Changes in PM2.5-related health burden in China's poverty and non-poverty areas during 2000-2020: A health inequality perspective.

China suffers from severe PM2.5 pollution that has resulted in a huge health burden. Such PM2.5-related health burden has long been suspected to differ between China's poverty-stricken areas (PAs) and non-poverty-stricken areas (NPAs). Yet, evidence-based examination of this long-held belief, which is critical as a barrier of environmental injustice to advancing China's sustainability, is still missing. Here our study shows that the PM2.5 pollution is more serious in China's NPAs than PAs-with their annual averages being respectively 54.83 µg/m3 and 43.63 µg/m3-causing higher premature mortality in the NPAs. Compared to economic inequality, China's total PM2.5-related premature mortality was relatively evenly distributed during 2000-2015 across regions of varying levels of gross domestic product (GDP) per capita but increased slightly in 2015-2020 owing to the dramatic change in age structure. The elderly population increased by 31 %. PM2.5-related premature deaths were more severe for populations of low socioeconomic status, and such environmental health inequalities could be amplified by population aging. Additionally, population migration from China's PAs to developed cities contributed to 638, 779, 303, 954, and 896 premature deaths in 2000, 2005, 2010, 2015, and 2020, respectively. Changes in the age structure (53 %) and PM2.5 concentration (28 %) had the greatest impact on premature deaths, followed by changes in population (12 %) and baseline mortality (8 %). The contribution rate of changes in the age structure and PM2.5 concentration was higher in PAs than in NPAs. Our findings provide insight into PM2.5-related premature death and environmental inequality, and may inform more equitable clean air policies to achieve China's sustainable development goals.

Process and Eco-Environment Impact of Land Use Function Transition under the Perspective of "Production-Living-Ecological" Spaces-Case of Haikou City, China.

Land use function transition can change the eco-environment. To achieve an "Intensive and efficient production space, moderately livable living space, and beautiful ecological space", the ecological effects of land use function transition in the context of ecologically fragile areas and rapidly developing areas of socio-economic importance need to be studied. In this study, from the perspective of "production-living-ecological" spaces, we calculated the index of regional eco-environment quality, positive and negative effects of eco-environment impact, and the ecological contribution rate and analyzed the driving factors. We found the following: (1) The production space was greatly compressed, living space was expanded, and ecological space was significantly squeezed. Haikou underwent a rapid transformation from an agriculture-dependent city to an industrial city. Land supply for urban and rural living was guaranteed by the Chinese land management department. However, Haikou prioritized economic development over environmental protection. (2) The regional eco-environment quality index decreased from 2009 to 2018. The expansion of pasture-based ecological spaces is important for improving the quality of the eco-environment, and the reduction of forest ecological space strongly influences the deterioration of the eco-environment. (3) Resource base, historical level of utilization, suitability of land, the ecological value potentiality, and regional policies greatly affected land use function transition and its eco-environment. (4) Refining the planning of territorial space, comprehensively improving land and resources, and reforming the rural land system greatly influenced policy guidance and technical regulation for coordinating "production-living-ecological" spaces and improving the regional eco-environment. In this study, we tested the effect of regional policy regulation on land use function transition and provided a reference for coordinating "production-living-ecological" spaces.

The roles of social status information in irony comprehension: An eye-tracking study.

The literature on irony processing mainly focused on contextual effect, leaving other factors (such as social factors) untouched. The current study investigated how social status information affected the online comprehension of irony. As irony might be more damaging when a speaker uses it to a superordinate than the other way around, it is assumed that greater processing efforts would be observed in the former case. Using an eye-movement sentence reading paradigm, we recruited 36 native Mandarin speakers and examined the role of social status information and literality (i.e., literal and irony) in their irony interpretation. Our results showed ironic statements were more effortful to process than literal ones, reporting an early and consistent effect on the target regions. The social status effect followed the literality effect, with more difficulty in processing ironic statements that targeted the superordinate than the subordinate; such an effect of social status was missing with literal statements. Besides, an individual's social skill appeared to affect the perception of status information in ironic statements, as the socially skillful readers needed more time than the socially unskillful to process irony targeting a subordinate in the second half of the experiment in the critical region. Our study suggests that irony processing might be further discussed in terms of the relative predictability of linguistic, social, and individual variabilities.

