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While dispersal is the basis of inter‐population connectivity, it is difficult to directly observe. New molecular techniques provide ways of studying the intensity and direction of dispersal among populations through quantifying gene flow. When herbivores disperse their gut microbes travel with the host, and gut microbiota is known to play an important role in host health. However, the current understanding of the driving mechanism between moose dispersal patterns and gut microbial structure is vague. Therefore, when we observe the effects of climate warming on gene flow, it is important to understand the ecological mechanisms that affect the gut microbiota. We applied integrative methods from molecular biology, nutritional ecology and microbiomics to quantify dispersal patterns of moose populations in northeast China and explore the ecological mechanisms driving gut microbe–host associations. We found that moose populations in northeast China are undergoing two dispersal patterns while retreating in a northwesterly direction. Dispersing and isolated moose populations differed in their gut microbial composition and frequency of functional types that relate to digestion and diet composition. We also found that the environmental variables related to the moose gut microbial communities also changed with different dispersal patterns. The gut microbiota of isolated moose populations was only related to ambient temperature, whereas the microbiota in dispersing moose populations was related to longitude and diet protein content. We expect that the differences in the taxonomic and functional structure of gut microbiota relating to digestion are adaptive. Consequently, this study highlights that special attention should be placed on the management of isolated moose populations, and ecological corridors or translocation of moose individuals may be needed to allow persistence in the face of global warming; doing this will likely improve the adaptability of gut microbiota. [ABSTRACT FROM AUTHOR]

Inbreeding more likely occurs in small, isolated and endangered populations, and may influence the sustainable survival of a population. As the Amur tiger Panthera tigris altaica population in China experienced a severe decline in the 1990s, the recovering population may be prone to inbreeding and its potential impacts on population health. However, the inbreeding status has not been evaluated and relationships with health remain poorly understood in wild animals. Based on the genetic samples collected from the main Amur tiger habitats in China, this study analyzed the population inbreeding level, major histocompatibility complex polymorphism, parasitic infections and gut microbial structures and functions, and then explored the influence of inbreeding on these traits. Our results indicated that more than 50% of individual relationships were in cousin or half sibs, and 22.73% of individuals had moderate or high inbreeding coefficients. There was a significant positive correlation between the inbreeding level of an individual and the Toxocara cati parasitic load. Gut microbiota community structure and function were also impacted by inbreeding intensity. In conclusion, results indicate that the Amur tiger population in China has reached a moderate level of inbreeding and that there are direct interactions between inbreeding intensity and parasitic load and gut microbiota. This study thus provides an early warning on the Amur tiger population health and should prompt the construction of national and international ecological corridors and/or the re‐introduction of new individuals to relieve the evident inbreeding pressure. [ABSTRACT FROM AUTHOR]

To compare the extent to which visceral adiposity, as measured by mesenteric fat thickness, contribute to cardiometabolic risk, especially insulin resistance, in women with PCOS and healthy control. This is a cross-sectional study with a total of 190 women with PCOS fulfilling the Rotterdam diagnostic criteria. Women without PCOS were recruited from a previous study, which comprised 416 healthy women controls with normal glucose tolerance. All subjects underwent OGTT, biochemical assessment, and sonographic assessment with measurements of mesenteric, preperitoneal and subcutaneous fat thickness. Mesenteric fat thickness was strongly correlated to cardiometabolic traits including blood pressure, fasting and 2-h glucose, triglycerides, HOMA-IR; and was negatively correlated to HDL-C in both cohorts (all p < 0.01). In PCOS, positive correlation was observed between mesenteric fat thickness and free androgen index (p < 0.01). Compared with controls, the regression line between mesenteric fat and HOMA-IR is much steeper in PCOS (p < 0.01). Women with PCOS remain more insulin resistant compared to controls at any given degree of visceral adiposity. [ABSTRACT FROM AUTHOR]

This paper aims to study the effects of lead concentration in irrigation water on the yield and growth traits of rice under soil zeolite stress, with the addition of lead accumulation in rice plants, which were tested in a micro zone at the Experimental Base of Water Conservancy in Shenyang Agricultural University of Liaoning Province, China, through the application of different amounts of zeolite (0, 2500, 5000kg·ha-1) and different lead concentrations (0, 0.25, 0.2, 0.15 mg·L-1) in irrigation water. It was concluded that the lead contents in paddy root, stem, leaf and rice significantly varied with different exogenous lead concentrations. With the increase of the concentration, the lead contents in each part were significantly increased. More importantly, the effect on aboveground material weight was greater than that on underground material weight. The water contents of rice were increased with the decrease in the protein content, and starch content was decreased under zeolite stress. When the concentration of lead increased, the effect was more pronounced. Comprehensive test with various factors indicated that the incorporation of zeolite in soil for rice cultivation with lead-contaminated water irrigation or lead contaminated soil could restrain the movement of lead ions into the rice. [ABSTRACT FROM AUTHOR]

During periods of predation risk, prey adopt antipredator behaviours to maximise chances of survival, such as increased vigilance, reduced foraging time, shifting to safe habitat, and group formation. To effectively balance resource acquisition and antipredator behavior, prey animals make use of cues within their environment that provide them accurate information about the realistic threat of predation. Using camera traps, we tested vigilance and feeding behavioural responses of two naturally occurring ungulate species roe deer and moose to cues from naturally occurring brown bear and novel Amur tiger predators. We found that roe deer and moose vigilance and feeding behaviours were not affected by either visual or olfactory cues from predators, suggesting that ungulates in this system do not respond differently to novel predator cues. There are a number of potential explanations for this surprising lack of response to any predator cues: a) habituation to uninformative cues is important; b) ungulates might have relied more heavily on other cue types, such as auditory cues, or cues in combination; and, c) constraints on dispersal and/or resources may result in prey being forced to remain in high risk food patches, and continued prioritization of feeding over vigilance. We therefore, recommend that in the future studies regarding cues should involve a combination of cues at a similar location to increase predation risk to the animals to maximise prey response. To our knowledge, this is the first study to lay out the foundation of the ecological influences of captive Amur tiger on prey behaviors in the wild environment. [ABSTRACT FROM AUTHOR]

Nowadays, nonpoint source pollution has been a dominant cause of water quality deterioration and eutrophication. For large basins, long-term effects of ecological factors on nonpoint source pollution are significant and have gained worldwide attention. Yangtze River is the largest river in China, and water environment protection of its upper reach is crucial to maintain the whole river health and the Three Gorges Project successful operation. The objective of this study is to reveal the effects of ecological factors on nonpoint source pollution in the upper reach of the Yangtze River during the period from 1960 through 2003 by the Improved Export Coefficient Model and the Nutrient Losses Empirical Model. The results indicated that during those decades the effects of ecological factors on dissolved pollutants were constant whereas those on sediment as well as absorbed pollutants changed slightly and decreased obviously after 2000. Comparing to anthropogenic factors, ecological ones had a dominant influence on sediment and absorbed pollutants. As for load intensities, long-term effects of ecological factors on dissolved pollutants hadn't changed much, while those on sediment as well as absorbed pollutants was increasingly significant and then reached an ultimate in 1980. Atmospheric deposition, grassland as well as forest were important sources of dissolved nitrogen export, nevertheless, grassland and forest were the main export areas of dissolved phosphorus, sediment as well as absorbed pollutants. The study would facilitate the source identification and nonpoint source pollution control in the upper reach of the Yangtze River to improve water quality. [ABSTRACT FROM AUTHOR]

Objectives: To examine the trends in epidemiological transition of stroke over the last two decades in Tianjin, and investigate the subtypes of stroke. Study design: A population-based epidemiological study using data from the Stroke Incidence Surveillance System of the Tianjin Centres for Disease Control and Prevention from 1988 to 2010. Methods: Almost 500,000 cases were analysed to examine changes in the incidence of stroke between 1988 and 2010 by age, sex, subtype, year and urban/rural status. Results: The incidence of stroke amongst males increased from 136.8/100,000 in 1988 to 387.0/100,000 in 2010, and the incidence amongst females increased from 65.9/100,000 in 1988 to 249.7/100,000 in 2010. Over the study period, the proportion of haemorrhagic strokes decreased and the proportion of ischaemic strokes increased sharply in both men and woman; the differences were significant. Conclusion: The distribution of stroke subtypes changed dramatically over the study period. Changes in trend and subtypes of stroke have raised new challenges and there is a need for adjustment for stroke prevention in Tianjin. [ABSTRACT FROM AUTHOR]

