The digital transformation of nursing practice: an analysis of advanced IoT technologies and smart nursing systems.

Facing unprecedented challenges due to global population aging and the prevalence of chronic diseases, the healthcare sector is increasingly relying on innovative solutions. Internet of Things (IoT) technology, by integrating sensing, network communication, data processing, and security technologies, offers promising approaches to address issues such as nursing personnel shortages and rising healthcare costs. This paper reviews the current state of IoT applications in healthcare, including key technologies, frameworks for smart nursing platforms, and case studies.

Cross-provincial inpatient mobility patterns and their determinants in China.

Background: The incongruity between the regional supply and demand of healthcare services is a persistent challenge both globally and in China. Patient mobility plays a pivotal role in addressing this issue. This study aims to delineate the cross-provincial inpatient mobility network (CIMN) in China and identify the underlying factors influencing this CIMN.

Spatiotemporal variation in the blood lead levels of Chinese children with the environmental Kuznets curve trend.

The environmental Kuznets curve (EKC) is often used to analyze the relationship between environmental pollution health indicators and economic development level in different regions. In developed countries, the blood lead levels (BLLs) of children have been declining fitting the EKC since the 1970s. However, such figures in China have remained at relatively high levels, without any obvious decline, since 2010.

Heavy element contents of vegetables and health-risk assessment in China.

This study analyzed five heavy elements (HEs), including cadmium (Cd), chromium (Cr), mercury (Hg), lead (Pb), and arsenic (As), in fresh vegetables (i.e., legume, rhizome and potato, gourd, bulb, solanaceous fruit, leafy, and brassica; total: 7214) collected from 31 provinces in China from 2016 to the first half of 2017.

Heavy metal accumulation and health risk assessment of crayfish in the middle and lower reaches of Yangtze River during 2015-2017.

This study performed statistical analysis and risk assessment of five heavy metals (As, Cd, Cr, Hg, Pb) in crayfish samples collected from six provinces in the middle and lower reaches of Yangtze River during 2015-2017. The Spearman correlation test and the results of hierarchical cluster analysis (HCA) indicated that As, Pb, and Cd in crayfish were significantly correlated, and the results of HCA showed that Jiangxi, Jiangsu, and Zhejiang were clustered into one group; Hubei, Hunan, and Anhui were clustered into another group; and provinces in the same group had spatial similarities in heavy metals. The pollution index (PI) values of five heavy metals in all provinces were below 1, implying that crayfish samples in this area were not highly contaminated.

Uneven development of the lead industry leads to regional differences in blood lead levels of children.

Children's exposure to lead is a global health problem, especially in low- and middle-income countries. However, research on the relationship between children's blood lead levels (BLLs) and the development of the lead industry is still limited. This study examined whether children's BLLs were associated with the development of lead industry in different regions.

Spatial heterogeneity of bacillary dysentery and the impact of temperature in the Beijing-Tianjin-Hebei region of China.

Previous studies indicate that the incidence of bacillary dysentery is closely related to meteorological factors. However, the impact of temperature and the spatial heterogeneity of the disease in regions of unbalanced socioeconomic development remains unclear. Therefore, this research collected data for 29,639 daily bacillary dysentery cases in children under 5 years of age, as well as the meteorological variables from China's Beijing-Tianjin-Hebei region, to analyze the spatial pattern of bacillary dysentery and reveal its nonlinear association with temperature.

Regional characteristics of children's blood lead levels in China: A systematic synthesis of national and subnational population data.

The blood lead levels (BLLs) of children in China remain notably high in many areas. We aimed to summarise the relevant regional characteristics, identifying problematic areas and the causes of lead pollution. We searched the databases of PubMed, China National Knowledge Infrastructure (CNKI), and Wanfang Data, systematically reviewing 219 articles published from January 2010 to September 2020.

Heavy metal concentrations in aquatic organisms (fishes, shrimp and crabs) and health risk assessment in China.

This paper analyzed the spatiotemporal distribution of heavy metals in 6746 samples of aquatic organisms (fishes, shrimp and crabs), to make health risk assessments of six heavy metals (As, Cd, Cr, Cu, Hg and Pb). The results indicated that there were significant differences of heavy metal concentrations between different groups of aquatic organisms, months and provinces. The concentrations of Cd, Cr, Hg and Pb varied greatly within one year, with levels higher in summer and autumn, and lower in spring and winter.

Heavy metals in aquatic products and the health risk assessment to population in China.

In this paper, a total of 62,712 aquatic product samples were collected from 32 provinces of China during 2015-2017. By analyzing the spatial distributions and non-parametric tests of five heavy metals (lead (Pb), mercury (Hg), cadmium (Cd), chromium (Cr), and arsenic (As)) in four aquatic product (fish (n = 44,353), shrimp (n = 8453), crab (n = 5367), and shellfish (n = 4539)), it was found that the concentrations of the five heavy metals in the same aquatic product are significantly different in different regions. Furthermore, we calculated daily estimated intake (EDI) of each of the five heavy metals and assessed non-cancer risk and cancer risk using target hazard quotient (THQ) and target cancer risk (TR), respectively.

Effects of temperature fluctuations on spatial-temporal transmission of hand, foot, and mouth disease.

Hand, foot, and mouth disease (HFMD), predominantly occurs among infants and children. Previous studies have shown that suitable, stable temperatures favor HFMD virus reproduction; however, temperature fluctuations also affect virus transmission, and there are, so far, no studies concerning the association between such fluctuations and the incidence of HFMD. The objective of this study was to map the spatial-temporal distribution of HFMD incidence and quantify the long-term effects of temperature fluctuations on HFMD incidence in children.

