[Determination of Background Value and Potential Ecological Risk Assessment of Heavy Metals in Sediments of the Danjiangkou Reservoir].

The aim of this study was to explore the pollution level and potential ecological risk of heavy metals in sediments of the Danjiangkou Reservoir, and the study obtained the background value of heavy metals of the surface sediments using reference element and statistical methods. The results indicated that the background values of Cr, Ni, Cu, Zn, As, Cd, Hg and Pb were 41.18, 34, 32.13, 76.84, 10.46, 0.70, 0.07 and 27.11 mg·kg-1, respectively. In addition, the potential ecological risks of the eight heavy metals in sediments were assessed using the Hakanson ecological risk index method. The values of RI for these eight metals in surface sediments ranged from 29.49 to 214.11, with the mean value of 118.91, and the pollution level was low. Furthermore, the Cfi value was in the order of Cd> Hg> Zn> Cr> Pb> Ni> As=Cu with the mean value of 1.05-1.31, and the pollution level varied from low to intermediate. The Cfi values of Cd and Hg were higher than those of other heavy metals with the mean values of 1.31 and 1.24, respectively, which should be paid more attentions.

Henoch-Schönlein purpura nephritis in children: incidence, pathogenesis and management.

BACKGROUND: Henoch-Schönlein purpura (HSP) is one of the most common vasculitides in children. It is manifested by skin purpura, arthritis, abdominal pain, renal involvement, etc. Typically, HSP is considered to be self-limiting, although renal involvement (HSP purpura nephritis, HSPN) is the principal cause of morbidity from this disease. For this reason, it is important to clarify the mechanism of onset and clinical manifestations of HSPN and to ascertain the most appropriate treatment for HSPN. In this article, we review the updated pathophysiology and treatment strategies for HSPN. DATA SOURCES: We searched databases including PubMed, Elsevier and Wanfang for the following key words: Henoch-Schönlein purpura, nephritis, mechanism and treatment, and we selected those publications written in English that we judged to be relevant to the topic of this review. RESULTS: Based on the data present in the literature, we reviewed the following topics: 1) the possible pathogenesis of HSPN: several studies suggest that immunoglobulin A immune complexes deposit in the mesangium and induce renal injury; 2) multiple-drug treatment for HSPN: although there have been few evidence-based treatment strategies for HSPN, several studies have suggested that immunosuppressive drugs and multiple drug combination therapy were effective in ameliorating proteinuria and histological severity. CONCLUSIONS: HSPN is a severe disease of childhood. To better understand this disease, detailed investigations into the pathogenesis of HSPN and prospective randomized controlled treatment studies on children with severe HSPN are needed.