Finger arthroplasty is commonly used to treat pain in the finger joints due to osteoarthritis or rheumatoid arthritis. Despite the procedure having existed for a relatively long time, it is still unknown which characteristics influence implant survival. The Dutch Arthroplasty Registry (LROI) is one of the 4 registries worldwide registering finger arthroplasties. This study aimed to investigate impact factors for implant survival regarding finger joint arthroplasty and assess registration completeness using the national healthcare claims database to compare. A total of 951 primary arthroplasties and 84 revision arthroplasties of the finger joints were registered. A higher likelihood of primary and revision surgery was found in female patients. The third and fourth proximal interphalangeal (PIP) joints were the most frequently operated in primary surgery; however, the metacarpophalangeal (MCP) joints were the most frequently revised joints. Silicone implants were used in most cases and evenly throughout all digits. Suboptimal registration completeness was shown for plastic surgeons with just 35.5%-37.4% of all surgeries registered. Although orthopedic surgeons do not perform most surgeries on the hand, they registered 76.5%-78.2% of surgeries. No statistical analyses were justified, considering the low completeness and limited follow-up. Female gender and PIP joint disease are possible risk factors for primary arthroplasty. MCP arthroplasties showed higher revision rates. However, participation rates and, therefore, data completeness were not optimal. To optimize participation, improving ease of registration should be explored. Furthermore, we urge readers who deal with joint implants to register their surgeries in the LROI database because only optimal registration completeness leads to high-quality data.

UNASSIGNED: Workers are often exposed to hazardous heat due to their work environment, leading to various injuries. As a result of climate change, heat-related injuries (HRIs) are becoming more problematic. This study aims to identify critical contributing factors to the severity of occupational HRIs.
UNASSIGNED: This study analyzed historical injury reports from the Occupational Safety and Health Administration (OSHA). Contributing factors to the severity of HRIs were identified using text mining and model-free machine learning methods. The Multinomial Logit Model (MNL) was applied to explore the relationship between impact factors and the severity of HRIs.
UNASSIGNED: The results indicated a higher risk of fatal HRIs among middle-aged, older, and male workers, particularly in the construction, service, manufacturing, and agriculture industries. In addition, a higher heat index, collapses, heart attacks, and fall accidents increased the severity of HRIs, while symptoms such as dehydration, dizziness, cramps, faintness, and vomiting reduced the likelihood of fatal HRIs.
UNASSIGNED: The severity of HRIs was significantly influenced by factors like workers\' age, gender, industry type, heat index , symptoms, and secondary injuries. The findings underscore the need for tailored preventive strategies and training across different worker groups to mitigate HRIs risks.

Exploring the changing process of the geographical distribution pattern of Tetracentron sinense Oliv. and its main influencing factors since the last interglacial period can provide a scientific basis for the effective protection and management of the species. The MaxEnt model was used to construct the potential distribution areas of T. sinense in different periods such as the last interglacial (LIG), the last glacial maximum (LGM), the mid-Holocene (MID), and the current and future (2050s and 2070s). On the premise of discussing the influence of dominant environmental factors on its distribution model, the suitable area changes of T. sinense under different ecological climate situations were quantitatively analyzed. (1) The AUC and TSS values predicted by the optimized model were 0.959 and 0.835, respectively, indicating a good predictive effect by the MaxEnt model; the potential suitable areas for T. sinense in the current period are mainly located in Southwest China, which are wider compared to the actual habitats. (2) Jackknife testing showed that the lowest temperature in the coldest month (Bio6), elevation (Elev), seasonal variation coefficient of temperature (Bio4), and surface calcium carbonate content (T-CACO3) are the dominant environmental factors affecting the distribution of T. sinense. (3) From the last interglacial period to the current period, the total suitable area of T. sinense showed a decreasing trend; the distribution points of T. sinense populations in mid-Holocene period may be the origin of the postglacial population, and Southwest China may be its glacial biological refuge. (4) Compared with the current period, the total suitable area ranges of T. sinense in China in the 2050s and 2070s decreased, and the centroid location of its total fitness area all migrated to the northwest, with the largest migration distance in 2070s under the SSPs 7.0 climate scenario. Temperature was the principal factor influencing the geographical distribution of T. sinense. With global warming, the range of T. sinense suitable areas will show a shrinking trend, with a shift toward higher-latitude regions. Ex situ conservation measures could be taken to preserve its germplasm resources.

