Infant, Neonatal, and Post-neonatal Mortality in Greece: A Nationwide Time-Trend Analysis.

INTRODUCTION: Infant mortality is a crucial perinatal measure and is also regarded as an important public health indicator. This study aimed to comprehensively present time trends in infant, neonatal, and post-neonatal mortality in Greece. METHODS: The annual infant mortality rate (IMR), the neonatal mortality rate (NMR), and the post-neonatal mortality rate (PNMR) were calculated based on official national data obtained from the Hellenic Statistical Authority, spanning 67 years from 1956 to 2022. The time trends of the mortality rates were evaluated using joinpoint regression analysis, and the annual percent changes (APC) and the overall average annual percent change (AAPC) were calculated with a 95% confidence interval (95% CI). RESULTS: The IMR exhibited accelerating declines over more than 50 years, with an APC of -1.9 (-2.8 to -1.0) from 1956 to 1968, -5.4 (-5.6 to -5.2) from 1968 to 1999, and -7.3 (-8.9 to -5.7) between 1999 and 2008. In 2008, IMR reached its all-time low of 2.7 per 1,000 live births, down 16.6-fold from its peak at 44.1 per 1,000 live births in 1957. This improving trend was reversed following the onset of the economic crisis in the country, leading to a 57% increase in IMR from 2008 to 2016, with an upward trend APC of 3.4 (1.2 to 5.5). In the recent period 2016-2022, there was an improvement with an APC of -3.7 (-6.2 to -1.1), resulting in an IMR of 3.1 per 1,000 live births in 2022. The decrease in IMR was estimated to have prevented 209,109 infant deaths in the country from 1958 to 2022. From 1956 to 2022, the IMR decreased with an AAPC of -3.9 (-4.3 to -3.4), while the PNMR saw a decline with an AAPC of -4.5 (-5.1 to -3.9) and the NMR with an AAPC of -3.2 (-3.7 to -2.6). CONCLUSION: Greece achieved an impressive decrease in infant mortality rates, but this progress was halted and completely reversed during the economic crisis. Although there have been some recent improvements after the country's economic recovery, the rates have yet to reach pre-crisis levels.

Spatiotemporal variability identification and analysis for non-stationary climatic trends for a tropical river basin of India.

The non-stationary behavior of climatic variables has been increasingly recognized as a challenge that disrupts the equilibrium of human-defined climate-based stationary processes, including hydrological and agricultural practices, and irrigation systems. This study aims to investigate long-term trends and non-stationarity in climatic variables across 23 stations of the Krishna River basin, India. Prominent trends in rainfall, temperature, and their extreme indices were identified using the Modified Mann-Kendall (MMK), Bootstrapped Mann-Kendall (BMK), and Sen's Slope Estimator tests, while the Innovative Trend Analysis (ITA) test uncovered hidden trends and potential shifts in climatic patterns. This study addresses a critical research gap by exploring both significant and hidden trends in climatic variables, providing a better understanding of future dynamics. Traditional methods like MMK and Sen's Slope were insufficient to reveal these hidden trends, but ITA offered a more comprehensive analysis. The findings revealed an increase in total annual rainfall for almost 50% of the basin, which aligns with rising maximum temperatures, suggesting enhanced evaporation rates and subsequent fluctuations in rainfall patterns. Seasonal analysis indicated a shift towards decreased rainfall during winter and pre-monsoon seasons, contrasted by increased precipitation during the monsoon and post-monsoon periods, highlighting a clear alteration in rainfall distribution. The Simple Daily Intensity Index (SDII) and other indices suggest intensified rainfall events despite a decrease in the number of rainy days, indicating fewer but more intense events. Temperature analysis showed an overall increase in maximum temperatures, with the Diurnal Temperature Range (DTR) significantly increasing across all stations, implying greater daily temperature variations and potential for intensified water cycles and extreme climatic events. Furthermore, the study simplifies these trends by classifying them into two attributes: intensity and frequency, aiding policymakers in site-specific management of water resources and planning for future climatic scenarios. The presence of non-stationarity in extreme rainfall was confirmed by the Augmented Dickey-Fuller (ADF), Phillips-Perron (PP), and Kwiatkowski-Phillips-Schmidt-Shin (KPSS) tests. These findings are significant as they conclude how climate change is altering hydrological patterns at each station. The study emphasizes the necessity for adaptive management strategies to mitigate the adverse impacts on agriculture, infrastructure, and human safety.

