Will "Air Eutrophication" Increase the Risk of Ecological Threat to Public Health?

Aquatic eutrophication, often with anthropogenic causes, facilitates blooms of cyanobacteria including cyanotoxin producing species, which profoundly impact aquatic ecosystems and human health. An emerging concern is that aquatic eutrophication may interact with other environmental changes and thereby lead to unexpected cascading effects on terrestrial systems. Here, we synthesize recent evidence showing the possibility that accelerating eutrophication will spill over from aquatic ecosystems to the atmosphere via "air eutrophication", a novel concept that refers to a process promoting the growth of airborne algae, some of them with the capacity to produce toxic compounds for humans and other organisms. Being catalyzed by various anthropogenic forcings─including aquatic eutrophication, climate warming, air contamination, and artificial light at night─accelerated air eutrophication may be expected in the future, posing a potentially increasing risk of threat to public health and the environment. So far knowledge of this topic is sparse, and we therefore consider air eutrophication a potentially important research field and propose an agenda of cross-discipline research. As a contribution, we have calculated a tolerable daily intake of 17 ng m-3 day-1 for the nasal intake of microcystins by humans.

[Value of nutritional risk screening in evaluating adverse clinical outcomes in children with severe pneumonia].

OBJECTIVE: To investigate the nutritional risk in children with severe pneumonia using the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the association between nutritional risk and adverse clinical outcomes. METHODS: According to the STAMP score, 216 children with severe pneumonia were classified into high nutritional risk group (HR group; n=98), moderate nutritional risk group (MR group; n=65), and low nutritional risk group (LR group; n=53). Fasting blood samples were collected to measure the levels of insulin-like growth factor-1 (IGF-1), adiponectin, leptin, non-esterified fatty acid (NEFA), albumin, transferrin, prealbumin, and retinol binding protein (RBP). The adverse clinical outcomes were recorded. RESULTS: Compared with the MR and LR groups, the HR group had significantly lower serum levels of IGF-1, leptin, adiponectin, prealbumin, and RBP, as well as a significantly higher serum level of NEFA (P<0.05). Compared with the MR and LR groups, the HR group had a significantly higher proportion of children admitted to the intensive care unit and a significantly longer duration of mechanical ventilation (P<0.05). The HR group had a significantly longer mean hospital stay and a significantly higher incidence rate of complications compared with the LR and MR groups (P<0.05). CONCLUSIONS: Nutritional risk screening has an important value in evaluating the clinical outcome of children with severe pneumonia, and children at a higher nutritional risk tend to have more adverse clinical outcomes.

Flying high: limits to flight performance by sparrows on the Qinghai-Tibet Plateau.

Limits to flight performance at high altitude potentially reflect variable constraints deriving from the simultaneous challenges of hypobaric, hypodense and cold air. Differences in flight-related morphology and maximum lifting capacity have been well characterized for different hummingbird species across elevational gradients, but relevant within-species variation has not yet been identified in any bird species. Here we evaluate load-lifting capacity for Eurasian tree sparrow (Passer montanus) populations at three different elevations in China, and correlate maximum lifted loads with relevant anatomical features including wing shape, wing size, and heart and lung masses. Sparrows were heavier and possessed more rounded and longer wings at higher elevations; relative heart and lung masses were also greater with altitude, although relative flight muscle mass remained constant. By contrast, maximum lifting capacity relative to body weight declined over the same elevational range, while the effective wing loading in flight (i.e. the ratio of body weight and maximum lifted weight to total wing area) remained constant, suggesting aerodynamic constraints on performance in parallel with enhanced heart and lung masses to offset hypoxic challenge. Mechanical limits to take-off performance may thus be exacerbated at higher elevations, which may in turn result in behavioral differences in escape responses among populations.

Occurrence, fate and interrelation of selected antibiotics in sewage treatment plants and their receiving surface water.

