Spatial distribution, chemical fractionation and risk assessment of Cr in soil from a typical industry smelting site in Hunan Province, China.

The closure or relocation of many industrial enterprises has resulted in a significant number of abandoned polluted sites enriched in heavy metals to various degrees, causing a slew of environmental problems. Therefore, it is essential to conduct research on heavy metal contamination in the soil of industrial abandoned sites. In this study, soils at different depths were collected in a smelting site located in Hunan Province, China, to understand the Cr distribution, speciation and possible risks. The results revealed that the high-content Cr and Cr(VI) contamination centers were mainly concentrated near S1 (Sample site 1) and S5. The longitudinal migration law of chromium was relatively complex, not showing a simply uniform trend of decreasing gradually with depth but presenting a certain volatility. The vertical distribution characteristics of chromium and Cr(VI) pollution suggest the need for attention to the pollution from chromium slag in groundwater and deep soil layers. The results of different speciation of Cr extracted by the modified European Community Bureau of Reference (BCR) method showed that Cr existed primarily in the residual state (F4), with a relatively low content in the weak acid extraction state (F1). The correlation analysis indicated that Cr was affected by total Cr, pH, organic matter and total carbon during the longitudinal migration process. The RSP results revealed that the smelting site as a whole had a moderate level of pollution. Soil at depths of 2-5 m was more polluted than other soil layers. Consequently, it is necessary to treat the site soil as a whole, especially the subsoil layer (2-5 m). Health risk assessment demonstrated that the soil chromium pollution was hazardous to both adults and children, and the probability of carcinogenic and non-carcinogenic risk was relatively high in the latter group. As a result, children should be a group of special concern regarding the assessment and remediation of soil contaminated with Cr. This study can provide some insight into the contamination characteristics, ecological and health risks of chromium in contaminated soils and offer a scientific basis for the prevention and control of chromium pollution at abandoned smelting sites.

Spatial variability of arsenic fractionation in an abandoned arsenic-containing mine: Insights into soil particle sizes and quantitative mineralogical analysis.

Soil particle sizes and mineral phases play a major role in the migration of arsenic (As) in mine. In this study, soil As fractionation and mineralogical composition in different particle sizes soil at naturally mineralized and anthropogenically disturbed zones from an abandoned mine were comprehensively studied. The results showed that soil As contents in anthropogenically disturbed mining zone (MZ), processing zone (PZ), and smelting zone (SZ) were increased with decreasing of soil particle sizes. The contents of As in the fine soil particles (0.45-2 µm) reached to 850-4800 mg·kg-1, which mainly existed at readily soluble, specifically sorbed, and Al-oxide fractions, and contributed to 25.9-62.6 % of the total As contents in soil. Conversely, soil As contents in naturally mineralized zone (NZ) were decreased with decreasing of soil particle sizes and As was mainly accumulated in the coarse fraction of soil (0.075-2 mm). Despite the speciation of As in 0.075-2 mm soil mainly existed as residual fraction, the content of non-residual As fraction reached up to 1636 mg·kg-1, indicating a high potential risk of As in naturally mineralized soil. The utilization of scanning electron microscopy, fourier transform infrared spectroscopy combined with mineral liberation analyzer revealed that soil As in NZ and PZ was mainly retained by iron (hydrogen)oxide, while whereas the dominant host minerals for soil As in MZ and SZ were the surrounding rocks of calcite and the iron-rich silicate mineral biotite. Notably, both of the calcite and biotite exhibited high mineral liberation, which was partly contributed to a significant portion of mobile As fraction in MZ and SZ soil. The results suggested that the potential risks of soil As from SZ and MZ at abandoned mine, particularly in the fine soil particles, should be a prior concern.

Analysis of ecological quality changes and influencing factors in Xiangjiang River Basin.

