Influence of double-layer filling structure on nitrogen removal and internal microbial distribution in bioretention cells.

The nitrogen removal effect of traditional bioretention cells on runoff rainwater is not stable. The nitrogen removal effect of bioretention cells can be improved by setting up a layered filling structure, but the effect of changes in filling structure on the nitrogen removal process and microbial community characteristics is still unclear. Two types of porosity fillers were set up in the experiment, and a homogeneous bioretention cell and three bioretention cells with layered fillers were constructed by changing the depth range of the upper and lower layers to analyze the influence of the pore variation of different depth fillers on the nitrogen removal process and microbial community characteristics. The experimental results showed that, compared with the homogeneous filing structure, the layered filling structure can strengthen the adsorption of NH4+-N and the conversion of NO3--N, so as to increase the removal rates of NH4+-N and NO3--N by 20.71-81.56% and 9.25%-78.19%, respectively. Although the low porosity filler structure will reduce the nitrification activity and urease activity by 48.63%-66.68% and 8.00%-20.64% respectively, it can increase the denitrification activity by 19.14%-31.92%, thus significantly reducing the nitrate content in the filler. The low porosity filler structure can affect the growth and reproduction of various phylum bacteria such as Proteobacteria, Chloroflexi, Acidobacteria, and genus bacteria such as Nitrospira, Ellin6067, Rhizobacter, Pseudomonas, which can improve the diversity and richness of microorganisms.

Effects of freeze-thaw cycles on nutrient removal from bioretention cells.

There have been numerous summaries of the runoff purification characteristics of bioretention cells in warm climates. However, little has been done on the effects of freeze-thaw cycles (FTCs) that frequently occur in cold regions on bioretention cell performance. Three experimental columns were constructed to simulate the operation of the bioretention cell under the FTCs. The effects of FTCs on the nutrient removal efficiency of different filling bioretention cells were analyzed. The results showed that the ammonia nitrogen (NH4+-N) concentration in the effluent of the wood chip bioretention cell under the T3 conditions (WBCF) (2.35 mg/L) was significantly higher than that of the wood chip bioretention cell operating at room temperature (WBCR) (0.62 mg/L). The effluent NH4+-N concentration of aluminum sludge bioretention cell (ABCF) (0.096 mg/L) under the FTCs was lower than that of WBCF (0.91 mg/L). Under the T3 condition, the effluent nitrate nitrogen (NO3--N) and total nitrogen (TN) concentrations of WBCF (5.33 mg/L and 8.86 mg/L) were higher than those of WBCR (5 mg/L and 6.11 mg/L) at room temperature. Under FTCs conditions, both WBCF and ABCF had high NO3--N removal efficiency (up to 85.87% and 24.75%) at the initial stage of thawing of the filler, and the efficiency gradually decreased with the thawing of the filler. With the increase of FTCs, the NO3--N removal efficiency of WBCF gradually decreased (always higher than 13.6%), while the removal efficiency of ABCF fluctuated wildly (the removal efficiency was primarily negative). The total phosphorus (TP) concentration in the effluent of WBCF (0.11 mg/L) under the T3 conditions was lower than that of WBCR (0.02 mg/L) at room temperature, and the TP concentration of ABCF (0.021 mg/L) in the effluent under the FTCs was slightly lower than that of WBCF (0.031 mg/L). The FTCs have a more significant impact on removing nitrogen pollutants in runoff, but have little effect on phosphorus. Compared with aluminum sludge, wood chips are more suitable for efficient removal of nitrogen pollutants in runoff under the FTCs. The experimental conclusions can provide a reference for the construction of bioretention cells in cold regions.

Religion, Psychological Strain, and Suicidality in China: A Preliminary Study.

