Modeling of Flame Retardants in Typical Urban Indoor Environments in China during 2010-2030: Influence of Policy and Decoration and Implications for Human Exposure

Novel flame retardants (FRs) are of increasing concern, given growing evidence of health effects and use to replace polybrominated diphenyl ethers (PBDEs). This study modeled combined effects of use policies and decoration on indoor FRs and human exposure for 18 widely used PBDEs, organophosphate esters (OPEs), and novel brominated flame retardants in typical urban indoor environments in China. The current estimated indoor emission rates and average concentrations in air and dust of the 18 FRs were 10²-10³ ng/h, 561 ng/m³, and 1.5 × 10⁴ ng/g, respectively, with seven OPEs dominant (>69%). Different use patterns exist between China and the US and Europe. Scenarios modeled over 2010-2030 suggested that decoration would affect indoor concentrations of FRs more than use policies, and use policies were mainly responsible for shifts of FR composition. Additional use of hexabromobenzene and 2,3,4,5,6-pentabromotoluene and removal of BDE-209 would make the total human exposure to the modeled FR mixture increase after the restriction of penta- and octa-BDE but decrease after deca-BDE was banned. Better knowledge of the toxicity of substitutes is needed for a complete understanding of the health implications of such changes. Toddlers may be more affected by use changes than adults. Such studies are supportive to the management of FR use.

[Clinical analysis of left atrial appendage occlusion for stroke prevention in elderly patients with atrial fibrillation]

To evaluate the efficacy and safety of left atrial appendage occlusion (LAAO) in patients with atrial fibrillation (AF) over 75 years. A total of 82 patients with AF who underwent LAAO successfully in Beijing Anzhen Hospital from March 2014 to March 2019 were divided into two groups according to age: the elderly group (aged>75 years) and the young group (aged ≤75 years). Risk of perioperative complications and incidence of ischemic stroke and major bleeding during follow-up were retrospectively analyzed. The results showed that there were no significant differences in procedure-related ischemic stroke(0 vs.1.6%,P=0.768) and major bleeding (0 vs.1.6%,P=0.768) during perioperative period between the two groups. No complications as death or pericardial tamponade occurred in the two group. During a (25.9±15.9) months period of followed up, ischemic stroke event rate was 3.6/100 person-years in the elderly group and 4.9/100 person-years in the young group, respectively. Major bleeding event rate was 2.5/100 person-years in the elderly group and 0/100 person-years in the young group, respectively. Compared with the expected ones, the relative risk reduction (RRR) of stroke in the elderly group was more profound than that in the young group (32.0% vs. 25.0%), while the risk of major bleeding in the young group was significantly lower than that in the elderly group (RRR 100% vs. 56.9%). Therefore, LAAO might be suitable for stroke prevention in the elderly AF patients.

Efficient removal of bisphenol S by non-radical activation of peroxydisulfate in the presence of nano-graphite

An environmentally friendly and efficient catalyst is important for the persulfate activation and pollutants removal from water. In this study, nano-graphite (NG) prepared by detonation method, was firstly applied as the superb carbon catalyst to activate peroxydisulfate (PDS) for the degradation of bisphenol S (BPS) via a non-radical pathway. Results showed that NG had a very high catalytic performance and degraded most of BPS within 20.0 min, out-performing many popular metal-based catalysts. The doped N atoms (i.e. graphitic N and pyridinic N) in NG were identified as the possible reactive sites for the PDS activation. It is proposed that PDS could form the metastable surface-bound PDS complexes on the NG surface, which promoted the BPS degradation. The NG/PDS system had a strong anti-interference ability for the environmental background substances and a wide operative pH range, so it had a good application prospect in the actual wastewater environment. This study not only provides an efficient method for the removal of bisphenol pollutants, but also deepens the insight into the reaction mechanisms.

Baseline brain function in the preadolescents of the ABCD Study

The Adolescent Brain Cognitive Development (ABCD) Study® is a 10-year longitudinal study of children recruited at ages 9 and 10. A battery of neuroimaging tasks are administered biennially to track neurodevelopment and identify individual differences in brain function. This study reports activation patterns from functional MRI (fMRI) tasks completed at baseline, which were designed to measure cognitive impulse control with a stop signal task (SST; N = 5,547), reward anticipation and receipt with a monetary incentive delay (MID) task (N = 6,657) and working memory and emotion reactivity with an emotional N-back (EN-back) task (N = 6,009). Further, we report the spatial reproducibility of activation patterns by assessing between-group vertex/voxelwise correlations of blood oxygen level-dependent (BOLD) activation. Analyses reveal robust brain activations that are consistent with the published literature, vary across fMRI tasks/contrasts and slightly correlate with individual behavioral performance on the tasks. These results establish the preadolescent brain function baseline, guide interpretation of cross-sectional analyses and will enable the investigation of longitudinal changes during adolescent development.

