Refractory dissolved organic matters in sludge leachate trigger the combination of anammox and denitratation for advanced nitrogen removal

The cost-effective treatment of sludge leachate (SL) with high nitrogen content and refractory dissolved organic matter (rDOM) has drawn increasing attention. This study employed, for the first time, a rDOM triggered denitratation-anammox continuous-flow process to treat landfill SL. Moreover, the mechanisms of exploiting rDOM from SL as an inner carbon source for denitratation were systematically analyzed. The results demonstrated outstanding nitrogen and rDOM removal performance without any external carbon source supplement. In this study, effluent concentrations of 4.27 ± 0.45 mgTIN/L and 5.58 ± 1.64 mgTN/L were achieved, coupled with an impressive COD removal rate of 65.17 % ± 1.71 %. The abundance of bacteria belonging to the Anaerolineaceae genus, which were identified as rDOM degradation bacteria, increased from 18.23 % to 35.62 %. As a result, various types of rDOM were utilized to different extents, with proteins being the most notable, except for lignins. Metagenomic analysis revealed a preference for directing electrons towards NO3--N reductase rather than NO2--N reductase, indicating the coupling of denitratation bacteria and anammox bacteria (Candidatus Brocadia). Overall, this study introduced a novel synergy platform for advanced nitrogen removal in treating SL using its inner carbon source. This approach is characterized by low energy consumption and operational costs, coupled with commendable efficiency.

[Salivary carcinoma showing thymus-like differentiation: clinicopathological analysis of 7 cases]

Objective: To analyze the clinicopathological features of salivary carcinoma with thymus-like differentiation(CASTLE). Methods: Cases diagnosed with salivary CASTLE from January 2020 to December 2023 were collected and selected from the Department of Oral Pathology, Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine. A total of 7 cases of salivary CASTLE were identified. All the cases originated from parotid. There were 3 males and 4 females. The patients' age range was 11-70 years.The clinical, microscopic, immunohistochemical and prognostic features of these cases were analyzed. Results: The duration of disease ranged from 1 month to 1 year, and 1 patient had facial numbness and 1 with swelling sensation occasionally. Radiographically, 4 cases showed malignant signs. Microscopically, 4 cases involved in parotid gland, and all the tumors had different degrees of lymphoid tissue background. The tumor cells arranged in nests, 5 cases with lymphoepithelial carcinoma-like and 2 cases with squamous cell carcinoma morphology. The tumor cells expressed CD5 and CD117 proteins diffusely in lymphoepithelial carcinoma-like cases. However, the tumor cells expressed CD5 diffusely and CD117 focally in cases with squamous cell carcinoma morphology. All the cases had no Epstein-Barr virus infection. Among the 6 patients with follow-up information, all of them underwent postoperative radiotherapy, and none of them had local recurrence and lymph node metastasis. Conclusions: Salivary CASTLE is a rare tumor, it should be distinguished from lymphoepithelial carcinoma and squamous cell carcinoma. The patients often have better prognosis and CD5 protein expression has a valuable role in the differential diagnosis.

Microbial communities exhibit distinct diversities and assembly mechanisms in rainwater and tap-water storage systems

Roof-harvested rainwater stored for potable and nonpotable usages represent a clean and sustainable water supply resource. However, the microbial dynamics and mechanisms of community assembly in long-termed operated rainwater storage systems remain elusive. In this study, characteristics of microbial communities in different habitats were systematically compared within rainwater and tap-water simulated storage systems (SWSSs) constructed with different tank materials (PVC, stainless steel and cement). Distinct microbial communities were observed between rainwater and tap-water SWSSs for both water and biofilm samples (ANOSIM, p < 0.05), with lower diversity indexes noted in rainwater samples. Notably, a divergent potential pathogen profile was observed between rainwater and tap-water SWSSs, with higher relative abundances of potential pathogens noted in rainwater SWSSs. Moreover, tank materials had a notable impact on microbial communities in rainwater SWSSs (ANOSIM, p < 0.05), rather than tap-water SWSSs, illustrating the distinct interplay between water chemistry and engineering factors in shaping the SWSS microbiomes. Deterministic processes contributed predominantly to the microbial community assembly in cement rainwater SWSSs and all tap-water SWSSs, which might be ascribed to the high pH levels in cement rainwater SWSSs and low-nutrient levels in all tap-water SWSSs, respectively. However, microbial communities in the PVC and stainless-steel rainwater SWSSs were mainly driven by stochastic processes. Overall, the results provided insights to the distinct microbial assembly mechanisms and potential health risks in stored roof-harvested rainwater, highlighting the importance of developing tailored microbial management strategies for the storage and utilization of rainwater.

Diagnostic value of dynamic contrast enhancement combined with conventional MRI in differentiating benign and malignant lacrimal gland epithelial tumours

AIM

To establish the diagnostic value of the quantitative parameters of dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI) combined with conventional MRI in differentiating of benign and malignant lacrimal gland epithelial tumours.

MATERIALS AND METHODS

A retrospective analysis of primary lacrimal gland epithelial tumours confirmed by histopathology was conducted. Conventional MRI features and DCE-MRI quantitative parameters were collected and subjected to analysis. The diagnostic value was evaluated using receiver operating characteristic (ROC) curve analysis.

RESULTS

A total of 53 patients were enrolled of which 29 had malignant, whereas 24 had benign tumours. Conventional MRI revealed statistically significant differences between benign and malignant tumours regarding maximum tumour diameter, posterior margin characteristic, bone destruction, and erosion. The Ktrans and Kep values obtained by DCE-MRI were higher in malignant than in benign tumours, with a statistically significant (p<0.001 and p=0.022). A type I time-signal intensity (TIC) curve was more frequent in benign tumours, whereas a type II TIC curve was prevalent in malignant tumours (p=0.001). ROC analysis showed that Ktrans had the best diagnostic value of the DCE-MRI parameters (area under the ROC curve [AUC] of 0.822, 75.9% sensitivity, and 83.3% specificity, p<0.001). The combination of conventional MRI and DCE-MRI factors had the best diagnostic value and balanced sensitivity and specificity (AUC of 0.948, 93.1% sensitivity, and 91.7% specificity, p<0.001).

CONCLUSIONS

The present findings indicate that the combination of quantitative parameters of DCE-MRI and image characteristics of conventional MRI have a high diagnostic value for the diagnosis of benign and malignant lacrimal gland epithelial tumours.

Fabrication of the flower-like Z-scheme heterojunction photocatalyst Bi-BiOI/UiO 66 for enhanced photodegradation of acetaminophen in simulated wastewater

Acetaminophen is a representative contaminant of emerging persistent organic pollutants that can cause environmental problems when it enters municipal wastewater. An innovative flower-like Z-scheme photocatalyst Bi-BiOI/UiO 66 heterojunction composite was designed and constructed via a one-step solvothermal method. Investigations demonstrated that the Z-scheme structure strongly contributes to increasing the degradation efficiency of micropollutants. The results indicate that the bandgap energy (Eg) of the Bi-BiOI/UiO 66 composite decreases significantly from 3.22 eV to 2.43 eV, in comparison with that of pure copper-based UiO 66. Under suitable conditions (5 mg/L Ace, pH 3, 0.05 g/L), the organic pollutants in the water can be removed completely. A k value of 5.67 × 10-2 min-1 for the Bi-BiOI/UiO 66 heterojunction composite was found to effectively represent the acetaminophen photodegradation process. The reaction mechanism of acetamide in aqueous solution is also discussed. The Bi in Bi-BiOI can use surface plasmon resonance to form an electric field and accelerate the separation of photogenerated electrons and holes. This study highlights the potential of a novel photocatalyst for practical application.

Enhanced heavy metal stabilization and phosphorus retention during the hydrothermal carbonization of swine manure by in-situ formation of MgFe2O4

Hydrothermal carbonization is an efficient technique for the disposal of livestock manure, enabling its harmless treatment, quantity reduction, and resourceful utilization. Co-hydrothermal of modified materials facilitates the production of more valuable carbonaceous materials. However, further exploration is needed to understand their potential impact on the environmental risks associated with livestock manure disposal and the application of products derived from it. Therefore, the carbonization degree, heavy metals stabilization, and phosphorus retention during the hydrothermal treatment of swine manure were systematically investigated in this study under the influence of in-situ formed MgFe2O4. The results revealed that the in-situ formation of MgFe2O4 improved the dehydration and decarboxylation of organic components in swine manure, thereby improving its carbonization degree. Furthermore, both hydrothermal carbonization and MgFe2O4 modified hydrothermal carbonization resulted in an enhanced stabilization of heavy metals, leading to a significant reduction in their soluble/exchangeable fraction and reducible fraction. Phosphorus was predominantly retained in the hydrochars, with the highest retention rate reaching 88%, attributed to the significant decrease in soluble and exchangeable phosphorus fractions facilitated by the in-situ formation of MgFe2O4. Moreover, MgFe2O4 modified hydrochars exhibited remarkable adsorption capacity for Pb(II) and Cu(II) without any leaching of heavy metals. Overall, the findings indicated that the in-situ formation of MgFe2O4 positively influenced the hydrothermal of swine manure, improving certain economic benefits in its practical application.

Reduction and precipitation of chromium(VI) using a palladized membrane biofilm reactor

H2-driven reduction of hexavalent chromium (Cr(VI)) using precious-metal catalysts is promising, but its implementation in water treatment has been restricted by poor H2-transfer efficiency and high catalyst loss. We investigated the reduction of Cr(VI) through hydrogenation catalyzed by elemental-palladium nanoparticles (PdNPs) generated in-situ within biofilm of a membrane biofilm reactor (MBfR), creating a Pd-MBfR. Experiments were conducted using a Pd-MBfR and a non-Pd MBfR. The Pd-MBfR achieved Cr(VI) (1000 μg L-1) reduction of >99 % and reduced the concentration of total Cr to below 50 μg L-1, much lower than the total Cr concentration in the non-Pd MBfR effluent (290 μg L-1). The Pd-MBfR also had a lower concentration of dissolved organic compounds compared to the non-Pd MBfR, which minimized the formation of soluble organo-Cr(III) complexes and promoted precipitation of Cr(OH)3. Solid-state characterizations documented deposition of Cr(OH)3 as the product of Cr(VI) reduction in the Pd-MBfR. Metagenomic analyses revealed that the addition and reduction of Cr(VI) had minimal impact on the microbial community (dominated by Dechloromonas) and functional genes in the biofilm of the Pd-MBfR, since the PdNP-catalyzed reduction process was rapid. This study documented efficient Cr(VI) reduction and precipitation of Cr(OH)3 by the Pd-MBfR technology.