BACKGROUND: There is a lack of religiosity studies in China especially in relation to mental health and suicidality. In this research, we focus our studies on medical workers of which some studies reported to have higher stress, and to pilot our studies in this adult age-group. DATA AND METHODOLOGY: Data were obtained by a questionnaire survey in a large public hospital in a big metropolitan city of China. The final sample consisted of 1012 respondents with 237 (23.4%) being male and 775 (76.6%) being female. The respondents were of three groups: (1) Believers (n = 34; 3.5%); (2) Non-Believers or Atheists (n = 547; 55.8%); and (3) Agnostics or Fence-Sitters (n = 400; 40.8%). Suicidality was measured by the NCS-Suicidality Scale, and standard measures were employed for other major variables. FINDINGS: In line with other recent studies in China, the religion rate among the urban adults remained low (3.5%). However, about 40.8% of the respondents chose "don't know" and could be fence-sitters on the issue of religious belief. Many of them are involved in various folk beliefs which may not be considered as religious. The religious believers were at higher risk of suicidality and depression than the atheists and the fence-sitters. However, the fence-sitters were higher than the believers and atheists on psychological strains, and they were higher on depression compared to the atheists. CONCLUSION: The religious believers and religious fence-sitters have higher psychopathologic risks and suicidal risk than the atheist group. Religion as of low prevalence in Chinese societies is a social value deviant from the norm and its practitioners are likely to be marginalized or stigmatized. The Strain Theory of Suicide is used for detailed explanations.

Social support moderates suicidal ideation among Chinese nursing home residents with limited activities of daily living and loneliness.

Rare studies are available exploring the impact of limited activities of daily living (ADL), loneliness on suicidal ideation, and protective effect of social support on their relationships in nursing home residents. This study aims to examine these links in a sample of older adults from nursing homes. A stratified random sampling was adopted to recruit 538 respondents from 37 nursing homes in Jinan. Suicidal ideation, limited ADL, social support and loneliness were assessed through instruments of Beck Suicidal Ideation Scale, ADL scale, Perceived Social Support Scale and UCLA Loneliness Scale. Relationships of latent variables were tested using Path Analysis in this cross-sectional study. The mediating effect of loneliness was significant on the association between limited ADL and suicidal ideation, and the mediation model was multiply moderated by social support with significant coefficients and acceptable model fitness. This study demonstrated the multiple moderating role of social support in the effect of limited ADL and loneliness on suicidal ideation among nursing home residents. More efforts are suggested in providing more available external resources to seniors' mental health for reducing risk of influencing factors of suicidal ideation.

Study of influential factors of provincial health expenditure -analysis of panel data after the 2009 healthcare reform in China.

BACKGROUND: Total Healthcare Expenditure (THE) has increased substantially in all countries. Since the health system reform and health policy environment differ from each country, it is necessary to analyze the motivations of THE in a specific country. METHODS: The objective of this study was to analyze the influential factors of Provincial THE (PTHE) per capita in China by using spatiotemporal panel data across 31 provinces (including provinces, autonomous regions, and municipalities, all called provinces in here) from 2009 to 2016 at the provincial and annual level. Generalized Estimating Equation (GEE) was used to identify the influential factors of PTHE per capita. RESULTS: The number of beds per 10,000 population explained most of the variation of PTHE per capita. The results also showed that health expenditure in China reacts more to mortality compared with the Gross Domestic Product (GDP) per capita. But mortality and Out-Of-Pocket Payments (OOP) as a percentage of THE were associated with PTHE per capita negatively. The rate of infectious diseases and THE as a percentage of GDP had no statistical significance. And the Proportion of the Population Aged 65 and Over (POP65) impact PTHE per capita positively. But the coefficient was small. CONCLUSIONS: In response to these findings, we conclude that the impact of the increasing percentage of OOP in THE diminishes the PTHE. Furthermore, we find that both the "baseline" health level and health provision are positively correlated with PTHE, which outweighs the effect of GDP.

The Role of Depressive Symptoms in Suicide Attempt in Rural China.

Depression is a well-established predictor of suicidal behaviors, yet its effects among Chinese rural suicide attempters are understudied. In this study, we examined the role of depressive symptoms with other common risk factors, such as impulsivity, among medically serious suicide attempters. A case-controlled study was conducted in 13 rural counties in China. Medically serious suicide attempters (n = 791) and 791 nonsuicidal controls matched for sex and age range (±3 years) in the same location were recruited and interviewed to obtain information with regard to demographics, depressive symptom severity, and psychological strain measures. Both depressive symptoms, assessed with the Center for Epidemiological Studies Depression Scale, and psychological strains predicted suicide attempt risk, and psychological strains significantly predicted depressive symptoms. Depressive symptoms fully mediated the relations between value strain, deprivation strain, and suicide attempt risk, and partially mediated the associations among aspiration strain, coping strain, and suicide attempt risk. The reduction of psychological strains may help decrease both depression and suicidal behaviors.