[Chronic lymphocytic leukemia with t (14;18) (q32;q21) : report of eight cases and a literature review]

目的

分析伴t(14;18)(q32;q21)的慢性淋巴细胞白血病（CLL）患者的临床特征及预后，并进行相关文献复习。

方法

收集并分析2009年11月至2019年11月于江苏省人民医院就诊的8例伴t(14;18)(q32;q21)的CLL患者的临床资料。

结果

8例患者中7例男性，1例女性，诊断时中位年龄70岁，3例免疫表型积分5分，4例积分4分，1例积分3分。所有患者的骨髓组织病理学均为典型CLL表现。染色体核型示所有患者的t(14;18)(q32;q21)均为干系，3例仅携带t(14;18)(q32;q21)异常，4例为t(14;18)(q32;q21)伴+12，1例为t(14;18)(q32;q21)伴13q−。通过FISH在另外3例患者中发现了13q−。6例检测了免疫球蛋白重链可变区（IGHV）突变状态且均为有突变，未见IGHV3-21片段使用。进行相关检测的患者中，仅1例携带TP53突变，其余患者未见TP53、SF3B1、NOTCH1、MYD88突变。中位随访30.9个月时，1例死亡，7例存活，其中3例尚未达到治疗指征，4例接受化疗或免疫治疗的患者病情均稳定。

结论

t(14;18)(q32;q21)在CLL中少见，往往与+12、有突变的IGHV伴随出现。伴t(14;18)(q32;q21)的CLL可能预后良好。

POS1088 EFFICACY OF SUBCUTANEOUS TANEZUMAB FOR THE TREATMENT OF OSTEOARTHRITIS OF THE KNEE OR HIP: A POST-HOC SUBGROUP ANALYSIS OF PATIENTS FROM A RANDOMIZED, NSAID-CONTROLLED STUDY WITH A HISTORY OF DEPRESSION, ANXIETY, OR INSOMNIA

Background:

Tanezumab is a monoclonal antibody directed against nerve growth factor. It is in development for the treatment of moderate to severe chronic pain associated with osteoarthritis (OA) in adult patients for whom other treatments are ineffective or not appropriate. Phase 3 clinical trials have demonstrated the efficacy of subcutaneous tanezumab versus placebo for pain and function outcomes over various timepoints. Largely similar change from baseline was demonstrated in an oral nonsteroidal anti-inflammatory drug (NSAID)-controlled study.1,2,3,4 The efficacy of some other OA therapies can be dampened in patients with depression, anxiety, or insomnia.5,6,7

Objectives:

A post-hoc analysis to explore the efficacy of subcutaneous tanezumab after 16 weeks treatment, as compared to oral NSAID, in patients with OA and a history of depression, anxiety, or insomnia at baseline.

Methods:

Subgroup analysis of data from a randomized, double-blind, double-dummy, active-controlled phase 3 study of subcutaneous tanezumab (2.5 mg or 5 mg every 8 weeks) vs twice daily oral NSAID in patients (≥18 years) with radiographically-confirmed moderate to severe hip or knee OA (Kellgren-Lawrence grade ≥2; NCT02528188).4 Co-primary efficacy endpoints were change from baseline to week 16 in Western Ontario and McMaster Universities OA Index (WOMAC*) Pain and Physical Function subscale scores (both ≥5/10 at randomisation; increasing score indicates increasing pain/disability), and Patient’s Global Assessment of OA (PGA-OA, ≥3/5 at randomisation; increasing score indicates poorer condition). Enrolled patients had a history of inadequate pain relief with acetaminophen; inadequate pain relief with/intolerance to/contraindication to tramadol or opioids; or an unwillingness to take opioids. Patients were on a stable dose of NSAID for ≥30 days before screening. Data are presented as least squares (LS) mean change from baseline to week 16 for the whole population and for subgroups of patients with/without a history of depression, anxiety, or insomnia at baseline. Exploratory statistical analysis was conducted by analysis of covariance. P values were not adjusted for multiplicity. This exploratory post-hoc analysis was not part of the pre-specified hypothesis testing plan or included in any sample size calculations; therefore, comparisons between treatment arms or patient subgroups should be interpreted with caution.

