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Background: Diabetes mellitus (DM) is a major risk factor for tuberculosis (TB), However, limited research exists on their clinical and strain characteristics. This study aims to investigate the correlation between these factors in TB-DM patients in Changping District.  METHODS: Whole genome sequencing (WGS) and drug susceptibility tests (DST) were performed on culture-positive strains. Spearman correlation analysis was used to examine risk factors and the correlation between lineage, cavities, and hemoptysis in the TB-DM population. The specificity, sensitivity, and confidence intervals for predicting phenotypic drug resistance based on genotypic resistance were calculated., Results: Among the 3924 TB patients, 292 had DM, showing a doubling in the proportion of TB patients with DM over seven years. Among the 144 etiologically positive TB-DM cases treated at the Changping Institute for Tuberculosis Prevention and Treatment, 75% (108/144) of the patients exhibited tuberculosis lesions that formed cavities and 12.5% (18/144) with hemoptysis. A statistically significant difference in cavity formation across different age groups was observed (r = -0.198, P < 0.05). Out of the 144 etiologically positive patients, WGS successfully revived 73 MTB strains, with Lineage 2 being predominant. No statistical difference was found between lineages and the presence of cavities or hemoptysis. The DST results showed the highest resistance rates to isoniazid and streptomycin, both at 8.2% (6/73), with approximately one-quarter of the strains resistant to at least one anti-TB drug, and about half (47.1%, 8/17) resistant to first-line drugs. The study demonstrated good specificity but suboptimal sensitivity in predicting phenotypic drug resistance based on genotypic resistance., Conclusions: The rising incidence of diabetes in tuberculosis patients within Changping District has intensified the spread of TB, with these patients demonstrating severe illness and high drug resistance. This study aims to develop targeted prevention and management strategies, offering crucial guidance for treating co-infections of TB and DM and controlling disease spread., Competing Interests: Declarations. Ethics approval and consent to participate: In this study, all patients volunteered to participate with informed consent and the collected strains and patient information were kept strictly confidential, the research methods and protocols for the current study were carried out in accordance with relevant guidelines and regulations (declarations of Helsinki), which has been approved by The Ethics Committee of Beijing Changping Institute for Tuberculosis Prevention and Treatment (CJ-2023–001). Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2025. The Author(s).)

Background: The rising incidence of environmental pollution has heightened concerns regarding the impact of pollutant variations on public health., Methods: Time series analysis models and BP neural network models were utilized to investigate both univariate and multivariate predictions of HIV/AIDS cases. To evaluate the combined effects of pollutants on HIV/AIDS cases, we employed weighted quantile sum (WQS) regression, a quantile-based g-computation approach (Qgcomp) and Bayesian kernel machine regression (BKMR). Additionally, sensitivity analyses were conducted to further validate our findings., Results: The incidence and mortality rates of HIV/AIDS in Beijing have demonstrated an upward trend, primarily affecting individuals aged 20-35 years, who account for approximately 63.95 % of cases. In the univariate prediction, the parameters that yielded strong predictive performance for the incidence model were as follows: Holt-Winters: α=0.13, β=0.09, γ=0.34. For the mortality model, the parameters indicating good predictive performance were derived from the SARIMA model: (0,1,3) (0,1,2) [12]. The BP neural network model also exhibited robust predictive performance across various configurations of hidden layers (error ∈ [0.096, 1.324]). The WQS model indicated that only NO 2 had a significant effect, with an overall risk effect of the five mixed air pollutants on HIV/AIDS incidence represented as βWQS (95 %CI) = 0.10 (0.02, 0.18). Meanwhile, the Qgcomp model revealed that NO 2 and AQI have hazardous effects on disease incidence, with weights of 0.514 and 0.486, respectively. Additionally, SO 2 was found to have a harmful effect on disease mortality. In the Qgcomp index and BKMR model, the weights of PM 10 and PM 2.5 were predominant in the positive weights., Conclusions: Various time series and neural network models effectively predict the incidence and mortality rates of HIV/AIDS. Additionally, multiple mixed exposure analyses provide further evidence of significant associations between exposure to air pollution mixtures and HIV/AIDS incidence and mortality rates, with PM 2.5 and PM 10 being the primary drivers., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)