Bacterial foodborne diseases caused by Vibrio parahaemolyticus pose persistent challenges to coastal cities in China. In this study, we employed multiple logistic regression analysis and distributed lag non-linear models (DLNM) to investigate the epidemiological characteristics and associated risk factors of vibriosis in the metropolitan area of Hangzhou from 2014 to 2018. Analysis of foodborne cases indicated that certain demographics and occupational factors, including age between 16 and 44 years; houseworkers or unemployed individuals; preference for aquatic and meat products; and dining in collective canteens or catering services contribute to an increased likelihood of V. parahaemolyticus infection. Moreover, a higher per capita GDP and exposure to high temperatures were identified as risk factors for vibriosis. This study highlights the significance of the daily mean temperature as a meteorological factor influencing V. parahaemolyticus infection, with varying lag effects observed depending on temperature conditions. At low temperatures, the risk of infection occurs after a lag of 21 days, whereas at high temperatures, the risk is highest on the same day, while the second infection risk period occurs after a lag of 21 days. These findings provide a spatiotemporal perspective of the risk analysis of foodborne diseases, with a daily timescale and street spatial scale, which contributes to the development of public health strategies and food safety protocols in coastal cities.

Objective:To evaluate the subjective olfactory function in chronic sinusitis（CRS）patients with asthma after nasal endoscopic surgery and associated factors that may affect olfactory function. Methods：The study included 90 CRS patients with asthma from January 2008 to December 2020，and all of them underwent endoscopic sinus surgery（ESS）. VAS score of olfactory function before and after surgery were collected，and the data at baseline，3 months，6 months，1 year，3 years，5 years，8 years and 10 years after surgery were compared. Factors affecting olfactory function were analyzed in a generalized mixed linear model，which including age，surgical procedure，allergic rhinitis and so on.Results： The olfactory VAS scores were significantly lower at 3 months，6 months，1 year，3 years，and 5 years postoperatively compared with baseline，and the difference was statistically significant（P<0.05）.Olfactory VAS scores at 8 and 10 years postoperatively were not statistically different from baseline（P>0.05）.Age（≥60 years），aspirin intolerance syndrome，Lund-Kennedy score，modified sinus CT olfactory cleft score，and follow-up time were risk factors, and radical sinus surgery is a protective factor.Conclusion：Subjective olfactory scores in CRS patients with asthma after ESS remain relatively stable for 5 years postoperatively.Prior history of surgery did not affect postoperative subjective olfactory scores. Age，aspirin intolerance syndrome, Lund-Kennedy score，modified sinus CT olfactory cleft score, follow-up time，and surgical approach were strongly associated with subjective olfactory scores in CRS patients with asthma，and radical surgery had a protective effect on olfaction.
目的：研究伴哮喘的慢性鼻窦炎（CRS）患者鼻内镜手术后主观嗅觉变化及影响嗅觉功能的相关因素。 方法：回顾2008年1月-2020年12月就诊于北京同仁医院的90例伴有哮喘的CRS患者的临床资料，所有患者均行鼻内镜手术治疗。统计手术前后嗅觉VAS评分，对比基线、术后3个月、6个月、1年、3年、5年、8年及10年的嗅觉变化。将年龄、手术方式、变应性鼻炎（AR）等因素纳入广义混合线性模型，分析影响嗅觉VAS评分变化的因素。 结果：与基线比较，术后3个月、6个月、1年、3年、5年的嗅觉VAS评分明显降低，差异有统计学意义（P<0.05）。术后8年、10年的嗅觉VAS评分与基线比较差异无统计学意义（P>0.05）。年龄（≥60岁）、阿司匹林耐受不良综合征、Lund-Kennedy评分、改良鼻窦CT嗅区评分、随访时间及手术方式对嗅觉VAS评分有影响（P<0.05）。 结论：伴哮喘的CRS患者的主观嗅觉评分在术后5年内相对稳定。既往手术史不影响术后主观嗅觉。年龄、阿司匹林耐受不良综合征、Lund-Kennedy评分、改良鼻窦CT嗅区评分、随访时间、手术方式与伴有哮喘的CRS患者主观嗅觉密切相关，轮廓化鼻内镜手术较功能性鼻内镜手术对伴哮喘的CRS患者的嗅觉改善更好。.