Asian American sub-ethnic disparities and trends in epithelial ovarian cancer diagnosis, treatment and survival.

OBJECTIVES: Studies on ovarian cancer (OC) diagnosis, treatment and survival across disaggregated Asian sub-ethnic groups are sparse. Few studies have also conducted trend analyses of these outcomes within and across Asian groups. METHODS: Using logistic, Cox, and Joinpoint regression analyses of the 2000-2018 Surveillance, Epidemiology, and End Results (SEER) data, we examined disparities and trends in OC advanced stage diagnosis, receipt of treatments and the 5-year cause-specific survival across seven Asian sub-ethnic groups. RESULTS: There were 6491 OC patients across seven Asian sub-ethnic groups (mean [SD] age, 57.29 [13.90] years). There were 1583(24.39%) Filipino, 1183(18.23%) Chinese, and 761(11.72%) Asian Indian or Pakistani (AIP) patients. The majority (52.49%) were diagnosed with OC with at an advanced stage. AIP were more likely to have advanced stage diagnosis than other subgroups (ORs, 95%CIs: 0.77, 0.62-0.96 [Filipino]; 0.76, 0.60-0.95 [Chinese]; 0.71, 0.54-0.94 [Japanese]; 0.74, 0.56-0.98 [Vietnamese] and 0.66, 0.53-0.83 [Other Asians]). The Filipinos were least likely to receive surgery but most likely to undergo chemotherapy. Japanese patients had the worst 5-year OC cause-specific survival (50.29%, 95%CI: 46.20%-54.74%). Based on the aggregated analyses, there was a significantly decreased trend in advanced-stage diagnosis and an increased trend in receipt of chemotherapy. Trends in OC outcomes for several subethnicities differed from those observed in aggregated analyses. CONCLUSION: In this cohort study of 6491 patients, OC diagnosis, treatment, survival, and trends differed across Asian American ethnic subgroups. Such differences must be considered in future research and interventions to ensure all Asian American subethnicities equally benefit from the advancements in OC care and control.

Twenty-year changes of adolescent mental health and substance use: a Finnish population-based time-trend study.

This time-trend study assesses changes in mental health and substance use among Finnish adolescents from 1998 to 2018. Representative samples of adolescents (N = 6,600) aged 13-16 years participated in school-based, almost identical cross-sectional studies in 1998 (n = 1,446), 2008 (n = 2,009), 2014 (n = 1,800) and 2018 (n = 1,345), respectively. The Strengths and Difficulties Questionnaire was used to assess mental health. When comparing mental health in the clinical range between 1998 and 2018, the main finding was the significant increase of emotional symptoms among females. The percentage of females in the clinical range increased from 17.5 to 30.1% during the twenty-year period. When psychopathology measures were analyzed as continuous variables, the finding of increased emotional problems was confirmed. The study clearly illustrates a linear trend, with a consistent increase in emotional problems among females and decrease in substance use among both genders. An alarming finding of steady increase of self-reported emotional problems indicates the importance of early detection and evidence-based interventions for adolescent with anxiety and depression to prevent adversities associated with these disorders.

Transition and trend analysis of the burden of depression in China and different income countries: Based on GBD database and joinpoint regression model.