Background: Dental caries is still a major disease that affect the oral health of people in China. First permanent molars (FPMs) are the most caries-susceptible teeth among school-aged children. The aim of this study was to investigate the eruption and caries status of first permanent molars in children aged 6-7 years in Shijingshan District, Beijing, China, to provide information for oral health promotion., Methods: The study was a cross-sectional survey conducted in 6-7-year-old first grade children from public elementary schools in Shijingshan District, Beijing. Participants were invited to receive a clinical oral examination. The eruption status and caries experience of FPMs were recorded. Questionnaires assessing children's sociodemographic information and oral health-related behaviors were completed by the children's parents or guardians., Results: A total of 3,176 children, including 1,644 boys (51.8%) and 1,532 girls (48.2%) were included in the oral examination and questionnaire. Eruption status of FPMs was as follows: 37.5% fully erupted, 28.3% partially erupted, 34.2% not erupted. Girls had more erupted FPMs than boys (70.1% VS 61.8%, P < 0.001). The prevalence of dental caries in FPMs was 5.5% (174/3,176) in studied children. The mean decayed missing filled teeth score of FPMs was 0.11 and the mean decayed missing filled surface score of FPMs was 0.19. Binary Logistic regression analysis demonstrated that girls had more tooth decay than boys and father's educational background also associated with the caries experience of the studied children (P < 0.05)., Conclusions: Around two-thirds of FPMs were fully erupted or partially erupted among children aged 6-7 years old in Shijingshan District, Beijing. Approximately 5% of the newly erupted FPM established dental caries. Effective intervention should be applied in this age group for oral health promotion., (© 2024. The Author(s).)

Demonstrating the temporal changes in PM 2.5 pollution risk in regions facing serious PM 2.5 pollution problems can provide scientific evidence for the air pollution control of the region. However, research on the variation of PM 2.5 pollution risk on a fine temporal scale is very limited. Therefore, we developed a method for quantitative characterizing PM 2.5 pollution risk based on the supply and demand of PM2.5 removal services, analyzed the time series characteristics of PM 2.5 pollution risk, and explored the reasons for the temporal changes using the urban areas of Beijing as the case study area. The results show that the PM 2.5 pollution risk in the urban areas of Beijing was close between 2008 and 2012, decreased by approximately 16.3% in 2016 compared to 2012, and further decreased by approximately 13.2% in 2021 compared to 2016. The temporal variation pattern of the PM2.5 pollution risk in 2016 and 2021 showed significant differences, including an increase in the number of risk-free days, a decrease in the number of heavily polluted days, and an increase in the stability of the risk day sequence. The significant reduction in risk level was mainly attributed to Beijing's air pollution control measures, supplemented by the impact of COVID-19 control measures in 2021. The results of PM 2.5 pollution risk decomposition indicate that compared to the previous 2 years, the stability and predictability of the risk variation in 2016 increased, but the overall characteristics of high risk from November to February and low risk from April to September did not change. The high risk from November to February was mainly due to the demand for coal heating during this period, a decrease in PM 2.5 removal service supply caused by plant leaf fall, and the common occurrence of temperature inversions in winter, which hinders the diffusion of air pollutants. This study provides a method for the analysis of PM 2.5 pollution risk on fine temporal scales and may provide a reference for the PM 2.5 pollution control in the urban areas of Beijing., (© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

Background: Screening for Tuberculosis (TB) is a critical tactic for minimizing the prevalence of illness within schools. Tuberculosis Preventive Therapy (TPT), in turn, effectively staves off the development of TB from latent tuberculosis infection (LTBI). Unfortunately, there is limited research on LTBI and TPT among students. This study aimed to assess LTBI among freshmen in Changping District and advocate for the implementation of TPT., Methods: The prospective study collected data from 12 educational institutions within the Changping District of Beijing. The Kolmogorov - Smirnov test and other statistical methods were used for statistical analysis, [Formula: see text] was obtained using the formula [Formula: see text] nΣA 2 /n R n C -1, df = (C-1) (R-1). We analyzed potential factors impacting the LTBI rate, and scrutinized the possible causes behind the low application of TPT and its efficacy for LTBI treatment, China., Results: Among 19,872 freshmen included in this study, 18 active TB cases (91 per 10,0000) and 2236 LTBI cases (11.6% of 19,223) were identified, respectively. Furthermore, of those with LTBI, 1045 (5.4% of 19,223) showed a strong positive for purified protein derivative (PPD), but only 312 opted for TB preventive treatment. There appeared to be no significant difference in the prevalence of LTBI and TPT rate between male and female students. Concurrently, 11 (71 per 100,000) and 7 (158 per 100,000) cases of active tuberculosis were identified in 6 universities and 6 higher vocational colleges, respectively. Interestingly, almost all freshmen who underwent TPT came from universities, suggesting a statistically significant disparity in TPT rate (χ2 = 139.829, P < 0.001) between these two types of educational institutions. Meanwhile, as for the age-wise distribution of latent infection among 17-20 years old freshmen, the LTBI rate exhibited 10.5%, 11.6%, 12.1% and 13.5%, respectively. Correlation between LTBI rate, the strong positive rate was statistically significant among different ages (χ2 = 34.559, P < 0.001). Over a follow-up period of 2 years, three students were diagnosed with active tuberculosis, one of which was resistant to rifampicin. All three students manifested a strong positive for PPD and declined preventive treatment during TB screening., Conclusions: The data indicates a high rate of LTBI amongst students in areas with a heavy TB burden, potentially leading to cross-regional TB transmission due to the migration of students. Education level might contribute to the limited uptake of TPT. Therefore, improving the implementation of TB preventive treatments is crucial in controlling and preventing TB across schools., (© 2023. The Author(s).)

