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Evidence of the short-term effects of ambient sulfur dioxide (SO2) exposure on the economic burden of ischemic stroke is limited. This study aimed to explore the association between short-term ambient SO2 exposure and hospitalization costs for ischemic stroke in Chongqing, the most populous city in China. The hospital-based study included 7271 ischemic stroke inpatients. Multiple linear regression models were used to estimate the association between SO2 concentration and hospitalization costs. Propensity score matching was used to compare the patients' characteristics when exposed to SO2 concentrations above and below 20 μg/m3. It is found that short-term SO2 exposure was positively correlated with the hospitalization costs of ischemic stroke. The association was more evident in males, people younger than 65, and people hospitalized in the cool seasons. Besides, among the components of hospitalization costs, medicine costs were most significantly associated with SO2. More interesting, the lower concentration of SO2, the higher costs associated with 1 μg/m3 SO2 change. Above all, SO2 was positively associated with hospitalization costs of ischemic stroke, even at its low levels. The measures to reduce the level of SO2 can help reduce the burden of ischemic stroke. [ABSTRACT FROM AUTHOR]

Many researches have reported the air pollution impacts, either long term or short term, on inflammatory skin diseases, but there are few studies on the relation between PM2.5 and acne vulgaris. To determine the correlation between short-term PM2.5 exposure and acne outpatient visits, data for 120,842 acne vulgaris outpatient visits between December 2013 and December 2019 were obtained from three large hospitals in Chongqing, China. Both single-pollutant models and two-pollutant models were established to explore the relationship between PM2.5 exposure and acne outpatient visits. The stratified analyses were conducted through two-sample z-tests to investigate the possible gender (male or female) and age (< 25 years or ≥ 25 years) differences in PM2.5 effects. The results demonstrated positive correlations between PM2.5 concentrations and acne outpatient visits. A 10 μg/m3 increase in PM2.5 concentration was associated with a 1.71% (95% CI: 1.06–2.36%) increase in acne outpatient visits at lag 0–7 day. Stratified analyses showed that PM2.5 effects were greater in individuals aged ≥ 25 years than those aged < 25 years, but no gender difference was found. In conclusion, short-term PM2.5 exposure was positively associated with the risk of acne outpatient visits, especially for people ≥ 25 years old. [ABSTRACT FROM AUTHOR]

Handaxes, the characteristic tool of the Acheulean industrial complex, are predominantly made of stone. Handaxes made of bone are much less common. Only a few have been reported, from sites in Africa, Europe and western Asia. In this study we report a bone handaxe from Chongqing, southwest China, which represents the first bone handaxe ever discovered in China or any other part of East Asia. Typologically, it is somewhat inconsistent with the classic Acheulean handaxe morphology and is therefore classified as a proto-handaxe in this study. The bone from which the handaxe was made, which is now fossilized, has been dated to ∼170 ka based on a U-series technique. The handaxe was manufactured from the mandible of an individual of the stegodontid Stegodon orientalis , a typical member of the Middle Pleistocene Ailuropoda - Stegodon fauna ( sensu stricto ) of southern China. This artifact represents the earliest evidence for a tradition of bone handaxe manufacture in East Asia, and provides important evidence regarding the lifestyle, technology, and environmental surroundings of the humans that occupied the upstream region of the Yangtze River during the Middle Pleistocene. [ABSTRACT FROM AUTHOR]

Type 2 diabetes (T2DM) as a non-communicable disease imposes heavy disease burdens on society. Limited studies have been conducted to assess the effects of short-term air pollution exposure on T2DM, especially in Asian regions. Our research aimed to determine the association between short-term exposure to ambient nitrogen dioxide (NO 2) and outpatient visits for T2DM in Chongqing, the largest city in western China, based on the data collected from November 28, 2013 to December 31, 2019. A generalized additive model (GAM) was applied, and stratified analyses were performed to investigate the potential modifying effects by age, gender, and season. Meanwhile, the disease burden was revealed from attributable risk. Positive associations between short-term NO 2 and daily T2DM outpatient visits were observed. The strongest association was observed at lag 04, with per 10 μg/m3 increase of NO 2 corresponded to increased T2DM outpatient visits at 1.57% [95% confidence interval (CI): 0.48%, 2.65%]. Stronger associations were presented in middle-aged group (35–64 years old), male group, and cool seasons (October to March). Moreover, there were 1.553% (8664.535 cases) of T2DM outpatient visits attributable to NO 2. Middle-aged adults, males, and patients who visited in cool seasons suffered heavier burdens. Conclusively, short-term exposure to NO 2 was associated with increased outpatient visits for T2DM. Attention should be paid to the impact of NO 2 on the burden of T2DM, especially for those vulnerable groups. • Short-term NO 2 exposure was related to increased outpatient T2DM visits. • The association was more obvious in middle-aged adults, males, and cool seasons. • New evidence of positive associations between short-term NO 2 and T2DM in China. [ABSTRACT FROM AUTHOR]

Ambient carbon monoxide (CO) is associated with bronchitis morbidity, but there is no evidence concerning its correlation with hospitalization costs for bronchitis patients. This study aimed to investigate the relationship between short-term ambient CO exposure and hospitalization costs for bronchitis patients in Chongqing, China. Baseline data for 3162 hospitalized bronchitis patients from November 2013 to December 2019 were collected. Multiple linear regression analysis was used to determine the association, delayed and cumulative, between short-term CO exposure and hospitalization costs. Additionally, subgroup analyses were performed by gender, age, season, and comorbidity. Positive association between CO and hospitalization costs for bronchitis patients was observed. The strongest association was observed at lag 015 days, with per 1 mg/m3 increase of CO concentrations corresponded to 5834.40 Chinese Yuan (CNY) (95% CI: 2318.71, 9350.08; P < 0.001) (845.97 US dollars) increment in hospitalization costs. Stratified analysis results showed that the association was more obvious among those males, elderly, with comorbidities, and in warm seasons. More importantly, there was strongest correlation between CO and bronchitis patients with coronary heart disease. In summary, short-term exposure to ambient CO, even lower than Chinese and WHO standards, can be associated with increased hospitalization costs for bronchitis. Controlling CO exposure can be helpful to reduce medical burden associated with bronchitis patients. The results also suggest that when setting air quality standards and formulating preventive measures, susceptible subpopulations ought to be considered. • There is no data of the association between air pollutants and bronchitis costs. • Short-term CO exposure was associated with higher bronchitis hospitalization costs. • The effect estimates were modified by sex, age, and season. • The association was more obvious in patients with comorbidities. [ABSTRACT FROM AUTHOR]