Results:

Overall, 2996 patients were randomized and received at least one dose of study treatment (subcutaneous tanezumab 2.5 mg: n=1002; subcutaneous tanezumab 5 mg: n=998; oral NSAID: n=996). In this population (comprising patients with or without a history of anxiety, depression or insomnia), all treatments were associated with notable and largely similar magnitude improvements in WOMAC Pain, WOMAC Physical Function, and PGA-OA at week 16 (Figure 1). Across treatment groups, differences in LS mean change from baseline in patients with and without a history of depression, anxiety or insomnia ranged between 0 - 0.34 for WOMAC Pain and Physical Function and 0 - 0.19 for PGA-OA.

Conclusion:

Patients with a history of depression, anxiety, or insomnia did not appear to experience dampened improvements in pain or function with tanezumab or NSAID, as compared to those without.

References:

[1]Schnitzer T, et al. JAMA. 2019;322(1):37-48;

[2]Berenbaum F, et al. Ann Rheum Dis. 2020;79(6):800-10;

[3]Schnitzer T, et al. Semin Arthritis Rheum. 2020;50(3):387-93;

[4]Hochberg M, et al. Arthritis Rheumatol. In Press;

[5]Sharma A, et al. Open Access Rheumatol. 2016;31(8):103-13;

[6]Mallen C, et al. PLoS Med. 2017;14(4):e1002273;

[7]Campbell C, et al. Arthritis Care Res. 2015;67(10):1387-96.

Acknowledgements:

Study sponsored by Pfizer and Eli Lilly and Company. Editorial support was provided by Jennifer Bodkin of Engage Scientific Solutions and funded by Pfizer and Eli Lilly and Company.

Disclosure of Interests:

Philip J Mease Speakers bureau: AbbVie, Amgen, Bristol Myers Squibb, Celgene, Janssen, Eli Lilly and Company, Novartis, Pfizer, UCB, Consultant of: AbbVie, Amgen, Boehringer Ingelheim, Bristol Myers Squibb, Celgene, Galapagos, Gilead, GlaxoSmithKline, Janssen, Eli Lilly and Company, Novartis, Pfizer, Sun, UCB, Grant/research support from: AbbVie, Amgen, Bristol Myers Squibb, Celgene, Janssen, Eli Lilly and Company, Novartis, Pfizer, Sun, UCB, Theresa Mallick-Searle Speakers bureau: Allergan, Abbvie, Eli Lilly and Company, Salix, Consultant of: Pfizer, Eli Lilly and Company, Elizabeth Johnston Shareholder of: Eli Lilly and Company, Employee of: Eli Lilly and Company, Lars Viktrup Shareholder of: Eli Lilly and Company, Employee of: Eli Lilly and Company, Dominique Menuet Employee of: Pfizer, Ruoyong Yang Employee of: Pfizer, Robert J Fountaine Shareholder of: Pfizer, Employee of: Pfizer.

Katabatic Wind and Sea-Ice Dynamics Drive Isotopic Variations of Total Gaseous Mercury on the Antarctic Coast

Clarifying the sources and fates of atmospheric mercury (Hg) in the Antarctic is crucial to understand the global Hg circulation and its impacts on the fragile ecosystem of the Antarctic. Herein, the annual variations in the isotopic compositions of total gaseous Hg (TGM), with 5-22 days of sampling duration for each sample, were presented for the first time to provide isotopic evidence of the sources and environmental processes of gaseous Hg around the Chinese Great Wall Station (GWS) in the western Antarctic. Different from the Arctic tundra and lower latitude areas in the northern hemisphere, positive δ²⁰²Hg (0.58 ± 0.21‰, mean ± 1SD) and negative Δ¹⁹⁹Hg (-0.30 ± 0.10‰, mean ± 1SD) in TGM at the GWS indicated little impact from the vegetation-air exchange in the Antarctic. Correlations among TGM Δ¹⁹⁹Hg, air temperature, and ozone concentrations suggested that enhanced katabatic wind that transported inland air masses to the continental margin elevated TGM Δ¹⁹⁹Hg in the austral winter, while the surrounding marine surface emissions controlled by sea-ice dynamics lowered TGM Δ¹⁹⁹Hg in the austral summer. The oxidation of Hg(0) might elevate Δ¹⁹⁹Hg in TGM during atmospheric Hg depletion events but have little impact on the seasonal variations of atmospheric Hg isotopes. The presented atmospheric Hg isotopes were essential to identify the transport and transformation of atmospheric Hg and further understand Hg cycling in the Antarctic.