Exposure to indoor dust is of concern since dust may be contaminated by various toxic chemicals and people spend considerable time indoors. Factors impacting human exposure risks to contaminants in indoor dust may differ from those affecting the loadings of contaminants, but the dominant factors have not yet been well clarified. In this study, the occurrence, human exposure, and related influencing factors of several classes of legacy and emerging contaminants in residential dust across Beijing were investigated, including per- and polyfluoroalkyl substances (PFASs) and three types of flame retardants (FRs), i.e., organophosphate esters (OPEs), polybrominated diphenyl ethers (PBDEs), and novel halogenated FRs (NHFRs). OPEs (median: 3847 ng/g) were the most abundant group, followed by PBDEs (1046 ng/g) and NHFRs (520 ng/g). PFASs (14.3 ng/g) were one to two orders of magnitude lower than FRs. The estimated daily intakes of these contaminants were relatively higher for toddlers than other age groups, with oral ingestion being the main exposure pathway compared with dermal contact. Higher human exposure risks were found in new buildings or newly finished homes due to the elevated intake of emerging contaminants (such as OPEs). Furthermore, higher risks were also found in homes with wooden floors, which were mainly associated with higher levels of PFASs, chloroalkyl and alkyl OPEs, compared with tile floors. Citizens in the urban area also showed higher exposure risks than those in the suburban area. The quantity of household appliances and finishing styles (simple or luxurious) showed an insignificant impact on overall human exposure risks despite their significant effect on the levels of some of the dust contaminants. Results in this study are of importance in understanding human exposure to the co-existence of multiple contaminants in indoor dust.

Sedimentary records of polycyclic aromatic hydrocarbons (PAHs) and phthalates could reflect energy consumption and industrial production adjustment. However, there is limited knowledge about their effects on variations of PAH and phthalate compositions in the sediment core. The PAH and phthalate sedimentary records in Huguangyan Maar Lake in Guangdong, China were constructed, and random forest models were adopted to quantify the associated impact factors. Sums of sixteen PAH (∑16 PAH) and seven phthalate (∑7 PAE) concentrations in the sediment ranged from 28.8 to 1110 and 246-4290 μg/kg dry weight in 1900-2020. Proportions of 5-6 ring PAHs to the ∑16 PAHs increased from 32.0 %-40.7 % in 1900-2020 with increased coal and petroleum consumption, especially after 1980. However, those of 2-3 ring PAHs decreased from 30.7 % to 23.6 % due to the biomass substitution with natural gas. The proportions of bis (2-ethylhexyl) phthalate to the ∑7 PAEs decreased from 52.3 %-29.1 % in 1900-2020, while those of di-isobutyl phthalate increased (13.7 % to 42.3 %). The shift from traditional plasticizers to non-phthalates drove this transformation, though the primary plastic production is increasing. Our findings underscore the effectiveness of optimizing energy structures and updating chemical products in reducing organic pollution in aquatic environments.

