Effects of the feeding protocol during blood transfusion on splanchnic tissue oxygenation and complications in very premature infants.

Background: The effects of blood transfusions on splanchnic oxygenation and complications related to blood transfusions, including red blood cell (RBC) transfusions, in premature infants undergoing enteral feeding, to provide clinical evidence for a management protocol for premature infants during the peri-transfusion period. Methods: This single-blind, randomized, controlled trial enrolled sixty eligible preterm infants who were randomly divided into the withholding feeding group (n = 30) or feeding group (n = 30). Enteral feeding was withheld for 8 h, beginning from the start of transfusion infants in the feeding group were fed according to the pre-transfusion feeding approach during and after RBC transfusion. Results: Baseline characteristics of those in the withholding and feeding groups were as follows: gestational age (weeks) 27.52 (24.86-30.14) and 27.13 (25.43-30.14); birth weight (g), 1,027 (620-1,450) and 1,027 (620-1,270); blood transfusion day, 48 (14-79) and 39 (10-78); and hemoglobin before blood transfusion (g/L), 81.67 (±10.56) and 85.93 (±14.77). No significant differences were observed between groups at baseline. No significant differences were observed in the average splanchnic tissue oxygenation changes or clinical results at any time. One patient in the withholding feeding group experienced transfusion-associated necrotizing enterocolitis. Conclusions: No differences in splanchnic oxygenation observed these feeding protocols. This study suggests the feasibility of a sizable trial to evaluate clinical outcomes. The risks of mesenteric ischemia and transfusion-related necrotizing enterocolitis for premature infants were not increased by enteral feeding during RBC transfusion. Clinical trial registration: ChiCTR2200055726 (https://www.chictr.org.cn/).

Distribution and sources of polycyclic aromatic hydrocarbons in surface sediments of the East China marginal seas: Significance of the terrestrial input and shelf mud deposition.

To investigate the distribution, sources, influencing factors, and ecological risk of polycyclic aromatic hydrocarbons (PAHs) in East China Marginal Seas (ECMSs) sediments, we measured the concentrations of 16 PAHs in 104 surface sediment samples collected from the ECMSs in 2014 and 2016. Total PAH concentration (∑PAHs) ranged from 4.49 to 163.66 ng/g dry weight (dry w), with 65.98 ± 33.00 (mean ± SD) ng/g dry w. The highest PAH concentrations and total organic carbon were observed in areas with fine-grained sediments in the Bohai Sea (BS), Yellow Sea (YS), and coastal East China Sea (ECS), indicating the prominent influence of regional hydrodynamics and sediment properties. The dominant PAH congener in BS and YS was BbF, whereas coastal ECS was Phe. The heterogeneity of PAH sources implies that terrestrial PAH input and shelf mud deposition have crucial roles in the source-sink processes of PAHs in a strongly human-influenced marginal sea.

Sources of polychlorinated biphenyls (PCBs) in sediments of the East China marginal seas: Role of unintentionally-produced PCBs.

The production and use of intentionally-produced polychlorinated biphenyls (PCBs) in China have a short history compared with countries of North America and Europe, where technical PCB mixtures were manufactured in large amounts for decades before being banned. Unintentionally-produced PCB emissions increased dramatically in China, leading to unique profiles of PCB burdens. This study first time evaluated 208 individual PCB congeners at 94 sites from surface sediments of the East China Marginal Seas (ECMSs) and explored their sources. Non-technical PCBs transported from atmospheric transport and river discharge played a dominant role in most areas of the ECMSs, while historical residuals of technical PCBs occupied the fine-grained sediments in muddy areas of the central Yellow Sea (YS), regarding to the low sedimentation rate in the central YS. Furthermore, emissions from Taizhou located on the coast of the East China Sea (ECS), which is an important electronic waste dismantling site in East China, contributed additional technical PCBs to the inner shelf of the ECS. Our results indicate that non-technical PCBs have become the dominant PCB species in the ECMSs, and emphasize the synergistic effects of large riverine input, long-range atmospheric transport, and muddy shelf deposition on PCB source and sink of in marginal seas.

PM2.5-bound polycyclic aromatic hydrocarbons of a megacity in eastern China: Source apportionment and cancer risk assessment.

