ALBERT

Description: Atmospheric benzene, toluene, ethylbenzene, and xylenes (BTEX) can lead to multiple health injuries. However, what remains uncertain is the effect of long-term exposure to low levels of BTEX. Thus, we determined the BTEX levels in the air from the refueling and office areas in gas stations. Then we collected workers’ (200 refueling vs. 52 office workers) peripheral blood samples to analyze the serum total-superoxide dismutase (T-SOD), glutathione (GSH), malondialdehyde (MDA), and 8-hydroxydeoxyguanosine (8-OHdG) levels. DNA damage was analyzed by the comet assay and micronucleus test in buccal epithelial cells. We found that the levels of BTEX in refueling areas were significantly higher than those in office areas (p 〈 0.001). The serum T-SOD and GSH of refueling workers were significantly lower than those in office workers (p 〈 0.001). By contrast, the serum MDA and 8-OHdG of refueling workers were significantly higher than those of office workers (p 〈 0.001, MDA; p = 0.025, 8-OHdG). Furthermore, tail and Olive tail moments in refueling workers were longer (p = 0.004, tail moment; p = 0.001, Olive tail moment), and the micronucleus rate was higher (p 〈 0.001) than those in office workers. Taken together, long-term exposure to low levels of BTEX may reduce the antioxidant ability and increase the risk of DNA damage in refueling workers of gas stations.

Description: The increasing prevalence of dyslipidemia has become a worldwide public health problem, and the prevalence varies widely according to socioeconomic, cultural and ethnic characteristics. Chongqing has experienced rapid economic development and is now the economic center of Southwestern China. There are scant data on serum lipid profile of residents in Chongqing, the largest municipality directly under the Central Government in China. We conducted a cross-sectional study in a representative sample of 5375 residents of Chongqing, aged ≥18 years, and estimated the prevalence of dyslipidemia and its associated risk factors. According to the National Cholesterol Education Program-Adult Treatment Panel III criteria, the age-standardized prevalence of dyslipidemia was 35.5% (34.4% among men and 37.6% among women). Among the 2009 patients with dyslipidemia, 44.2% had isolated hypertriglyceridemia, 14.7% had isolated hypercholesterolemia, 13.2% had mixed hyperlipidemia, and 28.0% had isolated low high-density lipoprotein cholesterol. The peak prevalence of dyslipidemia in men was between 30 and 39 years (48.2%), and then declined gradually; in women, the prevalence of dyslipidemia increased with age, with the peak prevalence occurring after age 60 (46.3%). Multivariable logistic regression analysis revealed that dyslipidemia was associated with age, education level, physical activity, obesity and central obesity for both men and women. In conclusion, the results indicated dyslipidemia, particularly hypertriglyceridemia and low high-density lipoprotein cholesterol, are very common in Chongqing. To prevent dyslipidemia, it is essential to conduct appropriate intervention programs aimed at risk factor reduction and implement routine screening programs for blood lipid levels in Chongqing, China.

Description: Diagnosing the evolution trends of vegetation and its drivers is necessary for ecological conservation and restoration. However, it remains unclear what the underlying distribution pattern of these trends and its correlation with some drivers at large spatial-temporal scales. Here we use the normalized difference vegetation index (NDVI) to quantify the activity of vegetation by Theil–Sen median trend analysis and the Mann–Kendall test, Pearson correlation analysis and Boosted regression trees (BRT) model. Results show that about 34% of the global continent area has experienced greening in the grid annual NDVI from 1982 to 2015. The major greening areas were observed in the Sahel, European, India and south China. Only 10% of the global continent land areas were browning, and these were observed in Canada, South America, central Africa and Central Asia. BRT model shows that rainfall is the most important factor affecting vegetation evolution (63.1%), followed by temperature (15%), land cover change (8.6%), population (6.5%), elevation (6.4%) and nightlight (0.4%). It’s about 21% of the world’s continent were affected by rainfall, mainly in arid regions such as central Asia and Australia. The main temperature-affected areas accounted for 36%, located near the equator or in high latitudes.

Description: In April 2017, several travelers with acute gastroenteritis on a cruise ship were reported. We conducted an investigation to identify the pathogen, mode of transmission, and risk factors. We searched and classified case-patient according to structured case definition, and collect date of the onset, clinical manifestations, and demographic information of cases. A case-control study was implemented to compare foods consumption between cases and asymptomatic travelers. Samples such as feces, rectal swab, vomitus, and environment swab were collected for testing. The attack rate was 18.2% (101/555), four cold dishes served on 11th, April were independently associated with an increased risk of disease: cold potherb (odds ratio (OR): 14.4; 95% confidence interval (CI): 2.2–93.3) and cold garlic sprout (OR: 26.1; 95% CI: 4.9–138.0) served at lunch, cold broad bean (OR: 5.8; 95% CI: 1.3–26.2), and cold cucumber (OR: 13.9; 95% CI: 2.3–84.2) served at dinner. A total of 15 samples were positive for norovirus genogroup II (GII) by using reverse transcription polymerase chain reaction (RT-PCR). This outbreak that occurred on the cruise ship was caused by norovirus GII. The evidence indicated that norovirus was mainly transmitted through consumption of cold dishes on 11th, April, which might be contaminated by asymptomatic cold dish cook.