[Determination of hydrazine in workplace air by gas chromatography with large bore capillary column]

Objective: To determine hydrazine quantitatively in workplace air by gas chromatography with large bore capillary column. Methods: In October 2019, hydrazine in the air was adsorbed by acid silica gel tube sampling and desorped using sulfuric acid solution. After derivatization with furfural and extraction, the content of hydrazine was determined by DM-FFAP capillary column gas chromatography with flame ionization detector. Results: The linear regression equation was y=353.8x+21.2 (r=0.9998) between 0.1-2.0 μg/ml of target concentration. The detection limit was 0.030 μg/ml. The lower limit of quantification was 0.100 μg/ml. If 15 L air sample was collected, the minimum detection concentration was 0.004 mg/m(3) and the minimum quantitative concentration was 0.013 mg/m(3) respectively. The average desorption efficiency was 86.5%-89.4%. The recovery was 94.4%-97.1%. The relative standard deviation was 1.6%-4.9%. Hydrazine and furfural derivative was 2-furaldehyde hydrazine. Conclusion: The method has symmetrical peak shape of hydrazine derivatives chromatographic peaks, short analysis time, easy operation, and is suitable for the determination of the concentration of hydrazine in the air in the workplace.

Sarcopenia as a predictor of postoperative risk of complications, mortality and length of stay following gastrointestinal oncological surgery

INTRODUCTION

Sarcopenia has drawn considerable attention as a predictor of postoperative risk, although the relationship between sarcopenia and postoperative risk is contentious. This meta-analysis was conducted to evaluate this relationship.

METHODS

A systematic literature search up to May 2020 was carried out and 43 studies were identified (with 16,716 patients) reporting on the relationship between sarcopenia and postoperative risk. In order to evaluate this relationship, odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using the dichotomous and continuous method with a random or fixed effects model.

RESULTS

Compared with non-sarcopenic patients, those with sarcopenia have a higher major complications rate (OR: 4.03, 95% CI: 2.49-5.57, p<0.001), a higher total complications rate (OR: 1.77, 95% CI: 1.40-2.24, p<0.001), a higher 30-day mortality rate (OR: 2.38, 95% CI: 1.56-3.63, p<0.001) and a longer hospital stay (mean difference: 4.54 days, 95% CI: 2.49-6.59 days, p<0.001).

CONCLUSIONS

Sarcopenia significantly increases the risk of major complications, total complications, 30-day mortality and length of hospital stay. For this reason, it is recommended that sarcopenia is added to preoperative risk evaluation to avoid any possible negative outcomes following gastrointestinal oncological surgery.

Atmospheric concentrations and temporal trends of polychlorinated biphenyls and organochlorine pesticides in the Arctic during 2011-2018

Passive air samples were deployed in Ny-Ålesund and London Island (Svalbard, High Arctic) annually for seven years (2011-2018) to investigate concentrations, temporal trends and potential sources of selected persistent organic pollutants (POPs). Nine polychlorinated biphenyls and twelve organochlorine pesticides were detected in all samples, with 3,3'-dichlorobiphenyl (PCB-11) being the prevalent congener. Concentrations of most compounds were declining. The ratio of the α- and γ-isomer of hexachlorocyclohexane (HCH) in Arctic air was comparable with that in technical HCH mixtures, but higher than that in the atmosphere of other countries, thereby indicating the impact of historical use as well as the possible photoisomerization of the γ- into the α-isomer. The parent dichlorodiphenyltrichloroethane (DDT) was always less abundant than its degradation products dichlorodiphenylethylene (DDE), indicative of the impact of aged DDT sources in the Arctic atmosphere. However, o,p'-/p,p'-DDT ratios suggest only a minor contribution of dicofol-type DDT. A slightly declining temporal trend of the trans-chlordane/cis-chlordane ratio indicated the impact of secondary sources. The atmospheric distribution of the investigated POPs in the Arctic was mainly attributed to long-range atmospheric transport, whereas the influence of human activities from the scientific research stations was minor.

