The effect of preoperative mechanical bowel preparation in paediatric bowel surgery on postoperative wound related complications: A meta-analysis.

Mechanical bowel preparation (MBP), a routine nursing procedure before paediatric bowel surgery, is widely should in clinical practice, but its necessity remains controversial. In a systematic review and meta-analysis, we evaluated the effect of preoperative MBP in paediatric bowel surgery on postoperative wound-related complications in order to analyse the clinical application value of MBP in paediatric bowel surgery. As of November 2023, we searched four online databases: the Cochrane Library, Embase, PubMed, and Web of Science. Two investigators screened the collected studies against inclusion and exclusion criteria, and ROBINS-I was used to evaluate the quality of studies. Using RevMan5.3, a meta-analysis of the collected data was performed, and a fixed-effect model or a random-effect model was used to analyse OR, 95% CI, SMD, and MD. A total of 11 studies with 2556 patients were included. Most of studies had moderate-to-severe quality bias. The results of meta-analysis showed no statistically significant difference in the incidence of complications related to postoperative infections in children with MBP before bowel surgery versus those with No MBP, wound infection (OR 1.11, 95% CI:0.76 ~ 1.61, p = 0.59, I2 = 5%), intra-abdominal infection (OR 1.26, 95% CI:0.58 ~ 2.77, p = 0.56, I2 = 9%). There was no significant difference in the risk of postoperative bowel anastomotic leak (OR 1.07, 95% CI:0.68 ~ 1.68, p = 0.78, I2 = 12%), and anastomotic dehiscence (OR 1.67, 95% CI:0.13 ~ 22.20, p = 0.70, I2 = 73%). Patients' intestinal obstruction did not show an advantage of undergoing MBP preoperatively, with an incidence of intestinal obstruction (OR 1.95, 95% CI:0.55 ~ 6.93, p = 0.30, I2 = 0%). Based on existing evidence that preoperative MBP in paediatric bowel surgery did not reduce the risk of postoperative wound complications, we cautiously assume that MBP before surgery is unnecessary for children undergoing elective bowel surgery. However, due to the limited number of study participants selected for this study and the overall low quality of evidence, the results need to be interpreted with caution. It is suggested that more high quality, large-sample, multicenter clinical trials are required to validate our findings.

Understanding of mercury and methylmercury transformation in sludge composting by metagenomic analysis.

Municipal sewage especially the produced sewage sludge is a significant source releasing mercury (Hg) to the environment. However, the Hg speciation especially methylmercury (MeHg) transformation in sewage sludge treatment process remains poorly understood. This study investigated the transformation of Hg speciation especially MeHg in sludge composting. The distribution of Hg transformation related gene pairs hgcAB and merAB, and their putative microbial hosts were comprehensively analyzed. Both Hg (from 3.16±0.22 mg/kg to 3.20±0.19 mg/kg) and MeHg content (from 4.77±0.64 ng/g to 4.36±0.37 ng/g) were not obviously changed before and after composting, but about 19.69% of Hg and 27.36% of MeHg were lost according to mass balance calculation. The metagenomic analysis further revealed that anaerobes (Desulfobacterota and Euryarchaeota) were the mainly putative Hg methylators especially carrying high abundance of hgcA gene in the initial periods of composting. Among the 151 reconstructed metagenome-assembled genomes (MAGs), only 4 hgcA gene carriers (Myxococcota, Firmicutes, Cyclobacteriaceae, and Methanothermobacter) and 16 merB gene carriers were identified. But almost all of the MAGs carried hgcB gene and merA gene. The merA gene was widely distributed in genomes, which indicated the widespread functionality of microbes for reducing Hg(II) to Hg(0). The hgcA carrying microbes tends to present the similar metabolic pathways including methanogenesis and sulfur metabolism. Besides, both the irregular distribution of hgcA in various species (including Actinobacteria, Archaea, Bacteroidetes, Desulfobacterota, Euryarchaeota, and Nitrospirae, etc.) and opposite evolution trends between hgcA gene abundance and its host genome abundance can be an indication of horizontal gene transfer or gene deletions of hgcA during composting. Our findings thus revealed that sludge composting is not only a hotspot for Hg speciation transformation, but also a potential hotspot for MeHg transformation.