BACKGROUND: Depression is a leading cause of disability and poor health worldwide and is expected to rank first worldwide by 2030. The aim of this study is to analyze the transition and trend of depression burden in China and various income-level countries by utilizing the Global Burden of Disease (GBD) database and the Joinpoint regression model. This analysis seeks to comprehend the variations in the burden of depression across different income regions and evaluate their developmental patterns. METHODS: Based on the GBD 2019 open dataset, this study extracted data on YLD (Years Lived with Disability), DALY (Disability-Adjusted Life Years), and incidence related to depression. The analysis focused on the period between 1990 and 2019, covering global data and distinguishing between high-income, upper-middle-income, lower-middle-income, low-income countries, and China. We utilized the Joinpoint regression model to fit the spatiotemporal trend changes among different income-level countries. Pairwise comparisons were conducted to examine the parallelism and to determine if the differences in trend changes among various regions were statistically significant. RESULTS: From 1990 to 2019, the age-standardized YLD and DALY for depression female were higher than that in male. The YLD total change rate of depression men was higher than that of women. China exhibited the largest disparity in total YLD change rates between genders, reaching 0.08. During 1990 to 2019, the incidence of depression in 2005-2019 increased among females in middle to high-income countries, low-income countries, and China as compare to that of 1990-2005. Notably, China shown the most increase the incidence rate of females (from -0.4 % to 0.84 %). China experienced the most significant change in the YLD of depression during this period (AAPC = 0.45, 95 % CI = 0.41, 0.48, P < 0.01). China's YLD/Incidence rate was higher compared to the global, HICs, UMCs, LMCs, and LICs. In China, the YLD/incidence rate of depression began to rise in 1994, peaking around 2010, and then gradually declining. Since 2010, the growth rate of depression DALYs in China has been higher than the global average, high-income countries, upper-middle-income countries, lower-middle-income countries, and low-income countries. The DALY's AAPC value for the HLCs was the highest (AAPC = 0.24, 95 % CI = 0.22, 0.25, P < 0.01). The UMCs, in comparison to other regions, incidence rate had the highest AAPC value (AAPC = 0.48, 95 % CI = 0.46, 0.50, P < 0.01). CONCLUSIONS: Given the significant variations in the burden of depression across countries with different income levels, future strategies aimed at reducing the burden of depression should adopt tailored and differentiated approaches according to each country's specific needs and developmental stages.

Evaluation of the sensitivity of meteorological drought in the Mediterranean region to different data record lengths.

The division and evaluation of data series used in monitoring drought into different time intervals is a practical approach to detecting the spatial and temporal extent of drought spread. This study aimed to determine meteorological drought's spatial and temporal distribution using overlapping and consecutive periods and cycles of the standardized precipitation index (SPI) time series in the Mediterranean region, Turkey. In the scope of the research, SPI values for the SPI12, SPI6 (1), and SPI6 (2) seasons were calculated for consecutive and overlapping hydrological years (1978-1998/21 years, 1978-2008/31 years, and 1978-2018/41 years) at 28 meteorological stations. Autocorrelation, Mann-Kendall, and Sen slope trend tests were applied at a 5% significance level for each season (SPI12, SPI6 (1), and SPI6 (2)) and different time scales (21, 31, and 41 years). For each season and period, maps of the SPI drought class, average formation of drought class, Mann-Kendall (MK) trend, and Sen's slope (SS) trend test statistics for the Mediterranean region were obtained, and the spatial distribution rate of trends was determined by drawing hypsometric curves. Changes in drought occurrence at different time scales were thoroughly evaluated with the changing length of data recording. Consequently, it was determined that the mild wet (MIW) and mild drought (MID) classes dominate the study area in the Mediterranean region. Significant and nonstationary changes detected in extreme wet and drought occurrences (extreme wet, EW; severe wet, SW; extreme drought, ED; severe drought, SD) were found to pose a risk in the study area. It was observed that there were spatially and temporally insignificant decreasing drought trends in the Mediterranean basin, considering that the time scales of these trends slowed down. Despite a nonsignificant trend from the MID drought class to the MIW drought class, it is predicted that the MIW and MID classes will maintain their dominance in the Mediterranean region. The central part of the study area (central Mediterranean basin) is the region with the highest drought risk.

Spatiotemporal patterns, sustainability, and primary drivers of NDVI-derived vegetation dynamics (2003-2022) in Nepal.

Understanding the vegetation dynamics and their drivers in Nepal has significant scientific reference value for implementing sustainable ecological policies. This study provides a comprehensive analysis of the spatio-temporal variations in vegetation cover in Nepal from 2003 to 2022 using MODIS NDVI data and explores the effects of climatic factors and anthropogenic activities on vegetation. Mann-Kendall test was used to assess the significant trend in NDVI and was integrated with the Hurst exponent to predict future trends. The driving factors of NDVI dynamics were analyzed using Pearson's correlation, partial derivative, and residual analysis methods. The results indicate that over the last 20 years, Nepal has experienced an increasing trend in NDVI at 0.0013 year-1, with 80% of the surface area (vegetation cover) showing an increasing vegetation trend (~ 28% with a significant increase in vegetation). Temperature influenced vegetation dynamics in the higher elevation areas, while precipitation and human interventions influenced the lower elevation areas. The Hurst exponent analysis predicts an improvement in the vegetation cover (greening) for a larger area compared to vegetation degradation (browning). A significantly increased area of NDVI residuals indicates a positive anthropogenic influence on vegetation cover. Anthropogenic activities have a higher relative contribution to NDVI variation followed by temperature and then precipitation. The results of residual trend and Hurst analysis in different regions of Nepal help identify degraded areas, both in the present and future. This information can assist relevant authorities in implementing appropriate policies for a sustainable ecological environment.