Assessing the health risks of sensitive population, such as children and teenagers, through multiple exposure routes (MERs) such as ingestion, inhalation, and dermal contact is critical for policy creation that protects or reduces exposure to pollutants for all populations. Heavy metal (HM) contents in food and environmental media in Beijing, capital of China, were collected. Furthermore, on the basis of considering the bioavailability of HMs, we evaluated the multiple environmental routes and health risks to HMs in children and teenagers of eight age groups (2-<3, 3-<4, 4-<5, 5-<6, 6-<9, 9-<12, 12-<15, and 15-<18) in Beijing, China by Monte Carlo simulation approach. The main findings are as follows: lead exposure in children aged 2-<3 years exceeds the exposure dose (0.3 μg·kg -1 ·d -1 ) of 0.5 point reduction in intelligence quotient. Moreover, children aged 2-<3 and 6-<9 years have relatively high non-carcinogenic risk (NCR) of 1.32 and 1.30, respectively. The carcinogenic risk (CR) for children aged 6-<9 and 9-<12 years is 2.73×10 -6 and 2.39×10 -6 , respectively. Specifically, the contributions of oral ingestion, dermal contact, and inhalation to the NCR were 69.5%, 18.9%, and 11.6%, respectively. Moreover, the combined NCR contributions of copper, cadmium, mercury, and arsenic (As) were about 69.4%. The contributions of the above three routes to the CR were 93.4%, 4.1%, and 2.5%, in that order, with the largest CR contribution of As being about 92.0%. This study can provide new ideas for accurately assessing the exposure and health risks of HMs in the population, and we believe that it is necessary to update the national standards for food and soil based on the bioavailability of HMs., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Due to the strict control on bisphenol A (BPA) in many countries, bisphenol analogues (BPs) are being widely used as alternative materials to manufacture epoxy resins and polycarbonate plastics, resulting in their occurrence in sewage treatment plants (STPs). In this study, the occurrence and distribution of 7 BPs in a large-scale STP in Beijing China was investigated. Wastewater samples were collected from the influents and effluents of each processing unit, and extracted by solid-phase extraction. Target compounds were quantified by ultra-performance liquid chromatography tandem mass spectrometry (HPLC-MS/MS). The total concentrations of seven BPs (ΣBPs) were 400.42 ± 48.12 ng/L in the raw sewage, 438.60 ± 46.50 ng/L in the primary effluent, 17.21 ± 13.12 ng/L in the secondary effluent, and 11.33 ± 4.84 ng/L in the tertiary effluent, respectively. Bisphenol S (BPS) and BPA were the predominant congener in raw sewage with an overall contribution of 29.32% and 70.22% to the ΣBPs, indicating that there was a large amount of BPS and BPA consumption in the study area. During a one-week sampling period, ΣBPs changed slightly at the same sampling site. It was found that high removal efficiencies were achieved for BPs in anoxic and oxic secondary clarifier treatment units, suggesting that biodegradation and sorption played major roles in BPs elimination in the STP. After tertiary treatment, all BPs except BPA were completely removed, suggesting the necessity to investigate the fate and toxicity of BPA in the aquatic environment.

