Burden of carbon monoxide poisoning in China, 1990–2019: A systematic analysis of data from the global burden of disease study 2019

BackgroundCarbon monoxide (CO) poisoning is one of the most common toxic occupational diseases, but related data in China are scarce. A better understanding of the burden of CO poisoning is essential for improving its management.MethodsA systematic analysis of data from the Global Burden of Disease (GBD) Study 2019 was conducted. Following the general analytical strategy used in the GBD Study 2019, the sex- and age-specific incidence and mortality rates of CO poisoning and disability-adjusted life years (DALYs) due to CO poisoning in China were analyzed. Estimated average annual percentage changes (AAPCs) in age-standardized rates were calculated by joinpoint regression analysis. The effects of age, period and cohort on the incidence of CO poisoning and DALYs due to CO poisoning were estimated by an age-period-cohort model.ResultsThe age-standardized incidence and mortality rates as well as DALYs of CO poisoning per 100,000 population were estimated to be 21.82 [95% uncertainty interval (UI): 15.05–29.98], 0.93 (95% UI: 0.63–1.11), and 40.92 (95% UI: 28.43–47.85), respectively, in 2019. From 1990 to 2019, the AAPCs in the age-standardized incidence significantly increased in both males and females, while the age-standardized mortality rates and DALYs significantly decreased in both males and females. The incidence of CO poisoning peaked in individuals aged 15–19 years. Males had a higher burden of CO poisoning than females. The age effect showed that the relative risks (RRs) of incident CO poisoning decreased with age among males and females and that individuals aged 15–24 years had the highest RRs. The RRs of incident CO poisoning increased with time. The cohort effect showed that the incidence increased in successive birth cohorts.ConclusionsThe incidence of CO poisoning in China increased from 1990 to 2019. More attention should be given to improving the burden of CO poisoning in Chinese adolescents. The results of this study can be used by health authorities to inform preventative measures to reduce the burden of CO poisoning

3D printing combined with anteroposterior cannulated screws for the treatment of posterolateral tibial plateau fracture

Abstract Purpose This study aimed to compare the effects of conventional surgery and three-dimension (3D) printing technology-assisted surgery in the treatment of posterolateral tibial plateau fractures (PTPF). Methods A cohort of 61 patients afflicted with PTPF, spanning from June 2015 to October 2021, was enrolled. They were divided randomly into two groups: 31 cases of 3D printing group, 30 cases of conventional group. The personalized 3D-printed models were used to simulate the surgical procedures in 3D printing group. The demographic characteristics and clinical data were recorded, encompassing operation duration, intraoperative blood loss, intraoperative fluoroscopy shoots and fracture union time. The radiographic outcomes were gauged, encompassing tibiofemoral angle (FTA), tibial plateau angle (TPA), posterolateral slope angle (PSA) and Rasmussen’s anatomical score. The functional outcomes were assessed at the 12-month postoperative juncture, encompassing range of motion, Hospital for Special Surgery (HSS) score and Rasmussen’s functional score. Furthermore, fracture complications were evaluated,, encompassing infections, traumatic osteoarthritis, and delayed union. Results The 3D printing group exhibited the operation time of 95.8 ± 30.2 min, intraoperative blood loss of 101.1 ± 55.3 ml, and intraoperative fluoroscopy shoots of 6.3 ± 2.3 times, while the conventional group recorded respective values of 115.5 ± 34.0 min, 137.0 ± 49.2 ml and 9.13 ± 2.5 times. Noteworthy disparities were evident between the conventional and 3D printing groups (p < 0.05). Furthermore, in comparison to the conventional group, the 3D printing group exhibited commendable radiological and functional outcomes both immediately and 12 months post-surgery, although statistical significance was not attained. Moreover, the 3D printing group experienced a paucity of complications compared to the conventional group, although without achieving statistical significance. Conclusion This study demonstrated the clinical feasibility of 3D printing combined with anteroposterior cannulated screws for the treatment of posterolateral tibial plateau fracture

Can We Prevent Irreversible Decline? A Comprehensive Analysis of Natural Conditions and Quality Factor Thresholds of Cultivated Land in China

