Mental Health and Quality of Life in Chronic Kidney Disease Patients with Mild-to-Moderate Depression: A Retrospective Cohort Study of Mindfulness-Based Stress Reduction Therapy.

BACKGROUND: Chronic kidney disease (CKD) patients may experience pessimism, and even despair, due to long-term nature of the condition, which increases the risk of depression. Mindfulness-based stress reduction (MBSR) can relieve depression. This retrospective cohort study aimed to investigate the effects of MBSR on mental health and quality of life in CKD patients with mild-to-moderate depression, so as to provide guidance for clinical nursing programs. METHODS: The clinical data of 100 CKD patients with mild-to-moderate depression who were treated in Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences from January 2021 to March 2023 were retrospectively analyzed. Based on nursing method received, the patients were divided into the conventional group (conventional management) and the MBSR group (MBSR therapy was implemented in addition to conventional management). After matching, there were 35 cases in each group. The scores for the self-rating depression scale (SDS), Connor-Davidson Resilience Scale (CD-RISC), Five-factor Mindfulness Questionnaire (FFMQ), Pittsburgh Sleep Quality Index (PSQI), and 36-item Short Form Health Survey (SF-36) were compared between the two groups. RESULTS: After management, the SDS and PSQI scores of the MBSR group were lower than those of the conventional group, and the CD-RISC, FFMQ and SF-36 scores were higher than those of the conventional group (p < 0.05). CONCLUSION: MBSR can improve the mental health, sleep quality, and quality of life of CKD patients with mild-to-moderate depression, and improve psychological resilience and mindfulness.

Combined effects of green manure returning and addition of sewage sludge compost on plant growth and microorganism communities in gold tailings.

Remediation of gold tailings is often difficult due to their extremely barren nature and highly heavy metal concentrations. Returning green manure and applying sewage sludge compost have the beneficial effects of providing nutrients and improving the soil environment. The effects of green manure plants, alfalfa (Medicago sativa L.), ryegrass (Lolium perenne Linn.), and tall fescue (Festuca arundinacea), returning in situ on nutrients, bioavailability of trace metals, and community structure of microorganism in gold tailings amended with 0%, 5%, and 10% (weight/weight) sewage sludge compost on the top 4 cm of tailings (SSC-5, SSC-10) were investigated in a pot experiment. The results showed that the plant biomass and microbial biomass carbon in tailings significantly increased in the treatments with sewage sludge compost. The available N and available P and the availability of Zn decreased markedly with the returning of alfalfa and ryegrass. Moreover, through high-throughput sequencing, it was found that the returning of alfalfa had positive effects on the bacterial community richness but a negative impact on the fungal community richness. The microbial community diversity was reduced in the treatment without sewage sludge compost amendment and with alfalfa returning. However, the microbial community diversity was enriched in the treatment of alfalfa returning with sewage sludge compost. In each plant species, 9 dominant bacterial phyla and 10 dominant fungi phyla could be detected. Returning alfalfa green manure and applying sewage sludge compost led to a relative increase in the abundance of Proteobacteria and Ascomycota. These results demonstrated that returning alfalfa and applying sewage sludge compost could be effective in the ecological restoration of gold tailings.

Progress in the Remote Sensing Monitoring of the Ecological Environment in Mining Areas.

Based on the results of an extensive literature research, we summarize the research progress of remote sensing monitoring in terms of identifying mining area boundaries and monitoring land use or land cover changes of mining areas. We also analyze the application of remote sensing in monitoring the biodiversity, landscape structure, vegetation change, soil environment, surface runoff conditions, and the atmospheric environment in mining areas and predict the prospects of remote sensing in monitoring the ecological environment in mining areas. Based on the results, the accurate classification of land use or land cover and the accurate extraction of environmental factors are the basis for remote sensing monitoring of the ecological environment in mining areas. In terms of the extraction of ecological factors, vegetation extraction is relatively advanced in contrast to the extraction of animal and microbial data. For the monitoring of environmental conditions of mining areas, sophisticated methods are available to identify pollution levels of vegetation and to accurately monitor soil quality. However, the methods for water and air pollution monitoring in mining areas still need to be improved. These limitations considerably impede the application of remote sensing monitoring in mining areas. The solving of these problems depends on the progress of multi-source remote sensing data and stereoscopic monitoring techniques.