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Understanding the spatiotemporal variations and driving factors of regional vegetation coverage is crucial for developing scientific plans for ecological environment protection and maintaining regional ecological balance. Based on the Google Earth Engine (GEE) platform and using Landsat Collection 2 data, we investigated the spatiotemporal variation and driving factors of vegetation coverage in Shanxi Province, China, from 1990 to 2020, by employing methods such as pixel-based binary model, trend analysis, zonal statistics, and geodetector. The results showed that vegetation coverage in Shanxi Province showed a fluctuating upward trend from 1990 to 2020. Vegetation coverage in 44.4% of this region had been significantly improved, and the area with significant degradation accounted for 7.4%. Vegetation coverage in Shanxi Province was positively correlated with elevation, slope, and mountain terrain relief. The area proportion of vegetation coverage growth was the highest in the plateau and hilly regions. Factor detection results showed that land use type, landform type, annual average precipitation, and soil type were the main influencing factors of the spatial differentiation of vegetation coverage in Shanxi Province. Results of the interaction detection showed that the interaction between driving factors all showed enhancement. The interaction between natural factors showed a downward trend, while the interaction results of social factors showed an upward trend, reflecting that the impacts of human activities on vegetation coverage in Shanxi Province were gradually increasing.

Evaluating trends in groundwater quality of coastal alluvial aquifers of Eastern India for sustainable groundwater management.

Groundwater is a precious natural element which ensures global water, food, and environmental security in the twenty-first century. Systematic monitoring, sustainable utilization, preservation and remediation are critical aspects of efficient groundwater resource management. This study deals with the analysis of spatial variability and trend in groundwater chemistry as well as identification of possible contamination sources in a coastal alluvial basin of eastern India. Pre-monsoon season data of 14 groundwater-quality variables measured in 'leaky confined' and 'confined' aquifers were analyzed for ten years (2012-2021). Mann-Kendall (M-K) test with the Sen's Slope Estimator, Spearman Rank Order Correlation (SROC) and Innovative Trend Analysis (ITA) tests were employed to assess decadal (2012-2021) trends. The analysis of the results indicated that the 'critical' water-quality parameters exceeding the acceptable limits for drinking are TDS, EC, TH, pH, Mg2+, Na+, K+, Fe2+, HCO3-, Cl- and NO3-. Weak negative correlations between rainfall and groundwater elevation for both the aquifers reveal poor rainfall recharge into the aquifers. Therefore, a reduction in groundwater abstraction and augmentation of groundwater recharge is recommended. Trend analysis results indicated that the concentrations of TH, Mg2+ and Fe2+ exhibit significant increasing trends in the 'leaky confined aquifer'. In contrast, significant rising trends in TH, Mg2+, Na+, Fe2+, HCO3- and NO3- concentrations are identified in the 'confined aquifer'. Further, the SROC test could not detect the trends in groundwater quality in most blocks and for many parameters. On the other hand, the ITA test revealed significant trends in most of the parameters of the two aquifers in almost all the blocks. Trend magnitudes of the groundwater-quality parameters based on the Sen's Slope Estimator and the ITA test vary from -63.7 to 58.65 mg/L/year for TDS, -14 to 39.07 mg/L/year for TH, -1.49 to 4.83 mg/L/year for Mg2+, -7.14 to 22.96 mg/L/year for Na+, -0.32 to 0.44 mg/L/year for Fe2+, -8.33 to 20.75 mg/L/year for HCO3-, -26.52 to 31.01 mg/L/year for Cl- and 1.29 to 3.76 mg/L/year for NO3- over the study area. The results of M-K and ITA tests were found in agreement in all the blocks for both the aquifers. Groundwater contamination in both the aquifers can be attributed to weathering, geogenic processes, mineral dissolution, seawater intrusion, poor recharge pattern and injudicious anthropogenic activities. It is strongly recommended that concerned authorities urgently formulate efficient strategies for managing groundwater quality in the 'leaky confined' and 'confined' aquifers which serve as vital sources of drinking and irrigation water supplies in the study area.