Accumulation and influencing factors of novel brominated flame retardants in soil and vegetation from Fildes Peninsula, Antarctica

The concentrations and distributions of nine novel brominated flame retardants (NBFRs) were analyzed in soil, lichen (Usnea aurantiaco-atra), and moss (Sanionia uncinata) samples collected from the Chinese Antarctic Great Wall Station and surrounding Fildes Peninsula area in west Antarctica. Total NBFR concentrations ranged from 61.2-225 pg/g dry weight (dw) in soil, 283-1065 pg/g dw in moss, and 135-401 pg/g dw in lichen, respectively. Decabromodiphenyl ethane (DBDPE) was the dominant NBFR in all samples, accounting for 65.2%, 50.1%, and 72.4% of cumulative NBFR concentration in soil, moss, and lichen, respectively. The concentrations of NBFRs in plant samples were higher than those in soil, which may be related to plant bioaccumulation. Significant log/log-linear correlations (p < 0.05) were found between the concentrations of BEHTEBP and total organic carbon (TOC) in soil, and between DBDPE and lipid content in mosses, indicating that TOC and lipid content potentially affect certain NBFRs in Antarctic soil and moss. This study presents the first report on NBFR contamination in soil and various vegetation in Antarctica.

Oxidative transformation of 1-naphthylamine in water mediated by different environmental black carbons

Black carbons (BCs) are ubiquitous in the natural environment and can significantly influence the environmental behavior of pollutants. This work examined the mediating effects of graphite, soot, and biochar on 1-naphthylamine (1-NA) oxidation under aerobic conditions. It was shown that the three BCs significantly promoted the oxidation of 1-NA in the dark, and the mediation efficiency of graphite was much greater than that of soot or biochar. The oxidation products were the coupling oligomers (dimers and trimers) and the oxygen-containing oligomers of 1-NA (di-OH-1-NA, OH-azo naphthalene, OH-trimers and amino-naphthoquinone derivatives etc.). The phenolic OH on BCs were identified as the active sites for 1-NA oxidation, which could stimulate O₂ to produce reactive oxygen species through successive single electron transfer and then cause 1-NA oxidation. Moreover, the superior catalytic performance of graphite was also related to its high electrical conductivity. The synergies between the sp²-hybridized carbon surface and the active sites (such as phenolic OH and defects) facilitated the oxidation of 1-NA on graphite. Findings in this study not only are helpful for better understanding the reactivity of environmental BCs, but also provide new insights into the risk assessment of 1-NA in the natural environment.

Long-Term Investigation of the Temporal Trends and Gas/Particle Partitioning of Short- and Medium-Chain Chlorinated Paraffins in Ambient Air of King George Island, Antarctica

The presence of anthropogenically emitted chlorinated paraffins (CPs) has been reported in the pristine regions, providing evidence of their long-range transport. This study comprehensively analyzed the short-chain chlorinated paraffins (SCCPs) and medium-chain chlorinated paraffins (MCCPs) in both gas and particle phases at King George Island, West Antarctica (the Chinese Great Wall Station), from 2014 to 2018. The atmospheric levels of CPs ranged between 71.4 and 4230 pg/m³, with an increasing temporal trend during the sampling time. Three different models (J-P model, H-B model, and L-M-Y model) were built to estimate the progress of gas/particle partitioning of CPs at the measurement site. Furthermore, we compared the measured data of the gas/particle partitioning with the data estimated using three different models. We found that the steady-state model (L-M-Y model) was more suitable for investigating the gas/particle partitioning of CPs instead of equilibrium state models (J-P model and H-B model). The result indicated that steady-state approximation rather than the equilibrium state represents the most predominant contribution to the transport of CPs to the Antarctic region. The steady-state further made it conducive to sustaining the levels of CPs for a more extended period in the atmosphere of West Antarctica.

