ALBERT

Description: Background: In 2012, a pilot health policy of contractual service relations between general practitioners and patients was implemented in China. Due to the decline in body and cognitive function, as well as the lack of family care and narrow social support networks, the demand of health services among the elderly is much higher than that among the general population. This study aims to probe into the empty nesters’ willingness-to-pay for general practitioners using a contractual service policy, investigating empty nesters’ payment levels for the service, and analyze the main factors affecting the willingness of empty-nesters’ general practitioners using contractual service supply cost. Methods: This cross-sectional study adopted a multistage stratified sampling method to survey 865, city empty nesters (six communities in three districts of one city) aged 60–85 years. A condition value method was used to infer the distribution of the willingness-to-pay; Cox’s proportional hazards regression model was used to analyze the influencing factors of willingness-to-pay. Results: More than seventy percent (76.6%) of the empty nesters in this city were willing to pay general practitioners using contract service in Chongqing. The level of willingness-to-pay for the surveyed empty nesters was 34.1 yuan per year. The median value was 22.1 yuan per year, which was below the Chongqing urban and rural cooperative medical insurance individual funding level (60 yuan per year) in 2013. Cox’s proportional hazards regression model analysis showed that the higher the education level was, the worse the self-reported health status would be, accompanied by higher family per capita income, higher satisfaction of community health service, and higher willingness-to-pay empty nesters using a contract service. Women had a higher willingness-to-pay than men. Conclusions: The willingness-to-pay for general practitioners by contractual service is high among city empty nesters in Chongqing, thus, individual financing is feasible. However, people are willing to pay less than half of the current personal financing of cooperative medical insurance of urban and rural residents. Education level, family per capita income, and self-reported health status are the main factors affecting the cost sharing intention for general practitioners using contract service supply. According to the existing situation of different empty nesters, it is important to perfect the design of general practitioners using a contractual service policy system, according to differentiated personal financing levels.

Description: In order to achieve process intensification for adsorption chillers and heat pumps, a new composite material was developed based on sintered aluminum fibers from a melt-extraction process and a dense layer of silico-aluminophosphate (SAPO-34) on the fiber surfaces. The SAPO-34 layer was obtained through a partial support transformation (PST) process. Preparation of a composite sample is described and its characteristic pore size distribution and heat conductivity are presented. Water adsorption data obtained under conditions of a large pressure jump are given. In the next step, preparation of the composite was scaled up to larger samples which were fixed on a small adsorption heat exchanger. Adsorption measurements on this heat exchanger element that confirm the achieved process intensification are presented. The specific cooling power for the adsorption step per volume of composite is found to exceed 500 kW/m3 under specified conditions.

Description: The relationship between soil fauna and different fertilizer management practices is of growing concern. The aim of this research was to investigate the response of soil fauna to fertilization regimes, to explore the relationships among the community of soil animals, soil moisture and crop yields. The application of organic fertilizers (i.e., sheep manure or crop residues) increased crop yields and promoted the number of individuals and species of soil fauna owing to the exogenous organic matter that fertilizers provided for the survival and development of soil fauna. Furthermore, the treatments that applied sheep manure (i.e., sheep manure only or nitrogen, phosphorus, potassium and sheep manure plus) were significantly beneficial for increasing crop yields and diversity of soil fauna compared to treatments with crop residues returned (i.e., crop residues returned only or nitrogen, phosphorus, potassium and crop residues returned to the field) (p 〈 0.05) due to the response of soil fauna to diverse exogenous nutrients and the effect of soil fertility. Therefore, the finding that soil fauna abundance is significantly positively correlated with soil moisture and crop yield may mean the effects of fertilizer applications on soil animals were partly masked by the soil moisture and crop yield.

Description: This paper provides an overview of the main manufacturing technologies of displays, focusing on those with low and ultra-low levels of power consumption, which make them suitable for current societal needs. Considering the typified value obtained from the manufacturer’s specifications, four technologies—Liquid Crystal Displays, electronic paper, Organic Light-Emitting Display and Electroluminescent Displays—were selected in a first iteration. For each of them, several features, including size and brightness, were assessed in order to ascertain possible proportional relationships with the rate of consumption. To normalize the comparison between different display types, relative units such as the surface power density and the display frontal intensity efficiency were proposed. Organic light-emitting display had the best results in terms of power density for small display sizes. For larger sizes, it performs less satisfactorily than Liquid Crystal Displays in terms of energy efficiency.

