was 7, the best flow rate was 5 mL·min-1, the amount of EDTA-Na2 added was 1 g, and the best concentration multiple was 500. The linear regression equations of all PPCPs had good linearity. Correlation coefficients were>0.999, recovery rates were between 82%-106%, relative standard deviations were between 1.6%-14%, and detection limits were between 0.01-2 ng·L-1, thus satisfying the requirement of trace analysis in seawater. Distribution characteristics and sources of PPCPs were studied in the Yellow Sea and the East China Sea during summer 2018. All nine PPCPs were detected and the main pollutants were NAP, IBU, GEM, CAF, and ASA. High concentrations of PPCPs were generally detected in the nearshore area and displayed conspicuous decreasing tendencies from the inshore towards the offshore. The concentrations of PPCPs in the Yellow Sea were higher than of those in the East China Sea, and this was related to there being more sources of pollutions and poor water exchange capacity in the Yellow Sea. Principal component analysis showed that the main source of PPCPs was terrestrial input. The environmental risk assessment of PPCPs indicated that risk quotients (RQs) of IBU and NAP (0.1-1) posed a medium risk to the aquatic environment, while others posed low risk to organisms.

Establishment and utility assessment of posterior reversible encephalopathy syndrome early warning scoring (PEWS) scale establishment and utility assessment of PEWS scale.

BACKGROUND: Posterior reversible encephalopathy syndrome (PRES) is a complication that occurs during various diseases' treatment. Imaging examination is the gold standard for diagnosis. PRES frequently occurrence in patients with hematological malignancies results in poorer prognosis and higher mortality. We aim to establish a practical and operable scale for early prediction, assessment of the severity of the Posterior Reversible Encephalopathy Syndrome, and timely intervention for better prognosis. METHODS: The scale designed by reviewing the literature and by referring to clinical practice. We assessed the reliability and validity of the scale. Scale-based assessment of children undergoing chemotherapy for acute lymphoblastic leukemia conducted as early warning and intervention for those who may have PRES. RESULTS: Establishment of Posterior Reversible Encephalopathy Syndrome early warning scoring (PEWS) scale included three parts, as follows: (1) risk factors, including underlying disease, hypertension, Infection, and drug toxicity; (2) clinical features, including high cranial pressure, visual symptoms, seizure, and disturbance of consciousness; and (3) EEG features, including slow wave and epileptiform discharges. Utility assessment of PEWS scale showed that in 57 patients with acute lymphoblastic leukemia, 54 scored less than 10 and none of them detected as PRES. The other two had scores of 12 and 13 both diagnosed with PRES by brain MRI scan. CONCLUSIONS: PEWS scale can predict PRES early. PRES was highly suspected when the score was 10 points and more. Thus, prophylactic intervention can give to improve the prognosis of PRES.

Patterns and disparities of care in glioblastoma.

BACKGROUND: Glioblastoma is an aggressive disease with a defined standard of care offering crucial survival benefits. Disparities in care may influence treatment decisions. This study seeks to evaluate potential patterns in care delivery using the National Cancer Database (NCDB). METHODS: We evaluated the NCDB from 1998 to 2011 for patients diagnosed with glioblastoma older than 20 years of age in order to describe current hospital-based demographics, rates of treatment modality by age, race, gender, likelihood of receiving treatment, and survival probabilities. RESULTS: From 1998 to 2011, 100672 patients were diagnosed with glioblastoma in the United States. Of these, 54% were younger than 65 years of age, while 20% were 75 years of age or older. The most common type of treatment was surgery (73%), followed by radiation (69%) and chemotherapy (50%). Eleven percent of patients did not receive any form of therapy. Patients receiving no form of treatment were more likely to be older, female, black, or Hispanic. Tumors that did not involve brainstem, ventricles, or the cerebellum were associated with more aggressive treatment and better overall survival. The median survival was 7.5 months. The use of concomitant surgical resection, chemotherapy, and radiation demonstrated greater survival benefit. CONCLUSIONS: Median survival for glioblastoma is significantly less than reported in clinical trials. Sociodemographic factors such as age, gender, race, and socioeconomic status affect treatment decisions for glioblastoma. The elderly are greatly undertreated, as many elderly patients receive no treatment or significantly less than standard of care.