The reuse of the sewage is an effective way to solve the shortage of water resources, but disinfection by-products (DBPs) caused by chlorination may bring potential ecological and health risks to the supplied water. In this study, the occurrence and potential ecological risk of DBPs in SH River in Beijing were evaluated. Four kinds of DBPs were detected in 84 samples by GC-MS, including THM, CH, CTC and TCAN, whose detection rates were 100%, 100%, 100% and 2.38%, respectively. Combining with the relevant standard limitation and corresponding threshold values in China, and the reported concentration in domestic and foreign literatures, the results showed that the number of samples which [THM], [CTC] and [CH] exceeded the threshold values in relevant standard for 23.81%, 100.00% and 89.29%, respectively. CTC showed the highest excess times than the threshold value with [CTC] max was 356.46 μg/L. In addition, the temporal and spatial characteristics of identified DBPs were studied. [THM], [CTC] and [CH] all exhibited the highest concentration in Aug., which was as the same as the variation trend of air and water temperature. With the increase of sampling distance, [THM] and [CTC] fluctuated greatly, and the background values in SH River were higher due to the supplement of the reclaimed water. [CH] and [TCAN] gradually decreased, which may be due to that they were more prone to volatilize in the channel and be degraded by aquatic microorganisms. In addition, the occurrence situation in S2 and S7, were in the order of CTC > CH > THM. Hence, the rank of the occurrence situation of identified DBPs was CTC > CH > THM > TCAN. Multivariate analysis showed that THM was significantly positively correlated with CTC and their sources were similar. Moreover, they were all affected by solution pH and DO. Potential ecological risk assessment indicated that the rank of identified DBPs ecological risk was CTC > THM > CH > TCAN. Among them, the risk level of CTC and THM were high in both daily and extreme situations. Therefore, the potential ecological risk caused by DBPs should be fully considered in the process of reclaimed water supplying landscape water, such as urban river. If a higher level of the ecological risk management is needed, THM, CTC and CH, especially CTC, should be considered firstly., (Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)

Forests play an important role in terrestrial carbon cycles. The mechanism underlying carbon balance in temperate deciduous broad-leaved forests is not clear. In this study, net ecosystem exchange (NEE) and environmental factors, including air temperature ( T a ), soil temperature ( T ) were continually measured using eddy covariance techniques in 2019 in a deciduous broad-leaved forest in Songshan, Beijing. We analyzed the characteristics of NEE and its response to environmental factors. The results showed that, at diurnal scale, the monthly averaged NEE exhibited a "U" shape curve ( s ), photosynthetically active radiation (PAR), vapor pressure deficit (VPD), soil water content (SWC) and precipitation ( P ) were continually measured using eddy covariance techniques in 2019 in a deciduous broad-leaved forest in Songshan, Beijing. We analyzed the characteristics of NEE and its response to environmental factors. The results showed that, at diurnal scale, the monthly averaged NEE exhibited a "U" shape curve ( i.e ., being a carbon sink over daytime while being a carbon source during nighttime) over the growing season. During the non-growing season, NEE was positive ( i.e ., carbon source) at diurnal scale. At the seasonal scale, NEE exhibited a unimodal curve. The annual cumulative NEE was -111 g C·m -2 ·a -1 . Annual ecosystem respiration was 555 g C·m -2 ·a -1 , while gross ecosystem productivity was 666 g C·m -2 ·a -1 . Carbon sequestration peaked in June, while emission peaked in November. PAR was the dominant factor affecting daytime NEE (NEE d ). VPD was the main factor that indirectly affected daytime NEE d , with an optimal VPD value that maximizes daytime NEE around 1-1.5 kPa. Soil temperature was the main factor affecting nighttime NEE (NEE n ). SWC was a limiting factor for NEE n . Too high or too low SWC would inhibit NEE n , with an optimal SWC value of 0.28 m 3 ·m -3 .

Heavy metals in reclaimed water are a global problem that leads to ecological risks for the replenishment water body. This study investigated concentrations and ecological risks posed by heavy metals in SH River, Beijing, which is supplied by reclaimed water. Results showed that Cr was not detected in the sample, Cd and Pb exceeded threshold values according to regulations by 1.19% and 25.00%, respectively. The characterization of temporal and spatial of heavy metals was studied. The potential ecological risks posed by heavy metals in SH River were found to be low and safe. The risk decreased in the order Pb > Cu > Zn > Ni > Cd > As by comprehensive index assessment; this changed to Pb > Cd > As > Ni > Cu > Zn according to potential ecological risk assessment. Pb posed the greatest ecological risks and was identified as most contaminated metal. According to discussion of sampling sites and water quality, it was proposed that reclaimed water and exogenous discharges were the main sources of the heavy metals identified. This should be considered when developing catchment management strategies for heavy metals elimination and protection of the aquatic environment. If a higher level of ecological risk management is required, Pb, Cd, and Cu should be considered first and should be removed in situ through ecological remediation methods. PRACTITIONER POINTS: Reclaimed water and exogenous discharges were the main sources of the heavy metals identified. The potential ecological risks posed by heavy metals in SH River were found to be low and safe. The risk decreased in the order Pb > Cu > Zn > Ni > Cd > As by comprehensive index assessment. Potential ecological risk assessment showed Pb > Cd > As > Ni > Cu > Zn. Pb posed the greatest ecological risks and was identified as most contaminated metal., (© 2020 Water Environment Federation.)

