Gastric cancer is one of the most frequent cancers in the world; almost two-thirds of gastric cancer cases and deaths occur in less developed regions. In China, based on two national mortality ...surveys conducted in 1970s and 1990s, there is an obvious clustering of geographical distribution of gastric cancer in the country, with the high mortality being mostly located in rural areas, especially in Gansu, Henan, Hebei, Shanxi and Shaanxi Provinces in the middle-western part of China. Despite a slight increase from the 1970s to early 1990s, remarkable declines in gastric cancer mortality were noticed in almost the entire population during the last decade in China. These declines were largely due to the dramatic improvements in the social-economic environment, lifestyle, nutrition, education and health care system after economic reforms started two decades ago. Nevertheless, gastric cancer will remain a significant cancer burden currently and be one of the key issues in cancer prevention and control strategy in China. It was predicted that, in 2005, 0.3 million deaths and 0.4 million new cases from gastric cancer would rank the third most common cancer. The essential package of the prevention and control strategy for gastric cancer in China would focus on controlling Helicobacter pylori （H pylori infection, improving educational levels, advocating healthy diet and anti-tobacco campaign, searching for cost-effective early detection, diagnosis and treatment programs including approaches for curable management and palliative care.
Background Insulin resistance and/or insulin secretion dysfunction are crucial causes of type 2 diabetes mellitus (T2DM). Although some studies have suggested potential roles for vitamins D and K in ...glucose metabolism and insulin sensitivity, there is limited and inconclusive research on their levels in T2DM patients and their relationship with blood glucose levels and insulin resistance. Additionally, there is a lack of large-scale clinical trials and comprehensive studies investigating the combined effects of vitamins D and K on T2DM. Methods A total of 195 participants with newly diagnosed T2DM were included in the research group, while 180 volunteers undergoing physical examinations in our hospital served as the control group. Fasting plasma glucose (FPG) was estimated using the glucose-oxidase technique, and fasting serum insulin (FINS) was evaluated by radioimmunoassay. FPG and FINS were used to calculate the homeostasis model assessment-insulin resistance (HOMA-IR). Serum vitamin D levels were measured using 25-hydroxyvitamin D, and vitamin K levels were evaluated using phylloquinone (VK1) and menaquinone (VK2) via ultra-high performance liquid chromatography and tandem mass spectrometry. Receiver operating characteristic (ROC) analysis was performed to assess the predictive value of these vitamins for T2DM. Results Circulating levels of 25-hydroxyvitamin D (25.95 ± 10.42 ng/mL), VK1 (1.24 ± 0.89 ng/mL), and VK2 (0.2 ± 0.21 ng/mL) in T2DM patients were significantly lower than in the control group (37.46 ± 13.95 ng/mL for 25-hydroxyvitamin D, 1.99 ± 1.39 ng/mL for VK1, and 0.33 ± 0.22 ng/mL for VK2; p<0.001 for all comparisons). ROC analysis indicated that 25-hydroxyvitamin D, VK1, and VK2 could predict the occurrence of T2DM, with AUC values of 0.75, 0.69, and 0.71, respectively. In T2DM patients, 25-hydroxyvitamin D levels were positively correlated with VK1 (r=0.43, p<0.001) and VK2 (r=0.40, p<0.001) levels. FPG and HOMA-IR in T2DM patients were negatively correlated with circulating levels of 25-hydroxyvitamin D (r=-0.57, p<0.001), VK1 (r=-0.44, p<0.001), and VK2 (r=-0.36, p<0.001). Conclusion Circulating levels of vitamins D and K are lower in T2DM patients and show significant correlations with blood glucose levels and insulin resistance. These findings suggest that measurements of 25-hydroxyvitamin D, VK1, and VK2 could have predictive value for T2DM, highlighting the potential roles of these vitamins in T2DM management.