Background.Despite substantial research, uncertainty remains about the clinical and etiological heterogeneity of major depression (MD). Can meaningful and valid subtypes be identified and would they be stable cross-culturally?Method.Symptoms at their lifetime worst depressive episode were assessed at structured psychiatric interview in 6008 women of Han Chinese descent, age ⩾30 years, with recurrent DSM-IV MD. Latent class analysis (LCA) was performed in Mplus.Results.Using the nine DSM-IV MD symptomatic A criteria, the 14 disaggregated DSM-IV criteria and all independently assessed depressive symptoms (n = 27), the best LCA model identified respectively three, four and six classes. A severe and non-suicidal class was seen in all solutions, as was a mild/moderate subtype. An atypical class emerged once bidirectional neurovegetative symptoms were included. The non-suicidal class demonstrated low levels of worthlessness/guilt and hopelessness. Patterns of co-morbidity, family history, personality, environmental precipitants, recurrence and body mass index (BMI) differed meaningfully across subtypes, with the atypical class standing out as particularly distinct.Conclusions.MD is a clinically complex syndrome with several detectable subtypes with distinct clinical and demographic correlates. Three subtypes were most consistently identified in our analyses: severe, atypical and non-suicidal. Severe and atypical MD have been identified in multiple prior studies in samples of European ethnicity. Our non-suicidal subtype, with low levels of guilt and hopelessness, may represent a pathoplastic variant reflecting Chinese cultural influences. [ABSTRACT FROM AUTHOR]

BackgroundThe symptoms of major depression (MD) are clinically diverse. Do they form coherent factors that might clarify the underlying nature of this important psychiatric syndrome?MethodSymptoms at lifetime worst depressive episode were assessed at structured psychiatric interview in 6008 women of Han Chinese descent, age ⩾30 years with recurrent DSM-IV MD. Exploratory factor analysis (EFA) and confirmatoryfactor analysis (CFA) were performed in Mplus in random split-half samples.ResultsThe preliminary EFA results were consistently supported by the findings from CFA. Analyses of the nine DSM-IV MD symptomatic A criteria revealed two factors loading on: (i) general depressive symptoms; and (ii) guilt/suicidal ideation. Examining 14 disaggregated DSM-IV criteria revealed three factors reflecting: (i) weight/appetite disturbance; (ii) general depressive symptoms; and (iii) sleep disturbance. Using all symptoms (n = 27), we identified five factors that reflected: (i) weight/appetite symptoms; (ii) general retarded depressive symptoms; (iii) atypical vegetative symptoms; (iv) suicidality/hopelessness; and (v) symptoms of agitation and anxiety.ConclusionsMD is a clinically complex syndrome with several underlying correlated symptom dimensions. In addition to a general depressive symptom factor, a complete picture must include factors reflecting typical/atypical vegetative symptoms, cognitive symptoms (hopelessness/suicidal ideation), and an agitated symptom factor characterized by anxiety, guilt, helplessness and irritability. Prior cross-cultural studies, factor analyses of MD in Western populations and empirical findings in this sample showing risk factor profiles similar to those seen in Western populations suggest that our results are likely to be broadly representative of the human depressive syndrome. [ABSTRACT FROM PUBLISHER]

China has conducted many ecological restoration projects to alleviate environmental degradation, with numerous alien species having good adaptability widely used for fast effect. However, unsuitable plant selection may bring negative impacts and even cause biological invasion. Weed risk assessment (WRA) is therefore indispensable, yet it is often contentious especially concerning those species that has been widely utilized before weedy attributes were noted. In this paper, we takeRhus typhinaL. as an example to illustrate how scientific researches and social factors can influence the evaluation of alien species and cause challenge to WRA. The evaluation of this species is not only a pure scientific issue but also influenced by many factors such as the introduction history, current utilization status in afforestation, and divergent underlying values varying through persons and sectors. These factors determined the kind of data to be assessed, which lead to different evaluations, therefore, causing challenge to its WRA. We further examined newly officially released WRA system in China from the invasion biology viewpoint, arguing that it had some major flaws in design and validation and need much improvement. Considering the human dimension and biological characters together, we suggest that the “black list” and “green list” approaches with rigorous expert assessment should be adopted simultaneously in alien species management in China. [ABSTRACT FROM PUBLISHER]

BackgroundPrevious studies support Beck's cognitive model of vulnerability to depression. However, the relationship between his cognitive triad and other clinical features and risk factors among those with major depression (MD) has rarely been systematically studied.MethodThe three key cognitive symptoms of worthlessness, hopelessness and helplessness were assessed during their lifetime worst episode in 1970 Han Chinese women with recurrent MD. Diagnostic and other risk factor information was assessed at personal interview. Odds ratios (ORs) were calculated by logistic regression.ResultsCompared to patients who did not endorse the cognitive trio, those who did had a greater number of DSM-IV A criteria, more individual depressive symptoms, an earlier age at onset, a greater number of episodes, and were more likely to meet diagnostic criteria for melancholia, postnatal depression, dysthymia and anxiety disorders. Hopelessness was highly related to all the suicidal symptomatology, with ORs ranging from 5.92 to 6.51. Neuroticism, stressful life events (SLEs) and a protective parental rearing style were associated with these cognitive symptoms.ConclusionsDuring the worst episode of MD in Han Chinese women, the endorsement of the cognitive trio was associated with a worse course of depression and an increased risk of suicide. Individuals with high levels of neuroticism, many SLEs and high parental protectiveness were at increased risk for these cognitive depressive symptoms. As in Western populations, symptoms of the cognitive trio appear to play a central role in the psychopathology of MD in Chinese women. [ABSTRACT FROM PUBLISHER]

On 14 April 2010, an Mw = 6.9 earthquake occurred in the Yushu county of China, which caused ~3000 people to lose their lives. Integrated with the information from the observed surface ruptures and aftershock locations, the faulting pattern of this earthquake is derived from the descending wide-swath and ascending strip mode PALSAR data collected by ALOS satellite. We used a layered crustal model and stress drop smoothing constraint to infer the coseismic slip distribution. Our model suggests that the earthquake fault can be divided into four segments and the slip mainly occurs within the upper 12 km with a maximum slip of 2.0 m at depth of 3 km on the Jiegu segment. The rupture of the upper 12 km is dominated by left-lateral strike-slip motion. The relatively small slip along the SE region of Yushu segment suggests a slip deficit there. The inverted geodetic moment is approximately Mw = 6.9, consistent with the seismological results. The average stress drop caused by the earthquake is about 2MPa with a maximum stress drop of 8.3MPa. Furthermore, the calculated static Coulomb stress changes in surrounding regions show increased Coulomb stress occurred in the SE region along the Yushu segment but with less aftershock, indicating an increased seismic hazard in this region after the earthquake. [ABSTRACT FROM AUTHOR]

Cui G-H, Yao Y-H, Xu R-F, Tang H-D, Jiang G-X, Wang Y, Wang G, Chen S-D, Cheng Q. Cognitive impairment using education-based cutoff points for CMMSE scores in elderly Chinese people of agricultural and rural Shanghai China. Acta Neurol Scand: 2011: 124: 361-367. © 2011 John Wiley & Sons A/S. Objectives - To evaluate cognitive impairment (CI) in rural China using the Chinese version of the Mini-Mental Status Examination (CMMSE) and compare the prevalence of CI using two different cutoff points. Materials & methods - A population-based survey was conducted of 2809 people aged 60 years and above in a community of two towns (Huaxin and Xujing) in the Qingpu district, located in the western suburb of Shanghai. Face-to-face interviews were carried out to collect relevant information with questionnaires. The Chinese version of the Mini-Mental State Examination with either a 23/24 cutoff point or a cutoff point varying according to education level (AEL) was used to screen subjects for CI. Results - Among these subjects, the mean age was 70.6 years (SD = 6.6) and ranged from 60 to 92 years and included 1010 (36.0%) men and 1799 (64.0%) women. The mean age was 70.7 years (SD = 6.4) for men and 70.5 years (SD = 6.7) for women. Of the 2809 subjects, 2010 (71.5%) had no formal education, 607 (21.6%) completed 1-6 years of education, and 173 (6.2%) completed more than 6 years of school education. The prevalence of CI was 35.6% (95% CI: 33.8-37.4) for both genders when the cutoff point of 23/24 was used. However, when the cutoff point was altered with respect to different education levels, the prevalence of CI was 7.0%. For each item of the CMMSE, increased years of education correlated with a higher item score, with the exception of the 'Naming' item score. Conclusions - This study demonstrates that screening of CI using the AEL cutoff scores is feasible in a low-education population. Determining whether the 23/24 cutoff point is suitable for the Chinese people requires future prospective studies in a large Chinese population. [ABSTRACT FROM AUTHOR]