Spatial and Temporal Patterns of Disease Burden attributable to High Body Mass Index in Belt and Road Initiative Countries, 1990-2019.

OBJECTIVE: This study aimed to analyze the spatial and temporal patterns of disease burden attributed to high body mass index (DB-hBMI) from 1990 to 2019 in Belt and Road Initiative (BRI) countries, in light of increasing hBMI prevalence worldwide. DESIGN: The study was a secondary analysis of global burden of disease 2019 (GBD 2019) that analyzed (using Joinpoint regression analysis) numbers and the age-standardized rate of mortality and disability-adjusted life years (DALYs) of hBMI-induced diseases and their trends from 1990 to 2019 and in the final decade. SETTING: GBD 2019 study data for BRI countries were categorized by country, age, gender, and disease. PARTICIPANTS: GBD 2019 data were used to analyze DB-hBMI in BRI countries. RESULTS: In 2019, China, India, and Russia reported the highest mortality and DALYs among BRI countries. From 1990 to 2019, the age-standardized DALYs increased in Southeast Asia and South Asia, whereas many European countries saw declines. Notably, Bangladesh, Nepal, and Vietnam showed the steepest increases, with AAPC values of 4.42%, 4.19%, and 4.28%, respectively (all P<0.05). In contrast, Israel, Slovenia, and Poland experienced significant reductions, with APCC values of -1.70%, -1.63%, and -1.58%, respectively (all P<0.05). The most rapid increases among males were seen in Vietnam, Nepal, and Bangladesh, while Jordan, Poland, and Slovenia recorded the fastest declines among females. Across most BRI countries, the burden of diabetes and kidney diseases related to hBMI showed a significant uptrend. CONCLUSION: DB-hBMI varies significantly by region, age, gender, and disease type across BRI countries. It can pose a substantial threat to public health.

Spatial-temporal evolution characteristics of PM2.5 and its driving mechanism: spatially explicit insights from Shanxi Province, China.

In China, despite the fact that the atmospheric environment quality has continued to improve in recent years, the PM2.5 pollution still had not been controlled fundamentally and its driving mechanism was complex which remained to be explored. Based on the 1-km ground-level PM2.5 datasets of China from 2000 to 2020, this study combined spatial autocorrelation, trend analysis, geographical detector, and multi-scale geographically weighted regression (MGWR) model to explore the spatial-temporal evolution of PM2.5 in Shanxi Province and revealed its complex driving mechanism behind this process. The results reflected that (1) there was a pronounced spatial clustering of PM2.5 concentration within Shanxi Province, with PM2.5 concentrations decreasing from southwest to northeast. From 2000 to 2020, the levels of PM2.5 pollution demonstrated a decline over time, with its concentrations decreasing by 9.15 µg/m3 overall. The Hurst exponent indicated a projected decrease in PM2.5 concentrations in the central and northern areas of Shanxi Province, contrasting with an anticipated increase in other regions. (2) The geographical detector indicated that all drivers had significant influences on PM2.5 concentrations, with meteorological factors exerting the greatest effects then followed by human activity and vegetation cover showing the least effects. (3) Both gross domestic product and population density exhibited positive correlations with PM2.5 concentration, while vegetation fractional cover, wind speed, precipitation, and elevation exerted negative influences on PM2.5 concentration all over the space. This study enriched the research content and ideas on the driving mechanism of PM2.5 and provided a reference for similar studies.

[Spatiotemporal Simulation and Prediction of Soil Organic Carbon Density in Gannan Grassland Under Future Climate Scenarios].