Microplastic is an emerging contaminant of concern in soil globally due to its widespread and potential risks on the ecological system. Some basic issues such as the occurrence, source, and potential ...risks of microplastics in the soil are still open questions. These problems arise due to the lack of systematic and comprehensive analysis of microplastic in soils. Therefore, we comprehensively reviewed the current status of knowledge on microplastics in soil on detection, occurrence, characterization, source, and potential risk. Our review suggests that microplastics are ubiquitous in soil matrices globally. However, the research progress of microplastics in the soil is restricted by inherent technological inconsistencies and difficulties in analyzing particles in complex matrices, and studies on the occurrence and distribution of microplastics in soil environments remain very scarce, especially in Africa, South America, and Oceania. The consistency of the characteristics and composition of the microplastics in the aquatic environment and soil demonstrate they may share sources and exchange microplastics. Wide and varied sources of microplastic are constantly filling the soil, which causes the accumulation of microplastics in the soil. Studies on the effects and potential risks of microplastics in soil ecosystems are also reviewed. Limited research has shown that the combination and interaction of microplastics with contaminants they absorbed may affect soil health and function, and even migration along the food chain. The occurrence and impact of microplastic on the soil depend on the morphology, chemical components, and natural factors. We conclude that large research gaps exist in the quantification and estimation of regional emissions of microplastics in soil, factors affecting the concentration of microplastics, and microplastic disguising as soil carbon storage, which need more effort.
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•Microplastics are ubiquitous in the soil environment.•The monitoring data of microplastics are insufficient.•Soil and other environmental matrices share and exchange microplastics.•The quantification and estimation of microplastics in soil are imperative.•Microplastics pose potential impacts on soil ecosystems and human food chains.
There is a rising concern regarding the accumulation of microplastics in the aquatic ecosystems. However, compared to the marine environment, the occurrence, transport, and diffusion of microplastics ...in freshwater sediment are still open questions. This paper summarizes and compares the methods used in previous studies and provides suggestions for sampling and analysis of microplastics in freshwater sediment. This paper also reviews the findings on microplastics in freshwater sediment, including abundance, morphological characteristics, polymer types, sources, and factors affecting the abundance of microplastics in freshwater sediment. The results show that microplastics are ubiquitous in the investigated sediment of rivers, lakes, and reservoirs, with an abundance of 2–5 orders of magnitude across different regions. Low microplastics concentration was observed in the Ciwalengke River with an average abundance of 30.3 ± 15.9 items/kg. In particular, an extremely high abundance of microplastics was recorded in the urban recipient in Norway reaching 12,000–200,000 items/kg. Fibers with particle size less than 1 mm are the dominant shape for microplastics in freshwater sediment. In addition, the most frequently recorded colors and types are white/transparent, and PE/PS, respectively. Finally, we conclude that the consistency of morphological characteristics and components of microplastics between the beach or marine sediments and freshwater sediments may be an indicator of these interlinkages and source-pathways. Microplastics in freshwater sediment need further research and exploration to identify its spatial and temporal variations and driving force through further field sampling and implementation of standard and uniform analytical methodologies.
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•Microplastics occur ubiquitous in the investigated sediments of rivers, lakes and reservoirs at global scale.•The abundance of microplastics in freshwater spans 2–5 orders of magnitude across different regions.•Morphological characteristics indicate microplastics originate mainly from secondary sources.•Morphological characteristics and chemical composition of freshwater and marine sediment microplastics are consistent.
To investigate the effectiveness of a school-based program promoting outdoor activities in Taiwan for myopia prevention and to identify protective light intensities.
Multi-area, cluster-randomized ...intervention controlled trial.
A total 693 grade 1 schoolchildren in 16 schools participated. Two hundred sixty-seven schoolchildren were in the intervention group and 426 were in the control group.
Initially, 24 schools were randomized into the intervention and control groups, but 5 and 3 schools in the intervention and control groups, respectively, withdrew before enrollment. A school-based Recess Outside Classroom Trial was implemented in the intervention group, in which schoolchildren were encouraged to go outdoors for up to 11 hours weekly. Data collection included eye examinations, cycloplegic refraction, noncontact axial length measurements, light meter recorders, diary logs, and questionnaires.
Change in spherical equivalent and axial length after 1 year and the intensity and duration of outdoor light exposures.
The intervention group showed significantly less myopic shift and axial elongation compared with the control group (0.35 diopter D vs. 0.47 D; 0.28 vs. 0.33 mm; P = 0.002 and P = 0.003) and a 54% lower risk of rapid myopia progression (odds ratio, 0.46; 95% confidence interval CI, 0.28-0.77; P = 0.003). The myopic protective effects were significant in both nonmyopic and myopic children compared with controls. Regarding spending outdoor time of at least 11 hours weekly with exposure to 1000 lux or more of light, the intervention group had significantly more participants compared with the control group (49.79% vs. 22.73%; P < 0.001). Schoolchildren with longer outdoor time in school (≥200 minutes) showed significantly less myopic shift (measured by light meters; ≥1000 lux: 0.14 D; 95% CI, 0.02-0.27; P = 0.02; ≥3000 lux: 0.16 D; 95% CI, 0.002-0.32; P = 0.048).