[Key gene leading to poor prognosis of triple-negative breast cancer based on bioinformatics analysis]

Objective: To find the possible targets for the study and treatment of triple-negative breast cancer (TNBC), and to analyze and predict the key genes affecting the prognosis of TNBC by bioinformatics. Methods: Raw data on transcriptome sequencing of clinical specimens from patients with TNBC were searched by searching GEO Datasets in the National Center for Biotechnology Information (NCBI) database. The differential gene was then submitted to the Enrichr website for pathway enrichment. Survival analysis was used to finally identify the most significant differences in the prognosis of patients with TNBC. Results: Only ADAM9 gene showed a significant correlation with the poor prognosis of patients with TNBC (P<0.05), and ADAM9 only showed specificity associated with prognosis in patients with TNBC, and was not with other breast cancer types. Conclusion: ADAM9 gene has been proved to be related to the poor prognosis in patients with TNBC. Therefore, ADAM9 gene can be regarded as a possible key gene leading to lymph node metastasis and poor prognosis in patients with TNBC.

[Epidemic situation of malaria in Yunnan Province from 2014 to 2019]

OBJECTIVE

To investigate the epidemiological characteristics of malaria and implementation of the "1-3-7" approach in malaria elimination in Yunnan Province, so as to provide the data support for the development of post-elimination surveillance interventions.

METHODS

All data pertaining to malaria cases in Yunnan Province from 2014 to 2019 were captured from the Notifiable Disease Reporting System of Chinese Center for Disease Control and Prevention, and the changes in the epidemic situation of malaria were analyzed during the 5-year period. In addition, the core indexes regarding the "1-3-7" approach in malaria elimination of Yunnan Province from 2014 to 2019 were retrieved from the Malaria Control System in the Parasitic Disease Information Reporting System, and all changes in the indexes were descriptively analyzed.

RESULTS

During the period from 2014 to 2019, a total of 2 283 malaria cases were reported in Yunnan Province, including 1 927 cases with vivax malaria, 326 cases with plasmodium malaria, 29 cases with other species of malaria, and one case with unidentified species. There were 64 local cases, 2 219 overseas imported cases. Among the 2 283 malaria cases, the male/female ratio was 4.58∶1, and 80.25% of the cases were aged from 15 to 50 years. Farmer (70.00%) was the predominant occupation, and 76.70% (1 751/2 283) of the cases were identified in 25 border counties (districts). Malaria cases were reported in each month during the 5-year period, and the number of malaria cases increased from April, peaked on May to July, and started to decline on August. From 2014 to 2019, the reporting rate of malaria cases within 24 hours upon diagnosis was 100%, and the detection of malaria cases was 99.69% (2 276/ 2 283) in the laboratory, with a 99.65% (2 275/2 283) rate of definite diagnosis. In addition, the percentage of individual epidemiological investigations within 3 days was 100.00% (2 283/2 283), and the number of epidemic foci survey and treatment within 7 days was 576 during the 3-year period from 2017 to 2019. The goal of malaria elimination was achieved in Yunnan Province on June, 2020.

CONCLUSIONS

Malaria has been eliminated in Yunnan Province, and management of overseas imported malaria is the primary challenge to consolidate the malaria elimination achievements in the future. However, the approach in malaria elimination remains to be maintained, and the role of the Yunnan Provincial Malaria Diagnostic Reference Laboratory requires to be strengthened.

Occurrence and human exposure assessment of organophosphate esters in atmospheric PM2.5 in the Beijing-Tianjin-Hebei region, China

Organophosphate esters (OPEs) in atmospheric fine particles (PM_2.5) were comprehensively investigated in the Beijing-Tianjin-Hebei (BTH) region from April 2016 to March 2017. The concentrations of Σ₈OPEs in all the five sampling sites ranged from 90 to 8291 pg/m³ (mean 1148 ± 1239 pg/m³; median 756 pg/m³). The highest level (median 1067 pg/m³) was found at one of the urban sites in Beijing, followed by Tianjin (746 pg/m³) and Shijiazhuang (724 pg/m³). Tris(2-chloroethyl) phosphate (TCEP) and tri[(2R)-1-chloro-2-propyl] phosphate (TCPP) were the dominant compounds across the five sampling locations. Generally, the concentrations of chlorinated OPEs were relatively higher in summer than in winter (p < 0.05), but no significant seasonal difference was discovered for non-chlorinated individual OPEs. The concentrations of tri-n-butyl phosphate (TBP), TCEP, TCPP and triphenyl phosphate (TPP) were positively correlated with the meteorological parameters (i.e. temperature and relative humidity) (p < 0.05), indicating an evident influence of meteorological condition on OPE distribution. We observed a negative correlation (p < 0.05) between octanol-air partition coefficients (logK_oa) and the ratio of PM_2.5-bound OPE concentrations to total suspended particulates-bound OPE concentrations, suggesting that physicochemical properties affect the particle-size distribution of OPEs. Furthermore, the median value of cancer hazard quotients (HQs) of TCEP was higher than TBP and tris(2-ethylhexyl) phosphate (TEHP). The health risk assessment showed that HQ values for children were ~1.6 times higher than those for adults. Relatively higher health risk induced by PM_2.5-bound OPEs via inhalation was found during severe hazy days than in clear days.