Speciation, Distribution and Risk Assessment of Metals in Sediments from a Water Body Replenished by Effluent from a Wastewater Treatment Plant.

To assess the status and risk of metal pollution in landscape water body replenished by wastewater treatment plant effluent, the distribution of metals in sediments from three regions [regulation pond (RP), wetland lake (WL), and main lake (ML)] of Harbor Lake, Tianjin, China, was characterized. Higher levels of all metals (except Cr and Pb) were observed in RP sediments. As, Cr, Cu, Ni, Pb, and Zn were mainly bound to organic matter and sulfide (F3) and residual fractions (F4), while the exchangeable and carbonate fraction (F1) and Fe/Mn oxide fraction (F2) were the dominant forms for Cd. Additionally, finding showed that the overall risk of sediments in aquatic systems was affected by both metal toxicity and metal fractionation. Thus, according to a modified risk assessment code (RAC), the potential adverse effect of metals in sediments was medium (although As, Cd, Ni, and Zn had high mobility risks based on the RAC), decreasing in the order RP > WL > ML.

The Impact of Negative Life Events on Attempted Suicide in Rural China.

This study aims to explore the impact of negative life events (NLEs) on attempted suicide in a Chinese cultural setting. The sample comprised 791 suicide attempters and an equal number of controls matched on age, sex, and location from selected rural counties in China. Conditional logistic regression model was used to examine the association between NLEs and suicide risk. The impact of NLEs on attempted suicide was further examined using regression-based method to explore its mediation effect. The types of NLEs that were most likely to precede a suicide attempt in rural sample included the events in marriage/love, family/home, and friend/relationship. Rural women were more likely to experience more interpersonal conflicts than rural men. Approximately 75.6% of suicide attempters had experienced at least one NLE, and NLEs were strongly associated with attempted suicide. Total effect (0.676), direct effect (0.501), and the total indirect effect (0.301) of NLEs on suicide attempts were significantly mediated by hopelessness and depression. NLEs play a crucial role in predicting suicidal attempt in rural China, and they are mediated by depression and hopelessness.

Construction of a Dose-Illness Relationship via Modeling Morbidity and Application to Risk Assessment of Wastewater Reuse.

A disease burden (DB) evaluation for environmental pathogens is generally performed using disability-adjusted life years with the aim of providing a quantitative assessment of the health hazard caused by pathogens. A critical step in the preparation for this evaluation is the estimation of morbidity between exposure and disease occurrence. In this study, the method of a traditional dose-response analysis was first reviewed, and then a combination of the theoretical basis of a "single-hit" and an "infection-illness" model was performed by incorporating two critical factors: the "infective coefficient" and "infection duration." This allowed a dose-morbidity model to be built for direct use in DB calculations. In addition, human experimental data for typical intestinal pathogens were obtained for model validation, and the results indicated that the model was well fitted and could be further used for morbidity estimation. On this basis, a real case of a water reuse project was selected for model application, and the morbidity as well as the DB caused by intestinal pathogens during water reuse was evaluated. The results show that the DB attributed to Enteroviruses was significant, while that for enteric bacteria was negligible. Therefore, water treatment technology should be further improved to reduce the exposure risk of Enteroviruses. Since road flushing was identified as the major exposure route, human contact with reclaimed water through this pathway should be limited. The methodology proposed for model construction not only makes up for missing data of morbidity during risk evaluation, but is also necessary to quantify the maximum possible DB.

Who are likely to attempt suicide again? A comparative study between the first and multiple timers.

