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Background: Regular follow-up and medication can effectively reduce the risk of adverse outcomes for patients with hypertension. This study aimed to explore the temporal-spatial distribution characteristics and associated socioeconomic factors of visiting frequency for rural patients with hypertension in Fujian province from 2011 to 2016. Methods: The medical records of patients with hypertension were abstracted from the database of New Rural Cooperative Medical Scheme. Geographically and temporally weighted regression model was used to analyze the associations between percentage of patients whose visiting frequency ≥ 4 times within a year and seven socioeconomic factors at the county level. Results: The visiting rate of rural patients with hypertension was 0.79%, 1.27%, 1.87%, 2.29%, 2.78%, 3.43% over the six-year study period, respectively. The percentage of patients whose visiting frequency ≥ 4 times within a year gradually increased over time and the percentage ranged from 61 to 80% in a half of the counties by 2016. In general, there was positive association between Gross Domestic Product per capita and the percentage of patients whose visiting frequency ≥ 4 times within a year. The percentage of female patients, percentage of patients who aged ≥ 60 years, percentage of low-income patients, carbon emission intensity, percentage of savings and number of health technicians per 10,000 persons were negatively correlated with the percentage of patients whose visiting frequency ≥ 4 times within a year in most of counties of Fujian Province. In the sensitivity analysis, the percentage of outpatients whose visiting frequency ≥ 4 times within a year was higher than that of all patients. There was positive association between percentage of outpatients who aged ≥ 60 years and the percentage of outpatients whose visiting frequency ≥ 4 times. Conclusions: The visiting rate and the visiting frequency within a year for rural patients with hypertension in Fujian province need to be improved. Female and elderly patients should be the focus of health management. Effectively implementing the family doctor services, providing several kinds of free antihypertensive drugs, improving energy utilization efficiency and reasonably allocating the health resources may be the effective strategies to improve the follow-up compliance of patients. [ABSTRACT FROM AUTHOR]

With industrialization and human activities, shellfish may be contaminated by various pollutants such as heavy metals. This study aims at the concentrations of As, Cr, Mn, Ni, Cu, Zn, Cd, Sn, Sb and Pb in shellfish collected from Fujian of China, and the risk of heavy metals in shellfish on human health based on target hazard quotients (THQ). Results showed that the THQ values of the elements were far below 1, except for As with an average value of 1.148 in razor clam. No detrimental health effects of heavy metals on humans health was observed by daily consumption of mussel and oyster, but the exposed population to short-necked clam, scallop and razor clam might experience noncarcinogenic health risks because each of the total THQ values was above 1 for the three shellfish. [ABSTRACT FROM AUTHOR]

Based on Himawari-8 Sea Surface Temperature (SST) data and the semi-automatic Topographic Position Index (TPI)-based mapping method, this study maps the significant coastal upwelling in the northern South China Sea (NSCS). The results show that the Minnan coastal upwelling mainly occurs within 100 km off the south coast of Fujian; the Yuedong coastal upwelling appears to the east of Pearl River Estuary, limited to the area shallower than 40 m; and the Qiongdong coastal upwelling occurs most frequently in the area shallower than 75 m off the east coast of Hainan Island. Based on the results, this paper quantitatively describes the temporal and spatial variations of upwelling duration, influence area, upwelling SST anomaly, and chlorophyll-a (Chl-a) increase. Different coastal upwelling regions in the NSCS are significantly different in characteristics. The Qiongdong coastal upwelling has the longest duration and occurs most frequently, the Yuedong coastal upwelling has the largest influence area and Chl-a increase, and the Minnan coastal upwelling is quite strong in the NSCS. [ABSTRACT FROM AUTHOR]