Deciphering the diversity and assemblage mechanisms of nontuberculous mycobacteria community in four drinking water distribution systems with different disinfectants

Nontuberculous mycobacteria (NTM) represent an emerging health concern due to their escalating infections worldwide. Although drinking water distribution systems (DWDSs) have been considered as NTM reservoirs and a potential infection route, NTM community at the species level remain largely elusive in DWDSs. This study employed high-throughput sequencing coupled with qPCR to profile NTM community and estimate their abundances at the species level in water and biofilm samples in four DWDSs using three different disinfectants (i.e. free chlorine, chloramine and chlorine dioxide). Results demonstrated the dominance of Mycobacterium paragordonae and Mycobacterium mucogenicum in both biofilm and water across four DWDSs, whereas Mycobacterium abscessus and Mycobacterium chelonae, the two clinically significant species, exhibited low abundance but high prevalence. Comparable NTM community was observed in biofilm across these four DWDSs. Distinct separation of NTM community between SH-chloramine DWDSs water and other DWDSs highlighted the selective pressure of chloramine on NTM community. Furthermore, the research revealed that biofilm and water exhibited distinct NTM community structures, with biofilm harboring more diverse NTM community. Certain NTM species displayed a preference for biofilm, such as Mycobacterium gordonae, while others, like Mycobacterium mucogenicum, were more abundant in water samples (P < 0.05). In terms of NTM community assembly, stochastic processes dominated biofilm, while comparable role of stochastic and deterministic processes was observed in water. In conclusion, this study offers a pioneering and comprehensive insight into the dynamics and assembly mechanisms of NTM community within four DWDSs treated with three distinct disinfectants. These findings serve as a critical foundation for assessing NTM exposure risks and devising effective management strategies within DWDSs.

Effects of empagliflozin on progression of chronic kidney disease: a prespecified secondary analysis from the empa-kidney trial

BACKGROUND

Sodium-glucose co-transporter-2 (SGLT2) inhibitors reduce progression of chronic kidney disease and the risk of cardiovascular morbidity and mortality in a wide range of patients. However, their effects on kidney disease progression in some patients with chronic kidney disease are unclear because few clinical kidney outcomes occurred among such patients in the completed trials. In particular, some guidelines stratify their level of recommendation about who should be treated with SGLT2 inhibitors based on diabetes status and albuminuria. We aimed to assess the effects of empagliflozin on progression of chronic kidney disease both overall and among specific types of participants in the EMPA-KIDNEY trial.

METHODS

EMPA-KIDNEY, a randomised, controlled, phase 3 trial, was conducted at 241 centres in eight countries (Canada, China, Germany, Italy, Japan, Malaysia, the UK, and the USA), and included individuals aged 18 years or older with an estimated glomerular filtration rate (eGFR) of 20 to less than 45 mL/min per 1·73 m2, or with an eGFR of 45 to less than 90 mL/min per 1·73 m2 with a urinary albumin-to-creatinine ratio (uACR) of 200 mg/g or higher. We explored the effects of 10 mg oral empagliflozin once daily versus placebo on the annualised rate of change in estimated glomerular filtration rate (eGFR slope), a tertiary outcome. We studied the acute slope (from randomisation to 2 months) and chronic slope (from 2 months onwards) separately, using shared parameter models to estimate the latter. Analyses were done in all randomly assigned participants by intention to treat. EMPA-KIDNEY is registered at ClinicalTrials.gov, NCT03594110.

FINDINGS

Between May 15, 2019, and April 16, 2021, 6609 participants were randomly assigned and then followed up for a median of 2·0 years (IQR 1·5-2·4). Prespecified subgroups of eGFR included 2282 (34·5%) participants with an eGFR of less than 30 mL/min per 1·73 m2, 2928 (44·3%) with an eGFR of 30 to less than 45 mL/min per 1·73 m2, and 1399 (21·2%) with an eGFR 45 mL/min per 1·73 m2 or higher. Prespecified subgroups of uACR included 1328 (20·1%) with a uACR of less than 30 mg/g, 1864 (28·2%) with a uACR of 30 to 300 mg/g, and 3417 (51·7%) with a uACR of more than 300 mg/g. Overall, allocation to empagliflozin caused an acute 2·12 mL/min per 1·73 m2 (95% CI 1·83-2·41) reduction in eGFR, equivalent to a 6% (5-6) dip in the first 2 months. After this, it halved the chronic slope from -2·75 to -1·37 mL/min per 1·73 m2 per year (relative difference 50%, 95% CI 42-58). The absolute and relative benefits of empagliflozin on the magnitude of the chronic slope varied significantly depending on diabetes status and baseline levels of eGFR and uACR. In particular, the absolute difference in chronic slopes was lower in patients with lower baseline uACR, but because this group progressed more slowly than those with higher uACR, this translated to a larger relative difference in chronic slopes in this group (86% [36-136] reduction in the chronic slope among those with baseline uACR <30 mg/g compared with a 29% [19-38] reduction for those with baseline uACR ≥2000 mg/g; ptrend<0·0001).

INTERPRETATION

Empagliflozin slowed the rate of progression of chronic kidney disease among all types of participant in the EMPA-KIDNEY trial, including those with little albuminuria. Albuminuria alone should not be used to determine whether to treat with an SGLT2 inhibitor.

FUNDING

Boehringer Ingelheim and Eli Lilly.

Impact of primary kidney disease on the effects of empagliflozin in patients with chronic kidney disease: secondary analyses of the EMPA-KIDNEY trial

BACKGROUND

The EMPA-KIDNEY trial showed that empagliflozin reduced the risk of the primary composite outcome of kidney disease progression or cardiovascular death in patients with chronic kidney disease mainly through slowing progression. We aimed to assess how effects of empagliflozin might differ by primary kidney disease across its broad population.

METHODS

EMPA-KIDNEY, a randomised, controlled, phase 3 trial, was conducted at 241 centres in eight countries (Canada, China, Germany, Italy, Japan, Malaysia, the UK, and the USA). Patients were eligible if their estimated glomerular filtration rate (eGFR) was 20 to less than 45 mL/min per 1·73 m2, or 45 to less than 90 mL/min per 1·73 m2 with a urinary albumin-to-creatinine ratio (uACR) of 200 mg/g or higher at screening. They were randomly assigned (1:1) to 10 mg oral empagliflozin once daily or matching placebo. Effects on kidney disease progression (defined as a sustained ≥40% eGFR decline from randomisation, end-stage kidney disease, a sustained eGFR below 10 mL/min per 1·73 m2, or death from kidney failure) were assessed using prespecified Cox models, and eGFR slope analyses used shared parameter models. Subgroup comparisons were performed by including relevant interaction terms in models. EMPA-KIDNEY is registered with ClinicalTrials.gov, NCT03594110.

FINDINGS

Between May 15, 2019, and April 16, 2021, 6609 participants were randomly assigned and followed up for a median of 2·0 years (IQR 1·5-2·4). Prespecified subgroupings by primary kidney disease included 2057 (31·1%) participants with diabetic kidney disease, 1669 (25·3%) with glomerular disease, 1445 (21·9%) with hypertensive or renovascular disease, and 1438 (21·8%) with other or unknown causes. Kidney disease progression occurred in 384 (11·6%) of 3304 patients in the empagliflozin group and 504 (15·2%) of 3305 patients in the placebo group (hazard ratio 0·71 [95% CI 0·62-0·81]), with no evidence that the relative effect size varied significantly by primary kidney disease (pheterogeneity=0·62). The between-group difference in chronic eGFR slopes (ie, from 2 months to final follow-up) was 1·37 mL/min per 1·73 m2 per year (95% CI 1·16-1·59), representing a 50% (42-58) reduction in the rate of chronic eGFR decline. This relative effect of empagliflozin on chronic eGFR slope was similar in analyses by different primary kidney diseases, including in explorations by type of glomerular disease and diabetes (p values for heterogeneity all >0·1).

INTERPRETATION

In a broad range of patients with chronic kidney disease at risk of progression, including a wide range of non-diabetic causes of chronic kidney disease, empagliflozin reduced risk of kidney disease progression. Relative effect sizes were broadly similar irrespective of the cause of primary kidney disease, suggesting that SGLT2 inhibitors should be part of a standard of care to minimise risk of kidney failure in chronic kidney disease.

FUNDING

Boehringer Ingelheim, Eli Lilly, and UK Medical Research Council.

Fabrication, characterization, and application of BiOI@ZIF-8 nanocomposite for enhanced photocatalytic degradation of acetaminophen from aqueous solutions under UV-vis irradiation

This work investigates the use of novel BiOI@ZIF-8 nanocomposite for the removal of acetaminophen (Ace) from synthetic wastewater. The samples were analyzed using FTIR, XRD, XPS, DRS, PL, FESEM-EDS, and ESR techniques. The effects of the loading capacity of ZIF-8 on the photocatalytic oxidation performance of bismuth oxyiodide (BiOI) were studied. The photocatalytic degradation of Ace was maximized by optimizing pH, reaction time and the amount of photocatalyst. On this basis, the removal mechanisms of the target pollutant by the nanocomposite and its photodegradation pathways were elucidated. Under optimized conditions of 1 g/L of composite, pH 6.8, and 4 h of reaction time, it was found that the BiOI@ZIF-8 (w/w = 1:0.01) nanocomposite exhibited the highest Ace removal (94%), as compared to that of other loading ratios at the same Ace concentration of 25 mg/L. Although this result was encouraging, the treated wastewater still did not satisfy the required statutory of 0.2 mg/L. It is suggested that the further biological processes need to be adopted to complement Ace removal in the samples. To sustain its economic viability for wastewater treatment, the spent composite still could be reused for consecutive five cycles with 82% of regeneration efficiency. Overall, this series of work shows that the nanocomposite was a promising photocatalyst for Ace removal from wastewater samples.