The school-based outdoor promotion program effectively reduced the myopia change in both nonmyopic and myopic children. Outdoor activities with strong sunlight exposure may not be necessary for myopia prevention. Relatively lower outdoor light intensity activity with longer time outdoors, such as in hallways or under trees, also can be considered.
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•A novel grey forecasting method is proposed to predict the production and sales of China’s new energy vehicles.•Accumulation and translation transformations are introduced into the ...grey buffer operator.•A genetic algorithm is used to optimise the parameters of the new operator to ensure high-precision prediction.•The proposed method exhibits much higher prediction accuracy than those of the classical grey forecasting methods.
In recent years, under a series of policy shocks, the production and sales of new energy vehicles in China show the characteristics of trend mutation and non-smoothness. In order to forecast the production and sales of new energy vehicles in China, an optimised grey buffer operator is proposed by introducing accumulation and translation transformations. Meanwhile, a genetic algorithm is employed to ascertain its optimum parameters. Forecasting results indicate that the optimised buffer operator can significantly improve the adaptability of the grey model to the production and sales data of new energy vehicles in China, and exhibits much higher prediction accuracy than those of the classical buffer operator and grey model. Besides, the prediction results show that the production and sales of China’s new energy vehicles will continue to grow from 2018 to 2020, with an average annual growth rate of 27.53% and 30.49%, respectively.
Owing to the sustainability, environmental friendliness, and structural diversity of biomass‐derived materials, extensive efforts have been devoted to use them as energy storage materials in ...high‐energy rechargeable batteries. A timely and comprehensive review from the structures to mechanisms will significantly widen this research field. Here, it starts with the operation mechanism of batteries, and it aims to summarize the latest advances for biomass‐derived carbon to achieve high‐energy battery materials, including activation carbon methods and the structural classification of biomass‐derived carbon materials from zero dimension, one dimension, two dimension, and three dimension. Each strategy starts with carefully selected examples and then moves to illustrate the underlying transport mechanism of electrons in the structure. In the end, challenges, strategies, and outlooks are pointed out for the future development of biomass‐derived carbon materials. Overall, this review will help researchers choose appropriate strategies to design biomass‐derived carbon materials, thereby promoting the application of biomass materials in battery design.
This review comprehensively summarizes the internal structure of biomass‐derived carbon materials, which aims to provide suitable environment‐friendly and low consumption green materials for high‐performance batteries design.
In preparation for personalized nutrition, an accurate assessment of dietary intakes on key essential nutrients using smartphones can help promote health and reduce health risks across vulnerable ...populations. We, therefore, validated the accuracy of a mobile application (app) against Food Frequency Questionnaire (FFQ) using artificial intelligence (AI) machine-learning-based analytics, assessing key macro- and micro-nutrients across various modern diets. We first used Bland and Altman analysis to identify and visualize the differences between the two measures. We then applied AI-based analytics to enhance prediction accuracy, including generalized regression to identify factors that contributed to the differences between the two measures. The mobile app underestimated most macro- and micro-nutrients compared to FFQ (ranges: -5% for total calories, -19% for cobalamin, -33% for vitamin E). The average correlations between the two measures were 0.87 for macro-nutrients and 0.84 for micro-nutrients. Factors that contributed to the differences between the two measures using total calories as an example, included caloric range (1000-2000 versus others), carbohydrate, and protein; for cobalamin, included caloric range, protein, and Chinese diet. Future studies are needed to validate actual intakes and reporting of various diets, and to examine the accuracy of mobile App. Thus, a mobile app can be used to support personalized nutrition in the mHealth era, considering adjustments with sources that could contribute to the inaccurate estimates of nutrients.
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With the ever-growing development of multifunctional and miniature electronics, the exploring of high-power microwatt-milliwatt self-charging technology is highly essential. Flexible ...thermoelectric materials and devices, utilizing small temperature difference to generate electricity, exhibit great potentials to provide the continuous power supply for wearable and implantable electronics. In this review, we summarize the recent progress of flexible thermoelectric materials, including conducting polymers, organic/inorganic hybrid composites, and fully inorganic materials. The strategies and approaches for enhancing the thermoelectric properties of different flexible materials are detailed overviewed. Besides, we highlight the advanced strategies for the design of mechanical robust flexible thermoelectric devices. In the end, we point out the challenges and outlook for the future development of flexible thermoelectric materials and devices.
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