Branched-chain amino acid transaminase 1 inhibition attenuates childhood asthma in mice by effecting airway remodeling and autophagy.

Childhood asthma is a common chronic childhood disease. Branched-chain amino acid transaminase 1 (BCAT1) was reported to be upregulated in chronic airway diseases, while its role in childhood asthma is unclear. Asthma mouse models were established in neonatal mice by 10 µg ovalbumin (OVA) intraperitoneal injection and 3% OVA inhalational challenge. In OVA-challenged mice, BCAT1 levels were upregulated. BCAT1 inhibitor alleviated airway structure and inflammation by suppressing IgE, OVA-specific IgE and inflammatory cytokine release and inflammatory cell infiltration. BCAT1 inhibitor alleviated airway remodeling by inhibiting goblet cell hyperplasia, mucus secretion and the expression of α-SMA and collagen I/III. The BCAT1 inhibitor prevented OVA-enhanced autophagy by decreasing Beclin-1, Atg5 and LC3I/II and increasing p65 levels. In IL-13-stimulated BEAS-2B cells, rapamycin promoted inflammatory cytokine release and autophagy after BCAT1 inhibitor administration. Our research revealed that BCAT1 was upregulated in neonatal asthmatic mice and that a BCAT1 inhibitor might restrain airway inflammation and remodeling by decreasing autophagy, which offered a novel mechanistic understanding of childhood asthma.

Obstacles to home-based dietary management for caregivers of children with citrin deficiency: a qualitative study.

BACKGROUND: Dietary management is the most important and effective treatment for citrin deficiency, as well as a decisive factor in the clinical outcome of patients. However, the dietary management ability of caregivers of children with citrin deficiency is generally poor, especially in East Asia where carbohydrate-based diets are predominant. The aim of this study was to identify the difficulties that caregivers encounter in the process of home-based dietary management, and the reasons responsible for these challenges. RESULTS: A total of 26 caregivers of children with citrin deficiency were recruited, including 24 mothers, one father, and one grandmother. Grounded theory was employed to identify three themes (covering 12 sub-themes) related to the dilemma of dietary management: dietary management that is difficult to implement; conflicts with traditional concepts; and the notion that children are only a part of family life. The first theme describes the objective difficulties that caregivers encounter in the process of dietary management; the second theme describes the underlying reasons responsible for the non-adherent behavior of caregivers; the third theme further reveals the self-compromise by caregivers in the face of multiple difficulties. CONCLUSIONS: This study reflects the adverse effects of multi-dimensional contradictions on the adherence of caregivers to dietary management. These findings reveal that the dietary management of citrin deficiency is not only a rational process, rather it is deeply embedded in family, social, and dietary traditions.

Clinical and Pathological Implications of Increases in Tonsillar CD19+CD5+ B Cells, CD208+ Dendritic Cells, and IgA1-positive Cells of Immunoglobulin A Nephropathy.

OBJECTIVE: Several studies indicated that tonsillectomy can improve the prognosis of patients with immunoglobulin A nephropathy (IgAN). However, the relationship between tonsillar immunity and IgAN is still unclear. METHODS: A total of 14 IgAN patients were recruited in the current study from May 2015 to April 2016 in Tongji Hospital. B cells, dendritic cells (DCs), and IgA1 positive cells in human tonsils were detected using immunofluorescence and immunohistochemistry. Correlations between these cells and clinicopathologic features were evaluated. RESULTS: CD19+CD5+ B cells were predominantly located in germinal centers and mantle zones of lymphoid follicles, the CD208+ DCs were distributed in the interfollicular and subepithelial area, and IgA1-positive cells were predominantly detected in mantle zones of lymphoid follicles and subepithelial tissues. The numbers of CD19+CD5+ B cells, CD208+ DCs, and IgA1-positive cells in tonsillar tissues from IgAN patients were significantly higher than those in the normal controls (P<0.01, respectively). CD19+CD5+ B cells, CD208+ DCs, and IgA1-positive cells in tonsillar tissues were significantly associated with 24-h proteinuria levels and tubular atrophy/interstitial fibrosis of IgAN. CONCLUSION: CD19+CD5+ B cells, CD208+ DCs, and IgA1-positive cells in tonsillar tissues might be involved in the pathogenesis of IgAN.