Description: The recent decades have witnessed refrigeration systems playing an important role in the life of human beings, with wide applications in various fields, including building comfort, food storage, food transportation and the medical special care units. However, if the temperature is not controlled well, it will lead to many harmful public health effects, such as the human being catching colds, food spoilage and harm to the recovering patients. Besides, refrigeration systems consume a significant portion of the whole society’s electricity usage, which consequently contributes a considerable amount of carbon emissions into the public environment. In order to protect human health and improve the energy efficiency, an optimal control strategy is designed in this paper with the following steps: (1) identifying the refrigeration system model based on a least squares method; (2) tuning an initial group of parameters of the proportional-integral-derivative (PID) controller via the pidTuner Toolbox of Matlab; (3) using an intelligent algorithm, namely fruit fly optimization (FOA), to further optimize the parameters of the PID controller. By comparing the optimal PID controller and the controller provided in the reference, the simulation results demonstrate that the proposed optimal PID controller can produce a more controllable temperature, with less tacking overshoot, less settling time, and more stable performance under a constant set-point.

Description: As public expectations for health rise, health measurements broaden from a focus on death, disease, and disability to wellbeing. However, wellbeing hasn’t been incorporated into the framework of climate change policy decision-making in Chinese cities. Based on survey data (n = 763) from Suzhou, this study used Generalized Estimation Equation approach to model external conditions associated with wellbeing. Then, semi-quantitative analyses were conducted to provide a first indication to whether local climate change policies promote or conflict with wellbeing through altering these conditions. Our findings suggested: (i) Socio-demographic (age, job satisfaction, health), psychosocial (satisfaction with social life, ontological security/resilience) and environmental conditions (distance to busy road, noise annoyance and range hoods in the kitchen) were significantly associated with wellbeing; (ii) None of existing climate change strategies in Suzhou conflict with wellbeing. Three mitigation policies (promotion of tertiary and high–tech industry, increased renewable energy in buildings, and restrictions on car use) and one adaption policy (increasing resilience) brought positive co–benefits for wellbeing, through the availability of high-satisfied jobs, reduced dependence on range hoods, noise reduction, and valuing citizens, respectively. This study also provided implications for other similar Chinese cities that potential consequences of climate change interventions for wellbeing should be considered.

Description: IJERPH, Vol. 15, Pages 900: Will Happiness Improve the Psychological Integration of Migrant Workers? International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15050900 Authors: Tian-Cheng Li Chien-Chi Chu Fan-Cun Meng Qin Li Di Mo Bin Li Sang-Bing Tsai Happiness is a major factor that influences people’s perceptions and behavior. Two-stage least squares regression was applied to investigate the effect of happiness on the psychological integration of migrant workers in China. The data for a total of 1625 individuals were obtained from the 2014 China Labor-force Dynamics Survey (CLDS). This study describes happiness from three main aspects: happiness, life satisfaction, and economic satisfaction. The psychological integration includes two dimensions of settlementwillingness, and trust level; these have gone through dimension-reduced processing by using the weighted average method. The empirical evidence shows, first, that happiness has a significantly positive effect on the psychological integration of migrant workers and second, that the sense of life satisfaction in particular plays a more significant role. The acceleration of the social and political integration in migrant workers will enhance their psychological integration. Additionally, social, cultural and economic integration is found to influence migrant workers’ psychological integration by promoting happiness. Happiness between different generations of migrant workers was found to have a noticeably positive impact on their psychological integration; however, the happiness of the younger migrant workers was more perceivable than that of the other generations. Preferential policies should therefore be provided to improve the happiness of migrant workers.

