Assessment of the urban waterlogging resilience and identification of its driving factors: A case study of Wuhan City, China.

With rapid urbanization and extreme rainstorm events associated with climate change, urban waterlogging has become one of the most frequent and severe disasters globally. In this study, a multi-dimensional and multi-process index system based on the Pressure-State-Response (PSR) framework was developed to measure the level of urban waterlogging resilience (UWR). The spatial distribution of UWR on a block scale was explored based on the entropy weight method with the natural breakpoint method (EWM-NBM) in the central district of Wuhan City, China. In addition, the effects of the runoff control facilities and early warning measures on UWR were also quantified. Further, the Geodetector was used to investigate the main driving factors of UWR and their interactions. Results showed that the constructed index system for UWR based on the PSR framework performed reasonably, and the EWM-NBM was validated to be effective in the integrated assessment. In terms of the validation results, 82.72 % of the recorded waterlogging points belonged to high and very-high risk levels. The spatial heterogeneity of UWR was significant in the study area where the higher-level UWR mainly appears in the areas near the undeveloped suburban and water bodies (lakes and rivers), and the lower-level UWR was concentrated in central urban areas with more impervious surfaces. There was a clear increasing trend in UWR after the implementation of runoff control facilities and early warning measures, but its spatial distribution remained almost invariant. Among all the indexes, the impervious surface percentage had the strongest (69.58 %) explanatory ability for the UWR, and mean annual precipitation (15.51 %), GDP (14.03 %), and population density (11.98 %) also demanded attention. Most driving factors of UWR showed nonlinear interactions. This research could provide a benchmark for urban planning to enhance UWR to mitigate the waterlogging within the main urban area.

Efficiency and driving force assessment of an integrated urban water use and wastewater treatment system: Evidence from spatial panel data of the urban agglomeration on the middle reaches of the Yangtze River.

With the rapid development of urban agglomerations, urban water use and wastewater environments have gradually constrained sustainable development and caused increasing concern. In this paper, we selected the urban agglomeration on the middle reaches of the Yangtze River (UAMRYZ) as a typical area. We proposed an integrated urban water use and wastewater treatment (UWUWT) system and its urban water use (UWU) subsystem and urban wastewater treatment (UWT) subsystem. Moreover, an integrated two-stage slacks-based measure (SBM) data envelopment analysis (DEA) model was used to evaluate the efficiency of the UWUWT system and its subsystem during 2010 to 2017. Additionally, the multiscale geographically weighted regression (MGWR) model was adopted to analyze the influence mechanism of each factor on the defined system. The results indicated that the tendency of UWU efficiency and UWUWT efficiency were similar and mainly showed the same trend with an 'N' shape in a time-dependent manner for the UAMRYZ and provinces, respectively. Furthermore, the UWU efficiency and UWUWT efficiency of each city showed strong spatiotemporal heterogeneity. The UWT efficiency of the UAMRYZ and its representative cities was stable in the region and always had a higher value. With continuous economic development and increased interregional foreign trade, the UWU subsystem efficiency and the UWUWT system efficiency had a significant increase for cities along the entire river in the Yangtze Basin. The regional differences of the overall UWU efficiency, UWT efficiency and UWUWT efficiency gradually decreased and the efficiency has gradually improved from 2010 to 2017. Attribution analysis showed that the secondary industry was the main constraining factor, while the water resource was the most acceleration factor for the UWUWT system in most areas and the UWT subsystem for all cities. Our study evaluated the specific insufficiencies of the defined system and supported regulatory policies.

The effect of marital and insurance status on the survival of elderly patients with stage M1b colon cancer: a SEER-based study.

BACKGROUND: Colon cancer is largely implicated in elderly patients (age ≥ 60 years). The prognosis of patients diagnosed with the M1b stage is vastly poor. Marital and insurance status has been considered important prognostic factors in various cancer types. However, how these factors influence elderly patients with stage M1b colon cancer remains to be explored. This study aims to uncover the role of marital and insurance status in the survival of elderly patients with stage M1b colon cancer. METHODS: We retrieved data for patients diagnosed with stage M1b colon cancer between 2010 and 2016 from the Surveillance, Epidemiology, and End Results (SEER) database. Our analysis of the clinicopathological features, overall survival (OS), and cancer-specific survival (CSS) was based on the marital and insurance status, respectively. RESULTS: In sum, 5709 stage M1b colon cancer patients with complete information from SEER were enrolled for analysis. The OS and CSS of the Non-married group were poorer compared to that of the Married group. The OS and CSS of the Uninsured group were poorer than both of the Insured group and Medicaid group. However, OS was comparable between Uninsured group and Medicaid groups. The findings allude that marital and insurance status potentially impact the long-term survival of elderly patients with M1b colon cancer. The subgroup survival analyses revealed the lowest risk for death among the Insured Married group based on the comparison of the OS and CSS across all other groups. Moreover, Univariate and multivariate analyses revealed race, marital status, surgery, and chemotherapy as independent predictors for OS, whereas insurance status, surgery,and chemotherapy were independent predictors for CSS in elderly patients with M1b colon cancer. CONCLUSION: The marital and insurance status greatly impact the survival of elderly patients with M1b colon cancer. Therefore, it is imperative to provide more support to this vulnerable patient group who are lonely and uninsured, particularly in the psychological and health insurance aspect.