El Niño Southern Oscillation (ENSO) linked climate has been known to be associated with several rodent species, but its effects on rodent community at both spatial and temporal scales are not well studied. In this study, we investigated the possible causal chain relating ENSO, precipitation, temperature, and vegetation index (normalized difference vegetation index, NDVI) to rodent abundance for 14 sympatric rodent species in 21 counties of semiarid grasslands in Inner Mongolia, China, from 1982 to 2006. We found that both precipitation and temperature showed a generally direct positive effect on rodent abundance in many species in the current year, but indirect effects that operate through NDVI in the current or following year could have a reverse effect on abundance. We described one ENSO-linked precipitation bottom-up chain and three ENSO-linked temperature bottom-up chains. These observed bottom-up links reveal that in El Niño years, or 1 year after La Niña years, or 2 years after El Niño years, ENSO-driven climate or vegetation factors tend to increase population abundances of many sympatric rodent species in this region. We also found time-lag effects and the life-history strategy (i.e., functional groups of hibernating behavior, activity rhythm, or food habits) also contribute to the observed complicated effects of SOI on precipitation, temperature, NDVI, and ultimately rodent abundance. [ABSTRACT FROM AUTHOR]

In Hong Kong, approximately one million people are affected by severe road traffic noise. It is crucial to estimate the vertical distribution of traffic noise levels at different levels in high-rise buildings during the planning and design stages for new residential buildings. The Calculation of Road Traffic Noise (CRTN) has been adopted in Hong Kong to estimate traffic noise from the road. However, there have been criticisms of the CRTN model's accuracy and suitability for predicting road traffic noise in Hong Kong. This study examines and evaluates the accuracy of the CRTN method in predicting the vertical distribution of traffic noise level LA10 at different floor levels of a 20-storey residential building in Hong Kong. Also, measurements have been conducted of the traffic noise levels at each floor level of the building. Both the predicted and measured LA10 show a similar trend: the higher the floor level, the lower the traffic noise levels. However, the predicted LA10 at the building façade has a tendency of overestimation, especially at the higher floor levels, with a mean difference of +2.0 dBA between the predicted and measured results. A correlation coefficient (R2) of 0.9331 between the predicted and the measured LA10 indicates that the predicted levels correlate closely with the measured levels. The CRTN is therefore a useful tool in predicting traffic noise levels at different floor levels during the building planning stage. Practical application: This study provides an evaluation of the accuracy of the CRTN method in predicting the vertical distribution of traffic noise level at different floor levels of a residential building. It suggests that the CRTN is a useful tool in predicting traffic noise levels at different floor levels during the building planning stage. [ABSTRACT FROM AUTHOR]

Objective – To evaluate the discharge diagnosis of demyelinating diseases in the central nervous system (CNS) and analyze the predictive value of the new diagnostic criteria in Suzhou, China. Materials and methods – We collected clinical information and data of laboratory examinations for all cases with a diagnosis of various demyelinating diseases in the CNS. All data were reviewed individually by four senior neurologists, and a diagnosis was finally given to each patient according to the McDonald criteria and the Poser criteria for multiple sclerosis (MS). Results – In the analysis, 176 patients with a diagnosis of demyelinating diseases in the CNS at discharge were included. In 82 patients with a diagnosis of MS at discharge, the MS diagnosis was confirmed for 74 patients according to the McDonald criteria for MS, and the positive predictive value for the discharge diagnosis of MS was 90.2% (74/82). According to the Poser criteria, 61 patients were diagnosed as MS. The consistency of the two diagnostic criteria for MS was 78.4%, based on the results of the evaluation. Conclusions – Under-diagnosis of MS could be one of the explanations for the low prevalence of MS in China. Compared to the Poser criteria, the McDonald criteria had a higher sensitivity for the diagnosis of MS. [ABSTRACT FROM AUTHOR]

We report the release of a new, largefruited kiwifruit cultivar, 'White', selected from Actinidia eriantha. Fruit of 'White' had a mean fruit weight of 94 g, and a maximum fruit weight of 132 g at harvest in Zhejiang, China. The mean fruit weight is c. 2-4 times that of wild A. eriantha fruit found in Zhejiang and nearly 4 times that of 'Bidan', the only other registered A. eriantha cultivar. The fruit are oblong and the peelable skin is covered with dense white hair. The flesh of ripe fruit is green and has good eating quality but little juice. The soluble solids concentration was 14.7%, total sugar 9%, total acid 1.24%, and vitamin C 628.37 mg/100 g fresh weight. Its harvest season is during the last 10 days of October in the south of Zhejiang province, which is c. 2 weeks later than A. deliciosa 'Bruno' in the same area. It is sometimes referred to as the "banana kiwifruit" because the skin is easy to peel. This new cultivar has been registered in China (PVR No. CNA20050673.0). [ABSTRACT FROM AUTHOR]

Background Multiple sclerosis (MS) is considered rare in China and reports on MS in the English literature are few. Methods A systematic literature search for articles with MS was made, particularly for papers published in the Chinese medical journals from mainland China. Results In China, the first case of MS was described in the medical records from Xiehe hospital in 1926, and the first autopsy case of MS was reported from Huashan hospital in 1957. Although reports on MS based on the information from hospital case-series have been increased gradually in the recent decades, there is no national surveillance on MS frequency in the population and population-based surveys on MS were few in China. Generally for Chinese patients with MS the mean age at onset of MS is around 30 years, with a few cases younger than 20 years; the most frequent site of the lesions in the central nervous system, based on the clinical symptoms or signs, is the spinal cord (usually more than 60%); there are few patients with a family history of MS; almost all patients are treated with corticosteroids. Reported prevalence rates of MS from population surveys in China are rather low (1-2 per 100,000) and higher in females than in males, which are comparable with the results from other populations in Asia. Conclusion The clinical and epidemiological aspects of MS in China are, in general, similar to that from other populations in Asia. Epidemiological studies and national surveillance on MS are required in China. [ABSTRACT FROM AUTHOR]

We evaluated the putative factors for the onset of Guillain–Barré syndrome (GBS) in Harbin, China by a case–control study based on the information from GBS patients identified from a population-based incidence survey, which is the first study of this kind in China. Sixty-nine GBS patients were identified during a 1-year period from 1 October 1997 to 30 September 1998, and they were matched with 69 controls for gender and age (±5 years). GBS diagnosis was validated by senior neurologists and GBS patients were followed up for 6 months after onset. Odds ratio (OR) and 95% confidence intervals (CI) for each putative factor for the onset of GBS were calculated and compared between GBS cases and controls. Precedent respiratory infections within 2 months before onset were found to be significantly more frequent in GBS patients than in controls (OR = 1.68, 95% CI: 1.21–2.33). Although the number of cases with gastroenteritis among GBS patients was more than double of that in the controls, the difference was not statistically significant (OR = 2.25, 95% CI: 0.73–6.96). Other putative factors as well as characteristics regarding family situation, education level, occupation, etc., were not found to be statistically different between GBS patients and controls. [ABSTRACT FROM AUTHOR]

In this paper we provide checklist of 26 species of Tetrigoidea ground grasshoppers (Scelimenidae, Metrodoridae and Tetrigidae) from the Zuojiang Area, a natural reserve located near Nanning City in the southwestern Guangxi Zhuang Autonomous Region of southwestern China. In addition, two new species: Coptotettix zaujiangensis sp. nov. and Euparatettix obliqucosta sp. nov. of Tetrigidae are described. Type specimens are deposited at the Institute of Zoology, Shaanxi Normal University, and College of Life Sciences, Nanjing Normal University. [ABSTRACT FROM AUTHOR]

The article discusses the estrogenic effects of nonylphenol isomers (NP) on reproduction and development of animals and its contribution to the environment. In this context, eighteen isomers of NPs were obtained after derivatization using trifluoroacetic anhydride. To investigate the contribution of the individual isomer to the environment, these isomers were divided into eleven compositions according to the results of separation and identification carried out by gas chromatograph-mass spectrometric with selected ion monitoring. A research was conducted to determine the content of 4-nonylphenol isomers in surface water of the Haihe River, People's Republic of China.