Water environment protection and sustainable development in townlet of China: A case study in Taicang.

The Environmental Kuznets Curve (EKC) model was applied to investigate the relationship between economic growth and water environment quality based on panel data of Taicang during 2010-2017. The typical inversed-U shaped relationship has been obtained between GDP (gross domestic product) and indicators of ammonia, total nitrogen (TN) and total phosphorus (TP), respectively. The EKC turning point appeared when the GDP per capita was around US$2270, which was much lower than those in some developed countries (US$11,200). However, the decoupling between chemical oxygen demand (COD) and GDP per capita occurred even before this period, which should be attributed to the strict COD emission regulation being implemented since 2010. Further, analysis based on the Tapio decoupling coefficient elasticity model analyzed the ammonia nitrogen and economic development of each industry. We found that the agriculture no-point was strong decoupling in 2011-2014, then came to Recessive decoupling. The domestic wastewater had been in a strong decoupling state; Both urban non-point and industry experienced expansive negative decoupling, due to strict policy that prioritizes the environment over development and the investment in improvement of environment and techniques, both of them gradually came to strong decoupling. The result demonstrated that the EKC turning point could be appear in earlier economic stage and the decoupling coefficient elasticity could be improved through taking strong regulation measures.

SMYD1 alleviates septic myocardial injury by inhibiting endoplasmic reticulum stress.

Sepsis-induced cardiomyopathy (SIC) is a major complication of sepsis. SET and MYND domain containing 1 (SMYD1) has central importance in heart development, and its role in SIC has not been identified. Herein, we found that the expression of SMYD1 was downregulated in myocardial tissues of SIC patients (from GEO database: GSE79962) and lipopolysaccharide (LPS)-induced SIC rats, and LPS-induced H9c2 cardiomyocytes. We used LPS-stimulated H9c2 cells that mimic sepsis in vitro to explore the function of SMYD1 in SIC. MTT assay, LDH and CK-MB release assay, flow cytometry, and ELISA assay showed that SMYD1 overexpression enhanced cell viability, alleviated cell injury, impeded apoptosis, and reduced the level of proinflammatory factors and NF-κB activation under the condition of LPS stimulation. Moreover, SMYD1 exerted protective effect on H9c2 cells stimulated with LPS through relieving endoplasmic reticulum (ER) stress. In conclusion, overexpression of SMYD1 alleviates cardiac injury through relieving ER stress during sepsis.

Delivery and effects of proton pump inhibitor on anaerobic digestion of food and kitchen waste under ammonia stress.

Ammonia stress changes microbial metabolism of anaerobic digestion and decreases methane yield, where proton pump overactivated by free ammonia suggested to be the centre of the metabolism changes in anaerobic digestion under ammonia stress. The work demonstrated that proton pump inhibitor (PPI) could alleviate the overactivated proton pump and mitigate ammonia inhibition. Its impacts on iron transporter, substrates uptake, and energy conservation were investigated in anaerobic digestion treating food and kitchen waste. The PPI formed a stimuli-responsive drug delivery system driven by pH for the more inhibited microbe (p < 0.01), confirmed by FE-SEM/EDS and high throughput sequencing, implying the PPI was activated at inhibited microbe more than mixed liquor. Consistent microbial population increase observed in syntrophs and methanogens, who utilized the substrates for high yielding pathway and facilitated the energy sharing by direct interspecies electron transfer. These results demonstrated PPI could recovery methane production and could mitigate fatty-acid accumulation under high ammonia stress by delivery and activation in acetoclastic methanogen.

Effectiveness of optimised care chain for hip fractures in elderly Chinese.