To study the temporal and spatial distribution characteristics of soil organic carbon density in grassland and explore the relationship between organic carbon density and influencing factors is of great significance to the management and maintenance of grassland ecosystems in Gannan Autonomous Prefecture, which is conducive to realizing the goal of "double carbon," promoting carbon sink, and mitigating climate change. Taking Gannan Tibetan Autonomous Prefecture of Gansu Province as the research object, based on data from two CMIP6 future climate scenarios (SSP126 and SSP585), the CENTURY model was used to simulate and predict the temporal and spatial changes in soil organic carbon density in grassland of Gannan during 2023-2100. The main conclusions were as follows:① From 2023 to 2100, total organic carbon density, slow organic carbon density, and inert organic carbon density all showed a downward trend, whereas active organic carbon density fluctuated first and then increased. Meanwhile, the total organic carbon density, active organic carbon density, slow organic carbon density, and inert organic carbon density under the SSP585 scenario were higher than those under the SSP126 scenario. ② Mann-Kendall mutation analysis showed that the abrupt change in the difference of soil total organic carbon density (Δsomtc) occurred in 2030. The abrupt change in the difference of soil active carbon density (Δsom1c) occurred in 2027. ③ During the study period, the average soil organic carbon density of Gannan grassland was 7 505.69 g·m-2 under the SSP126 scenario and 7 551.87 g·m-2 under the SSP585 scenario. Gannan grassland soil organic carbon density was higher in the west and lower in the east, and the coefficient of variation was relatively stable. ④ The results of partial correlation analysis showed that precipitation was positively correlated with soil organic carbon density, whereas temperature was significantly negatively correlated with soil organic carbon density under future climate scenarios. ⑤ The results of the Theil-Sen Median trend analysis and Mann-Kendall test showed that under the two climate scenarios, the soil organic carbon density in Gannan showed an overall downward trend, in which Luqu County showed the fastest downward trend and Dibe County showed the slowest.

Spatio-temporal trends in long-term seasonal groundwater level of South-western Punjab using non-parametric statistical tests.

To manage groundwater resources and develop an action plan, it is crucial to understand the long-term behavior of groundwater level (GWL) fluctuations. In this study, Geographic Information System (GIS) and non-parametric statistical tests were applied for detecting long-term (1973 to 2020) spatio-temporal variations and trends in GWL from 137 observation wells evenly distributed across the south-western part of Punjab. This region has experienced significant changes in GWL over the decades. The non-parametric statistical tests included Mann-Kendall (MK), Sens's Slope Estimator (SSE), and Innovative Trend Analysis (ITA). The study observed significant trends in GWL fluctuations before and after monsoon. The MK and SSE tests showed a statistically increasing trend in observation wells with about 65.7% and 67.2% increase before and after monsoon, respectively. The innovative trend analysis (ITA) also revealed a statistically increasing trend in observation wells with an increase of about 63.5% and 65.7% pre and post-monsoon season, respectively. The results indicate lowering of GWL in the northern districts of southwestern Punjab, while the southern districts experience rising GWLs. This discrepancy can be attributed to diverse agricultural activities and reduced over-exploitation of groundwater in the southern district due to soil salinity and the presence of brackish groundwater. These findings provide valuable insights into the dynamics of GWL in the studied region, highlighting notable trends associated with seasonal variations.

Spatio-temporal characterization of drought variability in data-scarce regions using global precipitation data: a case study in Cauto river basin, Cuba.

Drought is considered the most severe water-related disaster in the Cauto river basin, which is the longest river and the main agricultural producer in Cuba. Better understanding of drought characteristics is crucial to drought management. Given the sparsity of ground-based precipitation observations in the Cauto, this study aims at using gridded global precipitation to analyze the spatio-temporal variations of drought in this river basin. Firstly, the monthly Climate Hazards Group InfraRed Precipitation with Station data (CHIRPS) was calibrated with the gauged precipitation using the Thiessen polygon-based method and linear least squares regression equations. Then, the gridded standardized precipitation index (SPI) with time scales of 3, 6, 9 months and drought characteristics, namely, drought frequency, duration and intensity were calculated using the calibrated CHIRPS. Finally, the spatio-temporal analysis was performed to investigate the variations of drought in the Cauto river basin in time and space. The obtained results show that the calibrated CHIRPS is highly consistent with the gauged observations and is capable of determining the magnitude, time, and spatial extent of drought events in the Cauto river basin. The trend analysis by the Mann-Kendall test reveals that although the trend is not statistically significant, the SPI tends to decrease with time in the dry season, which indicates the more severe drought. The spatial analysis indicates that the lower altitude area of the Cauto river basin is suffered from longer drought duration and higher drought intensity than the upper one. This study expresses the importance of open global precipitation data sources in monitoring and quantifying drought characteristics in data-scarce regions.

Trend analysis and age-period-cohort effects on morbidity and mortality of liver cancer from 2010 to 2020 in Guangzhou, China.