The occurrence and fate of 12 commonly used antibiotics, two fluoroquinolones (FQs), three sulfonamides (SAs), three macrolides (MLs), two ß-lactams and two tetracyclines (TCs), were studied in four sewage treatment plants (STPs) and their receiving water, the Huangpu River, Shanghai. The levels of selected antibiotics in the STPs ranged from ngL(-1) to µgL(-1), while ofloxacin (OFL) was predominant (reach up to 2936.94ngL(-1)). The highest and lowest proportions were of FQs (STP 1, STP 2 and STP 3) and TCs (in four STPs) respectively in both influents and effluents. And the second-highest proportion was of FQs in STP 4 (only 2% lower than the highest). What could be inferred was that the usage of TCs were extremely low while the usage of FQs were larger than other antibiotics in our study area. The elimination of antibiotics through these STPs was incomplete and a wide range of removal efficiencies (-442.8% to 100%) during the treatment was observed. Based on the mass loadings as well as the per-capita mass loadings of target antibiotics in four STPs, OFL was considered the primary contaminant herein. In the Huangpu River, 3 antibiotics were not detected in any water samples, while the detection frequencies of 4 antibiotics were 100%. The highest concentration detected in the river was 53.91ngL(-1) of sulfapyridine (SD). The Spearman correlation analysis of antibiotics in STPs and the nearby water samples suggests that the antibiotics discharged from some STPs might influence the receiving water to some extent. Moreover, most of the hazard quotient (HQ) values in STP effluents were one order magnitude higher than those in their receiving water. However, there is no imminent significant ecotoxicological risk caused by any single compound in the effluents and receiving waters.

2015 Nepal Earthquake: Analysis of Child Rescue and Treatment by a Field Hospital.

OBJECTIVE: To retrospectively analyze the rescue and treatment of pediatric patients by the Chinese Red Cross medical team during the Nepal earthquake relief. METHODS: The medical team set up a field hospital; the pediatric clinic consisted of 1 pediatrician and several nurses. Children younger than 18 years old were placed in the pediatric clinic for injury examination and treatment. RESULTS: During the 7-day period of medical assistance (the second to third week after the earthquake), a total of 108 pediatric patients were diagnosed and treated, accounting for 2.8% of the total patients. The earthquake-related injuries mainly required surgical dressing and debridement. No severe limb fractures or traumatic brain injuries were found. Infection of the respiratory tract, the gastrointestinal tract, and the skin were the most common ailments, accounting for 42.3%, 18.5%, and 16.7%, respectively, of the total treated patients. CONCLUSION: Two to 3 weeks after the earthquake, the admitted pediatric patients mainly displayed respiratory and gastrointestinal infections. When developing a rescue plan and arranging medical resources, we should consider the necessity of treating non-disaster-related conditions. (Disaster Med Public Health Preparedness. 2016;page 1 of 4).

Occurrence, profiles, and ecological risks of polybrominated diphenyl ethers (PBDEs) in river sediments of Shanghai, China.

Fifty-two PBDE congeners in river sediments from Shanghai were analyzed in the present study. The concentrations of Σ51PBDEs (defined as the sum of 51 BDE congeners except BDE209) and BDE209 ranged from 0.231 to 119 ng g(-1) and from nd to 189 ng g(-1), respectively. The most abundant BDE congeners in surface sediments were BDE118, 207, 208, 99, 49, 75, 47, 71 and 209, with median values of 1.67, 1.81, 1.83, 1.87, 1.98, 2.52, 2.73, 4.62 and 45.7 ng g(-1) dw, respectively. The concentrations of Σ52PBDEs were significantly correlated with total organic carbon (TOC) content in sediments (p < 0.05). Weak correlations between all PBDE homologues and TOC (r < 0.32) suggest that TOC had a little influence on sediment PBDE transport and distribution patterns in river sediments of Shanghai. Correspondence analysis (CA) showed that PBDEs in sediments in the studied area originated from commercial BDE formulations, combustion emission sources, and debromination of highly brominated PBDEs by aerobic/anaerobic microbes or sunlight. Risk assessment based on risk quotients (RQ) showed that PBDEs in all river sediments collected from Shanghai posed a high potential ecological risk (RQ > 1) to the sediment dwelling organisms, and pentaBDE, decaBDE and tetraBDE were the major ecological risk drivers.

Polybrominated diphenyl ethers (PBDEs) in soil and outdoor dust from a multi-functional area of Shanghai: levels, compositional profiles and interrelationships.