Spatial heterogeneity of the association between temperature and hand, foot, and mouth disease risk in metropolitan and other areas.

Interest in assessing the effects of temperature on hand, foot, and mouth disease (HFMD) has increased. However, little evidence is available on spatial heterogeneity in relationship to temperature and HFMD in metropolitan (capital city and municipal districts) and other areas where economic levels are significantly different. In this study, the Bayesian space-time hierarchy model was applied to identify the spatiotemporal heterogeneity of HFMD.

Regional characteristics of cadmium intake in adult residents from the 4th and 5th Chinese Total Diet Study.

Cadmium (Cd) is a heavy metal known to be harmful to human health. The aim of this study was to analyze the regional characteristics of dietary Cd intake of adult male residents in different regions of China. The value of this research is to guide regional consumers to minimize Cd intake by adjusting diets for different food categories in various regions.

Spatial-temporal heterogeneity of hand, foot and mouth disease and impact of meteorological factors in arid/ semi-arid regions: a case study in Ningxia, China.

Background: The incidence of hand, foot and mouth disease (HFMD) varies over space and time and this variability is related to climate and social-economic factors. Majority of studies on HFMD were carried out in humid regions while few have focused on the disease in arid/semi-arid regions, more research in such climates would potentially make the mechanism of HFMD transmission clearer under different climate conditions.

Methods: In this paper, we explore spatial-temporal distribution of HFMD in Ningxia province, which has an arid/semi-arid climate in northwest China.

The lag effect of water pollution on the mortality rate for esophageal cancer in a rapidly industrialized region in China.

The Huai River basin (located in eastern China) has a population of 180 million and has the highest risk of esophageal cancer (EC) mortality in China. Some studies found that contaminants in drinking water are a major risk factor for cancers of the digestive system. However, the effect of water pollution in the historical period on the current EC mortality remains unclear.

Regional characteristics of dietary lead intake in the Chinese population.

Lead is known as a potent toxicant to human health and there is currently an issue with lead contamination of food in China. This study analysed the regional characteristics of dietary lead intake of the Chinese population and used this to assess the health risks for each region due to the presence of lead in different foods. Data of dietary lead intake was used from the 4th and 5th Chinese Total Diet Studies (CTDS) covering 12 to 20 provinces.

Spatiotemporal decomposition and risk determinants of hand, foot and mouth disease in Henan, China.

Hand, foot and mouth disease (HFMD) remains an increasing public health concern. The spatiotemporal variation of HFMD can be represented from multiple-perspectives, and it may be driven by different dominant factors. In this study, the HFMD cases in children under the age of five years in each county in Henan province, China, from 2009 to 2013 were assessed to explore the integrative spatiotemporal patterns of HFMD and investigate their driving factors.

Space-time heterogeneity of hand, foot and mouth disease in children and its potential driving factors in Henan, China.

Background: Hand, foot and mouth disease (HFMD) has become a substantial threat recently. However few studies have quantified spatiotemporal heterogeneity of HFMD and detected spatiotemporal interactive effect of potential driving factors on this disease.

Methods: Using GeoDetector and Bayesian space-time hierarchy model, we characterized the epidemiology of HFMD in Henan, one of the largest population provinces in China, from 2012 to 2013, and quantified the impacts of potential driving factors.

A Bayesian Approach to Real-Time Monitoring and Forecasting of Chinese Foodborne Diseases.

Foodborne diseases have a big impact on public health and are often underreported. This is because a lot of patients delay treatment when they suffer from foodborne diseases. In Hunan Province (China), a total of 21,226 confirmed foodborne disease cases were reported from 1 March 2015 to 28 February 2016 by the Foodborne Surveillance Database (FSD) of the China National Centre for Food Safety Risk Assessment (CFSA).

Spatiotemporal Risk of Bacillary Dysentery and Sensitivity to Meteorological Factors in Hunan Province, China.

Bacillary dysentery remains a public health concern in the world. Hunan Province is one of the provinces having the highest risk of bacillary dysentery in China, however, the spatial-temporal distribution, variation of bacillary dysentery and sensitivity to meteorological factors in there are unclear. In this paper, a Bayesian space-time hierarchical model (BSTHM) was used to detect space-time variation, and effects of meteorological factors between 2010 and 2015.

Spatial-temporal detection of risk factors for bacillary dysentery in Beijing, Tianjin and Hebei, China.

Background: Bacillary dysentery is the third leading notifiable disease and remains a major public health concern in China. The Beijing-Tianjin-Hebei urban region is the biggest urban agglomeration in northern China, and it is one of the areas in the country that is most heavily infected with bacillary dysentery. The objective of the study was to analyze the spatial-temporal pattern and to determine any contributory risk factors on the bacillary dysentery.

Spatial-temporal pattern and risk factor analysis of bacillary dysentery in the Beijing-Tianjin-Tangshan urban region of China.

Background: Bacillary dysentery remains a major public health concern in China. The Beijing-Tianjin-Tangshan urban region is one of the most heavily infected areas in the country. This study aimed to analyze epidemiological features of bacillary dysentery, detect spatial-temporal clusters of the disease, and analyze risk factors that may affect bacillary dysentery incidence in the region.

Impact of parental history of myopia on the development of myopia in mainland china school-aged children.

Background: Myopia is a very common condition and a significant public health problem in China. The objective of the study was to explore the genetic influence on myopia in Mainland China school-aged children in Beijing.

Methods: In 2008, the data from 15,316 Chinese school students aged 6-18 years from 19 randomized schools in Beijing were analyzed to evaluate genetic influence on myopia in children.