Sandwich-structured composite fibrous membranes with tunable porous structure for waterproof, breathable, and oil-water separation applications.

HYPOTHESIS: In general, microporous membranes with waterproofness, breathability, and oil-water separation performance are prepared from hydrophobic raw materials and demonstrated to exhibit an interconnected porous structure. Hence, constructing porous and gradient-structured composite membranes by integrating robust hydrophobic/lipophilic polyvinylidene fluoride (PVDF) and breathable polyurethane (PU) microporous membranes could help realize a selective separation process. EXPERIMENT: Here, novel polyvinylidene fluoride-carbon nanotube/polyurethane/polyvinylidene fluoride-carbon nanotube (PVDF-CNT/PU/PVDF-CNT) sandwich-structured microporous membranes were fabricated by sequential electrospinning. The influence of the thickness ratios of PVDF/PU/PVDF and carbon nanotube (CNT) content on the fibrous construction, porous structure, and wettability of the composite membranes was systematically studied by scanning electron microscopy (SEM), pore size, porosity and contact angle. Significantly, the effect of the fibrous construction, porous structure, and wettability on the waterproofness, breathability, and oil-water separation ability of the composite membranes was investigated. FINDINGS: The novel separation system proved the 'complementary effect' between the PVDF and PU membranes. Further, because of the elaborate gradient construction, superior porous structure, and robust hydrophobicity-oleophilicity, the resultant membranes exhibited moderate waterproofness (38 kPa) and excellent breathability (8.63 kg m-2 d-1), and oil-water separation, confirming that they could be promising alternatives for numerous practical applications, such as protective clothing, treatment of oil-contaminated water, and membrane distillation.

The influences of arbuscular mycorrhizal fungus on phytostabilization of lead/zinc tailings using four plant species.

A greenhouse experiment was conducted to investigate the effects of the arbuscular mycorrhizal fungus Funneliformis mosseae on three parameters: Pb, Zn, Cu and Cd accumulation, translocation and plant growth in perennial ryegrass (Lolium perenne), tall fescue (Festuca arundinacea), showy stonecrop (Hylotelephium spectabile) and Purple Heart (Tradescantia pallida). The purpose of this work is to enhance site-specific phytostabilization of lead/zinc mine tailings using native plant species. The results showed that mycorrhizal fungi inoculation significantly increased plant biomass of F. arundinacea, H. spectabile and T. pallida. The Pb, Zn, Cu and Cd concentrations in roots were higher than those in shoots both with and without mycorrhizae, with the exception of the Zn concentration in H. spectabile. Mycorrhizae generally increased metal concentrations in roots and decreased metal concentrations in shoots of L. perenne and F. arundinacea. In addition, it was found that the majority of the bioconcentration and translocation factors were lower than 1 and mycorrhizal fungi inoculation further reduced these values. These results suggest that appropriate plant species inoculated with mycorrhiza might be a potential approach to revegetating mine tailing sites and that H. spectabile is an appropriate plant for phytostabilization of Pb/Zn tailings in northern China due to its higher biomass production and lower metal accumulation in shoots.

Mitigation effects of silicon rich amendments on heavy metal accumulation in rice (Oryza sativa L.) planted on multi-metal contaminated acidic soil.

The mechanisms of stabilization by silicon-rich amendments of cadmium, zinc, copper and lead in a multi-metal contaminated acidic soil and the mitigation of metal accumulation in rice were investigated in this study. The results from a pot experiment indicated that the application of fly ash (20 and 40gkg(-1)) and steel slag (3 and 6gkg(-1)) increased soil pH from 4.0 to 5.0-6.4, decreased the phytoavailability of heavy metals by at least 60%, and further suppressed metal uptake by rice. Diffusion gradient in thin-film measurement showed the heavy metal diffusion fluxes from soil to solution decreased by greater than 84% after remediation. X-ray diffraction analysis indicated the mobile metals were mainly deposited as their silicates, phosphates and hydroxides in amended treatments. Moreover, it was found metal translocation from stem to leaf was dramatically restrained by adding amendments, which might be due to the increase of silicon concentration and co-precipitation with heavy metals in stem. Finally, a field experiment showed the trace element concentrations in polished rice treated with amendments complied with the food safety standards of China. These results demonstrated fly ash and steel slag could be effective in mitigating heavy metal accumulation in rice grown on multi-metal contaminated acidic soils.