In this study, 14 polybrominated diphenyl ethers (PBDEs) congeners were investigated in soil and outdoor dust taken from Jiading District, Shanghai City. The concentrations of Σ13PBDEs (BDE-17, BDE-28, BDE-47, BDE-66, BDE-71, BDE-85, BDE-99, BDE-100, BDE-138, BDE-153, BDE-154, BDE-183 and BDE-190) and BDE-209 ranged from 0.37 to 32.9ngg(-1) and 4.31 to 141.8ngg(-1) dry weight (dw) in soil. Concentrations in outdoor dust ranged from 1.03 to 112.5ngg(-1) and 6.71 to 342.1ngg(-1) (dw) for Σ13PBDEs and BDE-209. BDE-209 was the predominant congener both in soil and outdoor dust, but the BDE-209 contribution was much lower in dust compared with that in soil. A significant correlation between PBDEs congeners and specific land use type was observed, and principal component analysis (PCA) revealed that the major source of PBDE in samples was associated with prevalent use of technical Deca-BDE, which also suggested the contributions from Penta-BDE and Octa-BDE mixtures. Canonical correlation analysis suggested the two sets of PBDEs data (soil and outdoor dust) were uncorrelated, and Spearman correlation coefficient matrix implied that the degradation pathways of PBDEs were different between soil and outdoor dust.

Occurrence, sources and health risk assessment of polycyclic aromatic hydrocarbons in urban (Pudong) and suburban soils from Shanghai in China.

A comprehensive investigation was conducted to the urban (Pudong) and suburban soils in Shanghai. A total of 154 soil samples were analyzed for 26 PAHs including highly carcinogenic dibenzopyrenes (DBPs). The total concentrations ranged from 25.8 to 7380 µg kg(-1) for Σ26PAHs and 18.8 to 6320 µg kg(-1) for 16 USEPA priority PAHs (Σ16PAHs), respectively. The BaP toxic equivalent (BaPeq) concentrations were between 6.41 and 2880 µg kg(-1) for Σ24PAHs, 1.11 and 620 µg kg(-1) for Σ16PAHs and 2.72 and 2250 µg kg(-1) for Σ4DBPs. The high PAH contamination in green land soils might originate mainly from local road traffic and industrial activities, and sewage sludge application or waste water irrigation for soil. Seven sources of soil PAHs in Shanghai were identified by positive matrix factorization (PMF) model. The mean risk quotient (m-RQ) values indicated that there were medium to high ecological risks in 9.10% of soil samples, pyrene (Pyr), benzo[b]fluoranthene (BbF) and benz[a]anthracene (BaA) were the major ecological risk drivers under agricultural use. The cancer risk (CR) values were within the acceptable range at 35.7%, 35.1% and 31.2% of sampling sites for children, youths and adults, respectively. The total lifetime carcinogenic risk (TLCR) values at 57.8% of sampling sites were within the acceptable range. Overall, cancer risks of soil PAHs in all sampling sites in the studied area were below the highest acceptable risk, suggesting that soil PAHs are unlikely to pose a significant cancer risk for population based on ingestion, dermal contact and inhalation exposure pathways.

CCR7 expressing mesenchymal stem cells potently inhibit graft-versus-host disease by spoiling the fourth supplemental Billingham's tenet.

The clinical acute graft-versus-host disease (GvHD)-therapy of mesenchymal stem cells (MSCs) is not as satisfactory as expected. Secondary lymphoid organs (SLOs) are the major niches serve to initiate immune responses or induce tolerance. Our previous study showed that CCR7 guide murine MSC line C3H10T1/2 migrating to SLOs. In this study, CCR7 gene was engineered into murine MSCs by lentivirus transfection system (MSCs/CCR7). The immunomodulatory mechanism of MSCs/CCR7 was further investigated. Provoked by inflammatory cytokines, MSCs/CCR7 increased the secretion of nitric oxide and calmed down the T cell immune response in vitro. Immunofluorescent staining results showed that transfused MSCs/CCR7 can migrate to and relocate at the appropriate T cell-rich zones within SLOs in vivo. MSCs/CCR7 displayed enhanced effect in prolonging the survival and alleviating the clinical scores of the GvHD mice than normal MSCs. Owing to the critical relocation sites, MSCs/CCR7 co-infusion potently made the T cells in SLOs more naïve like, thus control T cells trafficking from SLOs to the target organs. Through spoiling the fourth supplemental Billingham's tenet, MSCs/CCR7 potently inhibited the development of GvHD. The study here provides a novel therapeutic strategy of MSCs/CCR7 infusion at a low dosage to give potent immunomodulatory effect for clinical immune disease therapy.