Description: Model selection is an integral, yet contentious, component of epidemiologic research. Unfortunately, there remains no consensus on how to identify a single, best model among multiple candidate models. Researchers may be prone to selecting the model that best supports their a priori, preferred result; a phenomenon referred to as “wish bias”. Directed acyclic graphs (DAGs), based on background causal and substantive knowledge, are a useful tool for specifying a subset of adjustment variables to obtain a causal effect estimate. In many cases, however, a DAG will support multiple, sufficient or minimally-sufficient adjustment sets. Even though all of these may theoretically produce unbiased effect estimates they may, in practice, yield somewhat distinct values, and the need to select between these models once again makes the research enterprise vulnerable to wish bias. In this work, we suggest combining adjustment sets with model averaging techniques to obtain causal estimates based on multiple, theoretically-unbiased models. We use three techniques for averaging the results among multiple candidate models: information criteria weighting, inverse variance weighting, and bootstrapping. We illustrate these approaches with an example from the Pregnancy, Infection, and Nutrition (PIN) study. We show that each averaging technique returns similar, model averaged causal estimates. An a priori strategy of model averaging provides a means of integrating uncertainty in selection among candidate, causal models, while also avoiding the temptation to report the most attractive estimate from a suite of equally valid alternatives.

Description: The widespread, intentional and increasingly frequent chemical emplacement in the troposphere has gone unidentified and unremarked in the scientific literature for years. The author presents evidence that toxic coal combustion fly ash is the most likely aerosolized particulate sprayed by tanker-jets for geoengineering, weather-modification and climate-modification purposes and describes some of the multifold consequences on public health. Two methods are employed: (1) Comparison of 8 elements analyzed in rainwater, leached from aerosolized particulates, with corresponding elements leached into water from coal fly ash in published laboratory experiments, and (2) Comparison of 14 elements analyzed in dust collected outdoors on a high-efficiency particulate air (HEPA) filter with corresponding elements analyzed in un-leached coal fly ash material. The results show: (1) the assemblage of elements in rainwater and in the corresponding experimental leachate are essentially identical. At a 99% confidence interval, they have identical means (T-test) and identical variances (F-test); and (2) the assemblage of elements in the HEPA dust and in the corresponding average un-leached coal fly ash are likewise essentially identical. The consequences on public health are profound, including exposure to a variety of toxic heavy metals, radioactive elements, and neurologically-implicated chemically mobile aluminum released by body moisture in situ after inhalation or through transdermal induction.

Description: The impacts of climate change on human health have been documented globally and in the United States. Numerous studies project greater morbidity and mortality as a result of extreme weather events and other climate-sensitive hazards. Public health impacts on the U.S. Gulf Coast may be severe as the region is expected to experience increases in extreme temperatures, sea level rise, and possibly fewer but more intense hurricanes. Through myriad pathways, climate change is likely to make the Gulf Coast less hospitable and more dangerous for its residents, and may prompt substantial migration from and into the region. Public health impacts may be further exacerbated by the concentration of people and infrastructure, as well as the region’s coastal geography. Vulnerable populations, including the very young, elderly, and socioeconomically disadvantaged may face particularly high threats to their health and well-being. This paper provides an overview of potential public health impacts of climate variability and change on the Gulf Coast, with a focus on the region’s unique vulnerabilities, and outlines recommendations for improving the region’s ability to minimize the impacts of climate-sensitive hazards. Public health adaptation aimed at improving individual, public health system, and infrastructure resilience is urgently needed to meet the challenges climate change may pose to the Gulf Coast in the coming decades.

Description: This study forecasts the liquidity gap in China’s pension scheme for urban workers in the context of an ageing population and the possible effects of recent governmental policies by constructing a basic pension model, including “old people”, “middle people” and “new people” and a simulation method. We find, firstly, that China’s liquidity gap of pension will reach its peak of approximately 13.11 trillion yuan in 2038. Subsequently, this gap will gradually decrease with growth in the mortality rate. Secondly, reasonable intervals for the replacement and contribution rates should be set at [0.417, 0.604] and [0.189, 0.262], respectively, to sustain China’s pension system. Thirdly, compared to increasing fiscal subsidies, an income doubling plan, raising the contribution rate, lowering the replacement rate and delaying the retirement age can significantly reduce the liquidity gap, although the policy costs are relatively high. A policy permitting families to have two children will increase the rate of reduction of the liquidity gap, but it cannot effectively narrow the gap at the peak moment.

