The separation of oily water using low-cost natural materials: Review and development.

This paper reviewed the recent progress on a number of important natural/biomass materials (fibers, leaves, woods, nutshells, algae, and sands, etc.) for the separation of oily water mixture/emulsions. Experiments were conducted with desert pristine sand samples, which were collected, sieved, characterized and tested for the separation of two surfactant-stabilized oil in water (O/W) emulsions in a simple cross-flow sand bed filter under the simulated natural gravity. The wettability of the sand samples was checked through contact angle measurements. The morphology of sands was characterized with SEM/EDX and FTIR. Experimental results revealed that natural sand filtration is a promising technology with the characteristics of: 1) a surface of superhydrophilicity and underwater superoleophobicity; 2) sands bed achieved separation efficiency and flux comparable or higher than commercial microfiltration membranes under natural gravity conditions, and 3) the separation efficiency and flux of the sand bed are relatively stable with respect to the operation parameters. This technology is technically feasible, low-cost, and environmental-benign and can play an important role in the practical applications.

Risk assessment and ecotoxicological diagnosis of soil from a chemical industry park in Nanjing, China.

Soil pollution due to the activities of industrial parks, is becoming an increasingly serious issue, particularly throughout China. Therefore, it is essential to explore the soil pollution characteristics and its ecotoxicological effects on model species, such as higher plant species, in typical industrial areas. In this study, concentrations of heavy metals and polycyclic aromatic hydrocarbons (PAHs) were examined in the soil collected from 10 sampling sites at a chemical industry park in Nanjing, China. The pollution index was used to assess the heavy metal pollution level of soils, while the hazard index (HI) and carcinogenic risk index (RI) were calculated to assess the human health risk of soil PAHs. In addition, wheat (Triticum aestivum L.) was used as the model species to evaluate the ecotoxicological effects of polluted soil in pot experiments. Results showed that the content of heavy metals and PAHs varied greatly in soil samples, among which the heavy metal pollution at S1, S2 and S3 was the most serious. The health risk assessment of PAHs indicated that non-carcinogenic and carcinogenic values for all soil samples were below the threshold levels. Statistical analysis of the correlation between contaminated soil and toxic effects in wheat found that the significance values of regression equations were all less than 0.05 for chlorophyll content, peroxidase (POD) and amylase (AMS) activity. This indicates that the chlorophyll content, POD and AMS activity in wheat leaves could be suitable biomarkers for evaluation of the combined toxicity of multiple pollutants. This study provides a reference for future research on the risk assessment of soil containing multiple pollutants from industrial chemical parks.

Risk assessment and ecotoxicological effects of leachates extracted from industrial district soils of Nanjing, China.

With the intensification of industrial development and urbanization, soil pollution is increasingly prominent. Therefore, the potential adverse effects caused by industrial activities need to be investigated. In this study, nine soil samples were collected from the industrial district of Nanjing, China, and the heavy metal concentrations were analyzed. Ambient severity of health (ASI) and ambient severity of ecology (ASII) caused by heavy metals in soil extracts were also evaluated via the multi-media environmental goals (MEG). The environmental risk assessment model was used to assess the health risk of soil extracts. The toxicity of soil extracts was diagnosed for wheat and Vicia faba. The results indicate that the contents of heavy metals were significantly different among the nine soil samples and mass concentration of heavy metals were as followed: Pb > Mn > As > Zn > Cd. Except for CK and S9, the total health impact of all sampling sites were greater than 1. Also, the total ecological hazard degrees of the five heavy metals were all greater than 1, which showed that the soil extracts were harmful to human health and ecological environment. According to the risk characterization model, the carcinogen risk of soil extracts was 1 to 10 orders of magnitude higher than that of non-carcinogens. Drinking water intake was the most direct and primary exposure route. In addition, the ecotoxicological results indicated that with the increase of heavy metal concentration, the activity of amylase (AMS) decreased, while the activity of peroxide (POD) increased, indicating that the soil extracts were toxic to V. faba. The micronucleus rates of V. faba root tips in the sampling soils were significantly higher compared with the control group, reflecting the higher genotoxicity. Our study provides theoretical support for the evaluation of potential health and ecological risks in this industrial district.

Different impacts of the zero-markup drug policy on county general and traditional Chinese medicine hospitals: evidence from Shandong province, China.