Unraveling bacterial and eukaryotic communities in secondary water supply systems: Dynamics, assembly, and health implications

Secondary water supply systems (SWSSs) are crucial water supply infrastructures for high-rise buildings in metropolitan cities. In recent years, they have garnered public attention due to increased microbial risks. However, our understanding of SWSS microbial ecology, particularly concerning the composition of eukaryotes and the underlying mechanisms driving microbial dynamics and assembly in SWSSs, remains elusive. Herein, we conducted a comprehensive investigation on both eukaryotes and bacteria along the water transportation pathway and across various microbial habitats (water, biofilm, and sediment) in SWSSs. Sequencing results revealed that eukaryotes within SWSSs predominantly consist of protists (average abundance: 31.23%) and metazoans (20.91%), while amoebae accounted for 4.71% of the total. During water transportation from the distribution mains to taps, both bacterial and eukaryotic communities exhibited significant community shifts, and higher degrees of variation were observed for eukaryotic community among different locations within SWSSs. The normalized stochasticity ratio (NST) analysis demonstrated that bacterial community assembly was governed by stochastic processes, while eukaryotic community assembly was primarily shaped by deterministic processes. Within SWSS tanks, bacterial communities significantly varied across water, biofilm, and sediment, whereas eukaryotic communities showed minor differences among these habitats. The co-occurrence networks analysis revealed that tank biofilm and sediment harbored more eukaryote-bacterium linkages than water, suggesting biofilm and sediment might be hotspots for inter-kingdom interactions. We also applied FEAST analysis to track the source of tap water microbiota, results of which showed that household-tap bacteria mainly originated from tank water. In contrast, tank biofilm was identified as the primary microbial source to eukaryotes in household tap water. Additionally, engineering factors such as tank materials significantly affected amoeba community, and the SWSS configuration was found to influence Legionella and Mycobacterium abundances in SWSSs. Overall, results of our study shed light on the microbial ecology in SWSS and provide insights into SWSS management and health risk control.

Insights into the membrane biofouling behavior of planktonic anammox bacteria: Effect of solution pH and ionic strength

Understanding the effect of solution pH and ionic strength on membrane biofouling of anammox bacteria is essential for the widespread application of anammox MBRs. To provide an original elucidation, this study combined interfacial thermodynamics analysis and filtration experiments with an established planktonic anammox MBR to explore the biofouling behavior of anammox bacteria under varying solution pH and ionic strengths. Preliminary results showed that variation in solution pH and ionic strength has critical impacts on the thermodynamic properties of planktonic anammox bacteria and membrane surfaces. The further interfacial thermodynamics analysis and filtration experiments indicated that an increased pH and a decreased ionic strength could reduce membrane fouling by planktonic anammox bacteria. More specifically, a higher pH or lower ionic strength resulted in a stronger repulsive energy barrier due to the larger interaction distance covered by the dominant electrostatic double layer (EL) component compared to the Lewis acid-base (AB) and Lifshitz-van der Waals (LW) components, which corresponded to a reduction in the normalized flux (J/J₀) decline and the accumulation of cake resistance (R_c) during the filtration process. Furthermore, the aforementioned effect mechanism was verified by a correlation analysis of the thermodynamic properties and filtration behavior. These findings have generalized significance for understanding the biofouling or aggregation behavior of anammox bacteria.

[Preliminary study on the mechanism underlying the ecological isolation of Oncomelania hupensis populations in Changde City]

OBJECTIVE

To investigate ecological isolation between Oncomelania hupensis snail populations in hilly regions and marshland and lake regions in Yuanjiang valley, Changde City, Hunan Province, and to unravel its underlying mechanisms.

METHODS

Taoyuan County, Shimen County, Linli County and Lixian County in Changde City were selected as snail sampling sites in hilly regions, and Lixian County, Jinshi City, West Lake Administration District, Hanshou County and Dingcheng District were selected as snail sampling sites in marshland and lake areas. Cytochrome C oxidase 1 (cox 1) gene was amplified in snail samples and sequenced. The genetic sequences of O. hupensis snails were aligned using the software MEGA 11, and the haplotypes of O. hupensis snails were determined using the software DNASP 5.10.01. The phylogenetic tree was generated using Bayesian inference with the software MrBayes 3.2, and analysis of molecular variance (AMOVA) was performed to analyze the source of genetic divergence and estimate the genetic divergence index (F_ST) among snail populations with the software Arlequin 3.5.2.2. The genetic barrier among 11 O. hupensis snail populations was estimated using the Monmonier algorithm of adegenet toolkit in R package. The settings with "land in winter and water in summer" in the Yuanjian River section were divided into two categories according to the upstream and downstream, and the areas with "land in winter and water in summer" in the upstream and downstream were transformed into raster data, and then loaded into the software Fragstats 4 for analysis of landscape indicators. The trends in changes of digital elevation were extracted from the Yuanjiang River section based on the digital elevation model, and made three-dimensional visualization using the R package.

RESULTS

The mitochondrial cox 1 gene were amplified in 165 O. hupensis snais from 11 sampling sites and sequenced, and a total of 152 valid gene sequences were obtained, with 46 haplotypes or 9 populations determined. No haplotype was shared in snails between Taoyuan County and Dingcheng District and Hanshou County along the downstream of the Yuanjiang River. The total area of settings with "land in winter and water in summer" was 617.66 hm² in the upsteram of the Yuanjiang River, which consisted of 473 patches, with each patch measuring 1.31 hm², the largest area index of 0.735 2, the landscape division index of 0.999 9, and the landscape shape index of 45.293 7. The total area of settings with "land in winter and water in summer" was 9 956.92 hm² in the downstream of the Yuanjiang River, which consisted of 771 patches, with each patch measuring 12.91 hm², the largest area index of 97.839 9, the landscape division index of 0.042 7, and the landscape shape index of 7.249 6. The area of settings with "land in winter and water in summer" was much larger in the downstream than that in the upstream of the Yuanjiang River, and the stronger landscape connectivity and non-remarkable alteration of riverbed elevation provided suitable habitats for snail breeding.

CONCLUSIONS

The hydrological and environmental characteristics of the upstream of the Yuanjiang River restrain the breeding and spread of O. hupensis, resulting in ecological isolation between Oncomelania hupensis in Taoyuan County and those in the downstream of Yuanjiang River.

[Comparison of the disease burden of schistosomiasis globally and in China and Zimbabwe]

OBJECTIVE

To investigate the trends in the disease burden of schistosomiasis worldwide and in China, and Zimbabwe from 1990 to 2019, so as to provide insights into the formulation of the schistosomiasis control strategy in Zimbabwe.

METHODS

Based on Global Burden of Disease Study 2019 (GBD 2019) data sources, the age-standardized prevalence, mortality, disability-adjusted life year (DALY) rate of schistosomiasis were compared in the world, China, and Zimbabwe and the trends in the disease burden of schistosomiasis from 1990 to 2019 were investigated using Joinpoint regression analysis. In addition, the associations between the burden of schistosomiasis worldwide and in China and Zimbabwe from 1990 to 2019 and socio-demographic index (SDI) were examined using Pearson correlation analysis.

RESULTS

The age-standardized prevalence, mortality, and DALY rate of schistosomiasis were 1 804.95/10⁵, 0.14/10⁵ and 20.92/10⁵ in the world, 707.09/10⁵, 0.02/10⁵ and 5.06/10⁵ in China, and 2 218.90/10⁵, 2.39/10⁵ and 90.09/10⁵ in Zimbabwe in 2019, respectively. The global prevalence, mortality, and DALY rate of schistosomiasis appeared a tendency towards a rise followed by a decline with age in 2019, while the prevalence and DALY rate of schistosomiasis appeared a tendency towards a sharp rise followed by a fluctuating decline in both China and Zimbabwe, and the mortality of schistosomiasis appeared a tendency towards a rise. The age-standardized prevalence [average annual percent change (AAPC) = -1.31%, -2.22% and -6.12%; t = -20.07, -83.38 and -53.06; all P values < 0.05)] and DALY rate of schistosomiasis (AAPC = -1.91%,-4.17% and -2.08%; t = -31.89, -138.70 and -16.45; all P values < 0.05) appeared a tendency towards a decline in the world, China and Zimbabwe from 1990 to 2019, and the age-standardized mortality of schistosomiasis appeared a tendency towards a decline in the world and China (AAPC = -3.46% and -8.10%, t = -41.03 and -61.74; both P values < 0.05), and towards a rise followed by a decline in Zimbabwe (AAPC = 1.35%, t = 4.88, P < 0.05). In addition, Pearson correlation analysis showed that the age-standardized prevalence (r = -0.75, P < 0.05), mortality (r = -0.73, P < 0.05), and DALY rate of schistosomiasis (r = -0.77, P < 0.05) correlated negatively with SDI in the world, China and Zimbabwe from 1990 to 2019.

CONCLUSIONS

The disease burden of schistosomiasis appeared a remarkable decline in China from 1990 to 2019, and the prevalence of schistosomiasis showed a tendency towards a decline in Zimbabwe from 1990 to 2019; however, the mortality and DALY rate of schistosomiasis in Zimbabwe topped in the world. A schistosomiasis control strategy with adaptations to local epidemiology and control needs of schistosomiasis is needed to facilitate the elimination of schistosomiasis in Zimbabwe.

[Intelligent identification of livestock, a source of Schistosoma japonicum infection, based on deep learning of unmanned aerial vehicle images]

OBJECTIVE

To develop an intelligent recognition model based on deep learning algorithms of unmanned aerial vehicle (UAV) images, and to preliminarily explore the value of this model for remote identification, monitoring and management of cattle, a source of Schistosoma japonicum infection.