DNA-length-dependent fluorescent sensing based on energy transfer in self-assembled multilayers.

In this paper, a novel DNA-length-dependent fluorescent sensor was constructed based on the fluorescence resonance energy transfer. In the self-assembled multilayers (Quartz/GO/PDDA/Tx-DNA/PDDA/ZnO@CdS), ZnO@CdS and graphene oxide(GO) were employed as an energy donor and an energy acceptor, respectively. Single-stranded Tx-DNA (x represents different chain length of DNA) and poly(diallydimethylammonium) chloride (PDDA) were used as a linker. In the presence of complementary Px-DNA, the formation of double-stranded DNA leads to a change in chain length and achieves the purpose of changing the distance between ZnO@CdS and GO. Thereby, it enhances the efficiency of energy transfer between ZnO@CdS and GO resulting in the quench of fluorescence of ZnO@CdS, and thus different length DNA sequence was detected.

Short- and medium-chain chlorinated paraffins in urban soils of Shanghai: spatial distribution, homologue group patterns and ecological risk assessment.

Chlorinated paraffins (CPs) are toxic, bioaccumulative, persistent, and ubiquitously present in the environment. Data on the presence of short- and medium-chain chlorinated paraffins (SCCPs and MCCPs) in urban areas with dense population are still scarce to date. SCCPs and MCCPs were measured in urban soils from Shanghai to comprehensively investigate their levels, spatial distribution, homologue group patterns and ecological risk. The concentrations of CPs in soils varied from ND to 615 ng g(-1) with a median value of 15.7 ng g(-1) for SCCPs and from 1.95 to 188 ng g(-1) with a median value of 7.98 ng g(-1) for MCCPs, respectively. The concentrations of SCCPs in most soils were higher than those of MCCPs. The total CP concentrations in soil samples were between 4.10 and 625 ng g(-1) with a median value of 26.4 ng g(-1). For different functional zones, the median concentrations of soil CPs were found higher in green land including park, greenbelt and campus than those in roadside. The highest concentrations of CPs in soils could be derived from sewage sludge application and wastewater irrigation for green land. Three types of soils were classified by hierarchical cluster analysis (HCA) for SCCPs and MCCPs, the most abundant homologue groups in the bulk of the soil samples were C11Cl5-7 and C13Cl5-7 for SCCPs, and C14Cl7-8 and C15Cl7-8 for MCCPs. Correlation analysis and PCA suggested that SCCPs and MCCPs in soils in the studied area derived from different sources. The preliminary ecological risk assessment indicates that soil CPs at present levels poses no significant ecological risk for soil-dwelling organisms.

Plasma microRNA-320, microRNA-let-7e and microRNA-21 as novel potential biomarkers for the detection of retinoblastoma.

Retinoblastoma (RB) is a childhood malignancy caused by inactivation of the RB gene, with neuron-specific enolase (NSE) levels considered as its diagnostic marker. MicroRNAs (miRNAs) have been proven to play a significant role in multiple physiological and pathological processes and several miRNAs were identified as tumor biomarkers in recent studies. In the present study, 65 plasma samples were collected from RB patients and 65 samples from healthy individuals to serve as controls. The miRNA levels were measured via quantitative reverse transcription-polymerase chain reaction and their association with RB was assessed by statistical data analysis and receiver operating characteristic curves. Plasma miRNA (miR)-320, miR-let-7e and miR-21 levels were downregulated in the patient samples, the areas under the curves (AUCs) were 0.548-0.660, whereas the AUCs of combined classifiers were ≥0.990. The plasma miRNA levels, particularly of miR-320, were found to be of value in RB diagnosis and may be considered as novel diagnostic biomarkers.

[Level, composition and sources of medium-chain chlorinated paraffins in soils from Chongming Island].

