Effects of plant species and traits on metal treatment and phytoextraction in stormwater bioretention.

To study effects of plant species selection on total and dissolved metal treatment performance of bioretention systems (BRS), 12 sets of columns were prepared, each planted with one of 12 species that are either widely used in BRS or have potentially important traits for metal removal (ability to hyperaccumulate metals, C4 photosynthesis, or ability to form mycorrhiza). Artificial stormwater was applied to half of the columns during all of a 31-week test period, while treatment of the others included a 5-week long dry period to test interactive effects of drying and plant traits on BRS metal treatment in more realistic alternating wet and dry conditions. Concentrations of metals (dissolved and total) in the effluent significantly differed between most columns with different plants, and the differences in concentrations of dissolved metals after the dry period were particularly important. Mean dissolved Cd concentrations exceeded Swedish reference values in effluents from BRS with two of the plant species, while mean dissolved Zn concentrations exceeded them in effluents from BRS with three of the species (and non-vegetated controls). Dissolved Cu leaching was observed in effluents from BRS with five of the plant species after the dry period, and mean concentrations exceeded Swedish reference values in effluents from all the BRS (including the constantly watered systems). Some support in terms of metal concentrations in shoots and shoot/soil ratios was obtained for using hyperaccumulators in BRS to remove metals from filter material. For example, Armeria maritima (a hyperaccumulator with the lowest shoot biomass) and Miscanthus sinsenis (a C4 plant with the highest biomass production) took up similar amounts of metals despite large differences in biomass. However, no significant correlations between effluent metal concentrations and plants' metal uptake were found, possibly because of the short duration of the experiment. The results indicate that root biomass affected effluent metal concentrations more strongly. Root biomass was often positively correlated with total and (particularly) dissolved effluent metal concentrations. Further experiments with different soil metal concentrations, organic matter analyses and stronger focus on root characteristics are recommended, including additional tests of effects of hyperaccumulators and mycorrhiza on metal treatment and phytoextraction.

The Role of Nutritional Supplements in the Treatment of ADHD: What the Evidence Says.

Attention-deficit hyperactivity disorder (ADHD) is a common behavioral disorder in children and adolescents and may persist into adulthood. Insufficient nutritional supply of long-chain polyunsaturated fatty acids (LC-PUFAs) and other components including various minerals has been suggested to play a role in the development of ADHD symptoms. This review presents the evidence regarding the role of nutritional PUFA, zinc, iron, and magnesium supplements in the treatment of ADHD with a focus on the critical evaluation of the relevant literature published from 2014 to April 2016. The evaluation of therapeutic nutritional LC-PUFA supplementation in ADHD has shown mixed and inconclusive results and at best marginal beneficial effects. The benefits of PUFAs are much smaller than the effect sizes observed for traditional pharmacological treatments of ADHD. The effectiveness of PUFA supplements in reducing medication dosage has been suggested but needs to be confirmed. Zinc, iron, and magnesium supplementation may reduce ADHD symptoms in children with or at high risk of deficiencies in these minerals. However, convincing evidence in this regard is lacking.

Antibiotic Resistance Genes in Freshwater Biofilms May Reflect Influences from High-Intensity Agriculture.

Antibiotic resistance is a major public health concern with growing evidence of environmental gene reservoirs, especially in freshwater. However, the presence of antibiotic resistance genes in freshwater, in addition to the wide spectrum of land use contaminants like nitrogen and phosphate, that waterways are subjected to is inconclusive. Using molecular analyses, freshwater benthic rock biofilms were screened for genes conferring resistance to antibiotics used in both humans and farmed animals (aacA-aphD to aminoglycosides; mecA to ß-lactams; ermA and ermB to macrolides; tetA, tetB, tetK, and tetM to tetracyclines; vanA and vanB to glycopeptides). We detected widespread low levels of antibiotic resistance genes from 20 waterways across southern New Zealand throughout the year (1.3 % overall detection rate; 480 samples from three rocks per site, 20 sites, eight occasions; July 2010-May 2011). Three of the ten genes, ermB, tetK, and tetM, were detected in 62 of the 4800 individual screens; representatives confirmed using Sanger sequencing. No distinction could be made between human and agricultural land use contamination sources based on gene presence distribution alone. However, land use pressures are suggested by moderate correlations between antibiotic resistance genes and high-intensity farming in winter. The detection of antibiotic resistance genes at several sites not subject to known agricultural pressures suggests human sources of resistance, like waterway contamination resulting from unsatisfactory toilet facilities at recreational sites.