This article presents a study which deals with primary investigation of heavy metal contamination status in mollusks collected from Chinese coastal sites. Heavy metals have brought severe pollution in aquatic system for their wide use in industries. According to China Marine Environmental Quality Communique in 2001, most estuaries, bays and seas abutting big cities have high contamination of heavy metals. Many marine mollusks have been annihilated and even the living marine mollusks in the coastal sea area abutting the pollution sources are not suitable for consumption. The main aims of this study are to investigate the heavy metal contaminations in mollusks and provide basic data to help the establishment of the biological criteria concerning about the marine environmental quality.

To evaluate the cost-effectiveness of osimertinib as first-line and second-line therapy for epidermal growth factor receptor (EGFR) mutation-positive advanced non-small cell lung cancer (NSCLC) in China. The CER of osimertinib as first-line therapy strategy and as second-line therapy strategy were $27072.5/QALY and $34856.65/QALY respectively. One way sensitivity analysis indicated that the utility of survival after osimertinib first-line therapy progression was the principal consideration affecting robustness of outcomes. [Extracted from the article]

Monitoring drug resistance in Escherichia coli is important for prevention and treatment of co-libacillosis. To choose effective drugs to prevent and control avian colibacillosis in North China, we inves-tigated resistance of 205 E. coli isolates (from Beijing, Tianjin, inner Mongolia, Shanxi, and Hebei regions) to commonly used clinical aminoglycoside antibiotics us-ing a drug susceptibility test. The results show that the isolates had varying degrees of resistance to kanamy-cin, gentamicin, streptomycin, amikacin, neomycin, and spectinomycin. Particularly, the resistance rates of the former 3 antibiotics exceeded 40%. To explore the rea-sons for wide drug resistance, aminoglycosides modify-ing enzymes (AME) genes, which are important in gen-eration of aminoglycoside resistance, were detected by PCR. Of the isolates, 60.98% carried AME genes and 38.05% carried commensal multidrug resistance genes. Therefore, resistance of avian E. coli to aminoglycoside antibiotics is very serious in North China, perhaps due to the existence of resistance genes. [ABSTRACT FROM AUTHOR]

Clin Microbiol Infect Abstract The sporadic emergence of New Delhi metallo-β-lactamase-1 (NDM-1)-producing Acinetobacter spp. has been reported in China; however, NDM-1-positive bacteria epidemics are rarely reported in intensive care units (ICUs) in China, or even in the world. During 15 months' surveillance Acinetobacter spp. isolated from patients, heathcare workers and surfaces of a Chinese ICU were screened for the blaNDM-1 gene. A total of 27 of 3114 Acinetobacter spp. strains were NDM-1 positive and identified as A. pittii with sequence type 63 (ST63) by multilocus sequence typing. Of the 27 NDM-1-positive A. pittii strains, 22 were isolated from the ICU surfaces and grouped into a major clone A using pulsed-field gel electrophoresis typing, while the other five strains isolated from the patients were classified into three clones (A, B and C). The blaNDM-1 gene was located on a 45-kb plasmid for all three A. pittii clones. The plasmid could be transferred to A. pittii and A. baumannii recipients at both 30 and 37°C but not to Escherichia coli J53. The plasmid could not be classified into any of the known plasmid incompatibility groups. The blaNDM-1 region in the plasmid was flanked by two insertion sequence elements, IS Aba125 and IS Aba11, and no other carbapenemase gene was present in this NDM-1-positive A. pittii isolate. Thus, we present the first report on the transmission and characterization of NDM-1-producing A. pittii in an ICU in China as well as a novel blaNDM-1 gene-bearing plasmid. [ABSTRACT FROM AUTHOR]

Abstract: Nitrogen resorption efficiency (NRE) and proficiency of 28 plant species belonging to five different life-forms were studied in a semi-arid region of northern China. NRE in these species ranged from 29.8% to 76.1% and averaged about 48.0%, depending upon the species and the life-form. The pattern of NRE in different life-forms followed the order of herbs>shrubs>trees>graminoids>N fixers. Nitrogen resorption proficiency (NRP) ranged from 8.0 to 20.6mgg−1, the average value of which was lowest in graminoids and highest in N fixing species. Leaf-level nitrogen use efficiency (NUE) ranged from 48.5gg−1 to 125.8gg−1, with the average NUE being lowest in the N fixing species and highest in the graminoids. Our findings show that most of the 28 species examined in this study can be categorized as low N-proficiency plants. The lower nitrogen concentration in living tissues and the greater nitrogen resorption during senescence could have contributed jointly to the leaf-level NUE of the species. It was noted that NRP was negatively correlated to NRE, while a positive correlation between the leaf-level NUE and NRE was found for all the species. We had also found a significant positive relation between NRE and the N concentration in green leaves for all the species pulled together, suggesting that green leaf N content might have partially controlled the leaf N resorption. [Copyright &y& Elsevier]

Both ecological regime shifts and carbon cycling in lakes have been the subject of global debates in recent years. However, the direct linkage between them is poorly understood. Lake Baiyangdian, a representative large shallow lake with the coexistence of a macrophyte-dominated area (MDA) and an algae-dominated area (ADA) in eastern China, allowing better understanding of the relationship between regime shifts and organic carbon (OC) burial in lakes. On the basis of Bayesian isotopic mixing modelling of C/N ratios and δ 13 C values, the sediment OC is primarily of autochthonous origin. The mean OC burial rate (OCBR) was 39 g C m -2  yr -1 before eutrophication occurred in 1990 and increased approximately 2.7-fold to 106 g C m -2  yr -1 after eutrophication. Partial least squares path modelling revealed that this change can be largely attributed to enhanced primary productivity and rapid burial as a result of intensified human perturbation. In terms of spatial patterns, the OCBR was greater in the MDA than in the ADA, which may be related to the different burial and mineralization processes of debris from macrophytes and algae. It then deduced that a decrease in the OCBR and an increase in the mineralization rate might have occurred after a shift from a macrophyte-dominated state to an algae-dominated state. Our findings highlight that eutrophication generally increases OC burial by enhancing lake primary productivity. However, once nutrient levels reach a critical range, lake ecosystems may shift from a macrophyte-dominated state to an algae-dominated state, which can lead to a significant reduction in the carbon burial capacity of lakes. Therefore, more attention should be given to avoiding shifts in eutrophic lakes, as such shifts can alter carbon cycling., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)

Background: Helicobacter pylori ( H. pylori ), prevalent in developing regions, is a key factor in gastrointestinal diseases. Despite the common use of bismuth-based quadruple therapy, its drawbacks have prompted the search for alternatives. Recently, vonoprazan, a novel acid suppressant, has shown promise in combination with antibiotics as a dual therapy for H. pylori eradication. This study aimed to assess the therapeutic outcomes and adverse events of vonoprazan-amoxicillin dual therapy compared to quadruple therapy., Methods: A randomized controlled trial (RCT) enrolled H. pylori -infected patients at Zhejiang Hospital. Participants were randomly assigned to dual and quadruple therapy groups. The primary endpoints were H. pylori eradication and adverse events., Results: Of the 400 patients studied from April 2022 to June 2023, In the intention-to-treat (ITT) analysis, the eradication rates of H. pylori in vonoprazan-amoxicillin dual therapy group and quadruple therapy group were 94.0% and 87.0%, respectively, p  = 0.017. In the per-protocol (PP) analysis were 97.9% and 93.0%, p  = 0.022. Additionally, the dual therapy group had a significantly lower incidence of adverse events (19%) compared to the quadruple therapy group (53%) ( p  < 0.001)., Conclusion: Vonoprazan-amoxicillin dual therapy demonstrates superior eradication efficacy and reduced adverse events compared to quadruple therapy in H. pylori -infected patients, suggesting its potential for clinical application and promotion.