In order to understand the contents, spatial distribution and sources of medium-chain chlorinated paraffins (MCCPs) in the soils from Chongming Island, the concentrations of MCCPs in 27 soil samples were analyzed by GC-ECNI-MS. The total concentrations of MCCP8 (sigma MCCPs) in all samples ranged from 2.56-96.3 ng x g(-1), with a median of 7.32 ng x g(-1). All soil samples were classified into two categories by cluster analysis. C14-MCCPs and C15-MCCPs, and Cl5-MCCPs and Cl6-MCCPs were the most predominant carbon and chlorine congener groups in most of the samples, accounting for 29.8% and 28.9%, and 29.9% and 23.3%, respectively. C14-MCCPs were the most predominant carbon congener groups in some samples, accounting for 68.5%, which was similar to that of CP-52. Atmospheric deposition and soil-air exchange were the major sources of MCCPs for soils in Chongming. Soils at a few sites were probably contaminated by sewage sludge from sewage treatment plants (STPs) or other unidentified source. No significant correlations were observed between MCCPs and TOC. The correlation analysis also showed significant correlation among the carbon congener groups of MCCPs, which suggested that MCCP congener groups might have been derived from similar sources. Compared to other studies at home and abraod, the MCCPs concentrations in the present study were at a lower level.

[Analysis on the safety of ophthalmic artery cannulation for intra-arterial chemotherapy in 42 patients with intraocular stage retinoblastoma].

OBJECTIVE: To investigate the safety of treatment with ophthalmic artery cannulation for intra-arterial chemotherapy (IAC) for children with intraocular retinoblastoma (RB). METHOD: In the RB Treatment Center of General Hospital of Armed Police Forces between January 2009 and September 2011, 42 patients who were diagnosed intraocular RB and treated with ophthalmic artery cannulation for IAC, 8 patients were treated 1 circle, 31 patients were treated 2 circles and 3 patients were treated 3 circles (total, 96 times). Each month had IAC once. The ophthalmic and the whole body evaluations were performed during IAC and after IAC for each circle, the blood cell count, alanine aminotransferase (ALT), serum creatinine (Scr), CK-MB content before and after IAC for 1 circle, 2 circles and 3 circles were determined. RESULT: (1) In 52 eyes of 42 patients, 44 eyes (84.6%) were in remission. (2) Successful IAC was achieved in all cases, no severe side effects occurred during IAC. (3) The main ophthalmic complications were eyelid edema and blepharoptosis after IAC, the incidence for 1 circle was 18% (2/11) and 9% (1/11); for 2 circles was 29% (11/38) and 21% (8/38); for 3 circles was all 100% (3/3). The rare complications were vitreous hemorrhage and heterotropia, the incidence was all 2% (1/42). The incidence of eyelid edema and blepharoptosis had no significant differences for 1 circle IAC compared with 2 circles (P > 0.05); the incidence of eyelid edema and blepharoptosis had significant differences for 3 circles IAC compared with 2 circles and 1 circle (P < 0.01). (4) No fever, septicemia and other systemic toxic effects occurred. (5) ALT of 19% patients (8/42) elevated temporarily and CK-MB of 24% patients (10/42) increased. The blood cell counts, ALT, Scr, and CK-MB content before IAC had no significant differences compared with that at 24 h after IAC for 1 circle, 2 circles and 3 circles (P > 0.05). CONCLUSION: Ophthalmic artery cannulation for IAC is a safe and effective method in treating intraocular stage retinoblastoma.

[Method of ecological risk assessment for risk pollutants under short-term and high dose exposure in water pollution accident].

In recent years, water pollution accidents resulting in acute aquatic ecological risk and security issues become a research focus. However, in our country, the surface water quality standards and drinking water health standards were used to determine the safety of waters or not in pollution incidents due to lacking safety effect threshold or risk value for protection of aquatic life. In foreign countries, although predicted no effect concentration (PNEC) or risk value (R) of pollutants were provided for protection of aquatic organisms, the PNECs or risk values were derived based on long-term exposure toxicity data NOECs (no observed effect concentrations) and lack of short-term exposure risk or threshold values. For the short-term and high dose exposure in pollution incident, ecological risk assessment methods were discussed according to the procedures of the conventional ecological risk assessment and the water quality criteria establishment of the U.S. EPA for the protection of aquatic organisms in short-term exposure, and had a case study. At the same time, we provide some suggestions for the establishment of ecological risk assessment system in water pollution incidents.