Description: Understanding the relationship between land use and surface water quality is necessary for effective water management. We estimated the impacts of catchment-wide land use on water quality during the dry and rainy seasons in the Dongjiang River basin, using remote sensing, geographic information systems and multivariate statistical techniques. The results showed that the 83 sites can be divided into three groups representing different land use types: forest, agriculture and urban. Water quality parameters exhibited significant variations between the urban-dominated and forest-dominated sites. The proportion of forested land was positively associated with dissolved oxygen concentration but negatively associated with water temperature, electrical conductivity, permanganate index, total phosphorus, total nitrogen, ammonia nitrogen, nitrate nitrogen and chlorophyll-a. The proportion of urban land was strongly positively associated with total nitrogen and ammonia nitrogen concentrations. Forested and urban land use had stronger impacts on water quality in the dry season than in the rainy season. However, agricultural land use did not have a significant impact on water quality. Our study indicates that urban land use was the key factor affecting water quality change, and limiting point-source waste discharge in urban areas during the dry season would be critical for improving water quality in the study area.

Description: The morphological properties of kaolin flocs were investigated in a Couette-flow experiment at the steady state under seven shear flow conditions (shear rates of 5.36, 9.17, 14, 24, 31, 41 and 53 s−1). These properties include a one-dimensional (1-D) fractal dimension (D1), a two-dimensional (2-D) fractal dimension (D2), a perimeter-based fractal dimension (Dpf) and an aspect ratio (AR). They were calculated based on the projected area (A), equivalent size, perimeter (P) and length (L) of the major axis of the floc determined through sample observation and an image analysis system. The parameter D2, which characterizes the relationship between the projected area and the length of the major axis using a power function, , increased from 1.73 ± 0.03, 1.72 ± 0.03, and 1.75 ± 0.04 in the low shear rate group (G = 5.36, 9.17, and 14 s−1) to 1.92 ± 0.03, 1.82 ± 0.02, 1.85 ± 0.02, and 1.81 ± 0.02 in the high shear rate group (24, 31, 41 and 53 s−1), respectively. The parameter D1 characterizes the relationship between the perimeter and length of the major axis by the function  and decreased from 1.52 ± 0.02, 1.48 ± 0.02, 1.55 ± 0.02, and 1.63 ± 0.02 in the low shear group (5.36, 9.17, 14 and 24 s−1) to 1.45 ± 0.02, 1.39 ± 0.02, and 1.39 ± 0.02 in the high shear group (31, 41 and 53 s−1), respectively. The results indicate that with increasing shear rates, the flocs become less elongated and that their boundary lines become tighter and more regular, caused by more breakages and possible restructurings of the flocs. The parameter Dpf, which is related to the perimeter and the projected area through the function , decreased as the shear rate increased almost linearly. The parameter AR, which is the ratio of the length of the major axis and equivalent diameter, decreased from 1.56, 1.59, 1.53 and 1.51 in the low shear rate group to 1.43, 1.47 and 1.48 in the high shear rate group. These changes in Dpf and AR show that the flocs become less convoluted and more symmetrical and that their boundaries become smoother and more regular in the high shear rate group than in the low shear rate group due to breakage and possible restructuring processes. To assess the effects of electrolyte and sediment concentration, 0.1 mol/L calcium chloride (CaCl2) and initial sediment concentration from 7.87 × 10−5 to 1.57 × 10−5 were used in this preliminary study. The addition of electrolyte and increasing sediment concentration could produce more symmetrical flocs with less convoluted and simpler boundaries. In addition, some new information on the temporal variation of the median size of the flocs during the flocculation process is presented.