The Xiangjiang River Basin is an important part of the Yangtze River Basin and an important area in Hunan Province. Thus, taking steps to protect the ecological sustainability of the Xiangjiang River Basin, such as the construction of the protection of ecological security in Hunan Province and the Yangtze River Protection Law, is important for national projects However, research on the ecological quality of the Xiangjiang River Basin is mostly biased toward the evaluation of ecosystem services or an individual ecological index. Furthermore, a long-term evaluation of multiple indicators is lacking. Therefore, based on Google Earth Engine and geographic detectors, the remote sensing ecological index was used to evaluate this area. The year-by-year research on the Xiangjiang River Basin from 2001 to 2020 clarified its past ecological quality change trend, explored the reasons for the ecological quality change, and provided a basis for protecting its ecological quality. The following results are presented. (1) Regarding spatial distribution, areas with poor ecological environments are mainly distributed at the centers of Chang-Zhu-Tan, Hengyang, and various districts and counties. (2) Regarding the time variation, the ecological quality of the Xiangjiang River Basin from 2001 to 2020 showed a slight downward trend, with a downward slope of approximately - 0.0000357143; a rapid increase, with a growth rate of approximately 0.00395; And an overall improvement over 20 years. The areas with declining ecological quality are mainly located in the Chang-Zhu-Tan urban agglomeration, the city center of Hengyang, and the county centers of various county towns. (3) The factor detection results show that human factors play a key role in population density and land use, with average q values of 0.429 and 0.353, respectively. Among natural factors, elevation and slope play a key role, with average q values of 0.230 and 0.351, respectively; hence, Land use directly affect on the ecological quality in a location. These findings will provide important information for managers to formulate ecological restoration measures for the Xiangjiang River.

Akkermansia muciniphila ameliorates depressive disorders in a murine alcohol-LPS (mALPS) model.

Depression is the most common mental disorder in the world. Recently, an increasing number of studies have reported alcohol-related depression. However, there is no simple, efficient, and time-saving alcohol-related depression animal model yet. Based on the fact that people with alcohol addiction often have impaired gastrointestinal (GI) tract health like dysbiosis, which serves as a primary factor to augment lipopolysaccharides (LPS), we first developed a murine alcohol-LPS model (mALPS), with oral gavage of LPS in acute alcohol treated mice, and successfully observed depression-like symptoms. We found that acute alcohol treatment damaged the intestinal barrier and caused dysbiosis, which further increased the translocation of LPS and neuroinflammatory responses (TNF-α and IL-1ß) and led to abnormal expression of the depression-related genes, i.e. BDND and IDO, reduced the levels of 5-HT and caused depressive behaviors in mice. Probiotic intervention could improve depressive symptoms without notable adverse effects. Akkermansia muciniphila (AKK), one of the next-generation probiotics, has been widely used for the restoration of the intestinal barrier and reduction of inflammation. Here, we found that AKK significantly ameliorated alcohol-related depressive behaviors in a mALPS model, through enhancing the intestinal barrier and maintaining the homeostasis of the gut microbiota. Furthermore, AKK reduced serum LPS, ameliorated neuroinflammation (TNF-α and IL-1ß), normalized the expression of depression-related genes and increased the 5-HT levels in the hippocampus. Our study suggests that AKK supplements will be a promising therapeutic regime for alcohol-associated depression in the future.

Pollution characteristics and environmental availability of toxic elements in soil from an abandoned arsenic-containing mine.

Understanding the pollution characteristics and assessing the ecological risk of toxic metals in mine soil are crucial to controlling and managing risks in abandoned mine areas. In this study, the profile soil pollution characteristics and modified ecological risk of As, Cd, Hg, Pb, Sb, and Tl for both the different mining functional areas and the downstream impacted areas at a large-scale abandoned arsenic-containing mine were studied. Results showed that both the profile soils at the mining functional areas and the surface layer in downstream sites are heavily polluted by As, Cd, Hg, Sb, and Tl. As, Hg, Sb, and Tl mainly accumulated on soils with a depth of 0-1.5 m. In contrast, these metals in the mining site were gradually increased with soil depth above the bedrock strata. Cd and Pb were mainly concentrated at depth of 2.5-3.5 m in the smelting with by-product processing site. The speciation of metals in the profile soils mainly occurred in residual fraction. However, high levels of potential mobile As and Sb were found in mining soils and smelting surface soils, as well as Tl in deep soils at mining functional sites and top soils at downstream sites, with their mean contents in these areas arrived to 2950 mg kg-1, 9.64 mg kg-1, and 0.98 mg kg-1, respectively. In addition, the modified ecological risk assessment (NIRIm) values revealed a substantial ecological risk of As, Cd, Hg, and Sb in both the entire profile soils at the mining, smelting sites and topsoil (0-1.5 m) at the adjacent downstream site. In summary, the pollution characteristics and potential ecological risk of toxic metals in profile soils from the different functional sites at arsenic-containing mine were significantly different and suitable control strategies for available toxic elements should be adopted in the different functional sites of mine.