Background: In small cell lung cancer (SCLC), the pathological N category is identical to it in non-small cell lung cancer (NSCLC) and remains unchanged over a decade. Here we verified the discriminability of number of involved nodal stations (nS) in SCLC and compared its efficacy in predicting survival with currently used pathological nodal (pN) staging., Methods: We retrospectively analyzed the patients who received operations and were pathologically diagnosed as SCLC at Shanghai Pulmonary Hospital between 2009 and 2019. X-tile software was adopted to determine optimal cut-off values for nS groups. Kaplan-Meier method and Cox regression analysis were used to compare survival between different groups. Decision curve analysis (DCA) was employed to evaluate the standardized net benefit., Results: A total of 369 patients were included. The median number of sampled stations was 6 (range 3-11), and the median number of positive stations was 1 (range 0-7). The optimal cutoff for nS groups was: nS0 (no station involved), nS1-2 (one or two stations involved), and nS ≥ 3 (three or more stations involved). Overall survival (OS) and relapse-free survival (RFS) were statistically different among all adjacent categories within the nS classification (p < 0.001, for both OS and RFS between each two subgroups), but survival curves for subgroups in pN overlapped (OS, p = 0.067; RFS, p = 0.068, pN2 vs. pN1). After adjusting for other confounders, nS was a prognostic indicator for OS and RFS. The DCA revealed that nS had improved predictive capability than pN., Conclusions: Our cohort study demonstrated that the nS might serve as a superior indicator to predict survival than pN in SCLC and was worth considering in the future definition of the N category., (© 2024. The Author(s).)

Objective: To investigate the current situation and influencing factors of postoperative nausea and vomiting (PONV) in lung cancer patients undergoing thoracoscopic surgery under general anesthesia, providing a reference for developing targeted PONV prevention and management strategies., Methods: Using a consecutive sampling method, 200 lung cancer patients who underwent their first thoracoscopic surgery under general anesthesia between November 18, 2021, and March 1, 2022, at a tertiary class A cancer hospital in Liaoning Province, China, were selected. The occurrence of PONV within 24 h post-operation was assessed using WHO Postoperative Nausea and Vomiting Rating Criteria. Patient general information, surgical and medication data were systematically collected to analyze the independent influencing factors of PONV., Results: Among the 200 patients undergoing thoracoscopic lung cancer surgery under general anesthesia, 75 (37.5%) experienced PONV. Logistic regression analysis indicated that being female, having a history of motion sickness, and a history of PONV were independent risk factors for the occurrence of PONV in these patients. Long-acting antiemetics such as penehyclidine hydrochloride and methylprednisolone were protective factors against PONV., Conclusion: The incidence of PONV in patients undergoing thoracoscopic lung cancer surgery under general anesthesia is relatively high. Nursing staff should focus on female patients and those with a history of motion sickness and PONV. Comprehensive preoperative assessments should be conducted, exploring multimodal analgesia and applying integrated prevention measures to reduce the occurrence of PONV and promote the rapid recovery of patients., (© 2024. The Author(s).)

Fish consumption is a major route of human exposure to mercury (Hg), yet limited understanding of how anthropogenic activities drive geographic variations in fish Hg worldwide hinders effective Hg pollution management. Here we characterized global geographic variations in total Hg (THg) and methylmercury (MeHg), compared THg and MeHg levels between the United States and China, and used a structural equation model to link the geographic variability of MeHg in fish to human activities. Despite previously reported higher Hg emissions in China, Chinese fish have lower THg and MeHg levels than fish in the United States owing to a lower trophic magnification slope, shortened food chains and shorter fish lifespans. The structural equation model revealed strong impacts of human activities on MeHg levels in fish. In the future, China may face elevated MeHg levels in fish with the ongoing recovery of food web ecology, highlighting the importance of local policies., (© 2024. The Author(s), under exclusive licence to Springer Nature Limited.)

Mercury (Hg) emissions from Hg smelting (roasting HgS ores) and artisanal small-scale gold mining predominantly include elemental Hg, in either liquid [Hg(0) l ] or gaseous [Hg(0) g ] form. The oxidation of Hg(0) into Hg(I) is the first step during Hg(0) oxidation, which enables Hg to enter the food web. However, this oxidation process remains poorly understood, particularly in Hg(0) l /Hg(0) g -impacted environments. Herein, we show the widespread occurrence of Hg(I) in Hg(0) l /Hg(0) g -exposed environmental matrices near an abandoned Hg smelting plant in Xunyang, Shaanxi, China, including water, sediment, soil, plant, fish, and insect. This plant produced elemental Hg by roasting HgS ore, leaving Hg(0) l in the factory area after abandonment, which continuously released Hg(0) l /Hg(0) g into the surrounding environment. In Hg(0)-impacted water, Hg(I) was one of the primary Hg species, with an average concentration of 876 (not detected to 6109) ng L -1 and an average Hg(I) to total dissolved Hg ratio of 46% (0-92%), exhibiting a decrease with increasing distance from the plant. Elevated levels of Hg(I) were observed when the upstream sample was simultaneously exposed to Hg(0) l and Hg(0) g , arising from aqueous Hg(0) l oxidation and comproportionation between Hg(II) (mainly from Hg(0) l oxidation) and dissolved Hg(0) (i.e., Hg 2+ + Hg 0 → Hg 2 2+ ). These findings highlight the impact of Hg(0) (as Hg(0) l and Hg(0) g ) on the environment, emphasizing the comproportionation formation of Hg(I) in natural waters., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Ethylmercury (EtHg), similar to methylmercury (MeHg), is highly neurotoxic and bioaccumulative. Although recent studies suggested its occurrence in natural soils and sediments, the common propylation derivatization for EtHg analysis might generate EtHg artifacts, potentially leading to its overestimation in environmental samples. Furthermore, the extensive environmental prevalence of EtHg remains unverified, keeping its importance largely uncertain. This study investigated the formation of EtHg artifacts during propylation derivatization, evaluating artifacts formation and recoveries under different extraction methods with real samples, and confirmed the widespread occurrence of EtHg in Chinese wetlands. EtHg artifacts were obviously present during the propylation derivatization and strongly dependent on the levels of Hg 2+ (0.1-10 ng) in the derivatization solution (R² = 0.99), accounting for 1.38-2.14% of Hg 2+ . CuSO 4 -HNO 3 CH 2 Cl 2 extraction (effectively removing Hg 2+ ) combined with propylation derivatization offers excellent recovery (81-86%) and low artifacts (< LOD: 1.98 × 10 -4 ng/g) for EtHg measurement in soils/sediments, with results aligning with those from online solid phase extraction-high performance liquid chromatography-inductively coupled plasma mass spectrometry (R 2 = 0.99). Additionally, we observed the occurrence of EtHg in soil and sediment samples across 14 Chinese wetlands, with concentrations varying from 6.08 to 171 pg/g, similar to MeHg concentrations at some sites. EtHg positively correlates with MeHg, total Hg, and total organic carbon across all samples, indicating a possible biological formation. These findings help better understand and predict the prevalence of EtHg in wetlands and its key role in environmental Hg cycle., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Rice consumption is a major pathway for human cadmium (Cd) exposure. Understanding Cd behavior in the soil-rice system, especially under field conditions, is pivotal for controlling Cd accumulation. This study analyzed Cd concentrations and isotope compositions (δ 114/110 Cd) in rice plants and surface soil sampled at different times, along with urinary Cd of residents from typical Cd-contaminated paddy fields in Youxian, Hunan, China. Soil water-soluble Cd concentrations varied across sampling times, with δ 114/110 Cd water lighter under drained than flooded conditions, suggesting supplementation of water-soluble Cd by isotopically lighter Cd pools, increasing Cd phytoavailability. Both water-soluble Cd and atmospheric deposition contributed to rice Cd accumulation. Water-soluble Cd's contribution increased from 28-52% under flooded to 58-87% under drained conditions due to increased soil Cd phytoavailability. Atmospheric deposition's contribution (12-72%) increased with potential atmospheric deposition flux among sampling areas. The enrichment of heavy Cd isotopes occurred from root-stem-grain to prevent rice Cd accumulation. The different extent of enrichment of heavy isotopes in urine indicated different Cd exposure sources. These findings provide valuable insights into the speciation and phytoavailability changes of Cd in the soil-rice system and highlight the potential application of Cd isotopic fingerprinting in understanding the environmental fate of Cd., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