BACKGROUND: Various explanations account for suicide incidents, and some patients continue to attempt afterwards and others never again. The suicide mortality rate increases with the number of serious attempts. The prevention of secondary attempt of suicide should be an important approach to reduce suicide mortality. However, the characteristics of the targeted population of repeated suicide attempters are understudied. METHODS: This was a cross-sectional data collection from hospital emergency room from patients who had either attempted suicide for the first time (n=721) or for two or more times (n=70). The subjects were between 14 and 53years old and comprised 293 males and 498 females. In-depth interview was conducted for each suicide attempter with a semi-structural protocol. Demographic and social-psychological characteristics were compared between the two groups of suicide attempters. Logistic regression was used to identify independent predictors of multiple attempts. FINDINGS: The two groups only differed in religion factor among demographic characteristics and multiple suicide attempters group have a higher percentage of subjects who reported to have a religion affiliation than first time suicide attempters. Multiple attempters were more likely to have family suicide history, physical illness, mental disorder, higher scores on Beck Hopelessness Scale (BHS) and Suicide Intent Scale (SIS) and lower scores on Duke Social Support Scale (DSSI). In the final regression model, family history of suicide, mental disorder, hopelessness and social support emerged as significant predictors of multiple suicide attempts. CONCLUSION: Suicide attempters that have mental disorder, family history of suicide, higher level of hopelessness and lower level of social support are more likely to re-attempt suicide again. Social and clinical interventions may have to also focus on this sub-group of patients with these characteristics to effectively reduce suicide mortality rate.

Life satisfaction and degree of suicide intent: A test of the strain theory of suicide.

BACKGROUND: Various factors contribute to suicide. Psychological strains are hypothesized to precede suicidal thought and attempt. Life satisfaction can be a measure of relative deprivation strain and aspiration-reality strain. AIMS: This study was to compare the suicide attempters with various levels of life satisfaction and find out how life satisfaction affects the degree of suicide intent among medically serious suicide attempters. METHODS: Subjects for study were recruited in some rural counties in China. Interview data were from hospital emergency rooms with medically serious attempters of suicide (n=791). The subjects were aged between 15 and 54years and 293 males and 498 females. Face to face interview was conducted for each suicide attempter with a semi-structural protocol including life satisfaction, physical health, demographic, sociological, and psychological measures, as well as psychological strains. FINDINGS: The multiple linear regression analysis showed that mental disorder, aspiration strain and relative deprivation strain were significant risk factors for high intent of suicide among suicide attempters. The interaction between the two psychological strains also indicated that both failed aspiration and self-perceived low economic status in village play an important role in suicidal intent. CONCLUSION: Low level of life satisfaction is associated with strong intent for suicide. Lack of life satisfaction is exemplified by relative deprivation perceived by the individuals and the discrepancy between an individual's aspiration for life and his/her reality. The findings from the suicide attempt data in rural China support the Strain Theory of Suicide.

Municipal sludge characteristic changes under different aerating condition in a deep-shaft aeration system.

A pilot-scale municipal sewage sludge deep-shaft aeration system was implemented in Lanzhou, Gansu Province of China. The reactor depth was 60 m with a diameter of 1.0 m and the sludge to be treated came from a wastewater plant in Lanzhou. In order to obtain the optimum operation conditions, analysis was conducted on the transformations of the volatile suspended solids (VSS), temperature, pH, oxidation-reduction potential (ORP) and pathogens in the deep-shaft reactor under different aeration conditions. Attention was paid to how operating conditions affected the removal efficiency of the VSS and the reaction temperature. As a result, higher volatile solids removal was gained at higher temperature, and the temperature could reach 50.8°C for a complete inactivation of bacteria in the first reaction zone when the deep-shaft aeration system was run for about 18 days. The sludge aeration rate was observed as 1.5 to 1.8 L/(h·L sludge) which enabled the volatile solids removal rate to reach 40.1%. The degradation of VSS occurred under a micro-oxygen environment, and the lowest ORP was found to be -256 mV in the digestive process. Not only aerobic bacteria but also anaerobic and facultative bacteria performed their functions in the reactor.

Enhancing tomato fruit antioxidant potential through hydrogen nanobubble irrigation.

Eating fruits and vegetables loaded with natural antioxidants can boost human health considerably and help fight off diseases linked to oxidative stress. Hydrogen has unique antioxidant effects. However, its low-solubility and fast-diffusion has limited its applications in agriculture. Integration of hydrogen with nanobubble technology could address such problems. However, the physiological adaptation and response mechanism of crops to hydrogen nanobubbles is still poorly understood. Antioxidant concentrations of lycopene, ascorbic acid, flavonoids, and resveratrol in hydrogen nanobubble water drip-irrigated tomato fruits increased by 16.3-264.8% and 2.2-19.8%, respectively, compared to underground water and oxygen nanobubble water. Transcriptomic and metabolomic analyses were combined to investigate the regulatory mechanisms that differed from the controls. Comprehensive multi-omics analysis revealed differences in the abundances of genes responsible for hormonal control, hydrogenase genes, and necessary synthetic metabolites of antioxidants, which helped to clarify the observed improvements in antioxidants. This is the first case of hydrogen nanobubble water irrigation increasing numerous natural antioxidant parts in fruits. Considering the characteristics of hydrogen and the application of the nanobubble technology in agriculture, the findings of the present study could facilitate the understanding of the potential effects of hydrogen on biological processes and the mechanisms of action on plant growth and development.