Technical and biological complications of single-molar implant restorations.

OBJECTIVES: Retrospective evaluation of the biological and technical complications in implant-supported single-tooth molar restorations performed in a private practice after functional periods of ≥4 years. MATERIAL AND METHODS: Sixty-five patients (34 females, age 51.7 ± 10.6 years) with 112 implants received annual follow-up examinations and participated in a maintenance program. The survival (in situ) and success (complication-free) rates of implants and superstructures were evaluated. Time-dependent peri-implantitis rates were calculated, and the influencing factors were identified using a multiple Cox regression. RESULTS: The implant survival rate was 100%. Three of 112 crowns required replacement (prosthetic survival rate = 98.1%). Thirty technical complications were observed: loss of retention (16), ceramic fracture (10), and screw loosening (4). The success rate of the superstructures was 79.0% after 7 years. Overall, 9.2% of the patients developed peri-implantitis (probing depth ≥5 mm, BOP, suppuration, bone loss ≥3.5 mm); (smokers: 41.6%, non-smokers: 1.8%). After 7 years, the time-dependent implant success rate (free of peri-implantitis) was 100% for non-smokers and 58.6% for smokers. Multiple analysis showed a significant effect of smoking (hazard ratio, 19.5; P = 0.008) on peri-implantitis. CONCLUSIONS: Implants with cemented single-tooth restorations in the molar region constitute a reliable treatment in private practice. Smokers have a significantly increased peri-implantitis rate.

Increase of homogenous new bone formation using osteoinductive factor rhGDF-5 during sinus floor augmentation in Goettingen Minipigs.

OBJECTIVES: The aim of this study was to test the hypothesis that recombinant human growth and differentiation factor-5 (rhGDF-5) induces an increased and homogenous distribution of new bone formation across the entire volume of sinus floor augmentation in 12 Goettingen Minipigs. MATERIAL AND METHODS: In a randomized split-mouth design, one maxillary sinus was augmented with the bone substitute ß-TCP, whereas a combination of ß-TCP and the osteoinductive growth factor rhGDF-5 was used on the contralateral side. To evaluate the influence of dose and time on the effectiveness of the factor, two different concentrations of rhGDF-5 (400 µg and 800 µg) and healing periods (4 and 12 weeks) were each analysed. RESULTS: After 4 weeks, a homogenous gradient of bone formation could be observed for all dosage groups, with decreasing bone density from the local bone towards the sinus membrane. Both test groups, however, achieved a higher total level of bone formation compared with the control group, which was only significant in the low-dose group (P = 0.0184). After 12 weeks, the influence of the growth factor significantly depends on the region (P = 0.023). In the low-dose group, the new bone formation did not differ significantly within the examined regions of the graft (P = 0.1118), suggesting a homogeneous bone formation over the entire augmentation. The gradient of the high-dose group was similar to the control group with a decrease of local bone development. CONCLUSIONS: rhGDF-5 delivered on a ß-TCP scaffold material leads to an increase in homogeneous new bone formation across the entire volume of the sinus floor augmentation.

Risk factors for technical and biological complications with zirconia single crowns.