METHODS

Oncomelania hupensis snail-infested marshlands around the Poyang Lake area were selected as the study area. Image datasets of the study area were captured by aerial photography with UAV and subjected to augmentation. Cattle in the sample database were annotated with the annotation software VGG Image Annotator to create the morphological recognition labels for cattle. A model was created for intelligent recognition of livestock based on deep learning-based Mask R-convolutional neural network (CNN) algorithms. The performance of the model for cattle recognition was evaluated with accuracy, precision, recall, F1 score and mean precision.

RESULTS

A total of 200 original UAV images were obtained, and 410 images were yielded following data augmentation. A total of 2 860 training samples of cattle recognition were labeled. The created deep learning-based Mask R-CNN model converged following 200 iterations, with an accuracy of 88.01%, precision of 92.33%, recall of 94.06%, F1 score of 93.19%, and mean precision of 92.27%, and the model was effective to detect and segment the morphological features of cattle.

CONCLUSIONS

The deep learning-based Mask R-CNN model is highly accurate for recognition of cattle based on UAV images, which is feasible for remote intelligent recognition, monitoring, and management of the source of S. japonicum infection.

Biological reduction and hydrodechlorination of chlorinated nitroaromatic antibiotic chloramphenicol under H2-transfer membrane biofilm reactor

Chlorinated nitroaromatic antibiotic chloramphenicol (CAP) is a persistent pollutant that is widely present in environments. A H₂ transfer membrane biofilm reactor (H₂-MBfR) and short-term batch tests were setup to investigate the co-removal of CAP and NO₃^-. Results showed that the presence of CAP (<10 mg L^-1) has no effect on the denitrification process while 100% removal efficiency of CAP can be obtained when nitrate was absent. Nitroaromatic reduction and completely dechlorination were successfully realized when CAP was removed. The CAP transformation product p-aminobenzoic acid (PABA) was detected and batch tests revealed that the hydroxy carboxylation was far faster than nitroaromatic reduction when p-nitrobenzyl alcohol (PNBOH) was conversed to p-aminobenzoic acid (PABA). The path way of CAP degradation was proposed based on the intermediate's analysis. Microbial community analysis indicated that Pleomorphomonadaceae accounts for the dechlorination of CAP.

Mechanistic insights into the removal of As(III) and As(V) by iron modified carbon based materials with the aid of machine learning

The machine learning (ML) technique was used to examine the effects of different microscopic material features on the ability of iron modified carbon-based materials (Fe-CBMs) to remove As(V) and As(III). The findings showed that specific CBMs and Fe-CBMs features (such as surface functionality) from sophisticated microscopic and spectroscopic techniques led to models that were more accurate than those constructed using more basic information, such as bulk elemental composition and surface area (the root-mean-square error fell by 44.7% for As(V) and 56.9% for As(III), respectively). The high non-polar carbon (NPC) content of CBMs and Fe-CBMs had a detrimental influence on As(V) and As(III) removal capability, whereas surface oxygen-containing functional groups (SOFGs) contents on CBMs and Fe-CBMs played an essential role in arsenic removal based on ML approaches. The relative importance of CO was greater by 77.8% and 40.6% than that of C-O on the elimination of As(V) and As(III), respectively. The accurate ML models are helpful for the future design of Fe-CBMs and the relative importance and partial dependence plot analysis can direct the use of Fe-CBMs for arsenic removal in a sensible manner under different application situations.

Adsorption and desorption mechanisms of oxytetracycline on poly(butylene adipate-co-terephthalate) microplastics after degradation: The effects of biofilms, Cu(II), water pH, and dissolved organic matter

As the application of biodegradable polymers has grown, so has the interest in exploring the environmental behaviors of biodegradable microplastics (MPs). In this study, we investigated the interaction of oxytetracycline (OTC) with poly(butylene adipate-co-terephthalate) (PBAT) MPs after biodegradation, and explored the effect of the coexisting Cu(II) on OTC adsorption and desorption processes. The maximum adsorption amounts of virgin PBAT, biofilm PBAT, and degraded PBAT reached 692.05 μg·g^-1, 1396.21 μg·g^-1, and 1869.93 μg·g^-1, respectively, and the presence of Cu(II) increased the OTC adsorption capacities by 431.16 %, 165.99 %, and 132.94 %, respectively. The enhanced adsorption capacities were attributed to the formation of PBAT-Cu-OTC complexes. The remarkable desorption hysteresis of OTC was observed on the degraded PBAT but not on the biofilm PBAT when Cu(II) was present, due to the complexation between Cu(II) and biofilms. The effect of Cu(II) varied depending on the MP physiochemical properties (e.g., surface areas, zeta potentials, and functional groups) and the environmental factors (e.g., the solution pH and coexisting dissolved organic matter). Fourier transform infrared spectroscopy (FTIR) coupled with X-ray photoelectron spectroscopy (XPS) identified the Cu(II) bridging effect, and various interaction forces between PBAT and OTC, including hydrogen-bonding, π-π, cation-π, and electrostatic interactions.

Simultaneous removal of nitrate and ammonium by hydrogen-based partial denitrification coupled with anammox in a membrane biofilm reactor

Hydrogen-based membrane biofilm reactors (MBfRs) are effective for nitrogen removal. However, the safety of hydrogen limited the application of MBfR. Here, a hydrogen-based partial denitrification system coupled with anammox (H₂-PDA) was constructed in an MBfR for reducing hydrogen demand significantly. The metabolomics and structures of microbial communities were analyzed to determine the phenotypic differences and drivers underlying denitrification, anammox, and H₂-PDA. These findings indicated that total nitrogen (TN) removal increased from 57.1% in S1 to 93.7% in S2. During the H₂-PDA process, partial denitrification and anammox contributed to TN removal by 93.7% and 6.3%, respectively. Community analysis indicated that the H₂-PDA system was dominated by the genus Meiothermus, which is involved in partial denitrification. Collectively, these findings confirmed the feasibility of incorporating the H₂-PDA process in a MBfR and form a foundation for the establishment of novel and practical methods for efficient nitrogen removal.

Enhancement and mechanisms of iron-assisted anammox process

Anaerobic ammonium oxidation (anammox) is a sustainable biological nitrogen removal technology that has limited large-scale applications owing to the low cell yield and high sensitivity of anammox bacteria (AnAOB). Fortunately, iron-assisted anammox, being a highly practical method could be an effective solution. This review focused on the iron-assisted anammox process, especially on its performance and mechanisms. In this review, the effects of iron in three different forms (ionic iron, zero-valent iron and iron-containing minerals) on the performance of the anammox process were systematically reviewed and summarized, and the strengthening effects of Fe (II) seem to be more prominent. Moreover, the detailed mechanisms of iron-assisted anammox in previous researches were discussed from macro to micro perspectives. Additionally, applicable iron-assisted methods and unified strengthening mechanisms for improving the stability of nitrogen removal and shortening the start-up time of the system in anammox processes were suggested to explore in future studies. This review was intended to provide helpful information for scientific research and engineering applications of iron-assisted anammox.

Enhanced activation of peroxymonosulfate by a floating FeMo3Ox/C3N4 photocatalyst under visible-light assistance for oxytetracycline degradation: Performance, mechanisms and comparison with H2O2 activation

In this study, a floating FeMo₃O_x/C₃N₄-EP (FM-C-P) composite with highly stability and reusability was synthesized by an impregnation/calcination process and used to activate peroxymonosulfate (PMS) for oxytetracycline (OTC) degradation under visible light irradiation. The results demonstrated that 98.1% of OTC (50 mg/L) removal can be achieved by the activation of PMS (5 mM) using FM-C-P (1 g/L) in 30 min under visible light irradiation. The pseudo-first-order rate constant was calculated to be 0.181 min^-1. The degradation process with PMS was hardly affected by pH (3-11) and co-existing substance. ·SO₄^-, ·OH, ·O₂^- and ¹O₂ were produced in the Vis/PMS/FM-C-P system and ¹O₂ was determined to be the main reactive oxygen species (ROSs). The high efficiency of ROSs production mainly contributed to two mechanisms. Firstly, via the combination of ≡Fe (II)-·SO₅^- and free state ·SO₅^-, ¹O₂ could be generated on the Fe-N_x site. Secondly, photo-induced electrons in the FeMo₃O_x/g-C₃N₄ heterojunction could react with Fe (III) and Mo (VI) to form catalytically active species Fe (II) and Mo (IV). Moreover, the proposed degradation pathway and the toxicity of intermediated products was analyzed. Overall, this study was expected to deepen the understanding of the photo-assisted PMS activation and the generation of ¹O₂ with the presence of metal-oxide/C₃N₄ heterojunction.

Pollution characteristics of typical ARGs in the sediments of the sea area adjacent to the Yangtze Estuary, China

The pollution characteristics of the typical antibiotic resistance genes (ARGs) in the sediments of the sea area adjacent to the Yangtze Estuary, China were investigated with both seasonal and spatial insights. The positive rates of sulfonamides sul1, sul2, tetracycline tetW and quinolone gyrA resistance genes in the sediments of all sampling sites were 100%, indicating that the sea area adjacent to the Yangtze Estuary were extensively polluted by these ARGs. Occupying a dominance in most sampling sites, sul1 was found to be the dominant resistance gene in the sediments of the sea area adjacent to the Yangtze Estuary. In terms of seasonal variation characteristics, the absolute abundances of the ARGs in flood season were higher than those in dry season. In terms of spatial distribution characteristics, the absolute abundances of the ARGs in the southern sites were mostly higher than those in the northern sites, and the high abundance sites were mostly located near the coast. Different ARGs also showed different spatial distribution characteristics. The disclosure of the pollution characteristics of the typical ARGs in the sediments of the sea area adjacent to the Yangtze Estuary can provide valued information for protecting the environment of this area as well as the Yangtze River Basin.