Description: IJERPH, Vol. 15, Pages 656: Influence of Vehicle Speed on the Characteristics of Driver’s Eye Movement at a Highway Tunnel Entrance during Day and Night Conditions: A Pilot Study International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15040656 Authors: Li Qin Li-Li Dong Wen-Hai Xu Li-Dong Zhang Arturo Leon The aim of this study was to investigate how vehicle speed influences the characteristics of driver’s eye movement at highway tunnel entrances during day and night. In this study, six drivers’ eye movement data (from 200 m before tunnel entrance to 200 m inside tunnel entrance) under five predetermined vehicle speeds (40, 50, 60, 70 and 80 km/h) in the daytime and three predetermined vehicle speeds (40, 60 and 80 km/h) in the nighttime were recorded using the non-intrusive Dikablis Professional eye-tracking system. Pupil size, the average fixation duration time and the average number of fixation were analyzed and then the influence of the vehicle speed on these parameters was evaluated by means of IBM SPSS Statistics 20.0. The results for pupil size in daytime increased when approaching the tunnel entrance, while as for nighttime, pupil size decreased when approaching the tunnel entrance and then increased after entering the tunnel. The pupil size in daytime has a significant negative correlation with vehicle speed, while the pupil size in nighttime did not show a significant association with vehicle speed. Furthermore, the average fixation duration in daytime increased when entering the tunnel, and had a significant negative correlation with vehicle speed. Also, the average number of fixations in daytime decreased when entering the tunnel and has a significant negative correlation with vehicle speed. However, the average fixation duration and the average number of fixations in nighttime did not show any significant association with vehicle speed. Moreover, limitations and future directions of the study are discussed for the further investigation.

Description: IJERPH, Vol. 15, Pages 270: Epidemiological Characteristics and Spatial-Temporal Distribution of Hand, Foot, and Mouth Disease in Chongqing, China, 2009–2016 International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15020270 Authors: Li Qi Wenge Tang Han Zhao Hua Ling Kun Su Hua Zhao Qin Li Tao Shen (1) Objective: Even with licensed vaccine for enterovirus 71 (EV71) put into market in 2016 in China, hand, foot, and mouth disease (HFMD) is still a threat for children’s health in Chongqing. We described the epidemiological characteristics and spatial–temporal patterns of HFMD in Chongqing from 2009 to 2016, in order to provide information and evidence for guiding public health response and intervention. (2) Methods: We retrieved the HFMD surveillance data from January 2009 to December 2016 from “National Disease Reporting Information System”, and then analyzed demographic and geographical information integrally. Descriptive analysis was conducted to evaluate the epidemic features of HFMD in Chongqing. The spatial–temporal methods were performed to explore the clusters at district/county level. (3) Results: A total of 276,207 HFMD cases were reported during the study period (total population incidence: 114.8 per 100,000 per year), including 641 severe cases (129 deaths). The annual incidence of HFMD sharply increased in even-numbered years, but remained stable or decreased in odd-numbered years. A semiannual seasonality was observed during April to July, and October to December in each year. The male-to-female ratios of the mild and severe cases were 1.4:1 and 1.5:1, with the median age of 2.3 years and 1.9 years, respectively. More than 90% of the cases were children equal to and less than 5 years old. High-incidence clustered regions included the main urban districts and northeast regions according to incidence rates comparison or space–time cluster analysis. A total of 19,482 specimen were collected from the reported cases and 13,277 (68.2%) were positive for enterovirus. EV71 was the major causative agent for severe cases, while other enteroviruses were the predominant serotype for mild cases. (4) Conclusions: The characteristics of HFMD in Chongqing exhibited a phenomenon of increasing incidence in two-year cycles and semiannual seasonality in time distribution. Children ≤5 years old, especially boys, were more affected by HFMD. EV71 was the major causative agent for severe cases. We suggest initiating mass EV71 vaccination campaigns among children aged 6 months to 5 years in Chongqing, especially in the main urban districts and northern regions, in order to reduce case fatality, and take integrated measurements for controlling and preventing HFMD attributed to other enteroviruses.

Description: Although the advantages of multi-species plantations over single-species plantations have been widely recognized, the mechanisms driving these advantages remain unclear. In this study, we compared stand biomass, litter production and quality, soil properties, soil microbial community, and functions in a Pinus massoniana Lamb. and Castanopsis hystrix Miq. mixed plantation and their corresponding mono-specific plantations after 34 years afforestation in subtropical China. The results have shown that a coniferous-broadleaf mixture created significantly positive effects on stand biomass, litter production, soil microbial biomass, and activities. Firstly, the tree, shrub and herb biomass, and litter production were significantly higher in the coniferous-broadleaf mixed plantation. Secondly, although the concentrations of soil organic carbon (SOC) and total nitrogen (TN) were lower in the mixed stand, the concentrations of soil microbial biomass carbon (MBC), and nitrogen (MBN), along with MBC-to-SOC and MBN-to-TN ratio, were significantly higher in mixed stands with markedly positive admixing effects. We also found higher carbon source utilization ability and β−1, 4−N−acetylglucosaminidase, urease and acid phosphatase activities in mixed stands compared with the mono-species stands. Our results highlight that establishment of coniferous-broadleaf mixed forests may be a good management practice as coniferous-broadleaf mixture could accumulate higher stand biomass and return more litter, resulting in increasing soil microbial biomass and related functions for the long term in subtropical China.