[Association of abdominal obesity in childhood with high carotid intima-media thickness]

Objective: To examine the association of abdominal obesity assessed by waist circumference (WC) with carotid intima-media thickness (cIMT) in children. Methods: The study participants were from the "Huantai Childhood Cardiovascular Health Cohort Study" conducted in Huantai County, Zibo City, Shandong Province. A convenient cluster sampling method was used to select a primary school in Huantai County to conduct the baseline survey from November 2017 to January 2018. A total of 1 515 children aged 6-11 years old were included. The first follow-up survey was conducted from November to December 2019, and a total of 981 children aged 8-13 years old were finally included after exclusion of those with high cIMT at baseline. Questionnaire survey, physical examination and ultrasonic examination were used to collect general demographic characteristics, WC and cIMT information. According to the status of WC at baseline, the participants were divided into normal WC group and abdominal obesity group. Covariance analysis was used to compare the cIMT levels of children between normal WC group and abdominal obesity group. Multivariable logistic regression models were used to evaluate the association between baseline abdominal obesity and high cIMT during the follow-up. Results: The age of 981 children was (8.5±1.5) years at the baseline. The follow-up age was (10.5±1.5) years, and 520 boys accounted for 53.0%. The cIMT of children in the abdominal obesity group was 0.54 mm, which was higher than that in the normal WC group (0.51 mm) (P<0.001). Similarly, the prevalence of high cIMT in children with abdominal obesity (23.9%) was higher than that of normal WC group (3.9%) (P<0.001). After adjusting for potential covariates at the baseline and during the follow-up period, compared with the normal WC group, abdominal obesity was significantly associated with high cIMT (OR=5.78, 95%CI:3.43-9.74). Conclusion: The abdominal obesity in children could increase the risk of high cIMT.

Atmospheric organophosphate esters in the Western Antarctic Peninsula over 2014-2018: Occurrence, temporal trend and source implication

Organophosphate esters (OPEs) were comprehensively investigated in the air samples collected using high-volume samplers near the Chinese Great Wall Station in the Western Antarctic Peninsula over the period of 2014-2018. The concentrations of ∑₈OPEs (gaseous + particle phases) ranged from 33.9 to 404 pg/m³ with a geometric mean of 119 ± 12.0 pg/m³. Tris [(2R)-1-chloro-2-propyl] phosphate (TCIPP) and tris(2-chloroethyl) phosphate (TCEP) dominated in the gaseous phase, while tris-n-butyl phosphate (TnBP) was the most abundant OPEs in the particle phase, followed by TCIPP and TCEP. An apparently temporal trend was observed for atmospheric ∑₈OPEs over the five years, with a doubling time of about 3.8 years, which indicated continuous inputs of OPEs into the sampling area. The particle-bound ∑₈OPEs accounted for 45% of the total, generally lower than that reported in the Arctic. Gas-particle partitioning modeling suggested that the partitioning of OPEs with higher logK_OA values approached the steady state in the Antarctic air. The back-trajectory modeling showed that high levels of OPEs were usually associated with air inputs from the northwest of the peninsula. This suggested that long-range transport from South America, which was confirmed by the no temperature dependencies of OPEs concentrations (excluding TnBP). Nevertheless, a steady high level of particle-bound TnBP implied local sources in the Western Antarctic Peninsula, which required further investigation in future works.