OBJECTIVES: This practice-based study evaluated the clinical performance and risk factors for biological and technical complications with conventionally luted zirconia crowns. MATERIALS AND METHODS: Sixty-eight patients (39 female) with a total of 323 restorations placed on 219 vital teeth, 69 endodontically treated teeth (ETT), and 41 implants (incisors, 96; premolars, 89; molars, 138; observational period, 79.7 ± 14.2 months) underwent a clinical follow-up examination and were included in the study. Time-dependent survival (in situ), success (event free), and veneering ceramic fracture (VCF) rates were calculated and analyzed relative to the following risk factors: smoking status, location of the crown, and type of abutment. RESULTS: Fifty-three complete failures were recorded. A significant influence of the abutment type on survival could be detected (p = 0.033): ETT demonstrated a significantly (p = 0.029) lower 7-year survival rate (73.8%, 95% confidence interval [95% CI] 0.600-0.876) than crowns placed on implants (90.0%, 95% CI 0.814-0.990). The success rate of the crowns was significantly influenced by the location of the restoration (p = 0.0058). A total of 75.6% (95% CI 0.648-0.864) of the anterior crowns remained event free, compared to 50.4% (95% CI 0.388-0.621) of the molar crowns. Furthermore, the location of the crowns affected the VCF rate (p = 0.018, event-free anterior teeth 95.2% (95% CI 0.880-1), event-free molars 80.9% (95% CI 0.706-0.913)). CONCLUSIONS: Survival and success rates were significantly influenced by the type of abutment and the location of the restoration. CLINICAL RELEVANCE: More complete failures should be expected for crowns placed on ETT, while crowns on molars demonstrated more biological and technical complications than anterior zirconia crowns.

Mandibular reconstruction using a calcium phosphate/polyethylene glycol hydrogel carrier with BMP-2.

AIM: To test the hypothesis that a synthetic hydroxyapatite/ß-tricalcium phosphate (HA/TCP) construct combined with polyethylene glycol (PEG) hydrogel including recombinant human bone morphogenetic proteins-2 (rhBMP-2) enhances new bone formation compared with bone morphogenetic proteins-2 (BMP-2) delivered using the HA/TCP construct alone. MATERIAL AND METHODS: Bilateral mandibular partial thickness 20 × 8 × 8 mm (L × W × H) alveolar defects were surgically created in the edentulated posterior mandible in 18 female minipigs. Randomized into two groups of nine animals each, the alveolar defects either received HA/TCP or HA/TCP/PEG with or without BMP-2 (105 µg/defect) in contra-lateral sites using a split-mouth design. Primary outcome, bone density (%) within four regions of interest, was evaluated following a 4-week healing interval when the animals were killed for histometric analysis. RESULTS: Bone morphogenetic proteins-2 loaded onto HA/TCP constructs significantly enhanced new bone formation compared with HA/TCP controls. Adding PEG apparently obstructed BMP-2 induced bone formation. CONCLUSION: Polyethylene glycol compromises the osteogenic effect of BMP-2.

Retrospective study of extensive heat-pressed ceramic veneers after 36 months.

STATEMENT OF THE PROBLEM: The clinical performance of ceramic veneers is influenced by various clinical and material-related factors. PURPOSE: Retrospective evaluation of extensive anterior ceramic veneers in the upper and lower jaw 36 months after placement in a private practice. MATERIALS AND METHODS: Thirty-seven patients (21 female, 16 male) were restored with adhesively luted extensive ceramic veneers made from a heat-pressed ceramic (Cergo, DeguDent, Hanau, Germany). One dentist restored a total of 130 teeth (maxilla N = 76, mandible N = 54). Adhesive cementation was performed with an etch-and-rinse adhesive (Optibond FL, Kerr Hawe, Karlsruhe, Germany) and a dual-curing composite cement. RESULTS: After 36 months, the survival rate (in situ criteria) according to Kaplan-Meier was 95.1% (95% confidence interval [CI]: 0.88; 1). Reasons for failure were four ceramic fractures and one biological failure in five restored teeth. Of the restorations, 92.8% (95% CI: 0.86;1) were in service without any clinical intervention and rated successful after 36 months. Interventions were necessary in five cases (three recementations, two endodontic treatments). Clinical performance was not influenced by the veneer position (maxillar/mandibular, survival p = 0.3/success p = 0.4). Veneers with more than 50% of exposed dentin demonstrated a significantly increased risk (hazard ratio 10.6, p = 0.026) for a clinical intervention (recementation, endodontic treatment), whereas no effect on the survival rate could be detected (p = 0.17). CONCLUSIONS: After 36 months of clinical service, extensive veneer restorations made of a pressable ceramic showed a comparable survival and success rate in the upper and lower jaw. Large areas of exposed dentin (>50%) were associated with lower success rates. CLINICAL SIGNIFICANCE: Mandibular ceramic veneers made using a heat-pressed ceramic offer the same clinical reliability as do veneers on anterior maxillary teeth. Dentin exposure significantly affects the clinical performance of heat-pressed ceramic veneers.