Description: Accurate state of charge (SoC) estimation of batteries plays an important role in promoting the commercialization of electric vehicles. The main work to be done in accurately determining battery SoC can be summarized in three parts. (1) In view of the model-based SoC estimation flow diagram, the n-order resistance-capacitance (RC) battery model is proposed and expected to accurately simulate the battery’s major time-variable, nonlinear characteristics. Then, the mathematical equations for model parameter identification and SoC estimation of this model are constructed. (2) The Akaike information criterion is used to determine an optimal tradeoff between battery model complexity and prediction precision for the n-order RC battery model. Results from a comparative analysis show that the first-order RC battery model is thought to be the best based on the Akaike information criterion (AIC) values. (3) The real-time joint estimator for the model parameter and SoC is constructed, and the application based on two battery types indicates that the proposed SoC estimator is a closed-loop identification system where the model parameter identification and SoC estimation are corrected mutually, adaptively and simultaneously according to the observer values. The maximum SoC estimation error is less than 1% for both battery types, even against the inaccurate initial SoC.

Description: This is the second part of a study conducted to model the aerothermodynamic impact of suction parameters and gas properties on a multi-stage centrifugal compressor’s performance. A new iterative method has been developed in the first part to derive the equivalent performance at various operating conditions. This approach has been validated to predict the compressor map at different suction pressures and temperatures using the design characteristics as reference values. A further case is included in this paper in order to emphasize the validity of the developed approach to obtain the performance characteristics at various gas compositions. The provided example shows that the performance parameters at different gas mixtures can be predicted to within ±1.34%. Furthermore, the conducted optimization in this paper reveals that the proposed method can be applied for the compressor design evaluation corresponding to the expected variation in suction conditions. Moreover, the examined case study demonstrates the effect of gas properties’ variation on the operating point and aerodynamic stability of the entire compression system. In order to achieve that, a simple approach has been established to assess the contribution of gas properties’ variation to the inefficient and unstable compressor performance based on the available operational data.

Description: The in-wheel electric vehicle is expected to be a popular next-generation vehicle because an in-wheel system can simplify the powertrain and improve driving performance. In addition, it also has an advantage in that it maximizes driving efficiency through independent torque control considering the motor efficiency. However, there is an instability problem if only the driving torque is controlled in consideration of only the motor efficiency. In this paper, integrated torque distribution strategies are proposed to overcome these problems. The control algorithm consists of various strategies for optimizing driving efficiency, satisfying driver demands, and considering tire slip and vehicle cornering. Fuzzy logic is used to determine the appropriate timing of intervention for each distribution strategy. A performance simulator for in-wheel electric vehicles was developed by using MATLAB/Simulink and CarSim to validate the control strategies. From simulation results under complex driving conditions, the proposed algorithm was verified to improve both the driving stability and fuel economy of the in-wheel vehicle.

Description: The knowledge of unsteady forces is necessary when designing vertical axis wind turbines (VAWTs). Measurement data for turbines operating at an open site are still very limited. The data obtained from wind tunnels or towing tanks can be used, but have limited applicability when designing large-scale VAWTs. This study presents experimental data on the normal forces of a 12-kW straight-bladed VAWT operated at an open site north of Uppsala, Sweden. The normal forces are measured with four single-axis load cells. The data are obtained for a wide range of tip speed ratios: from 1.7 to 4.6. The behavior of the normal forces is analyzed. The presented data can be used in validations of aerodynamic models and the mechanical design for VAWTs.

Description: This paper introduces a new iterative method to predict the equivalent centrifugal compressor performance at various operating conditions. The presented theoretical analysis and empirical correlations provide a novel approach to derive the entire compressor map corresponding to various suction conditions without a prior knowledge of the detailed geometry. The efficiency model was derived to reflect the impact of physical gas properties, Mach number, and flow and work coefficients. One of the main features of the developed technique is the fact that it considers the variation in the gas properties and stage efficiency which makes it appropriate with hydrocarbons. This method has been tested to predict the performance of two multistage centrifugal compressors and the estimated characteristics are compared with the measured data. The carried comparison revealed a good matching with the actual values, including the stable operation region limits. Furthermore, an optimization study was conducted to investigate the influences of suction conditions on the stage efficiency and surge margin. Moreover, a new sort of presentation has been generated to obtain the equivalent performance characteristics for a constant discharge pressure operation at variable suction pressure and temperature working conditions. A further validation is included in part two of this study in order to evaluate the prediction capability of the derived model at various gas compositions.