Increasingly frequent extreme rainfall as a result of climate change is strongly damaging the global soil and water environment. However, few studies have focused on daily extreme sediment events (DESE) in heterogeneous karst watersheds based on long-term in-situ observations. This study quantitatively assessed the time effect of DESE on rainfall response, decoupled the impact of environmental factors on DESE by using structural equation modelling, and finally explored the modelling scheme of DESE based on the hybrid model. The results showed that DESE had the highest frequency of occurrence in May-July, with dispersed distribution in the value domain. Rainfall with a time lag of 1 day and a time accumulation of 2 or 3 days was an important contribution to DESE (P < 0.01, R = 0.47-0.68). Combined effects of environmental factors explained 53.6 %-64.1 % of the variation in DESE. Runoff and vegetation exerted the strongest direct and indirect effects on DESE, respectively (β = 0.66/-0.727). Vegetation was the dominant driver of DESE in Dabanghe and Yejihe (β = -0.725/-0.758), while the dominant driver in Tongzhihe was climate (β = 0.743). In the future, the risk of extreme sediments should be prevented and resolved through the comprehensive regulation of multiple paths, such as runoff and vegetation. Hybrid models significantly improved the modelling performance of machine learning models. Generalized additive model-Extreme gradient boost had the best performance, while Partial least squares regression-Extreme gradient boost was the most valuable when considering performance and input data cost. Two methods can be used as recommended solutions for DESE modelling. This study provides new and in-depth insights into DESE in karst watersheds and helps the region develop forward-looking soil and water management models to cope with future extreme erosion hazards.

Resource partitioning may allow species coexistence. Sand dunes in the typical steppe of Alxa Desert Inner Mongolia, China, consisting of desert, shrub, and grass habitats, provide an appropriate system for studies of spatial niche partitioning among small mammals. In this study, the spatial niche characteristics of four rodents, Orientallactaga sibirica, Meriones meridianus, Dipus sagitta, and Phodopus roborovskii, and their responses to environmental changes in the Alxa Desert were studied from 2017 to 2021. Using the capture-mark-recapture method, we tested if desert rodents with different biological characteristics and life history strategies under heterogeneous environmental conditions allocate resources in spatial niches to achieve sympatric coexistence. We investigated the influence of environmental factors on the spatial niche breadth of rodents using random forest and redundancy analyses. We observed that the spatial niche overlap between O. sibirica and other rodents is extremely low (overlap index ≤ 0.14). P. roborovskii had the smallest spatial niche breadth. Spatial niche overlap was observed in two distinct species pairs, M. meridianus and D. sagitta, and P. roborovskii and D. sagitta. The Pielou evenness index of rodent communities is closely related to the spatial distribution of rodents, and the concealment of habitats is a key factor affecting the spatial occupation of rodents.

Halonitromethanes (HNMs), a representative nitrogen-containing disinfection byproduct, have gained significant concerns due to their higher cytotoxicity and genotoxicity. UV/chlorination is considered a promising alternative disinfection technology for chlorination. This study aimed to investigate the HNMs formation from benzylamine (BZA) during UV/chlorination. The experimental results revealed that the yields of HNMs initially raised to a peak then dropped over time. Higher chlorine dosage and BZA concentration promoted the formation of HNMs, whereas alkaline pH inhibited their formation. The presence of bromine ion (Br-) not only converted chlorinated-HNMs (Cl-HNMs) to brominated (chlorinated)-HNMs Br (Cl)-HNMs) and brominated-HNMs (Br-HNMs) but also enhanced the total concentration of HNMs. Besides, the calculated cytotoxicity index (CTI) and genotoxicity index (GTI) of HNMs were elevated by 68.97% and 60.66% as Br- concentration raised from 2 to 6 µM. The possible formation pathways of HNMs from BZA were proposed based on the intermediates identified by a gas chromatography/mass spectrometry (GC/MS). In addition, the formation rules of HNMs in actual water verified the results in deionized water during UV/chlorination. The results of this study provide basic data and a theoretical basis for the formation and control of HNMs, which is conducive to applying UV/chlorination.