Nutrition in the Management of ADHD: A Review of Recent Research.

PURPOSE OF REVIEW: Various nutrients and diet quality have been suggested to be involved in the pathophysiology of ADHD. The purpose of this review was to examine data from recent cohort studies and dietary interventions to determine whether nutrition may play a role in the management of ADHD. RECENT FINDINGS: Preliminary evidence suggests that minerals might have beneficial effects on ADHD symptomatology. Probiotics might offer novel strategies to prevent or treat ADHD. Inverse associations between adherence to "healthy" diets and ADHD symptoms have been observed. Children with ADHD responding to the few-foods diet (or oligoantigenic diet) with an elimination of individually identified food items show substantially improved behavior and cognitive functioning. Evidence from recent research does not allow any recommendations regarding the use of micronutrients or probiotics in the management of ADHD. The few-foods diet may become an additional therapeutic option for children with ADHD.

Microplastics in urban catchments: Review of sources, pathways, and entry into stormwater.

Urban areas play a key role in the production of microplastics (MPs) and their entry into water bodies. This article reviews the literature on the sources, transport, and control of MPs in urban environments with the aim of clarifying the mechanisms underlying these processes. Major MP sources include atmospheric deposition, micro-litter, and tire and road wear particles (TRWPs). MPs deposited from the atmosphere are mostly fibers and may be particularly important in catchments without traffic. Littering and attrition of textiles and plastic products is another important MP source. However, the quantities of MPs originating from this source may be hard to estimate. TRWPs are a significant source of MPs in urban areas and are arguably the best quantified source. The mobilization of MPs in urban catchments is poorly understood but it appears that dry unconsolidated sediments and MP deposits are most readily mobilized. Sequestration of MPs occurs in green areas and is poorly understood. Consequently, some authors consider green/pervious parts of urban catchments to be MP sinks. Field studies have shown that appreciable MP removal occurs in stormwater quality control facilities. Street cleaning and snow removal also remove MPs (particularly TRWPs), but the efficacy of these measures is unknown. Among stormwater management facilities, biofiltration/retention units seem to remove MPs more effectively than facilities relying on stormwater settling. However, knowledge of MP removal in stormwater facilities remains incomplete. Finally, although 13 research papers reported MP concentrations in stormwater, the total number of field samples examined in these studies was only 189. Moreover, the results of these studies are not necessarily comparable because they are based on relatively small numbers of samples and differ widely in terms of their objectives, sites, analytical methods, size fractions, examined polymers, and even terminology. This area of research can thus be considered "data-poor" and offers great opportunities for further research in many areas.

Abundance, distribution, and composition of microplastics in the filter media of nine aged stormwater bioretention systems.

Bioretention systems are designed for quality treatment of stormwater. Particulate contaminants are commonly treated efficiently and accumulate mainly in the surface layer of the bioretention filter material. However, concerns exist that microplastic particles may not show equal accumulation behavior as other sediment particles. So far only two field and two laboratory studies are available on the fate of microplastics in few relatively newly built bioretention systems. Therefore, this study investigated the abundance and distribution of microplastics in nine 7-12 years old stormwater bioretention systems. It was found that microplastics generally accumulate on the surface of bioretention systems. Microplastic median particle concentrations decreased significantly from the surface layer (0-5 cm) of the filter material to the 10-15 cm depth layer from 448 to 136 particles/100 g, respectively. The distance to the inlet did not significantly affect the surface accumulation of microplastic particles, suggesting modest spatial variability in microplastics accumulation in older bioretention systems. Further, this study investigated the polymer composition in bioretention systems. It was shown that PP, EVA, PS and EPDM rubber are the most abundant polymer types in bioretention systems. Also, it was found that large percentages of microplastic particles are black particles (median percentage of black particles: 39%) which were found in 28 of the 33 investigated samples. This underlines the importance of including black particles in microplastic studies on stormwater, which has been overlooked in most previous studies.

