Long-Term Course to Lumbar Disc Resorption Patients and Predictive Factors Associated with Disc Resorption.

The long-term course to lumbar intervertebral disc herniation (LDH) patients receiving integrative Korean medicine treatment and predictive factors associated with disc resorption were investigated. LDH patients who received integrative Korean medicine treatment from February 2012 to December 2015 and were registered in the "longitudinal project for LDH on MRI" were included. Disc resorption amount was measured 3-dimensionally with disc degeneration and modic change levels on baseline and follow-up MRIs. Patient characteristics, Korean medicine use, pain, symptom recurrence, and satisfaction were assessed through medical records and phone surveys. Of 505 participants, 19 did not show disc resorption, while 486 did. A total of 220 displayed resorption rates of ≥50%. LDH volume at baseline was 1399.82 ± 594.96 mm3, and that on follow-up MRI was 734.37 ± 303.33 mm3, indicating a 47.5% decrease (p < 0.0001). Predictive factors for disc resorption were disc extrusion, Komori migration classification, and LDH amount. Approximately 68.4% did not experience symptom recurrence over the 51.86 ± 19.07-month follow-up, and 90.3% were satisfied with Korean medicine treatment. The majority of LDH patients who improved after integrative Korean medicine treatment showed disc resorption within 1 year with favorable long-term outcomes. Predictive factors for disc resorption should be duly considered for informed decision-making. This trial is registered with ClinicalTrials.gov NCT02841163.

CO2 Outgassing from an Urbanized River System Fueled by Wastewater Treatment Plant Effluents.

Continuous underway measurements were combined with a basin-scale survey to examine human impacts on CO2 outgassing in a highly urbanized river system in Korea. While the partial pressure of CO2 (pCO2) was measured at 15 sites using syringe equilibration, 3 cruises employing an equilibrator were done along a 30 km transect in the Seoul metropolitan area. The basin-scale survey revealed longitudinal increases in surface water pCO2 and dissolved organic carbon (DOC) in the downstream reach. Downstream increases in pCO2, DOC, fluorescence index, and inorganic N and P reflected disproportionately large contributions from wastewater treatment plant (WWTP) effluents carried by major urban tributaries. Cruise transects exhibited strong localized peaks of pCO2 up to 13 000 µatm and 13CO2 enrichment along the confluences of tributaries at an average flow, whereas CO2 pulses were dampened by increased flow during the monsoon period. Fluctuations in pCO2 along the eutrophic reach downstream of the confluences reflected environmental controls on the balance between photosynthesis, biodegradation, and outgassing. The results underscore WWTP effluents as an anthropogenic source of nutrients, DOC, and CO2 and their influences on algal blooms and associated C dynamics in eutrophic urbanized river systems, warranting further research on urbanization-induced perturbations to riverine metabolic processes and carbon fluxes.

High concentrations of single-walled carbon nanotubes lower soil enzyme activity and microbial biomass.

Nanomaterials such as single-walled carbon nanotubes (SWCNTs) may enter the soil environment with unknown consequences resulting from the development of nanotechnology for a variety of applications. We determined the effects of SWCNTs on soil enzyme activity and microbial biomass through a 3-week incubation of urban soils treated with different concentrations of SWCNTs ranging from 0 to 1000 µg g(-1) soil. The activities of cellobiohydrolase, ß-1,4-glucosidase, ß-1,4-xylosidase, ß-1,4-N-acetylglucosaminidase, L-leucine aminopeptidase, and acid phosphatase and microbial biomass were measured in soils treated with powder and suspended forms of SWCNTs. SWCNTs of concentrations at 300-1000 µg g(-1) soil significantly lowered activities of most enzymes and microbial biomass. It is noteworthy that the SWCNTs showed similar effects to that of multi-walled carbon nanotubes (MWCNTs), but at a concentration approximately 5 times lower; we suggest that this is mainly due to the higher surface area of SWCNTs than that of MWCNTs. Indeed, our results show that surface area of CNTs has significant negative relationship with relative enzyme activity and biomass, which suggests that greater microorganism-CNT interactions could increase the negative effect of CNTs on microorganisms. Current work may contribute to the preparation of a regulatory guideline for the release of CNTs to the soil environment.

The effect of multi-walled carbon nanotubes on soil microbial activity.

Nanomaterials such as multi-walled carbon nanotubes (MWCNTs) are applied to various industrial products and thus may be released to soils, but their potential environmental impacts remain largely undetermined. We investigated the short-term effect of MWCNTs on the activity and biomass of microorganisms inhabiting two different soil types in an incubation study. Up to 5000 µg MWCNT g(-1) soil was applied and the activities of 1,4-ß-glucosidase, cellobiohydrolase, xylosidase, 1,4-ß-N-acetylglucosaminidase, and phosphatase and microbial biomass were measured. In both soil types, most enzyme activities showed a tendency to be repressed under 500 µg MWCNT g(-1) soil, and all enzymatic activities as well as microbial biomass C and N were significantly lowered under 5000 µg MWCNT g(-1) soil. Our results suggest that high concentrations of MWCNTs could lower the microbial activity and biomass in soils, and they may serve as an important guideline in regulating the release of MWCNTs to the soil environment.

Influence of stand density on soil CO2 efflux for a Pinus densiflora forest in Korea.

We investigated the influence of stand density [938 tree ha(-1) for high stand density (HD), 600 tree ha(-1) for medium stand density (MD), and 375 tree ha(-1) for low stand density (LD)] on soil CO(2) efflux (R (S)) in a 70-year-old natural Pinus densiflora S. et Z. forest in central Korea. Concurrent with R (S) measurements, we measured litterfall, total belowground carbon allocation (TBCA), leaf area index (LAI), soil temperature (ST), soil water content (SWC), and soil nitrogen (N) concentration over a 2-year period. The R (S) (t C ha(-1) year(-1)) and leaf litterfall (t C ha(-1) year(-1)) values varied with stand density: 6.21 and 2.03 for HD, 7.45 and 2.37 for MD, and 6.96 and 2.23 for LD, respectively. In addition, R (S) was correlated with ST (R (2) = 0.77-0.80, P < 0.001) and SWC (R (2) = 0.31-0.35, P < 0.001). It appeared that stand density influenced R (S) via changes in leaf litterfall, LAI and SWC. Leaf litterfall (R (2) = 0.71), TBCA (R (2) = 0.64-0.87), and total soil N contents in 2007 (R (2) = 0.94) explained a significant amount of the variance in R (S) (P < 0.01). The current study showed that stand density is one of the key factors influencing R (S) due to the changing biophysical and environmental factors in P. densiflora.