BACKGROUND: Studies have found that optimised care chain (OCC) can promote the recovery of hip fracture patients. Fast track (FT) has been widely proven to play a good role, but there is no systematic review report. METHODS: We conducted a comprehensive search and obtained search data as of April 2020. These included randomised controlled trials (RCTs) and cohort trials (CTs). We applied the research input Review Manager 5.3 for data synthesis, and used Stata 12.0 for meta- regression analysis. RESULTS: This review reported 2200 hip fractures. Our analysis showed that OCC can reduce complications and 1-year mortality, and shorten the length of stay (LOS). After dividing the complications into bed-related complications and other complications, OCC has advantages in reducing bed-related complications, but has no significant effect on other complications. For the conventional care group, the secondary outcome of the OCC group showed there was no significant difference in duration of surgery, and the rest were significantly improved. Subgroup analysis between green channel (GC) and FT showed a shorter LOS for GC. CONCLUSIONS: This meta-analysis suggests that the use of OCC in China promotes rehabilitation in elderly patients with hip fractures, that FT and GC are similar in effect in China, and that GC shows a greater advantage in reducing LOS.

Comparison of an integrated short-cut biological nitrogen removal process with magnetic coagulation treating swine wastewater and food waste digestate.

An integration of two processes, magnetic coagulation (MC) and short-cut biological nitrogen removal (SBNR), coupled with a sequencing batch membrane bioreactor (SMBR) controlled by an automatic real-time control strategy (RTC), was developed to treat different characteristics of high strength wastewater. The treatment efficiency and microbial community-diversity of the proposed method was evaluated and investigated using swine wastewater and food waste (FW) digestate. The MC showed high removal of TSS (89.1 ± 1.5%, 92.21 ± 1.8%), turbidity (90.58 ± 2.1%, 95.1 ± 2.1%), TP (88.5 ± 1.9%, 92.1 ± 1.5%), phosphate (87.76 ± 1.6%, 91.22 ± 1.5%), and SMBR achieved stable and excellent removal of COD (96.05 ± 0.2%, 97.39 ± 0.2%), TN (97.30 ± 0.3%, 97.44 ± 0.3%) andNH4+-N (99.07 ± 0.2%, 98.54 ± 0.2%) for swine wastewater and FW digestate, respectively. The effluent COD andNH4+-N concentrations were found to meet their discharge standards. The microbial community comparison showed similar diversity and richness, and genus Diaphorobacter and Thaurea were dominant in denitritation, and Nitrosomonas was dominant in nitritation treating both swine wastewater and FW digestate.

Coupling anammox with denitrification in a full-scale combined biological nitrogen removal process for swine wastewater treatment.

In order to enhance nitrogen removal through anammox process in the full-scale swine wastewater treatment plant, an innovative regulation strategy of nitrate-based carbon dosage and intermittent aeration was developed to apply the combined biological nitrogen removal process in a full scale anaerobic-anoxic-oxic (A2/O) system. TN removal efficiency reached at 65.5 ± 6.0% in Phase 1 with decreasing external carbon dosage in influent due to the reduction of return nitrate concentration, and it increased to 83.5 ± 6.7% when intermittent aeration was adopted in oxic zone and external carbon source was stopped adding into influent in Phase 2. As a result, the energy consumption for the swine wastewater treatment decreased from 1.93 to 0.9 kW h/m3 and 4.18 to 2.57 kW h/kg N, respectively. Microbial community analysis revealed that the average abundances of Candidatus Brocadia increased from 0.76% to 2.43% and removal of TN through anammox increased from 39% to 77%.

MicroRNA profiling in Chinese children with Henoch-Schonlein purpura and association between selected microRNAs and inflammatory biomarkers.