Introduction: Liver cancer is one of the most common malignant gastrointestinal tumors worldwide. This study intends to provide insight into the epidemiological characteristics and development trends of liver cancer incidence and mortality from 2010 to 2020 in Guangzhou, China. Methods: Data were collected from the Cancer Registry and Reporting Office of Guangzhou Center for Disease Control and Prevention. Cross-sectional study, Joinpoint regression (JPR) model, and Age-Period-Cohort (APC) model were conducted to analyze the age-standardized incidence rate (ASIR) and age-standardized mortality rate (ASMR) trend of liver cancer among the entire study period. Results: The age-standardized incidence and mortality of liver cancer in Guangzhou showed an overall decreasing trend. The disparity in risk of morbidity and mortality between the two sexes for liver cancer is increasing. The cohort effect was the most significant among those born in 1965~1969, and the risk of liver cancer incidence and mortality in the total population increased and then decreased with the birth cohort. Compared with the birth cohort born in 1950~1954 (the reference cohort), the risk of liver cancer incidence and mortality in the males born in 1995~1999 decreased by 32% and 41%, respectively, while the risk in the females decreased by 31% and 32%, respectively. Conclusions: The early detection, prevention, clinical diagnosis, and treatment of liver cancer in Guangzhou have made remarkable achievements in recent years. However, the risk of liver cancer in the elderly and the middle-aged males is still at a high level. Therefore, the publicity of knowledge related to the prevention and treatment of liver cancer among the relevant population groups should be actively carried out to enhance the rate of early diagnosis and treatment of liver cancer and to advocate a healthier lifestyle.

Temporal trends in the visual impairment burden attributable to high fasting plasma glucose levels: a population-based study.

AIMS: Elevated fasting plasma glucose (FPG) levels have been associated with visual impairment. Recognising global patterns of high FPG level exposure can facilitate the prevention and treatment of related visual impairment. We aimed to assess the trends of the visual impairment burden attributable to high FPG levels globally, regionally, nationally, and by income level. METHODS: We obtained data on the visual impairment burden attributable to high FPG levels from the Global Burden of Disease Study 2019. We evaluated the trends of related disability-adjusted life-years (DALYs) from 1990 to 2019 through joinpoint regression analysis and calculated the annual percentage change (APC) and average APC (AAPC). Countries/territories were categorised into high-, upper-middle-, lower-middle-, and low-income groups based on the 2019 World Bank criteria. RESULTS: The age-standardised rate of DALYs due to visual impairment attributable to high FPG levels significantly increased globally, from 6.75 (95% uncertainty interval [UI], 1.55-15.79) in 1990 to 8.44 per 100,000 population (95% UI, 2.00-19.63) in 2019 (AAPC, 0.79; 95% confidence interval [CI], 0.69-0.89; p < 0.001). The largest increases were observed in high-income (AAPC, 0.73; 95% CI, 0.60-0.85) and lower-middle-income countries/territories (AAPC, 0.68; 95% CI, 0.62-0.73). In 2019, lower-middle-income countries/territories had the highest age-standardised DALY rate (18.94 per 100,000 population; 95% UI, 4.39-43.98), whereas high-income countries/territories had the lowest (2.97 per 100,000 population; 95% UI, 0.75-6.74). CONCLUSIONS: The visual impairment burden associated with elevated FPG levels has increased significantly, necessitating enhanced public health prevention measures, clinical management, and treatment to mitigate adverse outcomes.

Rainfall analysis and deriving design storm for hydrological modelling of Koyna dam catchment area in Maharashtra state of India.