Pollution characteristics and source identification of soil metal(loid)s at an abandoned arsenic-containing mine, China.

Mining activities can result in serious contamination of soil by heavy metal(loid)s. In this study, the sources and spatial distribution of metal(loid)s, and the risks to public health from these metal(loid)s at an abandoned arsenic mine site were explored. The mean concentrations of arsenic (As), cadmium (Cd), mercury (Hg), manganese (Mn), lead (Pb), antimony (Sb), strontium (Sr), and thallium (Tl) in the soil in the mining area were higher than the mean background values. The main pollutants from the mining activities were As, Hg, and Sb. Five pollutant sources were identified using an approach that combined statistical methods, a positive matrix factorization model, and historical information analysis. As, Hg, Sb, and Tl were associated with the mining resources and related activities (37.29%); Mn (15.57%) and Sr (15.96%) were mainly from crustal origin and pedogenesis, respectively; Pb, Sb, and Tl were mainly from industrial sources (17.57%), and Cd was mainly from the production and application of phosphorous fertilizer (13.60%). Using incremental spatial autocorrelation crystallized that As, Hg, and Sb were mainly contained within 500 m of their source. There were formed existing non-carcinogenic hazards and carcinogenic risks from As, and potential carcinogenic risks from Cd, in the soil for those living locally.

A novel three-dimensional printed vacuum bell for pectus excavatum treatment: a preliminary study.

OBJECTIVE: Conservative treatment with a vacuum bell (VB) for pectus excavatum (PE) has now been gradually popularized as an alternative to surgery. We describe our initial experience with a novel three dimensional (3D) printed VB device. METHODS: Prospectively collected data of all patients who started using a 3D printed VB in 2018 at our institution were analyzed. Linear and logistic regressions were used to identify factors associated with effectiveness of device usage. RESULTS: In total, forty-two patients with a median age of 3.6 years were treated with the device. The median follow-up duration was 11.1 months and the mean initial Depth Ratio (DR) was 0.129. There were no permanent sequelae from side effects. Thirty patients with at least one follow-up body scan data showed varying improvement (z = - 4.569, p = 0.0000). Linear regression suggested that longer usage improved outcomes (R2 = 0.235, p = 0.014). By logistic regression there was a trend of younger ages and less initial DR for better improvement though neither was statistically significant (p = 0.086, 0.078, respectively). CONCLUSION: Our initial experience has shown the 3D printed VB may be as effective as other conventional VBs and could be used as an alternative to surgical treatment for selected patients with PE. More experience and studies with this type of VB are needed to demonstrate its superiority with regard to the 3D printing design and optimal timing and indication for use.

Detecting kinsenoside from Anoectochilus roxburghii by HPLC-ELSD with dual columns of NH2 and AQ-C18.