Over the past two decades, China’s spatial distribution of cultivated land has been stable, yet there remains an urgent need to amplify grain productivity. The central scientific question addressed in this study is: How can we effectively evaluate the natural resource thresholds of cultivated land at a regional scale? Despite existing systems, there is a noticeable gap, particularly in this area of inquiry. Recognizing the present state of these resources and introducing more efficient management strategies is pivotal. This paper aims to research the restrictive situation of the natural resources background quality (NRB-quality) of China’s cultivated land by developing an innovative classification method and a short-board identification method and adopting cluster analysis and other technical methods. The results showed that (1) China mainly maintains medium-quality land (57.30%). The soil texture displayed a fine average grade of 1.39, while the biodiversity, soil pH, secondary land types, and cropping systems indicated poor conditions, with average scores of 2.01, 2.06, 2.26, and 2.33. (2) A notable difference in the restrictive factors of cultivated land quality emerged, with secondary land types of cultivated land (including paddy field, irrigated land, and dry land) being the only national short-board factor. Regionally, the cropping system, secondary land types of cultivated land, and natural region were identified as short-board factors in 31, 24, and 23 natural regions. (3) The regional difference in cultivated land quality leads to six different management strategies. Eastern regions emphasized stabilizing land distribution and infrastructure enhancement, while China’s western areas advocated cautious development and heightened ecological protection. The findings demonstrated regional differences in the status of cultivated land quality factors; implementing classified management approaches for cultivated land quality factors based on their characteristics is vital to preventing irreversible decline. The study serves as an important basis for the protection and utilization of cultivated land in the new era to clarify the NRB-quality differences of cultivated land in China

CRL4ADTL degrades DNA-PKcs to modulate NHEJ repair and induce genomic instability and subsequent malignant transformation.

Genomic instability induced by DNA damage and improper DNA damage repair is one of the main causes of malignant transformation and tumorigenesis. DNA double strand breaks (DSBs) are the most detrimental form of DNA damage, and nonhomologous end-joining (NHEJ) mechanisms play dominant and priority roles in initiating DSB repair. A well-studied oncogene, the ubiquitin ligase Cullin 4A (CUL4A), is reported to be recruited to DSB sites in genomic DNA, but whether it regulates NHEJ mechanisms of DSB repair is unclear. Here, we discovered that the CUL4A-DTL ligase complex targeted the DNA-PKcs protein in the NHEJ repair pathway for nuclear degradation. Overexpression of either CUL4A or DTL reduced NHEJ repair efficiency and subsequently increased the accumulation of DSBs. Moreover, we demonstrated that overexpression of either CUL4A or DTL in normal cells led to genomic instability and malignant proliferation. Consistent with the in vitro findings, in human precancerous lesions, CUL4A expression gradually increased with increasing malignant tendency and was negatively correlated with DNA-PKcs and positively correlated with γ-H2AX expression. Collectively, this study provided strong evidence that the CUL4A-DTL axis increases genomic instability and enhances the subsequent malignant transformation of normal cells by inhibiting NHEJ repair. These results also suggested that CUL4A may be a prognostic marker of precancerous lesions and a potential therapeutic target in cancer

CRL4ADTL degrades DNA-PKcs to modulate NHEJ repair and induce genomic instability and subsequent malignant transformation.

Genomic instability induced by DNA damage and improper DNA damage repair is one of the main causes of malignant transformation and tumorigenesis. DNA double strand breaks (DSBs) are the most detrimental form of DNA damage, and nonhomologous end-joining (NHEJ) mechanisms play dominant and priority roles in initiating DSB repair. A well-studied oncogene, the ubiquitin ligase Cullin 4A (CUL4A), is reported to be recruited to DSB sites in genomic DNA, but whether it regulates NHEJ mechanisms of DSB repair is unclear. Here, we discovered that the CUL4A-DTL ligase complex targeted the DNA-PKcs protein in the NHEJ repair pathway for nuclear degradation. Overexpression of either CUL4A or DTL reduced NHEJ repair efficiency and subsequently increased the accumulation of DSBs. Moreover, we demonstrated that overexpression of either CUL4A or DTL in normal cells led to genomic instability and malignant proliferation. Consistent with the in vitro findings, in human precancerous lesions, CUL4A expression gradually increased with increasing malignant tendency and was negatively correlated with DNA-PKcs and positively correlated with γ-H2AX expression. Collectively, this study provided strong evidence that the CUL4A-DTL axis increases genomic instability and enhances the subsequent malignant transformation of normal cells by inhibiting NHEJ repair. These results also suggested that CUL4A may be a prognostic marker of precancerous lesions and a potential therapeutic target in cancer

Determinants of Soil Bacterial Diversity in a Black Soil Region in a Large-Scale Area

Soils in black soil areas are high in organic matter and rich in nutrients. Soil microorganisms are particularly critical to cultivated land. The objective of this study was to explore the influencing factors of soil bacterial diversity under special regional conditions in a black soil region. In this study, the cultivated land in a black soil area was used as the study area and a random forest was used to map the bacterial abundance in the black soil area based on 1810 sample points. DbMEM analysis was used to quantify the spatial effect of the black soil area and to identify the influencing factors of soil bacterial abundance in the black soil area in combination with soil properties, terrain, and climate. Results of a variation division showed that broad (8.336%), AT (accumulated temperature, 5.520%), and pH (4.184%) were the main factors affecting soil bacterial diversity. The broad effect was more significant in the spatial effect, which may be related to the local landscape configuration. Overall, our research showed that the influencing factors of soil bacteria will be affected by regional characteristics