Ninety-six fine particulate matter (PM2.5) samples covering four seasons from October 2020 to August 2021 were collected at a 'super' site in Hangzhou, a megacity in eastern China. These samples were analyzed to determine the sources and potential cancer risks to humans of 16 United States Environmental Protection Agency priority polycyclic aromatic hydrocarbons (PAHs). The average concentrations of the PAHs in PM2.5 in autumn, winter, spring, and summer were 8.35 ± 4.90, 27.9 ± 13.6, 8.3 ± 5.97, and 1.05 ± 0.50 ng/m3, respectively, and with an annual average of 11.9 ± 13.2 ng/m3. The source apportionment by positive matrix factorization analysis indicated that, based on the yearly average, the major sources of PAHs were traffic emissions (38.2 %), coal combustion (28.9 %), coke (21.7 %), and volatilization (11.1 %). Strong correlations between high concentrations of carbonaceous aerosols and high-molecular-weight PAHs in winter could be attributed to incomplete combustion. Long-range transport of air from the sea to the southeast resulted in low concentrations of carbonaceous aerosols and low-molecular-weight PAHs in summer. Trajectory clustering and the potential source contribution function both indicated that the Yangtze River Delta was the main source region of PAHs for PM2.5 in Hangzhou in spring and summer. In autumn and winter, it was dominated by long-range transport from northern China. Lifetime lung cancer risk assessment revealed that the PAHs in PM2.5 impose moderate human health risks in Hangzhou due to traffic emissions. The results of this study provide important information for policymakers to establish abatement strategies to reduce PAH emissions in Hangzhou, and perhaps other urban centers across China.

Remarkable signals of the ancient Chinese civilization since the Early Bronze Age in the marine environment.

The signals of fire activity induced from climate and ancient human activities could be recorded in sedimentary strata. We examined a 6000-year black­carbon (BC) record-including char and soot-of a sediment core from the South Yellow Sea. The climate change had a threshold effect on the fire regime, and dominated the char emissions. The soot/BC signals depicted that the anthropogenic emissions related to the evolution of the Chinese civilization since the Early Bronze Age (~4 ka) have overwhelmed natural soot emissions. The soot variation in the record closely matched periods when there was large-scale use of coal or charcoal after the Han Dynasty and when indigenous coking technology was promoted after the Tang Dynasty; low soot-abundance in the record coincided with periods of social unrest. This work illustrates how soot signals can be a robust tracer of civilization evolution.

Budget and fate of sedimentary trace metals in the Eastern China marginal seas.

To achieve a better understanding of global biogeochemical cycle and budget of trace metals (TM) in the world's ocean, a comprehensive study of the level, fate and burial flux of TM in surface sediment from the Eastern China Marginal Seas (ECMS) was conducted. The results indicated that Pb, Zn, Cu, and Cr were highly concentrated in mud deposits and primarily controlled by the natural processes of sediment composition and regional hydrodynamics, whereas As had a close association with Mn and was mainly derived from anthropogenic activity. The sediment mass inventories of Pb, Zn, Cu, Cr, and As in the ECMS (~220,780 km2) were estimated to be 28,324, 92,192, 23,434, 94,560 and 11,968 t/yr, respectively. A mass budget model revealed that riverine runoff, coastal erosion input and atmospheric deposition (dry and wet) constituted 62-76%, 15-37% and 2-9% of the total Pb, Zn and Cr influxes, respectively, while more than 4,690 t of Cu annually outflowed to the open seas to balance the budget. More importantly, we found that the sum of the estimates of these contributions tended to fall short of the calculated depositional fluxes of As, implying that anthropogenic activities probably have altered the natural geochemical cycle of As. Our results suggest that the ECMS constitutes a major final repository of TM at the Asia scale; however, the burial fluxes of trace metals are expected to decrease due to enhanced environmental investments by the Chinese government and decreased suspended particulate TM loads from the Chinese major rivers.

Persistent impact of human activities on trace metals in the Yangtze River Estuary and the East China Sea: Evidence from sedimentary records of the last 60 years.

Three sediment cores taken from the Yangtze River Estuary (YRE) and the East China Sea (ECS) in 2016 were analyzed for trace metals (Pb, Zn, Cu, Cr and As), major elements (Al, Fe and Mn), sediment composition, chemical properties (Eh and pH), and natural/artificial radionuclides (210Pb/137Cs) to decipher the high-resolution historical variation in anthropogenic metals over the past 60 years. The results showed that anthropogenic Pb was primarily derived from atmospheric deposition, while anthropogenic Zn, Cu and As were carried out by fluvial discharge. In the YRE, the recent decrease in sedimentary metals could be largely a result of intensified erosion, which was triggered by the construction of dams in particular the Three Gorges Dam (TGD) in 2003 and soil-conservation projects. In comparison, sedimentary records in the deposition-dominated environment of the ECS showed that anthropogenic Pb and Cr began to gradually increase following 1970, but a remarkable increase in anthropogenic Zn and Cu occurred in 1990, probably reflect the different origins and dispersion pathways of these elements. Anthropogenic Pb and Cr exhibited a sharp decrease near early 2000s due to increasing investment in treating pollution. Being sensitive to the substantial reduction in riverine particulate flux of Zn and Cu from the Yangtze River, the concentrations of anthropogenic Zn and Cu in the cores decreased by 5-27% in 2005-2016. Furthermore, a prominent increase trend of As record after 1990, probably due to the excessive pesticides used in agricultural activity.