AIM: This study aimed to profile the microRNA levels in Chinese Henoch-Schonlein purpura (HSP) children and to explore their association with inflammatory factors and T helper 17 (Th17)/regulatory T (Treg). METHODS: Forty-five HSP children and 27 healthy controls were enrolled in this study, and microRNA levels were profiled with a microRNA microarray. The levels of selected microRNAs were determined by quantitative real-time PCR, and the levels of serum IgA, interleukin-6, interleukin-10 and interleukin-17A were detected by enzyme-linked immunosorbent assay. Additionally, Th17 and Treg cells were analysed by flow cytometry. RESULTS: There were 9 up-regulated and 27 down-regulated microRNAs in the PBMCs of Chinese HSP children. Among them, miR-1-3p, miR-19b-1-5p and miR-29b-1-5p were up-regulated, while miR-483-5p and miR-1246 were down-regulated. Additionally, these selected microRNAs could differentiate HSP patients from healthy controls. Interestingly, miR-29b-1-5p was correlated with IgA, miR-19b-1-5p, miR-483-5p and miR-1246 were correlated with interleukin-6, while miR-1-3p and miR-1246 were correlated with Th17/Treg. CONCLUSION: This study reveals that the altered microRNAs could differentiate HSP from the healthy, and were associated with inflammatory factors or Th17/Treg. It is indicated that alteration in these microRNAs may contribute to the HSP pathogenesis and may become therapeutic targets or diagnostic biomarkers for HSP.

Development of a Short-Cut Combined Magnetic Coagulation-Sequence Batch Membrane Bioreactor for Swine Wastewater Treatment.

A high concentration of suspended solids (SS) in swine wastewater reduces the efficiency of the biological treatment process. The current study developed a short-cut combined magnetic coagulation (MC)-sequence batch membrane bioreactor (SMBR) process to treat swine wastewater. Compared with the single SMBR process, the combined process successfully achieved similarly high removal efficiencies of chemical oxygen demand (COD), total nitrogen (TN), ammonium nitrogen (NH4+-N), and total phosphorous (TP) of 96.0%, 97.6%, 99.0%, and 69.1%, respectively, at dosages of 0.5 g/L of poly aluminium chloride (PAC), 2 mg/L of polyacrylamide (PAM), and 1 g/L of magnetic seeds in Stage II, and concentrations of TN, COD, and NH4+-N in effluent can meet the discharge standards for pollutants for livestock and poultry breeding (GB18596-2001, China). The nitrogen removal loading (NRL) was increased from 0.21 to 0.28 kg/(m3·d), and the hydraulic retention time (HRT) was shortened from 5.0 days to 4.3 days. High-throughput sequencing analysis was carried out to investigate microbial community evolution, and the results showed that the relative abundance of ammonia-oxidizing bacteria (AOB) in the SMBR increased from 0.1% without pre-treatment to 1.78% with the pre-treatment of MC.

[Distribution of Antibiotic Concentration in Domestic Wastewater Treatment Facilities in Villages and Towns].

Antibiotics discharged into the environment cause increased environmental resistance. Four types of antibiotics (quinolones, tetracyclines, macrolides, and ß-lactams) were selected for this study. In a comparison with the municipal wastewater plant, the concentration and removal of antibiotics in influent and effluent of domestic wastewater treatment facilities of different scales in villages and towns was investigated using high-performance liquid chromatography (HPLC) and tandem mass spectrometry (MS). The results showed that the highest amount of ofloxacin in rural wastewater treatment facilities reached 32663.5 ng·L-1. Due to the different situations of influent fluctuation, discharge requirements, and management between urban and rural wastewater plants, only 33% of the rural domestic wastewater facilities detected an antibiotics removal rate of more than 60%. The effective removal of some antibiotics can be achieved when the rural domestic wastewater treatment facilities maintain the standard discharge of conventional pollutants.

Multiple strategies for maintaining stable partial nitritation of low-strength ammonia wastewater.

