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Ice-rich permafrost thaws in response to rapid Arctic warming, and ground subsidence facilitates the formation of thermokarst lakes. Thermokarst lakes transform the surface energy balance of permafrost, affecting geomorphology, hydrology, ecology, and infrastructure stability, which can further contribute to greenhouse gas emissions. Currently, the spatial distribution of thermokarst lakes at large scales remains a challenging task. Based on multiple high-resolution environmental factors and thermokarst lake inventories, we used machine learning methods to estimate the spatial distributions of present and future thermokarst lake susceptibility (TLS) maps. We also identified key environmental factors of the TLS map. At 1.8 × 106 km2, high and very high susceptible regions were estimated to cover about 10.4 % of the region poleward of 60°N, which were mainly distributed in permafrost-dominated lowland regions. At least 23.9 % of the area of TLS maps was projected to disappear under representative concentration pathway scenarios (RCPs), with increased susceptibility levels in northern Canada. The slope was the key conditioning factor for the occurrence of thermokarst lakes in Arctic permafrost regions. Compared with similar studies, the reliability of the TLS map was further evaluated using probability calibration curve and coefficient of variation (CV). Our results provide a means for assessing the spatial distribution of thermokarst lakes at the circum-Arctic scale but also improve the understanding of their dynamics in response to the climate system.
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BACKGROUND: The WeChat platform has become a primary source for medical information in China. However, no study has been conducted to explore the quality of information on WeChat for the treatment of hypertension, the leading chronic condition. OBJECTIVE: This study aimed to explore the quality of information in articles on WeChat that are related to hypertension treatment from the aspects of credibility, concreteness, accuracy, and completeness. METHODS: We searched for all information related to hypertension treatment on WeChat based on several inclusion and exclusion criteria. We used 2 tools to evaluate information quality, and 2 independent reviewers performed the assessment with the 2 tools separately. First, we adopted the DISCERN instrument to assess the credibility and concreteness of the treatment information, with the outcomes classified into five grades: excellent, good, fair, poor, and very poor. Second, we applied the Chinese Guidelines for Prevention and Treatment of Hypertension (2018 edition) to evaluate the accuracy and completeness of the article information with regard to specific medical content. Third, we combined the results from the 2 assessments to arrive at the overall quality of the articles and explored the differences between, and associations of, the 2 independent assessments. RESULTS: Of the 223 articles that were retrieved, 130 (58.3%) full texts were included. Of these 130 articles, 81 (62.3%) described therapeutic measures for hypertension. The assessment based on the DISCERN instrument reported a mean score of 31.22 (SD 8.46). There were no articles rated excellent (mean score >63); most (111/130, 85.4%) of the articles did not refer to the consequences-in particular, quality of life-of no treatment. For specific medical content, adherence to the Chinese Guidelines for Prevention and Treatment of Hypertension was generally low in terms of accuracy and completeness, and there was much erroneous information. The overall mean quality score was 10.18 (SD 2.22) for the 130 articles, and the scores differed significantly across the 3 types (P=.03) and 5 sources (P=.02). Articles with references achieved higher scores for quality than those reporting none (P<.001). The results from the DISCERN assessment and the medical content scores were highly correlated (ρ=0.58; P<.001). CONCLUSIONS: The quality of hypertension treatment-related information on the WeChat platform is low. Future work is warranted to regulate information sources and strengthen references. For the treatment of hypertension, crucial information on the consequences of no treatment is urgently needed.
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Hipertensão , Envio de Mensagens de Texto , Humanos , Estudos Transversais , Qualidade de Vida , Anti-Hipertensivos , Hipertensão/terapiaRESUMO
Concentrations, composition profiles, sources, and health risks of 16 USEPA priority polycyclic aromatic hydrocarbons (PAHs) in urban soils from 23 cities across China based on metadata collected from previous studies between 2005 and 2021 were investigated. ΣPAH concentrations in urban soils from 23 cities across China ranged from 0.1231 to 17.2000 mg/kg (mean = 2.7171 ± 3.8276 mg/kg). Overall PAH contamination in urban soils across China was moderate compared to that in global cities. Based on energy consumption and climate conditions, the spatial distributions of mean ΣPAH concentrations in Northeast China were highest, followed by those in North China, West China, East China, and South China. Individual PAH composition profiles decreased in the order: 4-ring PAHs (41.36%) > 5-ring PAHs (21.77%) > 3-ring PAHs (18.53%) > 6-ring PAHs (14.00%) > 2-ring PAHs (2.27%). Diagnostic ratios and positive matrix factorization (PMF) revealed that PAHs in urban soils were mainly derived from fossil fuel combustion (from coal, natural gas, and biomass), especially in North, Northeast, and East China, with smaller contributions from petrogenic sources. Health risk assessment results suggest that although there are potential cancer risks from PAHs, risks were acceptable. Toxic equivalent concentration (TEQ) and the corresponding oral cancer slope factor (CFS0) contributed most to the uncertainty of total risks. This study will help develop strategies to reduce PAH risk management in urban soils in China.
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Hidrocarbonetos Policíclicos Aromáticos , Poluentes do Solo , China , Cidades , Carvão Mineral/análise , Monitoramento Ambiental/métodos , Gás Natural , Hidrocarbonetos Policíclicos Aromáticos/análise , Medição de Risco , Solo , Poluentes do Solo/análiseRESUMO
Incidental oral ingestion is considered to be an important exposure route for humans to soil contaminants, such as fluoride (F). For 25 soil samples containing 4000 mg F/kg from aluminium smelting site in southwestern China, this study investigated F bioaccessibility in the human gastrointestinal tract in vitro. Fluoride bioaccessibility (2.4-48.8%) in the gastric phase was primarily caused by the dissolution of F-Ca and F-Al compounds (assigned to residual phase), identified by X-ray photoelectron spectroscopy and sequential extraction. Following modification to the small intestinal phase, the variation in F bioaccessibility (2.5-38.8%) should be the result of concurrent processes, including the formation of F complexes and competitive adsorption, and inversely the precipitation of fluorite and surface adsorption of formed F-Al complexes. The colon incubation with human gut microbiota yielded a 1.3-fold increase in F bioaccessibility (3.9-45.7%), probably due to the dissolution of F bound to Fe (hydr)oxides. Bioaccessibility adjustment can reduce hazard quotient of fluoride, and non-carcinogenic risk for children should be noted that soil F intake contributed 21.7% on average, up to 76.6% of oral reference dose. This will result in better understanding of human health risk assessment associated with F exposures.