CARD-like domains mediate anti-phage defense in bacterial gasdermin systems.

Caspase recruitment domains (CARDs) and pyrin domains are important facilitators of inflammasome activity and pyroptosis. Upon pathogen recognition by NLR proteins, CARDs recruit and activate caspases, which, in turn, activate gasdermin pore forming proteins to and induce pyroptotic cell death. Here we show that CARD-like domains are present in defense systems that protect bacteria against phage. The bacterial CARD is essential for protease-mediated activation of certain bacterial gasdermins, which promote cell death once phage infection is recognized. We further show that multiple anti-phage defense systems utilize CARD-like domains to activate a variety of cell death effectors. We find that these systems are triggered by a conserved immune evasion protein that phages use to overcome the bacterial defense system RexAB, demonstrating that phage proteins inhibiting one defense system can activate another. We also detect a phage protein with a predicted CARD-like structure that can inhibit the CARD-containing bacterial gasdermin system. Our results suggest that CARD domains represent an ancient component of innate immune systems conserved from bacteria to humans, and that CARD-dependent activation of gasdermins is conserved in organisms across the tree of life.

Incidence of renal failure and nephroprotection by RAAS inhibition in heterozygous carriers of X-chromosomal and autosomal recessive Alport mutations.

We studied here the clinical course of heterozygous carriers of X-linked Alport syndrome and a subgroup of patients with thin basement membrane disease due to heterozygous autosomal recessive Alport mutations whose prognosis may be worse than formerly thought. We analyzed 234 Alport carriers, including 29 with autosomal recessive mutations. Using Kaplan-Meier estimates and log-rank tests, autosomal and X-linked carriers were found to have similar incidences of renal replacement therapy, proteinuria, and impaired creatinine clearance. Further, age at onset of renal replacement therapy did not differ between X-chromosomal and autosomal carriers. Both groups showed an impaired life expectancy when reaching renal replacement therapy. RAAS inhibition significantly delayed the onset of end-stage renal failure. Not only carriers of X-linked Alport mutations but also heterozygous carriers of autosomal recessive mutations were found to have an increased risk for worse renal function. The risk of end-stage renal disease in both groups affected life expectancy, and this should cause a greater alertness toward patients presenting with what has been wrongly termed 'familial benign hematuria.' Timely therapy can help to delay onset of end-stage renal failure. Thus, yearly follow-up by a nephrologist is advised for X-linked Alport carriers and patients with thin basement membrane nephropathy, microalbuminuria, proteinuria, or hypertension.

Early angiotensin-converting enzyme inhibition in Alport syndrome delays renal failure and improves life expectancy.

Alport syndrome inevitably leads to end-stage renal disease and there are no therapies known to improve outcome. Here we determined whether angiotensin-converting enzyme inhibitors can delay time to dialysis and improve life expectancy in three generations of Alport families. Patients were categorized by renal function at the initiation of therapy and included 33 with hematuria or microalbuminuria, 115 with proteinuria, 26 with impaired renal function, and 109 untreated relatives. Patients were followed for a period whose mean duration exceeded two decades. Untreated relatives started dialysis at a median age of 22 years. Treatment of those with impaired renal function significantly delayed dialysis to a median age of 25, while treatment of those with proteinuria delayed dialysis to a median age of 40. Significantly, no patient with hematuria or microalbuminuria advanced to renal failure so far. Sibling pairs confirmed these results, showing that earlier therapy in younger patients significantly delayed dialysis by 13 years compared to later or no therapy in older siblings. Therapy significantly improved life expectancy beyond the median age of 55 years of the no-treatment cohort. Thus, Alport syndrome is treatable with angiotensin-converting enzyme inhibition to delay renal failure and therapy improves life expectancy in a time-dependent manner. This supports the need for early diagnosis and early nephroprotective therapy in oligosymptomatic patients.

Circadian rhythms in obsessive-compulsive disorder.