Rainfall is a key hydro meteorological variable. Climate change is disrupting the hydrological cycle and altering the usual cycle of rainfall, which frequently results in long-lasting storms with significant rainfall. A first step in hydrologic design of project is to determine the design storm or rainfall events to be used. For deriving design storm, researchers concluded that instead of using generalized readily available curves or maps, it is better to estimate design storm based on site specific historical rainfall data. The objective of the study is to analyze the rainfall data in the koyna watershed area in order to evaluate the design storm, which will be further used as an input data for HEC-HMS event based hydrological modelling of flood peak attenuation of design storm flow at koyna dam during extreme rainfall event. In this study, 40 years (1982-2021) of rainfall data from 8 rain gauge stations in Koyna Dam Catchment area is used initially for performing trend analysis through statistical and graphical techniques and then for Isopluvial analysis. The Sen's slope test and the Mann-Kendall test are the statistical techniques employed, and Innovative Trend Analysis is the graphical technique used. IDF approach is used for deriving design storm, and using Gumbel's frequency distribution method Isohyetal maps, IDF tables and curves are prepared for 2,10,25,50,75 and 100 year return periods and 6,12,24,48 and 96 h durations. Results obtained from statistical and graphical trend analysis of annual rainfall series are consistent. No statistically significant trend in annual rainfall series is observed, however there is rising and falling trend was observed in annual as well as monthly rainfall series. From the results of design storm study, the design storm hyetograph of 10 years return period and 96 h duration is selected, which gives the rainfall intensity of 10.88 mm/h for the koyna catchment. There are various dams nearby koyna catchment, The Isohyet maps, IDF curves and table output available from this study can be more reliably used during planning and design of hydraulic structure for other areas near by koyna catchment.

Assessing the utility of shellfish sanitation monitoring data for long-term estuarine water quality analysis.

Regular testing of coastal waters for fecal coliform bacteria by shellfish sanitation programs could provide data to fill large gaps in existing coastal water quality monitoring, but research is needed to understand the opportunities and limitations of using these data for inference of long-term trends. In this study, we analyzed spatiotemporal trends from multidecadal fecal coliform concentration observations collected by a shellfish sanitation program, and assessed the feasibility of using these monitoring data to infer long-term water quality dynamics. We evaluated trends in fecal coliform concentrations for a 20-year period (1999-2021) using data collected from spatially fixed sampling sites (n = 466) in North Carolina (USA). Findings indicated that shellfish sanitation data can be used for long-term water quality inference under relatively stationary management conditions, and that salinity trends can be used to investigate management-driven bias in fecal coliform observations collected in a particular area.

Chronic Pancreatitis in a Large Developing Country: Temporal Trends of Over 64,000 Hospitalizations from 2009 to 2019.

BACKGROUND/OBJECTIVES: Chronic pancreatitis (CP) is a progressive inflammatory disorder associated with marked morbidity and mortality and frequently requires hospitalization. This study aimed to investigate the time trends and geographical distribution of hospital admissions, the lethality rate of CP across Brazil, and the potential relationship with social indicators and associated risk factors. METHODS: Data were retrospectively obtained from the Brazilian Public Health System Registry between January 2009 and December 2019. The prevalence and lethality rates of CP per 100,000 inhabitants in each municipality were estimated from hospitalizations to in-hospital deaths and classified by age, sex, and demographic features. RESULTS: During the study period, 64,609 admissions were retrieved, and most of the patients were males (63.54%). Hospitalization decreased by nearly half (-54.68%) in both sexes. CP rates in males were higher in all age groups. The greatest reduction in admissions (- 64%) was also noted in patients ≥ 70y. CP In-hospital lethality remained stable (5-6%) and similar for males and females. Patients ≥ 70y showed the highest lethality. The greatest increase in CP lethality rates (+ 10%) was observed in municipalities integrated into metropolises, which was mainly driven by small-sized municipalities (+ 124%). CONCLUSIONS: CP hospitalizations decrease in both urban and rural areas, particularly in the North, Northeast, and Central-West regions, and in those above 70 years of age, but are not correlated with lethality rates in the South. This suggests ongoing changes in the environmental and socioeconomic factors in Brazil.

Mapping the correlations between bandgap, HOMO, and LUMO trends for meta substituted Zn-MOFs.

Bandgap is a key property that determines electrical and optical properties in materials. Modulating the bandgap thus is critical in developing novel materials particularly semiconductors with improved features. This study examines the bandgap, highest occupied molecular orbital (HOMO), and lowest unoccupied molecular orbital (LUMO) energy level trends in a metal organic framework, metal-organic framework 5 (MOF-5), as a function of Hammett substituent effect (with the constant σm in the meta-position of the benzene ring) and solvent dielectric effect (with the constant ε). Specifically, experimental design and response surface methodologies helped to assess the significance of trends and correlations between these molecular properties with σm and ε. While the HOMO and LUMO decrease with increasing σm, the LUMO exhibits greater sensitivity to the substituent's electron withdrawing capability. The relative difference in these trends helps to explain why the bandgap tends to decrease with increasing σm.