Description: This paper presents an investigation of sewage sludge gasification in a fixed bed gasifier. Experiments were conducted on a laboratory scale fixed bed gasifier. In the experiments, two types of dried sewage sludge were tested and their properties were analysed. Parameters such as air ratio λ = 0.12 to 0.27, gasification agent temperature t = 50 to 250 °C and gasification agent composition ( = 0.21 and  > 0.21) were found to influence on temperature distribution, syngas Lower Heating Value (LHV) and syngas composition. The results indicate that the syngas LHV was found to decrease with increased air ratio for all analyzed cases: cold and preheated air and cold enriched air. The increase in the percentage of the main combustible components was accompanied by a decrease in the concentration of carbon dioxide. Increasing oxygen concentration increased the temperature, which tended to favor the formation of smaller molecules in the gas mixture. Thus, the enriched air medium produced a gas with a higher LHV. In contrast to conventional gasification, gasification process with gasification agent preheating causes that the flux of heat necessary to support endothermic gasification reactions is producing more effective. Air preheating causes increases hydrogen and carbon monoxide production.

Description: Background and Purpose: The aim of the present study was to assess a relationship between readiness to quit and post-stroke smoking behavior. Methods: Eighty-six active smokers with first-ever ischemic stroke were recruited in a tertiary-care stroke unit. The question “Are you ready to quit smoking within the next month?” with yes/no responses and the 10-cm readiness visual analog scale (VAS) was administered during the anti-smoking intervention. Smoking status was verified at the 3- and 12-month follow-up. Results: The readiness VAS score at hospitalization was significantly lower in patients classified as smokers as compared to patients classified as non-smokers. The readiness score 〈5 cm was a significant predictor of smoking at the 3-month (OR, 7.3) and 12-month follow-up (OR, 4.9). Conclusions: The present results suggest that the readiness VAS can be used as a simple and inexpensive instrument for early identification of patients who continue to smoke after stroke.

Description: A model for simulating vertical water level fluctuations with coupled liquid and gas phases is presented. The Preissmann implicit scheme is used to linearize the governing equations for one-dimensional transient flow for both liquid and gas phases, and the linear system is solved using the chasing method. Some classical cases for single liquid and gas phase transients in pipelines and networks are studied to verify that the proposed methods are accurate and reliable. The implicit scheme is extended using a dynamic mesh to simulate the water level fluctuations in a U-tube and an open surge tank without consideration of the gas phase. Methods of coupling liquid and gas phases are presented and used for studying the transient process and interaction between the phases, for gas phase limited in a chamber and gas phase transported in a pipeline. In particular, two other simplified models, one neglecting the effect of the gas phase on the liquid phase and the other one coupling the liquid and gas phases asynchronously, are proposed. The numerical results indicate that the asynchronous model performs better, and are finally applied to a hydropower station with surge tanks and air shafts to simulate the water level fluctuations and air speed.

Description: Patients with a polyherbal prescription are more likely to receive duplicate medications and thus suffer from adverse drug reactions. We conducted a population-based retrospective study to examine the items of Chinese herbal medicine (CHM) per prescription in the ambulatory care of traditional Chinese medicine (TCM) in Taiwan. We retrieved complete TCM ambulatory visit datasets for 2010 from the National Health Insurance database in Taiwan. A total of 59,790 patients who received 313,482 CHM prescriptions were analyzed. Drug prescriptions containing more than five drugs were classified as polyherbal prescriptions; 41.6% of patients were given a polyherbal prescription. There were on average 5.2 ± 2.5 CHMs: 2.3 ± 1.1 compound herbal formula items, and 3.0 ± 2.5 single Chinese herb items in a single prescription. Approximately 4.6% of patients were prescribed 10 CHMs or more. Men had a lower odds ratio (OR) among polyherbal prescriptions (OR = 0.96, 95% confidence interval [CI] 0.92–0.99), and middle-aged patients (35–49 years) had the highest frequency of polyherbal prescription (OR = 1.19, 95% CI = 1.13–1.26). Patients with neoplasm, skin and subcutaneous tissue disease, or genitourinary system disease were more likely to have a polyherbal prescription; OR = 2.20 (1.81–2.67), 1.65 (1.50–1.80), and 1.52 (1.40–1.64), respectively. Polyherbal prescription is widespread in TCM in Taiwan. Potential herb interactions and iatrogenic risks associated with polyherbal prescriptions should be monitored.