INTRODUCTION: Kinsenoside is a characteristic component of Anoectochilus roxburghii and accounts for this herb's medicinal and edible values. No international certified standard method is available for kinsenoside analysis as well as extraction and preservation. OBJECTIVE: To develop a more accurate analytical method of kinsenoside. The effects of extraction and drying methods of A. roxburghii on kinsenoside efficiency were investigated for the first time, as well as to examine the kinsenoside stability. MATERIAL AND METHODS: The amino (NH2 ) and AQ-C18 columns for detecting kinsenoside extract was systematically compared by high-performance liquid chromatography evaporative light-scattering detector (HPLC-ELSD) and HPLC-diode-array detector (DAD), respectively. Kinsenoside, its epimer goodyeroside A and the degradation product during preservation were identified through HPLC-electrospray ionization mass spectrometry (ESI-MS). RESULTS: An accurate method of kinsenoside detection by HPLC-ELSD with dual columns of NH2 and AQ-C18 was established. The ratio of Cgoodyeroside A to Ckinsenoside (Y) was determined using the AQ-C18 column method. The concentration detected by the NH2 column was multiplied by 1/(1 + Y) as the corrected result. Using this novel method, the average deviations were reduced by 7.64%. Moreover, the efficiency of kinsenoside extraction with water was almost twice that of extraction with ethanol. Freeze drying also led to a higher extraction efficiency (38.47% increase) than hot-air drying did. Furthermore, the degradation of kinsenoside extract exceeded 70% when stored at 37 °C for 3 months. CONCLUSION: This study provides a reliable experimental method and theoretical basis for the quality control of kinsenoside from A. roxburghii, as well as other glycosides.

An Auxiliary Subxiphoid Incision in Nuss Procedure for the Treatment of Complex Pectus Excavatum.

An auxiliary subxiphoid incision was utilised to facilitate pectus bar placement and minimise operative risks in complex pectus excavatum. A series of 33 patients with recurrent or severe pectus excavatum underwent Nuss procedure with this incision from March 2013 to March 2016. The median age of the cohort was 6.9 years (9 females vs. 24 males). The mean Haller index was 5.22. There were 12 redo cases and 18 cases with a Haller index >6. Four cases underwent double bar correction. There was no perioperative death or major complication. Twenty-one cases had already the bars removed when this study was initiated. During follow-up (6-30 months), three cases presented with mild depression of lateral chest wall; while in the rest, the shapes of the chest wall remained satisfactory. The application of the auxiliary subxiphoid incision in Nuss procedure can make it safer in recurrent and severe pectus excavatum with favourable postoperative cosmetic effects.

The consistency of an optical body surface scanning method compared with computed tomography: a validation study.

OBJECTIVE: The ideal noninvasive method for evaluation of pectus excavatum remains to be defined. We sought to verify the accuracy of an optical body surface scanning method compared with conventional CT scan. MATERIALS AND METHODS: A PrimeSense 3D sensor was used to obtain data from patients undergoing surgical or noninvasive treatment for pectus excavatum. The Haller index, external Haller index, and depth ratio were then calculated from both body scan and computed tomography scan data for the same patients. Statistical analyses were carried out to find if there is consistency between data from body scanning and computed tomography. RESULTS: Data acquisition was complete. In total, 40 patients (median age: 5.03 years, 11 female) with pectus excavatum undergoing nonoperative (n = 13) or surgical Nuss treatment (n = 27) were included. The Haller index was lower in vacuum bell patients, which also had a higher female proportion. Pearson correlation coefficient between external Haller indices from body scanning and from computed tomography and between the depth ratios from body scanning and from computed tomography were 0.63 and 0.84, respectively. By intraclass correlation coefficient method, the correlation coefficient was 0.56 between external Haller indices from body scanning and from computed tomography and 0.80 between depth ratios from body scanning and from computed tomography. CONCLUSION: The optical body surface scanning is a reliable approach to the measurement of PE severity and could be routinely used in the monitoring of PE development of treatment, especially in the pediatric population. STUDY TYPE: Diagnostic test. LEVEL OF EVIDENCE: Level II.

Sewing needles in the lungs of children: Two case reports.