Accumulation and transformation of heavy metals in surface sediments from the Yangtze River estuary to the East China Sea shelf.

The concentration and speciation of heavy metals (Cu, Co, Ni, Zn, Cr, Pb and Cd) were studied in surface sediment from the Yangtze River(YR)to the East China Sea (ECS) shelf. The results showed that high contents of metals were found in the YR estuary (YRE) and in the nearshore muddy area, while lower concentrations were found in the YR channel and the ECS shelf. However, after standardization, the total content of most heavy metals from the YR showed little change or slightly increased during the transport process from the river to the estuary but decreased significantly outside the estuary, especially in the sediments of the ECS shelf. The residual fraction is the dominant fraction for all the metals, while the oxidizable and reducible fractions are the most important forms of the nonlithogenic fractions. The total amount of heavy metals from the YR to the continental shelf is mainly affected by the filtration of the estuary and the barrier impacts of the coastal current in the ECS. The environmental physicochemical conditions that vary significantly in the turbidity zone greatly influence the associated forms of metals. The metals in the acid-soluble fraction are mostly affected by the pH change in the sediment and the discharge of human activities, while the reducible fraction is significantly affected by the bottom water DO. The oxidizable fraction was affected by oxidation-reduction potential (ORP), primary productivity, as well as OM content. Therefore, with changes in the physicochemical conditions of the environment, the metals have undergone significant changes in their speciation from the YR to the ECS shelf. Various complex effects in the estuary area have not only a large filtration effect on the total amount of metals but also a major impact on the geochemical forms of the metals.

Impact of water-sediment regulation on the transport of heavy metals from the Yellow River to the sea in 2015.

Variations in particulate and dissolved heavy metal (Cu, Co, Ni, Zn, Pb, Cr, Cd and As) concentrations and fluxes as well as their response to the Water-Sediment Regulation Scheme (WSRS) process in 2015 were studied based on a daily water and sediment survey at Lijin gauge. The results showed that the water and sediment flux increased rapidly in the first stage of the WSRS, which was characterized by high water discharge and suspended sediment concentration (SSC). The suspended sediment was coarser than the natural state, while the particulate and dissolved heavy metal contents increased. In the second stage, the SSC decreased rapidly followed by a gradual reduction in water discharge, the suspended sediment became even coarser and both the particulate and dissolved metal contents showed a decreasing trend. The heavy metal flux during the WSRS period accounted for 42%-54% of the total year, and the transport form was dominated by the particulate form. Dissolved metal contents were affected by the release of heavy metals derived from the channel in the lower reaches, while particulate heavy metals mainly came from erosion of the riverbed and their contents were much lower than Xiaolangdi reservoir sediment. Heavy metal transportation was influenced significantly by the WSRS process. Changes in sediment flux resulted in significant differences in the flux of heavy metals and the distribution of metals in different transport forms between the first and second stage of WSRS.

Source identification, geochemical normalization and influence factors of heavy metals in Yangtze River Estuary sediment.

Sediment samples, including 40 surface samples and 12 sediment cores, were collected from 52 stations of the Yangtze River Estuary (YRE) in 2015 and 2016. The 95% linear prediction intervals (LPI) and principal components analysis (PCA), were conducted to evaluate the metal sources and grain-size effect (GSE). The in situ physico-chemical properties of pH, Eh, DO, salinity, temperature and turbidity were combined to elucidate the relationships between environmental factors and the fate of heavy metals in the river-estuary-shelf system. This study indicates a decreasing trend of metals in sediments from the estuary towards the adjacent shelf and the river channel and that Zn, Cu and Cr are mainly derived from natural processes throughout the catchment, whereas Pb appears to have anthropogenic inputs via atmospheric deposition. Furthermore, considering the best fit regression lines between the concentrations of Al and heavy metals as well as the deficiencies of the conventional Celements/CAl method, we introduce an approach (Al-SN: Al-scope normalization) that can eliminate the GSE on heavy metals and be applied to other estuaries. After Al-scope normalization, the relatively constant levels of Zn, Cu and Cr that remain in sediments from the river channel to the estuary and shelf confirmed that the variation of grain size in sediments almost entirely explained the distribution patterns of sediment toxicity in the YRE, while the enrichment of Pb in estuarine sediments could be attributed to its chemical species and physico-chemical properties. The results further suggest that the relationship between grain size and spatial behavior of sediment pollutants should be given priority over the contamination assessment and provenance discrimination in estuarine or similar environments with complex sediment compositions.