The etiopathology and neurobiology of obsessive-compulsive disorder (OCD) are not fully understood. As for altered circadian rhythms associated with OCD, hormonal dysregulation and a delayed sleep phase have come into the focus of research. The novel antidepressant agomelatine is able to resynchronize circadian rhythms and the augmentative administration of this compound has been shown to be of benefit in some OCD patients who are refractory to common forms of pharmacotherapy. Adjunctive chronotherapy might also enhance the outcome in treatment-refractory OCD. The present review summarises the findings regarding circadian abnormalities in OCD.

Investigation of intra - event variations of total, dissolved and truly dissolved metal concentrations in highway runoff and a gross pollutant trap - bioretention stormwater treatment train.

Metals in stormwater can be toxic to organisms, particularly when occurring in truly dissolved form (fraction <3 kDa). Here, using 153 samples collected during six rains, we investigated intra-events variations of total, dissolved and truly dissolved metal concentrations in highway runoff, and how they were affected by a stormwater treatment train, comprising a gross pollutant trap (GPT) and a bioretention system. Although intra-event variations in metal concentrations were observed in the highway stormwater, the effluent of the GPT and the effluent from the bioretention system, generally no "first flush" was observed. While total Pb, Cu and Zn concentrations were, on average, significantly reduced by the bioretention system (>76%, 79% and 94%, respectively), removal of dissolved metals was lower and truly dissolved Cd and Cu were generally not effectively removed (average removal Cd -11%, Cu 7.7%). Only for truly dissolved Zn was removal 65%. However, as with Cu, effluent Zn concentrations exceeded environmental threshold values. While Cu, Pb and Zn occurred in the highway runoff in particulate form, with average percentages of 86%, >99% and 72%, respectively, the speciation of Cu and Zn in the bioretention effluent shifted towards greater fractions of colloidal and truly dissolved metals. The GPT had no significant effect on metal concentrations and speciation.

Occurrence and concentration of 20-100 µm sized microplastic in highway runoff and its removal in a gross pollutant trap - Bioretention and sand filter stormwater treatment train.

Microplastic pollution of stormwater can be a serious threat to the environment. Gross pollutant trap (GPT) - bioretention treatment trains have been shown previously to treat (inter alia) particulate stormwater pollutants including microplastic particles larger than 100 µm. This study was carried out to investigate whether such stormwater treatment trains also remove smaller 20 to 100 µm sized microplastic particles from highway runoff. Further, it investigates occurrence and concentration of 20 to 100 µm sized microplastic particles in highway runoff and which polymer types they can be assigned to. Volume proportional samples from nine rain events were taken from the incoming highway stormwater, from the gross pollutant trap effluent and the outflow from a bioretention system as well as a non-vegetated sand filter. The microplastic analyses were carried out using µFTIR and FTIR-ATR, which made it possible to detect particles where carbon black was present. It was found that 20 to 100 µm sized microplastic particles are abundant in highway runoff and that their concentrations are highly variable, with a median of 230 particles/L, a minimum of 42 particles/L and a maximum of 8577 particles/L. The dominant polymer types in highway stormwater were Polypropylene (PP), Ethylene Propylene Diene (EPDM) rubber and Ethylene-vinyl acetate (EVA). The treatment train with the bioretention system treated 20 to 200 µm sized microplastic particles significantly better than the treatment train with a non-vegetated sand filter, with median effluent concentrations of 26.5 particles/L and 121 particles/L, respectively. The GPT had no significant impact on the treatment of 20 to 100 µm sized microplastic particles.

Prevalence of periimplant disease in partially edentulous patients: a practice-based cross-sectional study.