[Clinical pathologic analysis and review of literature on 11 cases of calcifying epithelial odontogenic tumor]

Objective: To improve the understanding of histological variants of calcifying epithelial odontogenic tumor (CEOT). Methods: In this retrospective study, 11 cases of CEOT diagnosed from January 2008 to March 2022 were enrolled in the Department of Oral Pathology of Nanjing Stomatological Hospital, Medical School of Nanjing University. Among them, 10 were male and 1 was female. The patients were 19 to 58 years old [(43.0±11.9) years] and the course of disease was 2 weeks to 5 years. The clinicopathological characteristics were analyzed and the follow-up of patients ranged from 1 to 8 years, including 8 cases with follow-up data and 3 cases lost to follow-up. Furthermore, the related domestic and international literature was reviewed. Results: Eleven cases of CEOT included 6 cases of classic CEOT, 2 cases of clear cell CEOT, 2 cases of Langerhans cell-rich variant of CEOT and 1 case of non-calcified CEOT. In 6 cases of classic CEOT, the ratio of occurrence in mandible to maxilla was 2∶1, the ratio in central parts to peripheral parts was 5∶1, 2 cases were associated with unerupted teeth and 3 cases showed local aggressiveness. Histopathologically, classic CEOT showed eosinophilic epithelial cells, amyloid and calcification with Ki-67 value<5%. Among 4 cases with follow-up information, 1 case recurred after 1 year and 3 cases did not recur for 3 to 8 years. In 2 cases of clear cell CEOT, they both occurred in the periphery of mandible, pathologically showing a mix of lamellar balloon-like clear cells and typical CEOT, positive for CK5/6 and p63 in the area where the epithelial cells and clear cells were located, scattered positive for periodic acid-Schiff (PAS) in clear cells, which indicated the presence of glycogen. The maximum Ki-67 value was 5% in this type. One case lost to follow-up and the other case did not recur for 1 year follow-up after surgery. In 2 cases of Langerhans cell-rich variant of CEOT, they were cystic solid lesions and both occurred in the anterior maxilla. Langerhans cells were scattered in the epithelium and non-calcified amyloid glomeruli were present. Two cases were followed up for 1 year and 2 years without recurrence after surgery. One case of non-calcified CEOT that occurs within the jan showed invasion of surrounding soft tissues and the highest of Ki-67 value at 8% in all 11 cases without recurrence at 1 year follow-up. Conclusions: The histological pattern of classic CEOT is unique, and it is necessary to prompt the understanding of several histological variants derived from it.

Dissimilatory and Cytoplasmic Antimonate Reductions in a Hydrogen-Based Membrane Biofilm Reactor

A hydrogen-based membrane biofilm reactor (H₂-MBfR) was operated to investigate the bioreduction of antimonate [Sb(V)] in terms of Sb(V) removal, the fate of Sb, and the pathways of reduction metabolism. The MBfR achieved up to 80% Sb(V) removal and an Sb(V) removal flux of 0.55 g/m²·day. Sb(V) was reduced to Sb(III), which mainly formed Sb₂O₃ precipitates in the biofilm matrix, although some Sb(III) was retained intracellularly. High Sb(V) loading caused stress that deteriorated performance that was not recovered when the high Sb(V) loading was removed. The biofilm community consisted of DSbRB (dissimilatory Sb-reduction bacteria), SbRB (Sb-resistant bacteria), and DIRB (dissimilatory iron-reducing bacteria). Dissimilatory antimonate reduction, mediated by the respiratory arsenate reductase ArrAB, was the main reduction route, but respiratory reduction coexisted with cytoplasmic Sb(V)-reduction mediated by arsenate reductase ArsC. Increasing Sb(V) loading caused stress that led to increases in the expression of arsC gene and intracellular accumulation of Sb(III). By illuminating the roles of the dissimilatory and cytoplasmic Sb(V) reduction mechanism in the biofilms of the H₂-MBfR, this study reveals that the Sb(V) loading should be controlled to avoid stress that deteriorates Sb(V) reduction.

Effect of biofilm colonization on Pb(II) adsorption onto poly(butylene succinate) microplastic during its biodegradation

Few studies have mentioned the enrichment of heavy metal pollutants on microplastics derived from degradable plastics. This study investigated the adsorption behavior of Pb(II) onto biodegradable poly(butylene succinate) (PBS) microplastics during its biodegradation. The results indicated that Pb(II) adsorbed by biofilm-colonized biodegraded-PBS microplastics (B-PBS) was about 10-folds higher than that of virgin PBS (647.09 μg·g^-1 versus 64.13 μg·g^-1) due to the biofilm colonization and the degradation of PBS. After removing the biofilm, the biodegraded PBS still had high Pb(II) adsorption capacity, which was attributed to the complexation of Pb(II) and the stably adhered extracellular polymeric substances (EPS). Pb(II) adsorption onto both virgin PBS and B-PBS was highly pH-dependent, its adsorption on virgin PBS was dominated by electrostatic interaction, while as for B-PBS, the adsorption mechanisms mainly involved the coordination/complexation of Pb(II) and the EPS components on the colonized biofilm, surface complexation, and electrostatic interaction. This study suggested that the enrichment of heavy metal pollutants onto the biodegradable microplastics may pose risks to the aquatic ecosystem.

[Predictive value of plasma TMAO combined with NT-proBNP on the prognosis and length of hospitalization of patients with ischemic heart failure]

Objective: To explore the value of the assessment of plasma trimethylamine N-oxide (TMAO) combined with N-terminal pro-B-type natriuretic peptide (NT-proBNP) on predicting the all-cause mortality, length of hospitalization, and hospital cost in ischemic heart failure (IHF) patients. Methods: This prospective cohort study included 189 patients (157 males, mean age (64.0±10.5) years) with a left ventricular ejection fraction<45% caused by coronary artery disease, who hospitalized in our department from March 2016 to December 2020. Baseline data, including demographics, comorbid conditions and laboratory examination, were analyzed. The cumulative rate of all-cause mortality was evaluated using the Kaplan-Meier method and compared between the groups according to the log-rank test. Relative risks were reported as hazard ratios (HR) and 95% confidence interval (95%CI) calculated using the Cox proportional-hazards analysis, with stepwise adjustment for covariables. Spearman correlation analysis was then performed to determine the relationship between TMAO combined with NT-proBNP and length of hospitalization and hospital cost. Results: There were 50 patients in the low TMAO+low NT-proBNP group, 89 patients in high TMAO or high NT-proBNP group, 50 patients in high TMAO+high NT-proBNP group. The mean follow-up period was 3.0 years. Death occurred in 70 patients (37.0%), 27 patients (54.0%) in high TMAO+high NT-proBNP group, 29 patients (32.6%) in high TMAO or high NT-proBNP group and 14 patients (28.0%) in low TMAO+low NT-proBNP group. TMAO, in combination with NT-proBNP, improved all-cause mortality prediction in IHF patients when stratified as none, one or both biomarker(s) elevation, with the highest risk of all-cause mortality in high TMAO+high NT-proBNP group (HR=3.62, 95%CI 1.89-6.96, P<0.001). ROC curve analysis further confirmed that TMAO combined with NT-proBNP strengthened the prediction performance on the risk of all-cause death (AUC=0.727(95%CI 0.640-0.813), sensitivity 55.0%, characteristic 83.1%). Spearman correlation analysis showed that IHF patients with high TMAO and high NT-proBNP were positively associated with longer duration of hospitalization (r=0.191,P=0.009), but not associated with higher hospital cost (r=0.030, P=0.686). Conclusions: TMAO combined with NT-proBNP are valuable prediction tool on risk stratification of patients with IHF, and those with two biomarkers elevation face the highest risk of mortality during follow-up period, and are associated with the longer hospital stay.

[Prediction of trends for fine-scale spread of Oncomelania hupensis in Shanghai Municipality based on supervised machine learning models]

OBJECTIVE

To predict the trends for fine-scale spread of Oncomelania hupensis based on supervised machine learning models in Shanghai Municipality, so as to provide insights into precision O. hupensis snail control.

METHODS

Based on 2016 O. hupensis snail survey data in Shanghai Municipality and climatic, geographical, vegetation and socioeconomic data relating to O. hupensis snail distribution, seven supervised machine learning models were created to predict the risk of snail spread in Shanghai, including decision tree, random forest, generalized boosted model, support vector machine, naive Bayes, k-nearest neighbor and C5.0. The performance of seven models for predicting snail spread was evaluated with the area under the receiver operating characteristic curve (AUC), F1-score and accuracy, and optimal models were selected to identify the environmental variables affecting snail spread and predict the areas at risk of snail spread in Shanghai Municipality.

RESULTS

Seven supervised machine learning models were successfully created to predict the risk of snail spread in Shanghai Municipality, and random forest (AUC = 0.901, F1-score = 0.840, ACC = 0.797) and generalized boosted model (AUC= 0.889, F1-score = 0.869, ACC = 0.835) showed higher predictive performance than other models. Random forest analysis showed that the three most important climatic variables contributing to snail spread in Shanghai included aridity (11.87%), ≥ 0 °C annual accumulated temperature (10.19%), moisture index (10.18%) and average annual precipitation (9.86%), the two most important vegetation variables included the vegetation index of the first quarter (8.30%) and vegetation index of the second quarter (7.69%). Snails were more likely to spread at aridity of < 0.87, ≥ 0 °C annual accumulated temperature of 5 550 to 5 675 °C, moisture index of > 39% and average annual precipitation of > 1 180 mm, and with the vegetation index of the first quarter of > 0.4 and the vegetation index of the first quarter of > 0.6. According to the water resource developments and township administrative maps, the areas at risk of snail spread were mainly predicted in 10 townships/subdistricts, covering the Xipian, Dongpian and Tainan sections of southern Shanghai.

CONCLUSIONS

Supervised machine learning models are effective to predict the risk of fine-scale O. hupensis snail spread and identify the environmental determinants relating to snail spread. The areas at risk of O. hupensis snail spread are mainly located in southwestern Songjiang District, northwestern Jinshan District and southeastern Qingpu District of Shanghai Municipality.