Safety assessment of subtilisin QK in rats.

BACKGROUND: Subtilisin QK is a serine protease in the subtilisin family, and is fermented by Bacillus subtilis QK02. The fibrinolytic activity of subtilisin QK was measured by detecting low molecular weight degradation products using a spectrophotometric method developed by Japan Bio Science Laboratory Co., Ltd. Subtilisin QK powder can maintain its fibrinolytic activity for more than 24 months when it is stored at room temperature and protected from light. Our previous results showed that subtlisin QK directly degraded cross-linked fibrins in the fibrin plate assay and effectively inhibited thrombosis in the mouse thrombus model. The aim of this study was to determine the acute toxicity, potential subchronic toxicity, and safety pharmacology of subtilisin QK in Sprague-Dawley (SD) rats. METHODS: In the acute toxicity study, a single oral dose of 100,000 FU/kg was administered to 10 female and 10 male SD rats. In the 28-day subchronic toxicity, 60 female and 60 male SD rats were randomly assigned to four experimental groups (daily oral dose of 0, 2500, 7500 and 25,000 FU/kg). In the safety pharmacology study, 20 female and 20 male SD rats were randomly assigned to four experimental groups (single oral dose of 0, 500, 1500 and 5000 FU/kg). RESULTS: No death occurred and no adverse effects were observed in the acute toxicity study at a dose of 100,000 FU/kg. In the 28-day subchronic toxicity study, several hematological and blood biochemical parameters showed increases or decreases; however, due to the lack of a dose-response relationship, these differences were considered unrelated to treatment. In the safety pharmacology study, no adverse effects were observed on the central nervous of SD rats post-administration up to a dose of 5000 FU/kg subtilisin QK. CONCLUSION: The results showed that oral consumption of subtilisin QK is of low toxicological concern. No adverse effects were observed at doses of 2500, 7500, and 25,000 FU/kg in the 28-day subchronic toxicity, and the no-observed-adverse-effect level (NOAEL) of subtilisin QK was 25,000 FU/kg.

[Distribution characteristics and risk assessment of heavy metals in farming domestic muscovy duck originated from Au/Cu mining and smelting activites].

To investigate the impacts of mining and spilling activities on domestic fowl raising, ten muscovy duck (Cairna moschata) samples were collected in 2010 from farms in different villages located at the banks of the river originated from an Au/Cu mine. Concentrations of Cu, Hg and As in muscle, liver and blood of the muscovy duck samples were determined. According to relative national standards of China, the health safety of heavy metals in muscovy duck was evaluated. The results indicated that content of Cu was higher than those of Hg and As in the same tissue of the duck. The average content (17.20 mg x kg(-1)) of Cu in liver of the duck was higher than those in other tissues, but the concentrations of Hg and As had no significant difference among three tissues of the duck. There was no significant spatial distribution pattern of Cu, Hg and As in three tissues of the duck samples collected from the farms in different villages located at the banks of the river, indicating no significant impacts of mining and spilling activities on the ducks samples. The contents of Cu, Hg and As in the tissues of the duck samples fell in normal level ranges, and the ducks didn't show abnormal physical symptoms. According to the tolerance limits of heavy metals in foods of China, Cu in livers of the duck samples exceeded the standard by 100%, and the highest value of Cu in the liver was 1.74 times higher than its maximum allowable concentration in foods. Moreover, Hg contents in some muscle, blood and liver tissues of the duck samples were relatively high.

[Heavy metals distribution characteristics and risk assessment of water below an electroplating factory].

Surface water and shallow groundwater within the flow of an electroplating factory was analyzed in order to study the resulting impact. The analysis method of ICP-AES was used to analyze content of zinc, manganese, chromium, copper and nickel in surface water and groundwater samples. The results indicate acidic pollutants of zinc, manganese, chromium, copper and nickel were discharged from the factory with concentrations of 1.34, 3.77, 28.1, 6.40 and 9.37 mg x L(-1), respectively; and pH was 2.32. They all exceeded permissible levels according to Integrated Wastewater Discharge Standard except zinc. Factory discharge is responsible for the longitudinal distribution characteristics of heavy metals in the stream water downstream from the factory. Heavy metals variations in the well water do not suggest they were affected by heavy metals in the stream, indicating that the migration rates of heavy metals in soils were relatively low. Risk assessment shows surface water quality significantly deteriorated. Nickel and manganese in the stream water exceeded the standard levels seriously, and chromium and copper in some samples were also above Grade III standard levels according to Environmental Quality Standard for Surface Water. Moreover, all studied heavy metals in 14 groundwater samples measured within drinking water standard, except manganese in 4 groundwater samples, which were Grade IV according to Quality Standard for Ground water.