RATIONALE: Foreign bodies are common in children. However, it is uncommon to have a "sewing needle" penetrating the body percutaneously rather than via a natural orifice. Such cases have been reported from across the world, with needles being found in regions such as the cranium, abdomen, limbs, neck, scrotum, and buttocks. Few cases with a needle inserted in the lung have been reported. PATIENT CONCERNS: We present 2 cases where the needles were found in the chest wall/lung because of suspected child abuse. In the first case, foreign bodies were present in the chest wall and the lung. In the other case, the pointed end was oriented towards, and was very close to, the great arteries. DIAGNOSES: Both cases were diagnosed incidentally when chest X-ray was being performed for other reasons. INTERVENTIONS: Surgery was indicated for both cases, and the needles were excised uneventfully. OUTCOMES: The postoperative course in both cases was uneventful. LESSONS: It is worth noting that in both cases, neither the guardians nor the victims themselves could tell when and how the needles got lodged in the lungs. Collective information suggested that these 2 cases probably involved child abuse. Child abuse in China has long been underestimated and underrecognized. There is still much left to do to tackle this important issue, especially in rural areas.

[Simultaneous surgical treatment for pectus excavatum combined with congenital cardiothoracic diseases].

OBJECTIVE: To study the methods and principles for simultaneous treatment in the children with pectus excavatum (PE) combined with congenital cardiothoracic diseases.
 Methods: The medical records of all children, who underwent simultaneous repair of PE combined with congenital cardiothoracic diseases, were retrospectively reviewed in Hunan Children's Hospital from January 2007 to September 2018. The patients were divided into a PE combined with congenital heart disease (CHD) group (n=17) and a PE combined with thoracic disease group (n=10). The repair with a custom-made sternal lifting device, a Nuss repair, were performed in the treatment of PE, and the correction of the CHD was performed by heart open surgery using cardiopulmonary bypass (through sternotomy or right infra-axillary thoracotomy) or by transcatheter closure under echocardiography or X-ray-guided percutaneous intervention in the PE combined with CHD group. The children in the PE combined with thoracic disease group underwent thoracic surgery plus Nuss procedure concurrently.
 Results: All 27 pediatric patients underwent simultaneous repair of the PE combined with congenital cardiothoracic diseases. In the PE combined with CHD group, the duration of hospital stay ranged from 8.0 to 25.0 (13.2±4.8) days. Two patients had delayed healing of the surgical wound and 1 patient developed a small left pleural effusion postoperatively. In the PE combined with thoracic disease group, the duration of hospital stay ranged from 10.0 to 34.0 (19.9±7.5) days. One patient was complicated with chylothorax and 2 patients were complicated with pleural effusionin. The treatment for the patients in the 2 groups was satisfactory. No severe complications like surgical death, severe bleeding, chest organ injuries, and implant rejections were observed.
 Conclusion: According to the characteristics of patients, individualized programs should be selected in order to correct children's PE combined with congenital cardiothoracic diseases in the same period, which are safe, effective and can avoid the risk of multiple operations and anesthesia, and can reduce the financial burden of family.

Hybrid repair of pectus excavatum and congenital heart disease: A case report.

RATIONALE: Pectus excavatum (PE) in the setting of congenital heart disease is not uncommon. The surgical strategy has evolved over the last 20 years from a staged approach to simultaneous repair of both defects. PATIENT CONCERNS: A 3-year-old boy was admitted for elective repair of PE and atrial septal defect (ASD). DIAGNOSES: Clinically, there were obvious features of PE and a grade 2 systolic murmur heard loudest at the 2nd intercostal space abutting the left sternal border. Echocardiography confirmed the presence of a secundum-type ASD. Following discussions with the family, consent was obtained and the patient underwent concomitant surgery for both defects. The ASD was first device-closed under the guidance of transesophageal echocardiography (TEE) and then a standard Nuss procedure was performed with an 8-inch bar. OUTCOMES: Postoperative echocardiography confirmed a satisfactory device closure of the ASD. The repair of PE was considered satisfactory on physical examination and with chest radiography. The postoperative course was uneventful except for atelectasis of the right upper lobe. The patient was discharged 10 days postoperatively. LESSONS: This case suggests that in carefully selected cases with concomitant PE and ASD, a combination of Nuss procedure and TEE-guided transcatheter device closure can be safely performed with less physical and no radiation trauma and theoretically better aesthetic effects and surgical outcome.