Activation of peroxymonosulfate by a floating oxygen vacancies - CuFe2O4 photocatalyst under visible light for efficient degradation of sulfamethazine

In this study, expanded perlite supported oxygen vacancies-CuFe₂O₄ (OVs-CFEp) was synthesized via a simple method and utilized as floating catalyst to activate peroxymonosulfate (PMS) for the removal of sulfamethazine (SMT) under visible light irradiation. OVs-CFEp/Vis/PMS synergy presents much superior performance than that of OVs-CFEp/Vis system and OVs-CFEp/PMS system. PMS was efficiently activated by OVs-CFEp at a wide range of pH values, while the degrading rate of SMT was up to 95% in OVs-CFEp/Vis/PMS system. Oxygen vacancies and ·O₂^- accelerated the conversion of Fe(III)/Fe(II) and Cu(I)/Cu(II). The combination of the floating loader boosted light absorption capacity and sufficiently prevented metal ions leaching, which was all beneficial to enhance catalytic performance and recyclability. Besides, the reactive oxygen species were investigated systematically, proving that visible light and OVs-CFEp could activate PMS to produce ·SO₄^-, ·OH, O₂·^-, and ¹O₂ reactive species. Furthermore, based on intermediates identification and Density Functional Theory (DFT) calculation, three types and seven main degradation pathways involving cleavage of bond, SMT molecular rearrangement, and hydroxylation reaction were proposed. So this high photo-absorbing catalyst coupling with advanced oxidation progress was promising for extensive environmental remediation.

A kinetic model for 2,4-dichlorophenol adsorption and hydrodechlorination over a palladized biofilm

Adsorption and catalytic hydrodechlorination (HDC) of aqueous 2,4-DCP by palladium nanoparticles (Pd0NPs) associated with a biofilm (i.e., a Pd0-biofilm) was investigated in terms of the removal efficiency of 2,4-DCP, dechlorinated product selectivity, and reduction kinetics. Experiments were executed with Pd0-biofilm and with abiotic Pd0NPs-film alone. The 2,4-DCP-adsorption capacity of Pd0-biofilm was 2- to 5-fold greater than that of abiotic Pd0NPs-film, and the adsorption accelerated dechlorination by Pd0-biofilm, including selectivity to phenol instead of mono-chlorophenols. A mechanistic kinetic model was developed to represent the sequential adsorption and reduction processes. Modeling results represented well the removal of 2,4-DCP and quantified that Pd0-biofilm had a strong affinity for adsorbing 2,4-DCP. The strong adsorption increased the volume-averaged concentration of 2,4-DCP concentration inside the Pd0-biofilm, compared to the concentration in the bulk liquid. This increase in the local concentration of 2,4-DCP led to a 2- to 4-fold increase in the reduction rate of 2,4-DCP in Pd0-biofilm, compared to abiotic Pd0NPs-film. Thus, coupling Pd0NPs with the biofilm promoted 2,4-DCP removal and full dechlorination despite its low concentration in bulk water.

Enhanced visible light photo-Fenton-like degradation of tetracyclines by expanded perlite supported FeMo3Ox/g-C3N4 floating Z-scheme catalyst

In the conventional Fenton system, the relatively low efficiency of Fe (II) regeneration is a significant drawback. To address this shortcoming, a novel floating Z-scheme photo-Fenton catalyst FeMo₃O_x/g-C₃N₄/EP was prepared by a facile dip-calcination method, in which iron and molybdenum oxides with mixed valence states (FeMo₃O_x) and graphitic carbon nitride (g-C₃N₄) were loaded on the expanded perlite. The removal efficiencies reached the maximum at 98.0%, 93.1% and 97.1% for tetracycline, oxytetracycline and chlortetracycline, respectively, after 60 min dark adsorption and 60 min photo-Fenton process. The aid of dual ion (Fe and Mo) synergy system and photoreduction by Z-scheme photocatalyst enhanced the Fe (II) regeneration, resulting in the excellent performance. Radical scavenger experiment, electron spin resonance spectra (ESR) and X-ray photoelectron spectra (XPS) were used to confirm the mechanism of free radicals' formation and Fe/Mo redox cycling. ·OH, ·O₂^- and ¹O₂ played important roles in the pollutant's degradation, while the generation of ·O₂^- was enhanced due to the floatability in this system. The possible degradation pathways of TC were put forward according to the results of mass spectrum and Orbital-Weighted Fukui Function. Overall, this work provides new insights on the cooperation between iron-based mix oxides and semiconductor in the photo-Fenton system.

Simultaneous adsorption and oxidation of Sb(III) from water by the pH-sensitive superabsorbent polymer hydrogel incorporated with Fe-Mn binary oxides composite

In this work, the superabsorbent polymer hydrogel (SPH) of Poly(potassium acrylate-co-acrylamide (PPAA)) incorporated with Fe-Mn binary oxides (FMBOs) was synthesized and used for the removal of Sb(III) from water. Characterization analysis proved that FMBO₃ was successfully encapsulated into the SPH. The Fe/Mn oxide species in the composite SPH comprised FeO(OH), Fe₂O₃, MnO(OH), and MnO₂. The functional groups including N-H, -OH, carboxy as well as Fe atoms were confirmed adsorption sites through ligand exchange and inner-sphere complexes formation. Mn oxides can partially oxidize Sb(III) to Sb(V). Compared with the pseudo-first-order model, the pseudo-second-order model could better describe the adsorption kinetics. And the swelling degree of the composite SPH had a positive impact on the removal rate. The Langmuir-Freundlich model was the most suitable isotherm model to analyze the experimental data. According to thermodynamic parameters, the adsorption process was a spontaneous exothermic reaction. The maximum adsorption capacity of the composite SPH for Sb(III) could be up to 105.59 mg/g at 288 K. In addition, a stable removal rate can be achieved over a wide pH range of 3-10, with little metal leaching even under acidic conditions. Furthermore, coexisting ions and DOM displayed an insignificant influence on the adsorption of Sb(III).

Large Culprit Plaque and More Intracranial Plaques Are Associated with Recurrent Stroke: A Case-Control Study Using Vessel Wall Imaging

BACKGROUND AND PURPOSE

Intracranial atherosclerotic plaque features are potential factors associated with recurrent stroke, but previous studies only focused on a single lesion, and few studies investigated them with perfusion impairment. This study aimed to investigate the association among whole-brain plaque features, perfusion deficit, and stroke recurrence.

MATERIALS AND METHODS

Patients with ischemic stroke due to intracranial atherosclerosis were retrospectively collected and categorized into first-time and recurrent-stroke groups. Patients underwent high-resolution vessel wall imaging and DSC-PWI. Intracranial plaque number, culprit plaque features (such as plaque volume/burden, degree of stenosis, enhancement ratio), and perfusion deficit variables were recorded. Logistic regression analyses were performed to determine the independent factors associated with recurrent stroke.

RESULTS

One hundred seventy-five patients (mean age, 59 [SD, 12] years; 115 men) were included. Compared with the first-time stroke group (n = 100), the recurrent-stroke group (n = 75) had a larger culprit volume (P = .006) and showed more intracranial plaques (P < .001) and more enhanced plaques (P = .003). After we adjusted for other factors, culprit plaque volume (OR, 1.16 per 10-mm³ increase; 95% CI, 1.03-1.30; P = .015) and total plaque number (OR, 1.31; 95% CI, 1.13-1.52; P < .001) were independently associated with recurrent stroke. Combining these factors increased the area under the curve to 0.71.

CONCLUSIONS

Large culprit plaque and more intracranial plaques were independently associated with recurrent stroke. Performing whole-brain vessel wall imaging may help identify patients with a higher risk of recurrent stroke.

The influent COD/N ratio controlled the linear alkylbenzene sulfonate biodegradation and extracellular polymeric substances accumulation in an oxygen-based membrane biofilm reactor

This work evaluated the fates of linear alkylbenzene sulfonate (LAS), chemical oxygen demand (COD), ammonia nitrogen (NH₄⁺-N), and total nitrogen (TN) when treating greywater (GW) in an oxygen-based membrane biofilm reactor (O₂-MBfR). An influent ratio of chemical oxygen demand to total nitrogen (COD/TN) of 20 g COD/g N gave the best removals of LAS, COD, NH₄⁺-N and TN, and it also had the greatest EPS accumulation in the biofilm. Higher EPS and improved performance were linked to increases in the relative abundances of bacteria able to biodegrade LAS (Zoogloea, Pseudomonas, Parvibaculum, Magnetospirillum and Mycobacterium) and to nitrify (Nitrosomonas and Nitrospira), as well as to ammonia oxidation related enzyme (ammonia monooxygenase). The EPS was dominated by protein, which played a key role in adsorbing LAS, achieving short-time protection from LAS toxicity and allowed LAS biodegradation. Continuous high-efficiency removal of LAS alleviated LAS toxicity to microbial physiological functions, including nitrification, nitrate respiration, the tricarboxylic acid (TCA) cycle, and adenosine triphosphate (ATP) production, achieving the stable high-efficient simultaneous removal of organics and nitrogen in the O₂-MBfR.

Co-removal of 2,4-dichlorophenol and nitrate using a palladized biofilm: Denitrification-promoted microbial mineralization following catalytic dechlorination

The effects of nitrate on 2,4-dichlorophenol (2,4-DCP) dechlorination and biodegradation in a hydrogen (H₂)-based palladized membrane biofilm reactor (Pd-MBfR) were studied. The Pd-MBfR was created by synthesizing palladium nanoparticle (Pd⁰NPs) that spontaneously associated with the biofilm to form a Pd⁰-biofilm. Without input of nitrate, the Pd-MBfR had rapid and stable catalytic hydrodechlorination: 93% of the 100-μM influent 2,4-DCP was continuously converted to phenol, part of which was then fermented via acetogenesis and methanogenesis. Introduction of nitrate enabled phenol mineralization via denitrification with only a minor decrease in catalytic hydrodechlorination. Phenol-degrading bacteria capable of nitrate respiration were enriched in the Pd⁰-biofilm, which was dominated by the heterotrophic genera Thauera and Azospira. Because the heterotrophic denitrifiers had greater yields than autotrophic denitrifiers, phenol was a more favorable electron donor than H₂ for denitrification. This feature facilitated phenol mineralization and ameliorated denitrification inhibition of catalytic dechlorination through competition for H₂. Increased nitrite loading eventually led to deterioration of the dechlorination flux and selectivity toward phenol. This study documents simultaneous removal of 2,4-DCP and nitrate in the Pd-MBfR and interactions between the two reductions.