Description: Atmospheric concentrations of carbon dioxide (CO2), a major cause of global warming, have been rising due to industrial development. Carbon capture and storage (CCS), which is regarded as the most effective way to reduce such atmospheric CO2 concentrations, has several environmental and technical disadvantages. Carbon capture and utilization (CCU), which has been introduced to cover such disadvantages, makes it possible to capture CO2, recycling byproducts as resources. However, CCU also requires large amounts of energy in order to induce reactions. Among existing CCU technologies, the process for converting CO2 into CaCO3 requires high temperature and high pressure as reaction conditions. This study proposes a method to fixate CaCO3 stably by using relatively less energy than existing methods. After forming NaOH absorbent solution through electrolysis of NaCl in seawater, CaCO3 was precipitated at room temperature and pressure. Following the experiment, the resulting product CaCO3 was analyzed with Fourier transform infrared spectroscopy (FT-IR); field emission scanning electron microscopy (FE-SEM) image and X-ray diffraction (XRD) patterns were also analyzed. The results showed that the CaCO3 crystal product was high-purity calcite. The study shows a successful method for fixating CO2 by reducing carbon dioxide released into the atmosphere while forming high-purity CaCO3.

Description: The effect of fuel composition on gasification process performance was investigated by performing mass and energy balances on a pre-pilot scale bubbling fluidized bed reactor fed with mixtures of plastic waste, wood, and coal. The fuels containing plastic waste produced less H2, CO, and CO2 and more light hydrocarbons than the fuels including biomass. The lower heating value (LHV) progressively increased from 5.1 to 7.9 MJ/Nm3 when the plastic waste fraction was moved from 0% to 100%. Higher carbonaceous fines production was associated with the fuel containing a large fraction of coal (60%), producing 87.5 g/kgFuel compared to only 1.0 g/kgFuel obtained during the gasification test with just plastic waste. Conversely, plastic waste gasification produced the highest tar yield, 161.9 g/kgFuel, while woody biomass generated only 13.4 g/kgFuel. Wood gasification showed a carbon conversion efficiency (CCE) of 0.93, while the tests with two fuels containing coal showed lowest CCE values (0.78 and 0.70, respectively). Plastic waste and wood gasification presented similar cold gas efficiency (CGE) values (0.75 and 0.76, respectively), while that obtained during the co-gasification tests varied from 0.53 to 0.73.

Description: Free acidity of aqueous solutions was initially defined in 1909 by Søren Peter Lauritz Sørensen as pH = −lgcH+ (c/mol·dm−3 or m/mol·kg−1 of the free hydrogen ions in solution, H+) soon (1910) was changed to pH = paH+ = −lgaH+, integrating the new concepts of activity, ai and activity coefficient γi, for the ionic species i under concern, H+ in this case; it is ai = −lg(miγi). Since individual ions do not exist alone in solution, primary pH values cannot be assigned solely by experimental measurements, requiring extra thermodynamic model assumptions for the activity coefficient, γH+, which has put pH in a unique situation of not being fully traceable to the International System of Units (SI). Also the concept of activity is often not felt to be as perceptible as that of concentration which may present difficulties, namely with the interpretation of data. pH measurements on unknown samples rely on calibration of the measuring setup with adequate reference pH buffers. In this work, the assignment of pH values to buffers closely matching the samples, e.g., seawater, is revisited. An approach is presented to assess the quantity pmH+ = −lgmH+ profiting from the fact that, contrary to single ion activity coefficients, mean activity coefficients,   can be assessed based on experimentally assessed quantities alone, γExp ±, thus ensuring traceability to the mole, the SI base unit for amount of substance. Compatibility between γExp ± and mean activity coefficient calculated by means of Pitzer model equations, γPtz ±, validates the model for its intended use.

Description: Drainage networks are essential compartments in an urban infrastructure system for the efficient collection and prompt drainage of flood water. In addition to the advances in numerical techniques on urban flood simulation, the topological characteristics of urban drainage networks and their impacts on flooding have not been investigated thoroughly despite their importance. This study evaluated the urban drainage networks in Seoul, South Korea, in terms of the network configuration and its implication for peak flows and flood mitigation. Gibbs’ model was used to analyze the network configuration of 31 urban catchments with various slope ranges. The results showed that urban drainage networks can be less efficient than river in nature in terms of the drainage time, which is counter-intuitive. On the other hand, the analysis showed that efficient networks have risks of flood concentration and, hence, increase potential flood risks. This study showed that efficient networks tend to have higher peak flows at the outlet and vice versa. Therefore, an alternative drainage network layout, which is less efficient and more sinuous, was introduced and it resulted in reduced peak flows and flooding. This result shows managing a proper drainage network layout can contribute to flood mitigation in urban catchments.