With increasing concerns about N-(1,3-Dimethylbutyl)-N'-phenyl-p-phenylenediamine (6PPD) and 6PPD-quinone (6PPD-Q), relevant environmental investigations and toxicological research have sprung up in recent years. However, limited information could be found for human body burden assessment. This work collected and analyzed 200 samples consisting of paired urine and plasma samples from participants (50 male and 50 female) in Tianjin, China. Low detection frequencies (DF, <15 %) were found except for urinary 6PPD-Q (86 %), which suggested the poor residue tendency of 6PPD and 6PPD-Q in blood. The low DFs also lead to no substantial association between two chemicals. Data analysis based on urinary 6PPD-Q showed a significant difference between males and females (p < 0.05). No significant correlation was found for other demographic factors (Body Mass Index (BMI), age, drinking, and smoking). The mean values of daily excretion (ng/kg bw/day) calculated using urinary 6PPD-Q for females and males were 7.381 ng/kg bw/day (female) and 3.360 ng/kg bw/day (male), and apparently female suffered higher daily exposure. Further analysis with daily excretion and ALT (alanine aminotransferase)/TSH (thyroid stimulating hormone)/ blood cell analysis indicators found a potential correlation with 6PPD-Q daily excretion and liver/immune functions. Considering this preliminary assessment, systematic research targeting the potential organs at relevant concentrations is required., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Background: Onychomycosis (OM) is a common nail infection treated with amorolfine hydrochloride nail lacquer in China. Monitoring drug concentrations and using dermoscopy to evaluate treatment efficacy may provide new insights., Objective: The study aims to analyse amorolfine concentrations in nails with mild to moderate OM, assess treatment outcomes using dermoscopy and explore factors influencing drug concentrations and efficacy., Methods: Patients with mild to moderate OM confirmed by fungal microscopy were enrolled. Amorolfine nail lacquer was applied twice weekly for 36 weeks. Monthly nail samples measured amorolfine concentrations using liquid chromatography. Dermoscopy was performed before and after treatment to evaluate responses. Mixed-effects models and logistic regression analysed factors affecting drug concentrations and outcomes., Results: Ninety-seven nails were included. Amorolfine concentrations increased over time, with higher levels in females, fingernails, 2nd-5th digits and superficial white OM (p < 0.05). Age was a risk factor, while drug concentration and OM type were protective for clinical efficacy (p < 0.05). Peak concentration correlated with clinical (r = 0.487, p = 0.000) and mycological (r = 0.433, p = 0.000) responses. Dermoscopic features improved significantly in successful cases (p < 0.05)., Limitations: In the assessment of fungal efficacy, only fungal microscopy was used, and fungal cultures were not performed. The study was limited by a small sample size and the lack of a longer follow-up to assess relapse., Conclusion: Amorolfine concentrations vary with patient and nail characteristics, influencing efficacy. Dermoscopy is valuable for monitoring OM treatment., (© 2024 Wiley‐VCH GmbH. Published by John Wiley & Sons Ltd.)

Microbial immigration is an ecological process in natural environments; however, the ecological trade-off mechanisms that govern the balance between species extinction and migration are still lacking. In this study, we investigated the mechanisms underlying the migration of diazotrophic communities from soil to leaves across six natural mangrove habitats in southern China. The results showed that the diazotrophic alpha and beta diversity exhibited significant regional and locational variations. The diazotrophic species pool gradually increased from the leaves to nonrhizosphere soil at each site, exhibiting a vertical distribution pattern. Mantel test analyses suggested that climate factors, particularly mean annual temperature, significantly influenced the structure of the diazotrophic community. The diazotrophic community assembly was mainly governed by dispersal limitation in soil and root samples, whereas dispersal limitation and ecological drift were dominant in leaves. Partial least squares path modeling revealed that the species pool and soil properties, particularly the oxidation-reduction potential and pH, were closely linked to the species-immigration ratio of diazotrophic communities. Our study provides novel insights for understanding the ecological trait diversity patterns and spread pathways of functional microbial communities between below- and aboveground habitats in natural ecosystems.IMPORTANCEEnvironmental selection plays key roles in microbial transmission. In this study, we have provided a comprehensive framework to elucidate the driving patterns of the ecological trade-offs in diazotrophic communities across large-scale mangrove habitats. Our research revealed that Bradyrhizobium japonicum , Marinobacterium lutimaris , and Agrobacterium tumefaciens were more abundant in root-associated soil than in leaves by internal and external pathways. The nonrhizospheric and rhizospheric soil samples harbored the most core amplicon sequence variants, indicating that these dominant diazotrophs could adapt to broader ecological niches. Correlation analysis indicated that the diversities of the diazotrophic community were regulated by biotic and abiotic factors. Furthermore, this study found a lower species immigration ratio in the soil than in the leaves. Both species pool and soil properties regulate the species-immigration mechanisms of the diazotrophic community. These results suggest that substantial species immigration is a widespread ecological process, leading to alterations in local community diversity across diverse host environments., Competing Interests: The authors declare no conflict of interest.

In this study, we measured 15 common organophosphate flame retardants (OPFRs) in six categories of tea samples across China. OPFRs were found in all the tea samples, with the total concentrations of OPFRs (∑OPFRs) at 3.44-432 ng/g [geometric mean (GM): 17.6 ng/g]. Triphenyl phosphate (TPhP) was the dominant OPFR, accounting for 39.0-76.2% of ∑OPFRs across all tea categories. The potential factors influencing the residual OPFRs in tea were thoroughly examined, including the agricultural environment, fermentation, and packaging of teas. Tea packaging materials (TPMs) were then identified as the primary sources of OPFRs in teas. The migration test revealed that OPFRs with lower molecular weights and log K values exhibited a higher propensity for facilitating the migration of OPFRs from TPMs to teas. The estimated daily intakes of OPFRs from teas were relatively higher for the general populations in Mauritania, Gambia, Togo, Morocco, and Senegal (3.18-9.79 ng/kg bw/day) than China (3.12 ng/kg bw/day). The health risks arising from OPFRs in Chinese teas were minor. This study established a baseline concentration and demonstrated the contamination sources of OPFRs in Chinese tea for the first time, with an emphasis on enhancing the hygiene standards for TPMs.ow values exhibited a higher propensity for facilitating the migration of OPFRs from TPMs to teas. The estimated daily intakes of OPFRs from teas were relatively higher for the general populations in Mauritania, Gambia, Togo, Morocco, and Senegal (3.18-9.79 ng/kg bw/day) than China (3.12 ng/kg bw/day). The health risks arising from OPFRs in Chinese teas were minor. This study established a baseline concentration and demonstrated the contamination sources of OPFRs in Chinese tea for the first time, with an emphasis on enhancing the hygiene standards for TPMs.

Background: To study the age-adjusted Charlson comorbidity index (ACCI) scale, which is a comprehensive quantification of multimorbidity coexistence, for the assessment of the risk of acute myocardial infarction death in elderly people., Methods and Results: A total of 502 older patients with acute myocardial infarction were studied at Qilu Hospital from September 2017 to March 2022. They were categorized on the basis of ACCI into low (≤5), intermediate (6, 7), and high (≥8) risk groups. Hospitalization duration was observed, with death as the end point. least absolute shrinkage and selection operator regression was used to screen variables, 10-fold cross-validation was performed to validate the screened variables, a Cox regression nomogram predicting the risk of patient death was prepared, hazard ratio with 95% CI was calculated, a nomogram calibration curve was constructed, and a receiver operating characteristic curve, decision curve analysis, and a clinical impact curve were established. From 62 potential factors in a least absolute shrinkage and selection operator regression, 12 were selected via 10-fold cross-validation. Retain variables with significant statistical differences in the Cox regression. A nomogram of the risk of death from acute infarction was constructed, and risk factors included ventricular tachycardia/fibrillation, atrial fibrillation, nicorandil, angiotensin-converting enzyme inhibitors/angiotensin-converting enzyme inhibitors, β blockers, and ACCI score, carbon dioxide combining power, and blood calcium concentration., Conclusions: The ACCI score effectively assesses multimorbidity in the older patients. As ACCI rises, the death risk from acute myocardial infarction grows. The study's nomogram is valid and clinically applicable.