Unlocking osmotic energy harvesting potential in challenging real-world hypersaline environments through vermiculite-based hetero-nanochannels.

Nanochannel membranes have demonstrated remarkable potential for osmotic energy harvesting; however, their efficiency in practical high-salinity systems is hindered by reduced ion selectivity. Here, we propose a dual-separation transport strategy by constructing a two-dimensional (2D) vermiculite (VMT)-based heterogeneous nanofluidic system via an eco-friendly and scalable method. The cations are initially separated and enriched in micropores of substrates during the transmembrane diffusion, followed by secondary precise sieving in ultra-thin VMT laminates with high ion flux. Resultantly, our nanofluidic system demonstrates efficient osmotic energy harvesting performance, especially in hypersaline environment. Notably, we achieve a maximum power density of 33.76 W m-2, a 6.2-fold improvement with a ten-fold increase in salinity gradient, surpassing state-of-the-art nanochannel membranes under challenging conditions. Additionally, we confirm practical hypersaline osmotic power generation using various natural salt-lake brines, achieving a power density of 25.9 W m-2. This work triggers the hopes for practical blue energy conversion using advanced nanoarchitecture.

Nitrogen transfer and transformation in bioretention cells under low temperature conditions.

The nitrogen removal effect of traditional bioretention cells is generally poor under low temperature conditions, with significant levels of fluctuation and leaching often reported. Therefore, the migration characteristics of nitrogen were explored in bioretention cells under low temperature conditions, with the aim of improving the nitrogen removal effect. Four groups of modified collapsible loess bioretention cells were constructed and operated at 1, 5, 10 and 25 °C. The nitrogen removal effect of the cells was determined at different temperatures and the nitrogen migration and transformation characteristics under low temperature conditions were discussed. Experimental results showed that during the rainfall period, the ammonia nitrogen removal efficiency remained similar at different temperatures (above 97 %), while the nitrate nitrogen removal efficiency varied significantly at 1, 5, 10 and 25 °C, from 28.15 %-65.22 %, 96.68 %-98.8 %, 96.75 %-98.88 % and 80.14 %-96.72 %, respectively. In addition, nitrate nitrogen accumulation occurred in the filler during rainfall events, with lower temperature conditions increasing the final concentration of nitrate nitrogen accumulated. Following a rainfall event, the content of nitrate nitrogen in the filler decreased significantly over a 60 h dry period. However, the nitrate nitrogen reduction rate was significantly lower under low temperature conditions, than at 25 °C. Overall, low temperature conditions had a negative effect on the accumulation of nitrate nitrogen in the filler during rainfall events, as well as the transformation and migration of nitrate nitrogen within the filler during drought periods, with the adverse effects most significant at temperatures lower than 5 °C.

Selenium fertigation with nanobubbles influences soil selenium residual and plant performance by modulation of bacterial community.

Although selenium (Se) is an essential microelement for humans and animals, it is a potentially toxic element due to its bioaccumulation potential. In this study, Se fertilizer was supplied in a greenhouse vegetable (cucumber) plantation using an innovative system consisting of nanobubbles (NB_Se) and compared to that under conventional conditions of fertigation (C_Se) with six doses. The results revealed that NB_Se significantly reduced soil Se accumulation (38%-144%) and increased cucumber Se content compared with the C_Se treatments at the same Se dose. NB_Se significantly lowered the soil bacterial diversity, with an initial increase and then decrease with the Se doses. Bacterial associations and potential keystone taxa also differed between the NB_Se and C_Se. The greater abundance of oxidizing bacteria (indicated by the function composition of bacterial community) and the improved soil redox environment created by NBs sustained more available Se for plants, leading to a reduction in soil Se residual and an increase in the plant Se content. Our results highlight the feasibility and efficiency of NB_Se and demonstrate the important implications of Se for the maintenance of soil health and sustainability.