Assessment of Spinal Tumor Treatment Using Implanted 3D-Printed Vertebral Bodies with Robotic Stereotactic Radiotherapy.

To investigate the feasibility and early efficacy of 3D-printed vertebral body implantation combined with robotic radiosurgery in the treatment of spinal tumors. This study included 14 patients with spinal tumors from December 2017 to June 2018. Before surgery, all patients were subjected to CT scan and 3D data of the corresponding vertebral segments were collected. Titanium alloy formed 3D-printed vertebral body implantation and robotic stereotactic radiotherapy were performed because of the risk of postoperative residual, high risk of recovery, or recurrence after surgery. The main outcomes included the remission of symptoms, vertebral body stability, robotic stereotactic surgical precision, and local tumor control. All patients received complete and successful combination therapy, and all healed primarily without complications. The error of the coverage accuracy for robotic radiosurgery was less than 0.5 mm, and the error of the rotation angle was less than 0.5°. The therapeutic toxicity was limited (mainly in grades 1-2), and adverse events were uncommon. The evaluation of vertebral body stability and histocompatibility for all patients met the postoperative clinical requirements. For patients with post spinal injury, the pain symptoms were reduced or disappeared (93%), and nerve function was improved or even recovered after treatment (100%). During our follow-up period, most tumors were locally well controlled (93%). 3D- printed vertebral body implantation combined with robotic radiosurgery may offer a new treatment of spinal tumors. Chinese clinical trial registry: ChiCTR-ONN-17013946.

Are children with type 1 diabetes safe at school? Examining parent perceptions.

OBJECTIVE: To describe parent perceptions of children's diabetes care at school including: availability of licensed health professionals; staff training; logistics of provision of care; and occurrence and treatment of hypo- and hyperglycemia; and to examine parents' perceptions of their children's safety and satisfaction in the school environment. RESEARCH DESIGN AND METHODS: A survey was completed by parents of children with type 1 diabetes from permissive (trained, non-medical school personnel permitted to provide diabetes care; N = 237) and non-permissive (only licensed health care professionals permitted to provide diabetes care; N = 198) states. RESULTS: Most parents reported that schools had nurses available for the school day; teachers and coaches should be trained; nurses, children, and parents frequently provided diabetes care; and hypo- and hyperglycemia occurred often. Parents in permissive states perceived children to be as safe and were as satisfied with care as parents in non-permissive states. CONCLUSIONS: Training non-medical staff will probably maximize safety of children with diabetes when a school nurse is not available.

Soluble Human Epidermal Growth Factor Receptor 2 (sHER2) as a Potential Risk Assessment, Screening, and Diagnostic Biomarker of Lung Adenocarcinoma.

Lung cancer is the leading cause of cancer-related death in the United States. Here, we evaluated the potential clinical utility of soluble human epidermal growth factor receptor 2 (sHER2) for the risk assessment, screening, and diagnosis of non-small cell lung cancer (NSCLC) using an unmatched case-control study design. Serum sHER2 concentrations were measured by immunoassay in 244 primary NSCLC cases and 218 healthy controls. Wilcoxon rank-sum tests, logistic regression models, and receiver operating characteristic plots were used to assess whether sHER2 is associated with lung cancer. Median serum sHER2 concentrations are higher in patients with adenocarcinoma than squamous cell carcinoma regardless of gender, and sHER2 is a weak, independent biomarker of adenocarcinoma, but not of squamous cell carcinoma, adjusted for age and gender. The age-adjusted relative risk (odds) of adenocarcinoma is 3.95 (95% CI: 1.22, 12.81) and 7.93 (95% CI: 2.26, 27.82) greater for women and men with high sHER2 concentrations (≥6.60 ng/mL) vs. low sHER2 concentrations (≤1.85 ng/mL), respectively. When adjusted for each other, sHER2, age, and gender discern healthy controls from patients with primary adenocarcinomas of the lung with 85.9% accuracy. We conclude that even though serum sHER2 is not a strong, stand-alone discriminatory biomarker of adenocarcinoma, sHER2 may be a useful, independent covariate in multivariate risk assessment, screening, and diagnostic models of lung cancer.