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Musculoskeletal disorders are one of the three major disabling diseases in the world. However, the current disease burden in China is not well-known. This study aimed to explore the burden and risk factors of musculoskeletal disorders in China from 1990 to 2019, predicting the incidence trend from 2020 to 2044. All data were extracted from the Global Burden of Disease Study 2019 (GBD 2019). Joinpoint regression and age–period–cohort (APC) models were selected to analyze the epidemic trend, and descriptive analyses of the time trends and age distributions of risk factors were performed. The Bayesian APC model was used to foresee the incidence trend from 2020 to 2044. The results indicated that the burden of musculoskeletal disorders is higher in women and older adults. Its attributable risk factors were found to be tobacco, a high body mass index, kidney dysfunction and occupational risks. In 2044, musculoskeletal disorders in China showed a downward trend for 35–59-year-olds and a slight upward trend for 30–34- and 65–84-year-olds. The 70–74 year age group saw the largest increase in incidence at 4.66%. Overall, the incidence increased with age. Therefore, prevention and control policies should focus on women and the elderly, and health interventions should be carried out based on risk factors.

Lip and oral cavity cancer is a common malignancy faced by many developing countries, and the disease burden is high in China. This study explored this cancer burden and its risk factors using data from China in the GBD 2019, along with predicting the incidence trends in 2020–2049. Data on age-standardized rates (ASR), incidence, death and disability-adjusted life years (DALY), by sex, age and risk factors were collected from the Institute for Health Metrics and Evaluation (IHME). Joinpoint regression and Age–Period–Cohort (APC) models were selected to analyze the epidemic trend of this cancer in China, and descriptive analysis was used for the time trend and age distribution of risk factors. The Bayesian APC model was selected to foresee the incidence trend in 2020–2049. This cancer burden was found to be in an upward trend in China in 1990–2019. The upward trend was more pronounced among men than among women. These cancer deaths and DALYs are overwhelmingly attributable to smoking and drinking. On APC analysis, the younger generation in China demonstrated a lower cancer risk. In 2049, the incidence of this cancer is projected to be 3.99/100,000, 6.07/100,000, 7.37/100,000, 10.49/100,000, 14.82/100,000, 19.19/100,000, 20.71/100,000, 23.64/100,000, 16.42/100,000 and 9.91/100,000 among those aged 50–54, 55–59, 60–64, 65–69, 70–74, 75–79, 80–84, 85–89, 85–89 and over 95 years, respectively. Disease control policies and early screening should focus on men and the elderly and target different risk factors.

In this study, we explored the cross-sectional associations between living and built environments and depression among older Chinese adults. Data from 5822 participants were obtained. Depression symptoms were evaluated through the use of the Patient Health Questionnaire (PHQ-9), with a score higher than 4 categorized as having depression symptoms. The living environment was assessed by asking about dust in the environment and barrier-free facilities. We considered the presence of amenities within a 10 min walking distance and the proportion of green space within an 800 m distance from participants’ dwellings to reflect the built environment. Data were analyzed by multilevel logistic regression. Participants living in a non-dusty environment with proximity to green space had a lower risk of depression (non-dusty environment: OR = 0.784, 95% CI = 0.642, 0.956; green space: OR = 0.834, 95% CI = 0.697, 0.998). However, having no access to barrier-free facilities and hospital proximity increased the depression risk (barrier-free facilities: OR = 1.253, 95% CI = 1.078, 1.457; hospital: OR = 1.318, 95% CI = 1.104, 1.574). Dusty environments, access to barrier-free facilities and proximity to hospitals and green spaces were associated with depression symptoms among older Chinese adults.

The organic-rich shale of the Qingshankou Formation (K2qn) is the most important target in the Songliao Basin. The relationship between lithofacies and source rock quality, however, is still controversial. Core observation, thin section identification, X-ray diffraction, organic geochemistry, and other analytical methods were adopted to investigate the petrology and its effects on hydrocarbon potential of the Qingshankou shale. Based on the differences in minerals, bioclastic, and fabric of laminae, four main lithofacies were defined as: (i) felsic shale (FS), (ii) clay shale (CS), (iii) bio-bearing shale (BS), and (iv) mixed shale (MS). The clay minerals content in the CS (average: 46.72 wt%) and MS (average: 41.11 wt%) was higher than that in FS (average: 39.97 wt%) and BS (average: 35.48 wt%). This classification allows the following comparative quantification of total organic carbon (TOC) content to be differentiated: CS > BS > MS > FS. Geochemical analysis indicated that the oil generation potential of the CS was the best, and the hydrocarbons generated from CS might migrate and accumulate in other lithofacies. All this knowledge could shed light on the lithofacies classification in shale systems with high clay mineral content, and may provide references for sweet spotting of the Qingshankou Formation in the Songliao Basin.

The precise timing, petrogenesis, and geodynamic significance of three granitoid bodies (Beidao granite, Caochuanpu granite, Yuanlongzhen granite, and the Roche type rock) of the Tianshui area in the Western Qinling Orogen, central China, are poorly constrained. We performed an integrated study of petrology, geochemistry, and zircon U-Pb dating to constrain their genesis and tectonic implication. Petrographic investigation of the granites shows that the rocks are mainly monzogranites. The Al saturation index (A/CNK versus SiO2) of the granitoid samples indicates meta-aluminous to peraluminous I-type granites. Their magmas were likely generated by the partial melting of igneous protoliths during the syn-collisional tectonic regime. Rare-earth-elements data further support their origin from a magma that was formed by the partial melting of lower continental crust. The Beidao, Caochuanpu, and Yuanlongzhen granites yielded U-Pb zircon weighted mean ages of 417 &plusmn, 5 Ma, 216 &plusmn, 3 Ma, and 219 &plusmn, 3 Ma, respectively. This study shows that the Beidao granite possibly formed in syn- to post-collision tectonic settings due to the subduction of the Proto-Tethys under the North China Block, and can be linked to the generally reported Caledonian orogeny (440&ndash, 400 Ma) in the western segment of the North Qinling belt, whereas Yuanlongzhen and Caochuanpu granites can be linked to the widely known Indosinian orogeny (255&ndash, 210 Ma). These granitoids formed due to the subduction of the oceanic lithospheres of the Proto-Tethyan Qinling and Paleo-Tethyan Qinling. The Roche type rock, tourmaline-rich, was possibly formed from the hydrothermal fluids as indicated by the higher concentrations of boron leftover during the late-stages of magmatic crystallization of the granites.

There have been obstacles for internal migrants in China in accessing local public health services for some time. This study aimed to estimate the utilization of local public health services and its determinants among internal migrants. Data were from the 2014 and 2015 nationally representative cross-sectional survey of internal migrants in China. Multivariate logistic regressions were used to estimate the relationship between socioeconomic, migration, and demographic characteristics and public health services utilization. Our results showed that internal migrants in more developed eastern regions used less public health services. Those with higher socioeconomic status were more likely to use public health services. The years of living in the city of residence were positively associated with the utilization of public health services. Compared to migration within the city, migration across provinces significantly reduced the probability of using health records (OR = 0.88, 95% CI: 0.86-0.90), health education (OR = 0.97, 95% CI: 0.94-1.00), and health education on non-communicable diseases (OR = 0.92, 95% CI: 0.89-0.95) or through the Internet (OR = 0.96, 95% CI: 0.94-0.99). This study concludes that public health services coverage for internal migrants has seen great improvement due to government subsidies. Internal migrants with lower socioeconomic status and across provinces need to be targeted. More attention should be given to the local government in the developed eastern regions in order to narrow the regional gaps.