OBJECTIVES: Evaluation of the prevalence rates of periimplant mucositis and periimplantitis in partially edentulous patients in a private dental practice. MATERIAL AND METHODS: The data of 89 patients were collected (52 female, 37 male, age at time of implant placement: 51.8 ± 10.3 years). All patients had been treated with dental implants of the same type and fixed superstructures between January 1999 and June 2006 (observational period: 68.2 ± 24.8 months). RESULTS: The patient-related prevalence rate of periimplant mucositis (probing depth ≥ 4 mm and bleeding on probing [BOP]) was over all 44.9%. The respective rates in non-smokers without periodontal history were 30.4% and in smokers with periodontal history 80%. The multiple logistic regression analysis identified a significant association of mucositis with the independent variable "smoker" (odds ratio [OR] 3.77; P = 0.023). The patient-related prevalence rate of periimplantitis (probing depth ≥ 5 mm, BOP/pus, radiographic bone loss) was 11.2% (smokers with periodontal history: 53.3%, non-smokers: 2.8%). No periimplant disease was diagnosed in non-smoking patients without periodontal history and with a good compliance after treatment. Statistical analysis identified a significant association of periimplantitis with "smoker" (OR: 31.58; P<0.001) and "compliance" (OR: 0.09; P = 0.011). Periodontal history in general showed no significant association with periimplantitis. CONCLUSIONS: Smoking and compliance are important risk factors for periimplant inflammations in partially edentulous patients.

Lipid-apheresis improves microcirculation of the upper limbs.

Lipid-apheresis (LA) is thought to improve microcirculation. However, limited data are available on the effects on peripheral microcirculation. We investigated upper limb microcirculation of 22 patients undergoing regular LA on a weekly basis before and after LA. Using standardized semiquantitative scales, we analyzed blood flow, vasomotor function, and erythrocyte aggregation by capillary microscopy. In addition, capillary blood flow in quiescence and under heat and cryo-stress was evaluated by photoplethysmographic and laser Doppler anemometry. Moreover, levels of vasoactive mediators adrenalin, noradrenalin, endothelin-1 (ET-1), atrial natriuretic peptide (ANP), asymmetrical dimethyl-arginine (ADMA), as well as total protein and fibrinogen were measured. We found a significant increase in blood flow, the number of perfused capillaries and an improvement of erythrocyte aggregation by capillary microscopy. Using laser Doppler anemometry, we were able to show that this increase was predominantly located in the superficial layer capillaries (Δ44.53 ± 135.81%, n.s.) and less so in deeper layer arterioles (Δ2.75 ± 24.84%, n.s.). Vascular response to heat and cryo stress was also improved after LA but failed to reach significance. LA significantly reduced levels of epinephrin (-33 ± 39.2%), ANP (-28.8 ± 20.2%), ADMA (-74.1 ± 23%), and fibrinogen (-45.4 ± 19.7%) when comparing before LA and after LA values. In summary, we found an improvement in the microcirculation of the upper limbs under LA, which may result from a decrease of vasoconstrictors, improvement of vasomotor function, and a decrease in blood viscosity or erythrocyte aggregation.

Removal of rubber, bitumen and other microplastic particles from stormwater by a gross pollutant trap - bioretention treatment train.

Microplastic particles in stormwater pose significant threats to the environment. This study investigated how effective a stormwater treatment train was at removing rubber, bitumen and other microplastics (incl. fibers, fragments, and paint particles) in the 100-300 µm and >300 µm size fractions from highway runoff. The two treatment trains comprise a gross pollutant trap (GPT) followed by either a vegetated bioretention cell or non-vegetated sand filter. Flow-proportional composite samples were taken from the highway runoff, GPT outflow and the outflow from the two parallel filters during nine rain events to determine overall treatment performance, as well as the performance of individual system components. The identified rubber, bitumen and other microplastic particles mainly represented the 100-300 µm fraction and included high ratios of rubber (30%) and bitumen (60%). Overall, the treatment train efficiently removed rubber, bitumen and other microplastic particles in the 100-300 µm size fraction from the stormwater. The filter cells accounted for a major share of this removal, as the GPT did not reduce microplastic particle concentrations. This observation is likely explained by the fact that the rubber, bitumen and other microplastic particles have a density close to the density of water and thus removal by sedimentation is decreased. This identified an inherent weakness of the system; more specifically, the high microplastic concentrations in the surface water of the GPT means there can be a risk of microplastic release through overflow pits when inflows surpass the system capacity. Despite some differences, both the vegetated bioretention cell and the non-vegetated sand filter removed rubber, bitumen and other microplastic particles to similar extent.