The high toxicity of As can cause serious health risks for humans; therefore, understanding the behavior of As in weakly alkaline soil conditions relevant to agricultural plains is important. To investigate the mobility and total risks of multiple fractions of As, 230 pairs of soil (including soil cores) and, wheat grain, and corresponding groundwater samples and 38 atmospheric deposition samples were collected from agricultural soil in the Beijing-Tianjin-Hebei region, China, which is a typical wheat-growing area. Seven fractions of As, namely, water-soluble (As1), exchangeable (As2), carbonate-bound (As3), humic acid-bound (As4), Fe-Mn oxide-bound (As5), organic matter-bound (As6), and residual (As7) As, were analyzed using a sequential extraction procedure to better understand and confirm the relationship among these different forms. Correlation and principal components analyses showed a significant relationship among As1-As5, and As in atmospheric deposits and As in groundwater and soil samples showed a positive relationship. As found in wheat, therefore, mainly originated from the soil and atmospheric deposits, and indirectly from the groundwater. As in the soil samples was mainly controlled by Mn and Fe 2 O 3 based on the vertical distribution of soil cores and correlation analysis. The health risk assessments showed that As in the multiple fractions did not form a potential non-cancer risk for children and adults. However, residents could still face the risk of developing cancer by ingesting wheat and drinking the groundwater. The findings of this study have important implications for understanding the hydrological/geochemical behavior of As and the soil and water quality in a wide range of environmental settings. Additionally, our findings provided arguments for decreasing the concentrations of As in the wheat production system and to remind residents to decrease ingestion of their staple food (wheat) and drink less of the local groundwater., (Copyright © 2019 Elsevier Inc. All rights reserved.)

Objectives: Gastric hyperplastic polyp (GHP) commonly arises in the abnormal surrounding mucosa, including autoimmune metaplastic atrophic gastritis (AMAG). We aimed to compare clinicopathological features in patients with GHPs associated with AMAG with those in patients with GHPs associated with non-AMAG., Patients and Methods: A total of 1170 patients with GHP(s) were enrolled, and their clinical and pathological data were analyzed, retrospectively., Results: The GHP patients were divided into 181 A-GHP (type A GHP, AMAG-associated GHP) participants, 312 B-GHP (type B GHP, Helicobacter pylori infection-associated GHP) participants, and 677 other GHP participants (non-A-GHP and non-B-GHP) based on pathological status of the surrounding non-polypoid mucosa. The A-GHP patients were older and predominantly female (p < .05). Gastroscopically, A-GHPs showed less distal and more multiple-region distribution in the stomach (p < .001). In addition, the A-GHPs were observed to be usually numerous (55.8%), larger (mean maximum diameter 12.3 mm), and more pedunculated or sub-pedunculated (45.3%) (p < .001). Histopathologically, the intestinal metaplasia, intraepithelial neoplasia, and carcinomatous transformation within GHPs were present in 24.3%, 9.9%, and 2.8% of AMAG patients, respectively, which were significantly higher than those in the B-GHPs and other GHPs (p < .05). However, the differences of intraepithelial neoplasia and adenocarcinoma in surrounding non-polypoid mucosa did not reach statistical significance (p > .05)., Conclusions: The GHP(s) arising in AMAG patients is a distinct subgroup of GHP(s) and was an important precancerous lesion. The biopsy from surrounding non-polypoid mucosa was essential to evaluate the underlying etiology of the GHPs, and endoscopists should pay attention to these.

Ebola virus disease (EVD) distinguishes its feature as high infectivity and mortality. Thus, it is urgent for governments to draw up emergency plans against Ebola. However, it is hard to predict the possible epidemic situations in practice. Luckily, in recent years, computational experiments based on artificial society appeared, providing a new approach to study the propagation of EVD and analyze the corresponding interventions. Therefore, the rationality of artificial society is the key to the accuracy and reliability of experiment results. Individuals' behaviors along with travel mode directly affect the propagation among individuals. Firstly, artificial Beijing is reconstructed based on geodemographics and machine learning is involved to optimize individuals' behaviors. Meanwhile, Ebola course model and propagation model are built, according to the parameters in West Africa. Subsequently, propagation mechanism of EVD is analyzed, epidemic scenario is predicted, and corresponding interventions are presented. Finally, by simulating the emergency responses of Chinese government, the conclusion is finally drawn that Ebola is impossible to outbreak in large scale in the city of Beijing.