Air pollution in the form of particulate matter (PM) is becoming one of the greatest current threats to human health on a global scale. This paper firstly presents a Bayesian space-time hierarch piecewise regression model (BSTHPRM) which can self-adaptively detect the transitions of local trends, accounting for spatial correlations. The spatiotemporal trends of the approximately anthropogenic PM removed natural dust (PM) concentrations and the corresponding population's PM exposure (PPME) in the global continent from 1998 to 2016 were investigated by the presented BSTHPRM. The total areas of the high and higher PM-polluted regions, whose spatial relative magnitude of PM pollution to the global continental overall level was between 1.89 and 14.68, accounted for about 13.4% of the global land area, and the corresponding exposed populations accounted for 56.0% of the global total population. The spatial heterogeneity of the global PM pollution increased generally from 1998 to 2016. The areas of hot, warm, and cold spots with increasing trends of PM concentration initially contracted and then later expanded. The local trends of the global continental PM concentrations and PPME can be parted into three changing stages, early, medium, and later stages, using the BSTHPRM. The area proportions of the regions experiencing a decreasing trend of PM concentrations and PPME were greater in the medium stage than in the early and later stages. The local trends of PM concentration and PPME in the two higher PM polluted areas, northern India and eastern and southern China, increased in the early stage and then decreased in the medium stage. In the later stage (recent years), northern India displayed a stronger increasing trend; nevertheless, the follow-up decreasing trend still occurred in eastern and southern China. In the first two stages, more than half of the areas in Europe experienced a decreasing trend of PM concentration and PPME; later, more than half of areas in Europe exhibited increasing trends in the later stage. North America and South America experienced a similar local trend of PPME to Europe. The PPME trend in Africa generally increased during the study period.
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http://dx.doi.org/10.1016/j.envint.2019.04.026 | DOI Listing |
Can Med Educ J
December 2024
Department of Ophthalmology, Ivey Eye Institute, Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
Background: Ophthalmology has historically been a male-dominated specialty. Despite there being a higher proportion of females in Canadian medical schools since the early 2000s, it is unknown if trends in female applicants and those accepted to ophthalmology have followed suit. This study aims to evaluate trends in gender representation of ophthalmology applicants to Canadian residency programs from 1998 to 2020 and to compare those trends to other surgical specialties.
View Article and Find Full Text PDFCancers (Basel)
December 2024
Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.
Cancer immunotherapy, particularly immune checkpoint inhibitors, has positively impacted oncological treatments. Despite its effectiveness, immunotherapy is associated with immune-related adverse events (irAEs) that can affect any organ, including the liver. Hepatotoxicity primarily manifests as immune-related hepatitis and, less frequently, cholangitis.
View Article and Find Full Text PDFBMJ Ment Health
January 2025
Department of Primary Care and Population Health, University College London, London, UK.
Background: There is some evidence that perinatal anxiety (PNA) is associated with lower rates of infant vaccinations and decreased access to preventative infant healthcare, but results across studies have not been conclusive.
Objective: To investigate the relationship between maternal PNA and infant primary care use.
Methods: Cohort study of mother-infant pairs identified between 1998 and 2016 using IQVIA Medical Research Database (IMRD).
Cancers (Basel)
December 2024
Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, USA.
Background: Technical efficiency evaluates a hospital's economic performance and plays an important role in variations in quality of care and outcomes. The study objective was to examine the association between hospital efficiency and quality of care among fee-for-service Medicare beneficiaries with prostate cancer and to assess if race moderates this association.
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Ecol Lett
December 2024
Lancaster Environment Centre, Lancaster University, Lancaster, UK.
Ecosystems are substantially changing in response to ongoing climate change. For example, coral reefs have declined in coral dominance, with some reefs undergoing regime shifts to non-coral states. However, reef responses may vary through multiple heat stress events, with the rarity of long-term ecological datasets rendering such understanding uncertain.
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