Diminishing benefits of urban living for children and adolescents’ growth and development

AbstractOptimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was &lt;1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.</jats:p

Dynamic Simulator Technical Description, Version 1.1

Clinical breast examinations (CBE) play a role in detection of breast cancers. However, most physicians receive inadequate training in tactile search of breast tissue to detect small (&lt; 2 cm), hard tumors. The dynamic, variable- lump, silicone breast simulator was designed to improve physicians&apos; CBE performance and increase tumor detection. Water inflates balloons embedded in formed silicone to simulate the presence of tumors and allow independent adjustment of tumor hardness. The advantage, compared to static models with five, nonmovable tumors, is that training scenarios can be reconfigured and repeated until each trainee learns the subtle tactile cues associated with tumors. In a 2001 study of 48 medical students at the University of Iowa, training with the dynamic simulator increased the number of tumors found (F(42)=7.85, p=0.0077), reduced the number of false positives (F(42)=5.20, p=0.0277), and improved transfer of training. This device intends to help improve early breast cancer detection

Low-Cost, Distributed Environmental Monitors for Factory Worker Health

An integrated network of environmental monitors was developed to continuously measure several airborne hazards in a manufacturing facility. The monitors integrated low-cost sensors to measure particulate matter, carbon monoxide, ozone and nitrogen dioxide, noise, temperature and humidity. The monitors were developed and tested in situ for three months in several overlapping deployments, before a full cohort of 40 was deployed in a heavy vehicle manufacturing facility for a year of data collection. The monitors collect data from each sensor and report them to a central database every 5 min. The work includes an experimental validation of the particle, gas and noise monitors. The R2 for the particle sensor ranges between 0.98 and 0.99 for particle mass densities up to 300 &mu;g/m3. The R2 for the carbon monoxide sensor is 0.99 for concentrations up to 15 ppm. The R2 for the oxidizing gas sensor is 0.98 over the sensitive range from 20 to 180 ppb. The noise monitor is precise within 1% between 65 and 95 dBA. This work demonstrates the capability of distributed monitoring as a means to examine exposure variability in both space and time, building an important preliminary step towards a new approach for workplace hazard monitoring