In-situ remediation of zinc contaminated soil using phosphorus recovery product: Hydroxyapatite/calcium silicate hydrate (HAP/C-S-H)

This work discussed the feasibility and stability of utilizing C-S-H phosphorus recovered products, HAP/C-S-H, to remove Zn(Ⅱ) from aqueous solution and in-situ immobilize Zn(Ⅱ) in contaminated soil. The removal mechanisms of Zn(Ⅱ) by HAP/C-S-H were relatively complex, combining multiple reactions including electrostatic attraction, ion exchange, surface complexation and (co-)precipitation. The removal rate of Zn(Ⅱ) by HAP/C-S-H raised with the increase of pH value, reaching 99.47% at pH of 8 in aqueous solution. The ion strength of background solution negatively affected the adsorption efficiency. The pseudo-second-order model and Langmuir model were more suitable to fit the Zn(Ⅱ) adsorption experimental data for the adsorbent. The adsorption process was endothermic and spontaneous naturally according to thermodynamic parameter. The maximum adsorption capacity of HAP/C-S-H can reach 114.0 mg/g at 308 K. After 28 days of immobilization, the release of Zn(Ⅱ) in soil with HAP/C-S-H remarkably decreased to 0.6 mg/L, compared with control group (2.9 mg/L). BCR sequential extraction results indicated that HAP/C-S-H could convert acid-soluble Zn(Ⅱ) into reducible and residual Zn(Ⅱ), reducing the bioavailability and ecotoxicity of Zn(Ⅱ) in contaminated soil. pH-dependent leaching tests revealed that the soil with HAP/C-S-H had stronger resistance to acid impact.

Assessing effects of Ca2+ addition on membrane bioreactor performance and macro-floc sludge characteristics

Calcium ions (Ca²⁺) can trigger coagulation-flocculation process to form macro-flocculated sludge (MFS). Thus, dosing Ca²⁺-containing reagents into membrane bioreactors (MBRs) is considered as a promising approach to mitigate membrane biofouling. However, a mechanistic understanding of Ca²⁺ addition to MBR performance remains elucidated, such as physicochemical characteristics of MFS and their functionality variations. Consequently, this study was sought to understand the interplays of Ca²⁺ addition and MBR performance with a focus on characterizing MFS in detail. Three parallel MBRs were amended with 82, 208 and 410 mg-Ca²⁺/L final concentrations. Particle size analyses revealed that MFS formation was overall enhanced by the Ca²⁺ addition and granular sludge with diameters of up to 900 μm was formed in the 410 mg-Ca²⁺/L scenario. We believed that cationic bridges facilitated by elevated Ca²⁺ concentrations in conjunction with coagulation-flocculation were primary mechanisms of the formation of large flocs. Moreover, significant portions of soluble proteins and polysaccharides were flocculated and precipitated by Ca²⁺, which demonstrated a negative correlation between extracellular polymeric substances (EPS) concentrations and the formation of MFS. Furthermore, the population abundancies of Thiotrichaceae, Sphingomonadales and Hyphomicrobiaceae decreased in the sludge with Ca²⁺ addition resulted in profound changes of the microbial communities in the MBRs. But MBR performance, such as chemical oxygen demand removal (over 90%), showed no variation during the MBR operation. On the contrary, total nitrogen removal was inhibited in the MBRs. It was because the enlarging MFS formed diffusion barriers to prevent organic component from entering into the sludge flocs to be consumed.

Effects of coexistence of tetracycline, copper and microplastics on the fate of antibiotic resistance genes in manured soil

The coexistence of antibiotics, heavy metals and microplastics is becoming commonplace and may affect antibiotic resistance in manured soil. The current understanding of the role of microplastics in soil with combined pollution of antibiotics, heavy metals and antibiotic resistance genes (ARGs) is limited. Here, the effects of the coexistence of tetracycline (TC), Cu and environmental microplastics (EM) on the fate of nine ARGs and three heavy metal resistance genes in agricultural soil were investigated by batch and microcosm experiments. EM were obtained by exposing virgin microplastics to soil environments for 80 days, which exhibited higher adsorption affinity for Cu and TC than soil particles and virgin microplastics. 1% EM in soil increased bioavailable concentrations of TC and Cu by 79-138% and 88-135%, respectively, and decreased TC dissipation from 11.79 mg kg^-1 to 3.08 mg kg^-1. Correspondingly, the total relative abundances of target ARGs increased by 219-348%. The significant correlations of tetG, tetB, tetQ, sul2, sul1 and intl1 with bioavailable fractions of TC and Cu in soil environments were revealed by network analysis. Moreover, scanning electron micrographs showed the special plastisphere around EM. Attributed to the biofilm generation and higher pollutant accumulation in the plastisphere, EM could be the source of antibiotic-resistant bacteria and ARGs in soil environments. Structure equation models further identified that indirect effects of EM acted a major role in the propagation of ARGs by altering soil properties, soil microbial diversity and intl1 abundance. This study revealed that EM could increase the stimulative effects of Cu and TC on antibiotic resistance and magnify the environmental risk of manure application in soil environments.

Opportunistic pathogens exhibit distinct growth dynamics in rainwater and tap water storage systems

Opportunistic pathogens (OPs) are emerging microbial contaminants in engineered water systems, yet their growth potential in rainwater systems has not been evaluated. The purpose of this study was to compare the growth dynamics of bacterial OPs and related genera (Pseudomonas aeruginosa, Legionella spp., L. pneumophila, Mycobacterium spp., and M. avium), two amoebal hosts (Acanthamoeba spp. and Vermamoeba vermiformis), and the fecal indicator Escherichia coli in simulated rainwater and tap water storage systems (SWSSs). Quantitative polymerase chain reaction (q-PCR) analysis of target microorganisms in SWSS influents and effluents demonstrated that P. aeruginosa and Legionella thrived in rainwater, but not in tap water. V. vermiformis proliferated in both rainwater and tap water polyvinyl chloride (PVC) SWSSs, while mycobacteria were largely absent in rainwater SWSSs. Tank materials exerted stronger influence on target microorganisms in rainwater SWSSs relative to tap water SWSSs, with species-specific responses noted in bulk water and biofilm. For instance, P. aeruginosa and V. vermiformis had the highest gene copy numbers in PVC rainwater SWSS effluents and biofilm, while Legionella peaked in stainless steel rainwater SWSS effluents and PVC rainwater SWSS biofilm. These results highlighted the OP contamination risks in rainwater storage systems and provided insights into rainwater system design and operation in terms of OP control.

[Clinical features of primary isolated chylopericardium: a retrospective review study]

Objective: To examine the clinical characteristics and abnormal reflux branches of primary isolated chylopericardium. Methods: Totally 43 patients with primary isolated chylopericardium at Department of Lymphatic Surgery, Affiliated Beijing Shijitan Hospital,Capital Medical University from June 2007 to January 2018 were recruited in this study. There were 21 males and 22 females, aging (23.0±15.9) years (range: 2 to 57 years). The levels of triglyceride, total cholesterol, total protein and albumin in pericardial effusion and blood were compared by paired-t test, and the characteristics of lymphatic system in direct lymphangiography and postoperative CT were analyzed. Results: Pericardial effusion was mainly milky white and monocytes, and 95.3%(41/43) were positive for Rivalta test. The level of triglyceride in pericardial effusion was significantly higher than that of blood ((9.67±5.11) mmol/L vs. (1.28±0.89) mmol/L, t=10.557, P<0.01), and the levels of total cholesterol ((2.19±0.52) mmol/L vs. (4.12±1.06) mmol/L, t=-3.732, P<0.01), total protein ((61.25±16.17) g/L vs. (68.26±8.30) g/L, t=-2.958, P=0.005) and albumin ((36.63±7.06) g/L vs. (42.32±4.73) g/L, t=-5.747, P<0.01) were significantly lower than that of blood. In the direct lymphangiography, the imaging of iliac and retroperitoneal lymphatics showed dilated or tortuous in 90.7% (39/43), the thoracoabdominal segment of thoracic duct showed dilation in 46.5% (20/43), and cervical thoracic duct imaging showed dilation in 44.2% (19/43) and stenosis in 55.8% (24/43). The image of lipiodol flowing into the vein showed obstruction at the venous angle. There were 60.5%(26/43) of the patients with lipiodol reflux through the bronchomediastinal trunk (type Ⅰ), 11.6%(5/43) with lipiodol diffusion to the pericardium through the abnormal pathway from the thoracic segment of the thoracic duct (type Ⅱ), while no communication pathway between the thoracic duct and the pericardial cavity (type Ⅲ) found in 27.9%(12/43). CT images obtained after the direct lymphangiography showed 34.9%(15/43) had abnormal distribution of lipiodol in pericardium, mediastinal lymph nodes and lung hilar lymph nodes, 46.5%(20/43) in mediastinal lymph nodes and lung hilar lymph nodes, 14.0%(6/43) only mediastinal lymph nodes, 4.6%(2/43) had no lipiodol in the above areas. Conclusions: Pericardial effusion compared with same period blood, has higher triglyceride, lower total cholesterol, total protein and albumin. The obstruction of the cervical segment of the thoracic duct and the formation of abnormal reflux branches would be corelative to primary isolated chylopericardium.

Prognostic value of late gadolinium enhancement in arrhythmogenic right ventricular cardiomyopathy: a meta-analysis

AIM

To assess systematically the prognostic value of cardiac magnetic resonance imaging (CMRI) in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC).

MATERIALS AND METHODS

The full text of studies of the clinical efficacy of late gadolinium enhancement (LGE) in ARVC was retrieved in multiple databases. Stata 14 was adopted for meta-analysis and bias analysis. Heterogeneity was assessed with the I² statistic.