BACKGROUND: As a key part of the new round of health reform, the zero-markup drug policy (ZMDP) removed the profit margins of drug sales at public health care facilities, and had some effects to the operation of these institutions. This study aims to assess whether the ZMDP has different impacts between county general and traditional Chinese medicine (TCM) hospitals. METHODS: We obtained longitudinal data from all county general and TCM hospitals of Shandong province in 2007-2017. We used difference-in-difference (DID) method to identify the overall and dynamic effects of the ZMDP. RESULTS: On average, after the implementation of the ZMDP, the share of revenue from medicine sales reduced by 16.47 and 10.42%, the revenue from medicine sales reduced by 24.04 and 11.58%, in county general and TCM hospitals, respectively. The gross revenue reduced by 5.07% in county general hospitals. The number of annual outpatient visits reduced by 11.22% in county TCM hospitals. Government subsidies increased by 199.22 and 89.3% in county general and TCM hospitals, respectively. The ZMDP reform was not significantly associated with the revenue and expenditure surplus, the number of annual outpatient visits and the number of annual inpatient visits in county general hospitals, the gross revenue, the revenue and expenditure surplus and the number of annual inpatient visits in county TCM hospitals. In terms of dynamic effects, the share of revenue from medicine sales, revenue from medicine sales, and gross revenue decreased by 20.20, 32.58 and 6.08% respectively, and up to 28.53, 63.89 and 17.94% after adoption, while government subsidies increased by around 170 to 200% in county general hospitals. The number of annual outpatient visits decreased by 9.70% and up to 18.84% in county TCM hospitals. CONCLUSION: The ZMDP achieved its some initial goals of removing the profits from western medicines in county hospitals' revenue without disrupting the normal operation, and had different impacts between county general and TCM hospitals. Meanwhile, some unintended consequences were also recognized through the analysis, such as the decline of the utilization of the TCM.

Comparative assessment of neurotoxicity impacts induced by alkyl tri-n-butyl phosphate and aromatic tricresyl phosphate in PC12 cells.

Organophosphate flame retardants (OPFRs) have become a growing concern due to their potential environmental and health risk. However, limited studies have described the toxicity, particularly neurotoxicity of alkyl and aromatic OPFRs. This study investigated the neurotoxicity of alkyl tri-n-butyl phosphate (TnBP) and aromatic tricresyl phosphate (TCP) to rat adrenal pheochromocytoma (PC12) cells for 24 h. Viability detection showed dose-response toxicity effect of TCP and TnBP to PC12 cells. The half-maximal inhibitory concentration of 24 h (24 h-IC50 ) of TCP and TnBP were 2415.61 and 338.09 µM, respectively. Both TnBP and TCP significantly changed the acetylcholinesterase (AChE) activity, and TnBP is more likely to cause neurotoxicity to PC12 cells compared to TCP. Also, The results of LDH and caspase-3 activity detection as well as Hoechst staining suggested that cell apoptosis induced by TCP and TnBP may be the primary pathway. These findings provide a toxicity data of aromatic and alkyl-substituted OPFRs to PC12 cells, and a new insight into the toxicity of OPFRs on health risk assessment.

Trends in health resource disparities in primary health care institutions in Liaoning Province in Northeast China.

BACKGROUND: The allocation of health resources in primary health care institutions (PHCI) is crucial to health reform. China has recently implemented many reform measures emphasizing the provision of primary health care services, with equity as one of the major goals. The aim of this study was to analyze the quantity, quality, and distribution of health resources in Liaoning Province from 2005 to 2017. METHODS: Data were drawn from the annual financial report from 2005 to 2017 and information from the Liaoning Province Department of Statistics. Numbers of beds and physicians were used as indicators of health resources. Capital assets per bed, value of medical equipment per bed, operational space per bed, and number of physicians with different educational levels were used as indicators of quality of health resources. Concentration indices (CI) and Gini coefficients were calculated. RESULTS: There was a steady rise in health resources in PHCI. From 2005 to 2017, the quality of health resources improved. The CI of beds showed an overall downward trend, indicating an improvement in the disparity among PHCI. There was a similar trend in the CI of fixed assets per bed. The Gini coefficients of physicians overall and physicians with different educational levels were almost always < 0.3, showing preferred equity status. There was a decreasing trend in the Gini coefficients of PHCI physicians with bachelor's degrees or higher and physicians with associate's degrees. The proportion of health resource of PHCI in health system increased from 2005 to 2009, before decreasing from 2009 to 2017 and the percentage of physicians overall and physicians with bachelor's degrees or higher in PHCI declined after 2011. CONCLUSIONS: There was an improvement in the quantity and quality of health resources in PHCI from 2005 to 2017. The distribution of health resource allocation in PHCI also improved. The findings revealed that the measures for the improvement of PHCI physicians' educational level has been successful and the measures taken by the government in health reform to strengthen the primary health care system have not been successful.

Health risk assessment of rare earth elements in cereals from mining area in Shandong, China.

To investigate the concentrations of rare earth elements in cereals and assess human health risk through cereal consumption, a total of 327 cereal samples were collected from rare earth mining area and control area in Shandong, China. The contents of 14 rare earth elements were determined by Inductively Coupled Plasma-Mass Spectrometry (ICP-MS). The medians of total rare earth elements in cereals from mining and control areas were 74.22 µg/kg and 47.83 µg/kg, respectively, and the difference was statistically significant (P < 0.05). The wheat had the highest rare earth elements concentrations (109.39 µg/kg and 77.96 µg/kg for mining and control areas, respectively) and maize had the lowest rare earth elements concentrations (42.88 µg/kg and 30.25 µg/kg for mining and control areas, respectively). The rare earth elements distribution patterns for both areas were characterized by enrichment of light rare earth elements. The health risk assessment demonstrated that the estimated daily intakes of rare earth elements through cereal consumption were considerably lower than the acceptable daily intake (70 µg/kg bw). The damage to adults can be neglected, but more attention should be paid to the effects of continuous exposure to rare earth elements on children.