Stable production of nitrite is an essential technical challenge for mainstream anaerobic ammonia oxidation (Anammox). Due to difficulties in the stable inhibition of nitrite oxidizing bacteria (NOB) and maintenance of long-term partial nitritation (PN), integrated multiple, rather than a single, controlling strategies were preferred especially in a continuous-flow treatment system. A mathematically model was developed to evaluate effects of integrated multiple-strategies on ammonia oxidizing bacteria (AOB) and NOB. Through experimental study and model simulation, intermittent aeration and low SRT (3.5 d) resulted in unstable nitrite accumulation. Integrated multiple-strategies of intermittent aeration, low SRT (3.5 d) and bioaugmentation achieved nitrite accumulation rate of 81% and NO2--N/NH4+-N ratio in effluent of 1.29, which was preferable for further anammox process. Meanwhile, the richness and diversity of microbial community increased due to the bioaugmentation. The AOB/NOB ratio increased from 13.8 to 34.1 which facilitated nitrite accumulation. In combination with bioaugmentation, the observed growth rates of AOB and NOB increased from -0.0835 and -0.0282 to 0.0434 and 0.0127 d-1, respectively, which promoted AOB outcompeting NOB in the mixed liquid.

Start-up control for nitrogen removal via nitrite under low temperature conditions for swine wastewater treatment in sequencing batch reactors.

To achieve nitrification/denitrification via nitrite (NO2-N) successfully under low temperature conditions, aerobic duration (AD) control and free ammonia (FA) control strategies were carried out in the start-up period of real swine wastewater treatment by two sequencing batch reactors (SBRs) operated in parallel. Over the entire 270 days of operation, NO2-N/ (NO2-N + NO3-N) accumulation in each reactor finally reached 73.3 % (AD control) and 80.4 % (FA control) respectively, when the temperature decreased from 25 °C to 12 °C. Meanwhile, the chemical oxygen demand (COD) and total nitrogen (TN) removal ratios were 92.1 % and 95.1 % respectively under AD control, and 92.2 % and 95.0 % under the FA control strategy. The satisfactory performance indicated that both strategies could help activated sludge to counteract the influence of low temperature well, reflecting the fact that the microbial communities in both reactors were not overly affected. Psychrophiles belonging to Bacteroidetes, γ-Proteobacteria, and Firmicutes were dominant and identified by construction of 16 s rRNA and amoA gene clone libraries. Although microbial community formation was influenced by decreasing temperature, the different strategies led to differences in community shift approaches and structures, particularly in terms of ammonia oxidizing bacteria (AOB). Some of the genera were washed out in AD control, while operational taxonomic units (OTUs) identified as Nitrosomonas eutropha and N. nitrosa could noticeably increase and quickly outcompete others under the FA control strategy.

MiR-490-5p functions as tumor suppressor in childhood neuroblastoma by targeting MYEOV.

Neuroblastoma (NB) is the most common extracranial solid tumor derived from neural crest in children. Recently, the role of miRNA has been studied extensively in the development of NB. Here, we investigated the clinical significance of microRNA-490-5p (miR-490-5p) in NB. A total of 72 pairs of NB tumor tissues and matched adjacent normal nerve tissues were collected from NB patients. The expression of miR-490-5p was significantly down-regulated in NB tissues and cell lines using quantitative real-time PCR. Using Pearson Chi-square test and Kaplan-Meier analysis, we found that significantly decreased miR-490-5p levels were correlated with INSS stage, lymph-node metastasis, and poor survival prognosis in NB patients. MiR-490-5p overexpression significantly suppressed cell proliferation migration, invasion, and induced cell cycle G0/G1 arrest and cell apoptosis in NB cell lines (SH-SY5Y and SK-N-SH) using CCK-8, flow cytometry, and transwell assays. Mechanistically, MYEOV was confirmed as a target gene of miR-490-5p by luciferase reporter assay. Furthermore, MYEOV knockdown imitated, while overexpression rescued the changes in the biological features of miR-490-5p on NB cells. Our results demonstrated for the first time that miR-490-5p functions as a tumor suppressor in NB by targeting MYEOV, which might provide novel approaches for the treatment of NB.

Roles of hydroxylamine and hydrazine in the in-situ recovery of one-stage partial nitritation-anammox process: Characteristics and mechanisms.

