Evaluation of ecosystem health and potential human health hazards in the Hangzhou Bay and Qiantang Estuary region through multiple assessment approaches.

Anthropogenic pollution has become a major issue governing ecosystem and human health risks. The Hangzhou Bay and Qiantang Estuary region are facing unusual perturbation due to rapid development along the embayment in recent decades. This study evaluated the organic and inorganic pollutants in water, sediment, and from the muscles of higher trophic organisms (fish, crustacean, shellfish) during four different seasons (in 2018-2019) along the Qiantang Estuary and Hangzhou Bay region to assess the ecosystem health and potential hazard status. Dissolved inorganic phosphate and nitrogen were the major pollutants in this area, which led to severe eutrophication throughout the study period. Eutrophication signals coincided well with the phytoplankton abundance, which revels the control of nutrient enrichment on the spatio-temporal distribution of phytoplankton. Food availability, along with salinity and temperature, drives the zooplankton population distribution. Heavy metals were not the issue of water quality as their concentrations meet the national and international baseline standards. However, in the sediments, Copper (Cu) and Arsenic (As) concentrations were higher than the baseline value. Towards the northwestern part of the Qiantang Estuary, the overall potential risk index of sediment with higher Cadmium (Cd) and Mercury (Hg) depicted delicate condition with moderate risk for the sediment contamination. The As concentration in fishes was close to the baseline standards limit irrespective of low As values within water and sediments. The higher concentrations of Zinc (Zn) and As in shellfish muscles, whereas other metals were within the limit of baseline standard in all the organisms. However, the hazard analysis (Targeted hazard quotient, THQ) values for the seafood consumption to human health indicates the potentially threatening consequences of shellfish and crustacean consumption on human health.

Application of Digital Tomosynthesis in the Diagnosis of Urolithiasis: Comparison with MDCT.

Objective: To investigate the diagnostic value of digital tomosynthesis in urolithiasis compared with multidetector computed tomography (MDCT). Subjects and Methods: This study received the approval of institutional review board and obtained the informed consents of all subjects. Fifty patients with acute renal colic and hematuria from February 2014 to February 2015 were enrolled. They underwent both MDCT and digital tomosynthesis. Images were interpreted by two experienced radiologists, and inter-reader agreement was assessed. The diagnostic performance of urinary stones with digital tomosynthesis and MDCT was compared. The entrance surface dose (ESD) in MDCT and digital tomosynthesis for patients was measured and compared. Results: No significant difference was found between digital tomosynthesis and MDCT in the diagnosis of urinary stones (X2 = 1.357, p > 0.05). The ESD in digital tomosynthesis was lower than that in both routine-dose and low-dose MDCT for patients (p < 0.05). Conclusions: Digital tomosynthesis has great diagnostic value in urolithiasis. Compared with MDCT, digital tomosynthesis can significantly decrease ESD for patients and financial loan with a similar detection rate.