Antimicrobial resistance (AMR) undermines the United Nations Sustainable Development Goals of good health and well-being. Antibiotics are known to exacerbate AMR, but nonantibiotic antimicrobials, such as quaternary ammonium compounds (QACs), are now emerging as another significant driver of AMR. However, assessing the AMR risks of QACs in complex environmental matrices remains challenging due to the ambiguity in their chemical structures and antibacterial activity. By machine learning prediction and high-resolution mass spectrometric analysis, a list of antibacterial QACs ( n = 856) from industrial chemical inventories is compiled, and it leads to the identification of 50 structurally diverse antibacterial QACs in sediments, including traditional hydrocarbon-based compounds and new subclasses that bear additional functional groups, such as choline, ester, betaine, aryl ether, and pyridine. Urban wastewater, aquaculture, and hospital discharges are the main factors influencing QAC distribution patterns in estuarine sediments. Toxic unit calculations and metagenomic analysis revealed that these QACs can influence antibiotic resistance genes (particularly sulfonamide resistance genes) through cross- and coresistances. The potential to influence the AMR is related to their environmental persistence. These results suggest that controlling the source, preventing the co-use of QACs and sulfonamides, and prioritizing control of highly persistent molecules will lead to global stewardship and sustainable use of QACs.

Lithium (Li) is an important resource that drives sustainable mobility and renewable energy. Its demand is projected to continue to increase in the coming decades. However, the risk of Li pollution has also emerged as a global concern. Here, we investigated the pollution characteristics, sources, exposure levels, and associated health risks of Li in the Jinjiang River basin, the largest area for Li 2 CO 3 production in China. Our results revealed the dominant role of Li extraction activities in the pollution of the river, with over 95% of dissolved Li in downstream river water being emitted from this source. Moreover, the Li concentration in aquatic plants (i.e., water hyacinth) and animals (i.e., fish) significantly increased from upstream to downstream areas, indicating a significant risk to local aquatic ecosystems. More importantly, our study found that local residents were suffering potential chronic noncarcinogenic health risks primarily from consuming contaminated water and vegetables. We also investigated the pollution characteristics of associated elements present in Li ores (e.g., Rb, Cs, Ni, and F - ). By uncovering the remarkable impact of Li extraction activities on the Li content in ecosystems for the first time, our study emphasizes the importance of evaluating Li pollution from Li-related industrial activities, including mining, extraction, and recovery.

Household products, in response to regulations, increasingly incorporate phthalate (PAE) alternatives instead of traditional PAEs. However, limited information exists regarding the fate and exposure risk of these PAE alternatives and their monoesters in indoor environments. The contamination levels of PAE alternatives and their monoesters in indoor dust might vary across regions due to climate, population density, industrial activities, and interior decoration practices. By analyzing indoor dust samples from six geographical regions across China, this study aims to shed light on concentrations, profiles, and human exposure to 12 PAE alternatives and 9 their monoesters. Bis(2-ethylhexyl) benzene-1,4-dicarboxylate (DEHTP), tributyl 2-acetyloxypropane-1,2,3-tricarboxylate (ATBC), and tris(2-ethylhexyl) benzene-1,2,4-tricarboxylate (TOTM) were the main PAE alternatives in dust across all regions. The total concentrations of 12 PAE alternatives ranged from 0.125 to 4160 μg/g in indoor dust. High molecular weight PAE alternatives had significantly correlated concentrations (p < 0.05) based on Spearman analysis, suggesting their co-use in heat-resistant plastic products. A collective of nine monoesters were identified in most samples, with total concentrations ranging from 0.048 to 29.6 μg/g. The median concentrations of PAE alternatives were highest in North China (66.8 μg/g), while those of monoesters were highest in Southwest China (6.93 μg/g). A significant correlation (p < 0.05) between the concentrations of DEHTP and its monoester suggested that degradation could be a potential source of monoesters. Although hazard quotients (HQs) have been calculated to suggest that the current exposure is unlikely to pose a significant health risk, the lack of toxicity threshold data and the existence of additional exposure pathways necessitate a further confirmation., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)

A bacterium, designated strain T21 T , that is non-motile, rod-shaped, and formed pale white colonies, was isolated from the sludge of a wastewater treatment plant's secondary sedimentation tank in China. Strain T21 T could grow at 20-40 °C (optimum growth at 30 °C), pH 3.0-10.0 (optimum growth at pH 5.0) and in the presence of 0-8.0% (w/v) NaCl (optimum growth at 2.0%). Based on phylogenetic analysis of 16S rRNA gene sequences and genome sequences, the isolate belongs to the genus Tessaracoccus in the phylum Actinomycetota. It exhibited a close relationship with Tessaracoccus palaemonis J1M15 T , Tessaracoccus defluvii LNB-140 T , Tessaracoccus flavescens SST-39 T , and Tessaracoccus coleopterorum HDW20 T . The 16S rRNA gene sequence similarities are 99.8%, 97.9%, 97.9%, and 97.8%, respectively. The major cellular fatty acids were anteiso-C 15:0 and C 16:0 . The main respiratory quinone was MK-9(H 4 ). The polar lipids included phosphatidylglycerol, diphosphatidylglycerol, glycolipid, and phospholipid. Genome annotation of strain T21 T predicted the presence of 2829 genes, of which 2754 are coding proteins and 59 are RNA genes. The genomic DNA G+C content was 69.2%. Based on the results of phylogenetic, phenotypic, chemotaxonomic, and genotypic analyses, we propose the name Tessaracoccus lacteus sp. nov. for this novel species within the genus Tessaracoccus. The type strain is T21 T (=CCTCC AB 2023031 T  = KCTC 49936 T )., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

The global practice of reusing sewage sludge in agriculture and its landfill disposal reintroduces environmental contaminants, posing risks to human and ecological health. This study screened sewage sludge from 30 Chinese cities for androgen receptor (AR) disruptors, utilizing a disruptor list from the Toxicology in the 21st Century program (Tox21), and identified 25 agonists and 33 antagonists across diverse use categories. Predominantly, natural products 5α-dihydrotestosterone and thymidine emerged as agonists, whereas the industrial intermediate caprolactam was the principal antagonist. In-house bioassays for identified disruptors displayed good alignment with Tox21 potency data, validating employing Tox21 toxicity data for theoretical toxicity estimations. Potency calculations revealed 5α-dihydrotestosterone and two pharmaceuticals (17β-trenbolone and testosterone isocaproate) as the most potent AR agonists and three dyes (rhodamine 6G, Victoria blue BO, and gentian violet) as antagonists. Theoretical effect contribution evaluations prioritized 5α-dihydrotestosterone and testosterone isocaproate as high-risk AR agonists and caprolactam, rhodamine 6G, and 8-hydroxyquinoline (as a biocide and a preservative) as key antagonists. Notably, 16 agonists and 20 antagonists were newly reported in the sludge, many exhibiting significant detection frequencies, concentrations, and/or toxicities, demanding future scrutiny. Our study presents an efficient strategy for estimating environmental sample toxicity and identifying key toxicants, thereby supporting the development of appropriate sludge management strategies.