Nitrate built-up is a serious operational difficulty in one-stage partial nitritation anammox (PN/A) process. To investigate an effective method for in-situ restoration, hydroxylamine (NH2OH) and hydrazine (N2H4) of 2 mgN/L were dosed in PN/A process with nitrate built-up in a comparative study. NH2OH treatment showed better performances on TN removal and nitrate reduction than N2H4 and blank control. Through 104 days' addition of NH2OH, MRNN (mole ratio of NO3--N production to NH4+-N removal) was decreased from 70% to 19.91%; TN removal was increased from 0.01 to 0.18 kgN/(m3 d). After stopping the chemical addition, nitrate rebounded for N2H4 treatment, but the restoration effect was stable and persistent for NH2OH. NH2OH addition resulted in a low reductive potential (-250 mV) and exerted strong inhibitions on nitrite oxidizing bacteria activities. Additionally, rapid enhancement of ammonia oxidizing bacteria activities, functional gene (hao) and Nitrosomonas gave rise to the restoration of PN/A with NH2OH addition.

Fates of intracellular and extracellular antibiotic resistance genes and microbial community structures in typical swine wastewater treatment processes.

Swine wastewater is an important reservoir of spread antibiotic resistance to the environment. Intra- and extracellular antibiotic resistance genes (iARGs and eARGs) were quantified during two typical swine wastewater treatment processes including a sequencing membrane bioreactor (SMBR) at pilot-scale and anaerobic-anoxic-oxic (A2O) at full-scale. The concentrations of iARGs and eARGs in raw wastewater were 3.42E+09 and 3.79E+07 copies/mL, respectively. The compositions were different between iARGs and eARGs. SMBR showed 0.63 log higher removals in the concentrations of iARG than A2O, while similar removal effects (3.01-3.44 log copies/mL) of eARGs were performed by the two processes. It suggested that membrane separation had advantages in the concentration removals of iARG rather than eARG. sul1 took the dominance in eARGs in effluent and had positive correlations with intI1, which indicated the risk of horizontal gene transfer of eARGs after wastewater discharge. Microbial community structures were estimated by 16S rRNA gene sequencing with both intra- and extracellular DNA (iDNA and eDNA). Compared between the effluent samples of the two treatment processes, microbial community structures estimated by iDNA had great differences, however which were similar for eDNA. Microbial community and water-quality parameters were the major influencing factors on ARG occurrences during swine wastewater treatment.

Screening and quantitation of residual antibiotics in two different swine wastewater treatment systems during warm and cold seasons.

Due to many occurrences of the illegal addition, misuse and abuse of antibiotics in the swine industry in China, high-resolution mass spectrometry (HRMS) was used to screen and identify these materials in two swine wastewater treatment systems (Swine farm 1: anaerobic digestion - lagoon treatment; Swine farm 2: anaerobic digestion - anoxic treatment - aerobic biological treatment). The results showed that 11 out of 115 antibiotics, including tetracyclines (tetracycline, oxytetracycline, chlortetracycline), sulfonamides (sulfadimidine (SDMD)), macrolides (clarithromycin, tilmicosin (TILM)), fluoroquinolones (ciprofloxacin, ofloxacin, enrofloxacin), ß­lactam (penicillin G), and lincosamides (lincomycin), were identified in the swine farms by screening and confirmation methods through HRMS. The quantification method was carried out using triple-quadrupole tandem mass spectrometry, and the recoveries of 11 analytes in the swine wastewater were above 50%. The investigation results showed that the amount of antibiotic residues during the cold season was much higher than that during the warm season. Among the antibiotics, tetracyclines (average of 58%) were the main antibiotic residues in the two swine farms, with TILM second (33%). Sulfonamides (SDMD) existed only in SF1 and accounted for 10% of the total antibiotic concentration. The average proportion of total antibiotics in the solid and liquid phases were 98.5% and 1.5%, respectively, indicating that antibiotics were mainly adsorbed onto solids, though only SDMD remained relatively high in the liquid phase (5.29%). The degradation data of most of the antibiotics detected in the liquid phase during the wastewater treatments well fitted the simple first-order kinetic model in both SF1 and SF2, and the half-lives of the analytes in SF2 were much shorter than those in SF1. After the wastewater treatment process, approximately 80% of the antibiotics could be removed, but sulfonamides remained at a relatively higher percentage and were the main antibiotics in the effluent (approximately 60%).