Use of adenoviral vectors to target chemotherapy to tumor vascular endothelial cells suppresses growth of breast cancer and melanoma.

To target chemotherapy to tumor vascular endothelial cells (TVECs), we created the AdTie2RprCDFib(knob-RGD+) vector by inserting into an AdEasy adenoviral vector (Ad) backbone: (i) the cytosine deaminase (CD) gene driven by the Tie2 receptor promoter (Tie2Rpr) into the E1 region of Ad; (ii) mutations that reduce binding of the fiber knob to the Coxsackie adenovirus receptor (CAR); and (iii) the RGD peptide into the H1 loop of fiber for binding to the alpha(V)beta(3) integrin receptors on TVECs. To reduce uptake of the AdTie2RprCDFib(knob-RGD+) by reticuloendothelial (RE) and liver cells, we intravenously (i.v.) injected Hetastarch and low-dose Ad (one million vector particles (VPs)) prior to i.v. injection of a therapeutic dose (one billion VPs) of the AdTie2RprCDFib(knob-RGD+) vector. This treatment induced regressions of N202 breast cancer and B16 melanoma without toxicity to normal tissues. We showed that the tumor regression was induced by infection of the TVECs and not by the infection of tumor cells by the AdTie2RprCDFib(knob-RGD+) vector.

Cost analysis of staged versus simultaneous bilateral total knee and hip arthroplasty using a propensity score matching.

BACKGROUND: Total joint arthroplasty (TJA), including total knee arthroplasty (TKA) and total hip arthroplasty (THA), is required for many patients. This study aimed to evaluate the medical costs, length of stay (LOS), blood transfusion and in-hospital complications in patients undergoing simultaneous and staged TJA. METHODS: All patients who underwent primary bilateral TJA from 2013 to 2018 in our institute were included. The propensity score matching analysis was performed between simultaneous and staged TJA patients. The difference in medical costs, LOS, blood transfusion and in-hospital complications was compared between simultaneous and staged groups. RESULTS: Except for materials fees and general therapy fees, medical costs (bed fees, general therapy fees, nursing care fees, check-up and laboratory test fees, surgical fees and drug fees) were significantly lower in the simultaneous TKA, THA and TJA group. The total average medical costs in simultaneous and staged TKA groups were $15 385 and $16 729 (p<0.001), respectively; THA groups were $14 503 and $16 142 (p=0.016), respectively; TJA groups were $15 389 and $16 830 (p<0.001), respectively. The highest and lowest costs were materials fees and nursing care fees. No significant differences were found for five common comorbidities and postoperative complications between the two subgroups. The simultaneous groups had a shorter LOS and the differences from the staged group for TKA, THA and the TJA group were 8, 6 and 8 days, respectively. The incidence of blood transfusion is higher for simultaneous groups and the difference from the staged group for TKA, THA and TJA is 32.69%, 18% and 29.3%, respectively. CONCLUSIONS: Our results indicate that simultaneous TKA and THA with a shorter LOS would cost fewer (costs incurred during hospitalisation) than staged TKA and THA. Complication rates were not affected by the choice for staged or simultaneous arthroplasty, but the incidence of blood transfusion was higher in the simultaneous groups.

Construction of metabolically biotinylated adenovirus with deleted fiber knob as targeting vector.

Gene delivery vectors based on adenovirus, particularly human adenovirus serotype 5 (hAd5) have great potential for the treatment of variety of diseases. However, the tropism of hAd5 needs to be modified to achieve tissue- or cell- specific therapies for the successful application of this vector system to clinic. Here, we modified hAd5 tropism by replacing the fiber knob which contains the coxsackievirus B and adenovirus receptor (CAR)-binding sites with a biotin acceptor peptide, a truncated form of Propionibacterium shermanii 1.3 S transcarboxylase domain (PSTCD), to enable metabolically biotinylation of the virus. We demonstrate here that the new adenovirus no longer shows CAR-dependent cell uptake and transduction. When metabolically biotinylated and avidin-coated, it forms a nano-complex that can be retargeted to distinct cells using biotinylated antibodies. This vector may prove useful in the path towards achieving targeted gene delivery.