Knowledge regarding the occurrence of short-chain and medium-chain chlorinated paraffins (SCCPs and MCCPs) in foodstuffs and their dietary exposure risks for rural Tibetan residents remains largely unknown. Herein, we collected main foodstuffs (including highland barley, vegetables, Tibetan butter, mutton, and yak beef) across the rural Tibetan Plateau and characterized the CP profiles and concentrations. The highest SCCPs concentrations were detected in Tibetan butter (geometric mean (GM): 240.6 ng/g wet weight (ww)), followed by vegetables (59.4 ng/g ww), mutton (51.4 ng/g ww), highland barley (46.3 ng/g ww), and yak beef (31.7 ng/g ww). For MCCPs, the highest concentrations were also detected in Tibetan butter (319.5 ng/g ww), followed by mutton (181.9 ng/g ww), vegetables (127.0 ng/g ww), yak beef (71.2 ng/g ww), and highland barley (30.3 ng/g ww). The predominant congener profiles of SCCPs were C 13 Cl 7 - 8 in mutton and yak beef, C 10 Cl 7 - 8 in Tibetan butter, and C 10 - 11 Cl 6 - 7 in highland barley and vegetables. The predominant congener profiles of MCCPs were C 14 Cl 7 - 9 in all sample types. Combined with our previous results of free-range chicken eggs, the median estimated daily intakes (EDIs) of SCCPs and MCCPs via diet for Tibetan rural adults and children was estimated to be 728.8 and 1853.9 ng/kg bw/day and 2565.6 and 5952.8 ng/kg bw/day, respectively. In the worst scenario, MCCPs might induce potential health risks for rural Tibetan population. To our knowledge, this is the first systematic dietary exposure research of SCCPs and MCCPs in the remote rural areas., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

This study aimed to assess the possible causes of discordant results between Xpert MTB/RIF (Xpert) and Bactec MGIT 960 Culture System (MGIT960) regarding rifampicin (RIF) susceptibility in Mycobacterium tuberculosis . Patients with previous RIF-resistant tuberculosis who were admitted to Wenzhou Central Hospital from January 2020 to December 2022 were enrolled. The isolates obtained from these patients were subjected to RIF susceptibility tests using Xpert and MGIT960, and the minimum inhibitory concentration (MIC) of RIF was determined by the MYCOTB MIC plate test. Additionally, molecular docking and molecular dynamics (MD) simulations were performed to evaluate the binding efficacy of rpoB and RIF based on rpoB mutations detected in the isolates with discordant RIF susceptibility results. A total of 28 isolates with discordant RIF susceptibility test results were detected, 15 of them were RIF susceptible with MICs ≤ 0.5 µg/mL. Twelve out of 15 isolates contained borderline RIF resistance-associated mutations [L430P ( n = 6), H445N ( n = 6)], 1 isolate had D435Y and Q429H double mutation, and the remaining 2 isolates had a silent (Q432Q) mutation. Compared with the affinity of RIF toward the wild type (WT) (-45.83 kcal/mol) by MD, its affinity toward L452P (-55.52 kcal/mol), D435Y (-47.39 kcal/mol), L430P (approximately -69.72 kcal/mol), H445N (-49.53 kcal/mol), and Q429H (-55.67 kcal/mol) increased. Borderline RIF resistance-associated mutations were the main cause for the discordant RIF susceptibility results between Xpert and MGIT960, and the mechanisms of the resistance need further investigated.IMPORTANCEThis study is aimed at assessing discordant results between Xpert MTB/RIF (Xpert) assay and Bactec MGIT 960 Culture System (MGIT960) regarding the detection of rifampicin (RIF)-resistant Mycobacterium tuberculosis isolates in Wenzhou, China. The discordant results of RIF between these two assays were mainly caused by borderline RIF resistance-associated mutations, subsequently by silent mutations of rpoB. Borderline RIF resistance- associated mutations detected in our study were demonstrated to not be affected by the affinity of rpoB and RIF by molecular dynamics, and the mechanism of resistance was needed to be clarified. For the discordant results of RIF by Xpert and MGIT960 that occurred, rpoB DNA sequencing was recommended to investigate its association with resistance to RIF., Competing Interests: The authors declare no conflict of interest.

The safety of municipal sewage sludge has raised great concerns because of the accumulation of large-scale endocrine disrupting chemicals in the sludge during wastewater treatment. The presence of contaminants in sludge can cause secondary pollution owing to inappropriate disposal mechanisms, posing potential risks to the environment and human health. Effect-directed analysis (EDA), involving an androgen receptor (AR) reporter gene bioassay, fractionation, and suspect and nontarget chemical analysis, were applied to identify causal AR agonists in sludge; 20 of the 30 sludge extracts exhibited significant androgenic activity. Among these, the extracts from Yinchuan, Kunming, and Shijiazhuang, which held the most polluted AR agonistic activities were prepared for extensive EDA, with the dihydrotestosterone (DHT)-equivalency of 2.5 - 4.5 ng DHT/g of sludge. Seven androgens, namely boldione, androstenedione, testosterone, megestrol, progesterone, and testosterone isocaproate, were identified in these strongest sludges together, along with testosterone cypionate, first reported in sludge media. These identified androgens together accounted for 55 %, 87 %, and 52 % of the effects on the sludge from Yinchuan, Shijiazhuang, and Kunming, respectively. This study elucidates the causative androgenic compounds in sewage sludge and provides a valuable reference for monitoring and managing androgens in wastewater treatment., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Objective: This study aims to explore the intervention effects of narrative nursing on the reproductive concerns of cervical cancer patients of childbearing age undergoing surgical treatment., Methods: Patients undergoing cervical cancer surgery with moderate to severe levels of reproductive concerns, treated between January and December 2023 at a tertiary Grade-A oncology hospital in China, were selected as the research subjects. Patients were randomized into an intervention group and a control group, each consisting of 33 patients. The control group received standard nursing care, while the intervention group received a narrative nursing intervention in addition to standard care. The changes in the levels of reproductive concerns, post-traumatic growth, and quality of life scores before and after the intervention were compared between the two groups., Results: After the intervention, the reproductive concerns scores of the cervical cancer patients in the intervention group (32.53 ± 4.77) were significantly lower than those in the control group (59.29 ± 3.24), with a statistically significant difference (t = 26.143, p < 0.001). The post-traumatic growth scores in the intervention group (86.78 ± 3.52) were significantly higher than those in the control group (68.06 ± 6.24), with a statistically significant difference (t = -14.595, p < 0.001). The quality of life scores in the intervention group (149.00 [IQR = 8.75]) were significantly higher than those in the control group (129.00 [IQR = 13.00]), with a statistically significant difference (z = -5.799, p < 0.001)., Conclusion: Narrative nursing can effectively alleviate reproductive concerns in cervical cancer patients undergoing surgical treatment, promote positive psychological changes post-trauma, and improve patients' quality of life., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Background: To explore the perceptions and experience of oral health management among rural older people in China., Methods: Qualitative methodologies were used in this study. Face-to-face semi-structured interviews were conducted. Thirteen older adults in rural areas were purposively sampled at two metropolitan hospitals in Hunan, China. The data were transcribed and thematically analyzed, and MAXQDA software was used to assist with coding., Results: Three overarching major themes and ten sub‑themes capturing the perceptions and experience of oral health management among rural older people were identified. Three themes emerged from the thematic analysis: oral health cognitive bias, poor management behaviors, and limited oral health services. Oral health management as a whole is negative, oral health behaviors are poor, oral health service utilization is limited., Conclusions: Based on these findings, there is great scope here for improving the current status of oral health for rural older people around awareness, behavior, and access. Oral health education, improved oral health services and primary oral health promotion are warranted., (© 2024. The Author(s).)

Halobenzoquinones (HBQs), an emerging unregulated category of disinfection byproduct (DBP) in drinking water, have aroused an increasing concern over their potential health risks. However, the chronic toxicity of HBQs at environmentally relevant concentrations remains largely unknown. Here, the occurrence and concentrations of 13 HBQs in drinking water from a northern megacity in China were examined using ultrahigh performance liquid chromatography coupled with triple-quadrupole tandem mass spectrometry (UHPLC-MS/MS). Four HBQs, including 2,6-dichloro-1,4-benzoquinone (2,6-DCBQ), 2,6-dibromo-1,4-benzoquinone (2,6-DBBQ), 2,3,6-trichloro-1,4-benzoquinone (TriCBQ), and 2,5-dibromo-1,4-benzoquinone (2,5-DBBQ), were detected beyond 50% occurrence frequency and at median concentrations from 4 to 50 ng/L. The chronic toxicity of these four HBQs to normal human colon and liver cells (FHC and THLE-2) was investigated at these concentrations. After 90 days of exposure, 2,5-DBBQ and 2,6-DCBQ induced the highest levels of oxidative stress and deoxyribonucleic acid (DNA) damage in colon and liver cells, respectively. Moreover, 2,5-DBBQ and 2,6-DCBQ were also found to induce epithelial-mesenchymal transition (EMT) in normal human liver cells via the extracellular signal regulated kinase (ERK) signaling pathway. Importantly, heating to 100 °C (boiling) was found to efficiently reduce the levels of these four HBQs in drinking water. These results suggested that environmentally relevant concentrations of HBQs could induce cytotoxicity and genotoxicity in normal human cells, and boiling is a highly efficient way of detoxification for HBQs.