Historical trends of PCBs and PBDEs as reconstructed in a lake sediment from southern Tibetan Plateau

High-altitude lake sediment can be used as a natural archive to reconstruct the history of pollutants. In this work, the temporal distribution of polychlorinated biphenyls (PCBs) and polybrominated diphenyl ethers (PBDEs) were determined using a high-resolution gas chromatography coupled with high-resolution mass spectrometer (HRGC/HRMS) in an alpine lake sediment core collected from the southern Tibetan Plateau (TP) to examine whether the expected decreasing trends due to the implementation of the international Conventions could be observed. The concentrations of PCBs and PBDEs in the sediment core were in the range of 11.8-142 pg/g dw and ND-457 pg/g dw, and their fluxes were in the range of 2.51-31.7 ng/(m²·yr) and ND-43.2 ng/(m²·yr), respectively. The prevalence of low-chlorinated (tri-CB) PCBs and low-brominated (tri- to tetra-) PBDEs in most sections of the sediment profiles was observed, suggesting that the light molecular weight PCBs and PBDEs have most likely reached lake sediments by long-range atmospheric transport from distant sources. Despite the restrictions on their applications, the sediment records for the concentrations and fluxes showed no corresponding decreasing trend with restrictions for PCBs, which suggested that these POPs (e.g., PCBs) were still emitted to the environment owing to the influence of primary or secondary emissions. To our knowledge, this is the first report on input history of atmospheric PCBs and PBDEs recorded in TP Lake sediment.

Bioaccumulation and Trophic Transfer of Polybrominated Diphenyl Ethers and Their Hydroxylated and Methoxylated Analogues in Polar Marine Food Webs

Arctic and Antarctic marine ecosystems, which are important components of global biodiversity, have been severely threatened by environmental pollutants in recent decades. In this study, polybrominated diphenyl ethers (PBDEs) and their hydroxylated and methoxylated analogues (OH-PBDEs and MeO-PBDEs) were analyzed in seawater, sediment, and marine organisms (algae, invertebrates, and fishes) collected surrounding the Arctic Yellow River Station (n = 83) and the Antarctic Great Wall Station (n = 72). PBDEs and the analogues were detectable in all polar marine matrices, except MeO-PBDEs in seawater. The concentrations of ∑PBDEs, ∑MeO-PBDEs, and ∑OH-PBDEs in the marine organisms were in the range of 0.33-16 ng/g lipid weight (lw), n.d.-2.6 ng/g lw, and 0.12-2.3 ng/g lw in the Arctic and 0.06-31 ng/g lw, n.d.-5.8 ng/g lw, and 0.17-35 ng/g lw in Antarctica, respectively. Biota-sediment bioaccumulation factor (BSAF, g TOC/g lipid) values of MeO-PBDEs (0.002-0.14) and OH-PBDEs (0.004-0.18) were lower than the BSAF values of PBDEs (0.85-12). Trophic magnification was found for ∑MeO-PBDEs, whereas trophic dilution was observed for ∑OH-PBDEs in both regions. This is one of very few investigations on trophic transfer of PBDE metabolites in the Antarctic and Arctic regions and will further strengthen concerns about the ecological risk of PBDE metabolites in remote areas.

[Analysis of pregnancy outcomes of D6 single blastocyst transplantation in fresh and frozen-thawed cycles]

Objective: To compare the main clinical outcomes of Day 6 (D6) single blastocyst transplantation in fresh and frozen-thawed cycles. Methods: The data of fresh blastocyst transplantation patients and frozen-thawed blastocyst transplantation patients from January 2013 to December 2017 were retrospectively analysed. Fresh blastocyst transplantation and frozen-thawed blastocyst transplantation were matched in a ratio of 1∶3 by using propensity score matching, the matching factors included age, body mass index, thickness of endometrium and blastocyst grade. Totally 180 cases were included in the fresh cycle group and 540 cases in the frozen-thawed cycle group. Results: There was no significant difference in basal FSH between the two groups [(6.9±2.5) versus (6.4±3.8) U/L, P=0.334]. The positive rate of hCG in D6 blastocyst fresh cycle transplantation group [32.8%(59/180) versus 48.1%(260/540)], clinical pregnancy rate [28.9%(52/180) versus 43.5%(235/540)] and live birth rate [21.1%(38/180) versus 32.2%(174/540)] were lower than those of frozen-thawed cycle group (all P<0.05). The miscarriage rate was higher [26.9%(14/52) versus 24.7%(58/235)], but there was no statistical difference (P>0.05). Conclusions: The clinical pregnancy outcome of D6 single blastocyst frozen-thawed cycle transplantation is better than that of fresh cycle. In order to obtain better clinical outcomes, frozen-thawed cycle transplantation of blastocysts formed on the 6th day is recommended.