Global, regional and national burden of retinopathy of prematurity among childhood and adolescent: a spatiotemporal analysis based on the Global Burden of Disease Study 2019.

BACKGROUND: This study aimed to provide a comprehensive assessment of burden estimates and the secular trend of vision loss due to retinopathy of prematurity (ROP) among people younger than 20 years, at the global, regional and national levels. METHODS: Data were obtained from the Global Burden of Disease Study 2019 database. The average annual percentage change (AAPC) was calculated to quantify the temporal trends in the measures of vision loss. RESULTS: In 2019, the global age-standardised rates (ASRs) of prevalence per 100 000 population was 86.4 for vision loss, specifically, 35 for moderate vision loss, 19.9 for severe vision loss, 31.6 for blindness due to ROP among people younger than 20 years. Moreover, the ASR of years lived with disability per 100 000 was 10.6 for vision loss, specifically, 1.1 for moderate vision loss, 3.6 for severe vision loss, 5.9 for blindness, respectively. From 1990 to 2019, the ASR of prevalence of blindness and vision loss due to ROP significantly increased, while its burden slightly decreased. Males showed higher ASR of prevalence than females in 2019, whereas females have larger increasing trend than males from 1990 to 2019. The global highest ASR of disease burden was observed in South Asia and Southern sub-Saharan Africa, as well as low sociodemographic index (SDI) regions in 2019. CONCLUSIONS: Globally, although the burden decreased, the prevalence of childhood and adulthood vision loss due to ROP continues to increase. Reasonable resource allocation and advanced intervention are recommended to prevent and control the vision loss due to ROP.

Distribution characteristics, risk assessment, and relevance with surrounding soil of heavy metals in coking solid wastes from coking plants in Shanxi, China.

Heavy metal concentrations represent important pollution evaluation indices, and it is necessary to assess the potential environmental and health risks from heavy metals associated with coking wastes from coking plants. In this study, coking sludge (CS), tar residue (TR), coke powder (CP), and sulfur paste (SP) from three coking plants (Plant A, Plant B, and Plant C) in central, western, and southern Shanxi Province and from soils surrounding Plant A were selected as the research objects, and the distributions of Cu, Ni, Pb, Zn, Mn, Cd, and Cr were determined. The results showed that Cd in the four solid wastes far exceeded the soil background value by a factor of 16~195, and the contents of Pb in TR (three plants) and CS (Plant C) exceeded the soil background values 19.70-, 23.57-, 14.46-, and 12.56-fold, respectively. Similarly, the concentrations of Cu, Ni, Pb, Zn, and Cd in soils were higher than the background values by factors of 31.18, 8.35, 34.79, 29.48, and 3.43, respectively. In addition, the Cu, Ni, Pb, and Cr in the four solid wastes and soils mainly existed in the residual state. As depth increased, the overall Ni, Pb, Mn, and Cd concentrations in soils increased. The high ecological risks associated with the four solid wastes were mainly due to the enrichment of Cd. Workers in coking plants face certain Cr health risks. This study provides theoretical support for the coking industry with respect to the treatment, disposal, and management of solid wastes.

Spatial variability and risk assessment of heavy metals in the soil surrounding solid waste from coking plants in Shanxi, China.

Heavy metal pollution in the soil surrounding solid wastes from coking plants poses potential threats to human health and has attracted widespread attention. This study is the first to assess the spatial variability and risks of heavy metals in the soil surrounding solid waste from coking plants. The results showed that the concentrations of Cu, Ni, Pb, and Cd in the soil were much higher than the background value of the soil. Solid waste had a clear influence on the contents of Ni, Cd, Mn, Pb, and Cr in the soil. The ecological risk assessment of heavy metal pollution demonstrated that the pollution degree of Cu, Pb, and Cd was more serious than others, and the ecological risk of heavy metals was mainly caused by Cd in the soil. The human health risk assessment showed that adults and children near coking plants might face carcinogenic risk from exposure to Cr. This study can provide a theoretical basis for the prevention and management of soil heavy metal pollution surrounding solid waste in coking plants.

Antibiotic body burden of elderly Chinese population and health risk assessment: A human biomonitoring-based study.