RESULTS

After exclusions, 561 patients were included in five studies, and the eligibility criteria were met. The meta-analysis suggested that there was a significant difference between LGE positive and negative patients with ARVC in all-cause mortality (relative risk [RR] = 4.78, 95% confidence interval [CI] = 1.41, 16.23, p=0.012; p for heterogeneity = 0.692, I² = 0%); major adverse cardiovascular events (MACE) (RR=2.48, 95% CI = 1.24, 4.96, p=0.010; p for heterogeneity = 0.596, I² = 0%); ventricular tachycardia (RR=3.13, 95% CI = 1.69, 5.78, p<0.001; p for heterogeneity = 0.825, I² = 0%); implanted cardiac defibrillators (RR=3.15, 95% CI = 1.69, 5.87], p<0.001; p for heterogeneity = 0.353, I² = 9.4%).

CONCLUSION

LGE in ARVC patients is a predictor of all-cause mortality and MACE.

Lumen air pressure (LAP) affecting greywater treatment in an oxygen-based membrane biofilm reactor (O2-MBfR)

Several technologies have been employed to treat greywater (GW) for domestic use. Aerobic biological treatment has achieved high efficiency, the main cost being the necessary source of oxygen (O₂). This study explores the effects of lumen air pressure (LAP) on reactor performance and microbial community succession in an O₂-based membrane biofilm reactor (O₂-MBfR) treating GW. At high LAP (≥0.8 psi), the dissolved oxygen (DO) concentration inside the reactor was higher than 0.38 ± 0.02 mg/L, leading to removal efficiencies of 90%, 98%, and 80%, of total chemical oxygen demand, total linear alkylbenzene sulfonate (LAS), and total nitrogen, respectively. Lower LAP (<0.8 psi) led to a decrease in DO inside the system, and a less effective GW treatment. Low O₂ pressure decreased organic biodegradation and ammoniation, and caused LAS accumulation in the biofilm, leading to the solubilization of extracellular polymeric substances and cell lysis. Comprehensive consideration of reactor performance and energy input, DO inside the MBfR at 0.38 ± 0.02 mg/L could be selected as the optimized condition for GW treatment. Microbial community analyses results also revealed that improved LAP was favorable for the enrichment of LAS-biodegradation related genus (Pseudomonas, Parvibaculum, Magnetospirillum, Clostridium, Zoogloea, Dechloromonas and Mycobacterium), nitrifiers (Nitrosomonas and Sphingomonas) and facultative microorganisms (Dechloromonas, Flavobacterium, Pseudomonas, Aeromonas and Zoogloea) that can carry out denitrification under relatively high DO conditions (>0.38 mg/L), but led to the reduction of the relative abundance of heterotrophs (Acidovorax, Thermomonas, Brevundimonas and Enterobacter) that are more sensitive towards high DO conditions.

[Construction of a forecast system for prediction of schistosomiasis risk in China based on the flood information]

OBJECTIVE

To create a model based on meteorological data to predict the regions at risk of schistosomiasis during the flood season, so as to provide insights into the surveillance and forecast of schistosomiasis.

METHODS

An interactive schistosomiasis forecast system was created using the open-access R software. The schistosomiasis risk index was used as a basic parameter, and the species distribution model of Oncomelania hupensis snails was generated according to the cumulative rainfall and temperature to predict the probability of O. hupensis snail distribution, so as to identify the regions at risk of schistosomiasis transmission during the flood season.

RESULTS

The framework of the web page was built using the Shiny package in the R program, and an interactive and visualization system was successfully created to predict the distribution of O. hupensis snails, containing O. hupensis snail surveillance site database, meteorological and environmental data. In this system, the snail distribution area may be displayed and the regions at risk of schistosomiasis transmission may be predicted using the species distribution model. This predictive system may rapidly generate the schistosomiasis transmission risk map, which is simple and easy to perform. In addition, the regions at risk of schistosomiasis transmission were predicted to be concentrated in the middle and lower reaches of the Yangtze River during the flood period.

CONCLUSIONS

A schistosomiasis forecast system is successfully created, which is accurate and rapid to utilize meteorological data to predict the regions at risk of schistosomiasis transmission during the flood period.

Key role of soluble microbial products in waste activated sludge reduction by synergetic combination of cocoamidopropyl betaine and alkalinity in the short-time aerobic digestion system

As a widely used ampholytic surfactant, cocoamidopropyl betaine (CAPB) has been improved to enhance waste activated sludge (WAS) reduction in the short-time aerobic digestion (STAD) system, but how system pH value affects the synergetic combined process has not been discussed. This research evaluated how alkalinity affects soluble microbial products (SMP) dynamics and WAS reduction in the synergetic system. After adding CAPB, the biodegradation rate constant of VSS (k_VSS), TCOD (k_TCOD) and CAPB (k_CAPB) were much higher than that of without adding CAPB; pH value at 7.0-8.0 showed the maximum specific oxygen uptake rate (SOUR) of WAS, leading to the highest WAS reduction efficiency. Further study indicated that CAPB can significantly improve the release of extracellular polymeric substances (EPS), leading to the increased SMP concentrations and low molecular weight fractions (MWF) proportions in SMP; more SMP with low MWF fraction led to the increased SOUR, thus further accelerate the WAS reduction; increasing pH could improve the foaminess and solubility of CAPB, thus further improve the organics release and SMP accumulation, which could be quickly removed in the system. This findings lay the foundation of the practical application of the synergetic combination system in WAS reduction.

Machine Learning-Based Prediction of Small Intracranial Aneurysm Rupture Status Using CTA-Derived Hemodynamics: A Multicenter Study

BACKGROUND AND PURPOSE

Small intracranial aneurysms are being increasingly detected while the rupture risk is not well-understood. We aimed to develop rupture-risk models of small aneurysms by combining clinical, morphologic, and hemodynamic information based on machine learning techniques and to test the models in external validation datasets.

MATERIALS AND METHODS

From January 2010 to December 2016, five hundred four consecutive patients with only small aneurysms (<5 mm) detected by CTA and invasive cerebral angiography (or surgery) were retrospectively enrolled and randomly split into training (81%) and internal validation (19%) sets to derive and validate the proposed machine learning models (support vector machine, random forest, logistic regression, and multilayer perceptron). Hemodynamic parameters were obtained using computational fluid dynamics simulation. External validation was performed in other hospitals to test the models.

RESULTS

The support vector machine performed the best with areas under the curve of 0.88 (95% CI, 0.85-0.92) and 0.91 (95% CI, 0.74-0.98) in the training and internal validation datasets, respectively. Feature ranks suggested hemodynamic parameters, including stable flow pattern, concentrated inflow streams, and a small (<50%) flow-impingement zone, and the oscillatory shear index coefficient of variation, were the best predictors of aneurysm rupture. The support vector machine showed an area under the curve of 0.82 (95% CI, 0.69-0.94) in the external validation dataset, and no significant difference was found for the areas under the curve between internal and external validation datasets (P = .21).

CONCLUSIONS

This study revealed that machine learning had a good performance in predicting the rupture status of small aneurysms in both internal and external datasets. Aneurysm hemodynamic parameters were regarded as the most important predictors.

Microbial ecology in selenate-reducing biofilm communities: Rare biosphere and their interactions with abundant phylotypes

Selenate (SeO₄ ^2- ) reduction in hydrogen (H₂ )-fed membrane biofilm reactors (H₂ -MBfRs) was studied in combinations with other common electron acceptors. We employed H₂ -MBfRs with two distinctly different conditions: R1, with ample electron-donor availability and acceptors SeO₄ ^2- and sulfate (SO₄ ^2- ), and R2, with electron-donor limitation and the presence of electron acceptors SeO₄ ^2- , nitrate (NO₃ ^- ), and SO₄ ^2- . Even though H₂ was available to reduce all input SeO₄ ^2- and SO₄ ^2- in R1, SeO₄ ^2- reduction was preferred over SO₄ ^2- reduction. In R2, co-reduction of NO₃ ^- and SeO₄ ^2- occurred, and SO₄ ^2- reduction was mostly suppressed. Biofilms in all MBfRs had high microbial diversity that was influenced by the "rare biosphere" (RB), phylotypes with relative abundance less than 1%. While all MBfR biofilms had abundant members, such as Dechloromonas and Methyloversatilis, the bacterial communities were significantly different between R1 and R2. For R1, abundant genera were Methyloversatilis, Melioribacter, and Propionivibrio; for R2, abundant genera were Dechloromonas, Hydrogenophaga, Cystobacter, Methyloversatilis, and Thauera. Although changes in electron-acceptor or -donor loading altered the phylogenetic structure of the microbial communities, the biofilm communities were resilient in terms of SeO₄ ^2- and NO₃ ^- reductions, because interacting members of the RB had the capacity of respiring these electron acceptors.

Remediation of artificially contaminated soil and groundwater with copper using hydroxyapatite/calcium silicate hydrate recovered from phosphorus-rich wastewater

Excessive copper (Cu) in contaminated soil and groundwater has attracted continuous attentions due to the bioaccumulation and durability. In this study, the feasibility of remediation of heavy metal pollution in soil and groundwater was investigated using hydroxyapatite/calcium silicate hydrate (HAP/C-S-H) recovered from phosphorus-rich wastewater in farmland. The results show that the pH has a strong effect on copper removal from Cu-contaminated groundwater but the impact of ion strength on the removal is weak. In general, high pH and low ion strength give better results in copper removal. Kinetic and isotherm data from the study fit well with Pseudo-second-order kinetic model and Langmuir isotherm model, respectively. The maximum adsorption capacity of HAP/C-S-H (138 mg/g) was higher than that of C-S-H (90.3 mg/g) when pH value, temperature, and ionic strength were 5, 308 K, and 0.01 M, respectively. Thermodynamics results indicate that Cu removal is a spontaneous and endothermic process. X-ray diffraction (XRD) results show that the mechanism of copper removal involves physical adsorption, chemical precipitation and ion exchange. For the remediation of Cu-contaminated soil, 76.3% of leachable copper was immobilized by HAP/C-S-H after 28 d. Acid soluble Cu, the main contributor to biotoxicity, decreased significantly while reducible and residual Cu increased. After immobilization, the acid neutralization capacity of the soil increased and the dissolution of copper was substantially reduced in near-neutral pH. It can be concluded that HAP/C-S-H is an effective, low-cost and eco-friendly reagent for in-situ remediation of heavy metal polluted soil and groundwater.