Recently, the widespread use of antibiotic has raised concerns about the potential health risks associated with their microbiological effect. In the present study, we investigated 990 elderly individuals (age ≥ 60 years) from the Cohort of Elderly Health and Environment Controllable Factors in West Anhui, China. A total of 45 representative antibiotics and two antibiotic metabolites were monitored in urine samples through liquid chromatography electrospray tandem mass spectrometry. The results revealed that 34 antibiotics were detected in 93.0% of all urine samples and the detection frequencies of each antibiotic varied between 0.2% and 35.5%. The overall detection frequencies of seven human antibiotics (HAs), 10 veterinary antibiotics (VAs), three antibiotics preferred as HAs (PHAs), and 14 preferred as VAs (PVAs) in urines were 27.4%, 62.9%, 30.9% and 72.7%, respectively. Notably, the samples with concentrations of six PVAs (sulfamethoxazole, trimethoprim, oxytetracycline, danofloxacin, norfloxacin and lincomycin) above 5000 ng/mL accounted for 1.7% of all urine samples. Additionally, in 62.7% of urine samples, the total antibiotic concentration was in the range of the limits of detection to 20.0 ng/mL. Furthermore, the elderly individuals with the sum of estimated daily intakes of VAs and PVAs more than 1 µg/kg/day accounted for 15.2% of all participants, and a health risk related to change in gut microbiota under antibiotic stimulation was expected in 6.7% of the elderly individuals. Especially, ciprofloxacin was the foremost contributor to the health risk, and its hazard quotient value was more than one in 3.5% of all subjects. Taken together, the elderly Chinese people were extensively exposed to VAs, and some elderly individuals may have a health risk associated with dysbiosis of the gut microbiota.

In vitro assessment of thyroid hormone receptor activity of four organophosphate esters.

Previous animal experiments have implied that organophosphate esters (OPEs) have a disruption effect on the thyroid endocrine system. However, knowledge of the toxicological mechanism remains limited. In this study, the activities of four OPEs have been characterized against the thyroid hormone (TH) nuclear receptor (TR) using two in vitro models, with the aim of evaluating their toxicity mechanisms towards the TR. The results of a TH-dependent cell proliferation assay showed that tris(2-chloro-1-(chloromethyl)ethyl)phosphate (TDCPP) could induce cell growth, while the other three OPEs had no effect. The results of a luciferase reporter gene assay revealed that all four of the OPEs tested in the current study showed agonistic activity towards TRß, with TDCPP being the most potent one. Moreover, molecular docking revealed that all the tested OPEs could fit into the ligand binding pocket of TRß, with TDCPP binding more effectively than the other three OPEs. Taken together, these data suggest that OPEs might disrupt the thyroid endocrine system via a mechanism involving the activation of TR.

[Dietary patterns and its influencing factors among freshmen students in college].

OBJECTIVE: To investigate the dietary pattern in college freshmen students and to analyze the influencing factors on their dietary patterns. METHODS: A questionnaire survey on situation of dietary pattern and influencing factors was conducted among 1319 freshmen students. RESULTS: Four major dietary patterns were noticed and they were: I, high consumption in hamburger, fried food, nuts, biscuit, chocolate, cola, coffee, sugars, II, high consumption in pork, mutton, beef, poultry meat, animal liver, III, high consumption in fresh fruits, eggs, fish and shrimps, kelp laver and sea fish, milk and dairy products, beans and bean products, IV, high consumption in rice and grain, fresh fruits, fresh vegetables, pork. Risk factors on dietary pattern were presented as follows: (1) boys:having the food pattern I and II showed a strong positive association with the place where they live (OR = 1.67, 95%CI: 0.87 - 3.19; OR = 1.51, 95%CI: 0.79 - 2.88), eating place (OR = 1.63, 95%CI: 1.03 - 2.59;OR = 1.83, 95%CI: 1.04 - 3.23), level of mother's education (OR = 2.52, 95%CI: 1.07 - 5.95; OR = 3.38, 95%CI: 1.50 - 7.63), family income (OR = 2.24, 95%CI: 1.30 - 3.88; OR = 3.06, 95%CI: 1.77 - 5.29) and the status of passive smoking (OR = 1.80, 95%CI: 0.70 - 4.59; OR = 1.83, 95%CI: 0.75 - 4.45). Inverse correlations was found on the level of mother's education (OR = 0.56, 95%CI: 0.17 - 1.79). The food pattern IV showed a strong positive association with place of eating (OR = 1.83, 95%CI: 1.04 - 3.23) but having an inverse correlation with the level of mother's education (OR = 0.56, 95%CI: 0.17 - 1.79). (2) girls when compared with boys, the food pattern I showed minor association with the places of living and eating; while the food pattern II and III had minor association with the status of passive smoking. CONCLUSION: Socio-demographic factors and lifestyle had influenced on the dietary patterns among college freshmen students who should be guided to have a reasonable, balanced diet in the college.