Description: The current accelerated growth in demand for energy globally is confronted by water-resource limitations and hydrologic variability linked to climate change. The global spatial and temporal trends in water requirements for energy development and policy alternatives to address these constraints are poorly understood. This article analyzes national-level energy demand trends from U.S. Energy Information Administration data in relation to newly available assessments of water consumption and life-cycle impacts of thermoelectric generation and biofuel production, and freshwater availability and sectoral allocations from the U.N. Food and Agriculture Organization and the World Bank. Emerging, energy-related water scarcity flashpoints include the world’s largest, most diversified economies (Brazil, India, China, and USA among others), while physical water scarcity continues to pose limits to energy development in the Middle East and small-island states. Findings include the following: (a) technological obstacles to alleviate water scarcity driven by energy demand are surmountable; (b) resource conservation is inevitable, driven by financial limitations and efficiency gains; and (c) institutional arrangements play a pivotal role in the virtuous water-energy-climate cycle. We conclude by making reference to coupled energy-water policy alternatives including water-conserving energy portfolios, intersectoral water transfers, virtual water for energy, hydropower tradeoffs, and use of impaired waters for energy development.

Description: In the last decades the increasing energy requirements along with the need to face the consequences of climate change have driven the search for renewable energy sources, in order to replace as much as possible the use of fossil fuels. In this context biomass has generated great interest as it can be converted into energy via several routes, including fermentation and anaerobic digestion. The former is the most common option to produce ethanol, which has been recognized as one of the leading candidates to substitute a large fraction of the liquid fuels produced from oil. As the economic competitiveness of bioethanol fermentation processes has to be enhanced in order to promote its wider implementation, the most recent trends are directed towards the use of fermentation by-products within anaerobic digestion. The integration of both fermentation and anaerobic digestion, in a biorefinery concept, would allow the production of ethanol along with that of biogas, which can be used to produce heat and electricity, thus improving the overall energy balance. This work aims at reviewing the main studies on the combination of both bioethanol and biogas production processes, in order to highlight the strength and weakness of the integrated treatment for industrial application.

Description: Objective: To assess the burden of regional environmental factors influencing the incidence of Melanoma in the Italian population and overcome the problem of partial population coverage by local cancer registries and thematic archives. Methods: We analyzed the Italian national hospitalization records from 2001 to 2008 provided by the Ministry of Health, excluding hospital re-admissions of the same patients, in order to assess the occurrence of Melanoma over a 8-year period. Data were presented by age groups (absolute number of cases from 20 to ≥80 years old) and per Region (rates per 100,000 inhabitants) for each year. Results: The overall number of new hospitalizations due to malignant Melanoma increased by 16.8% from 2001 (n = 4846) to 2008 (n = 5823), with the rate per 100,000 inhabitants passing from 10.5 to almost 12.0 at a national level. The majority of new diagnoses of malignant Melanoma was observed in two age groups: 61–70 years old (from 979 in 2001 up to 2109 in 2008, corresponding to 15.1 and 18.1 new cases per 100,000 inhabitants, respectively) and 71–80 years old (from 954 in 2001 up to 1141 in 2008, corresponding to 19.5 and 21.8 new cases per 100,000 inhabitants, respectively). The number of hospitalizations due to Melanoma increased in all age groups with the only exception of the youngest patients aged 20–30 years old. The highest increases over the 8-year period were observed in people aged ≥81 years old (+34%), 61–70 years old (+20%) and surprisingly in the age group 31–40 years old (+17%). Southern Regions showed lower hospitalization rates compared to Northern Italy and Region Lazio. The highest increases between 2001 and 2008 were observed in Trentino/Alto Adige, Friuli Venezia Giulia, Valla d’Aosta and Veneto Region. Conclusions: Hospitalizations due to malignant Melanoma in Italy seem to be influenced by environmental or population-related factors showing a decreasing incidence rate from the Northern to Southern Regions.

Description: During the last few years, the issues of energy efficiency and energy saving have dominated the buildings research field. New constructions are based on efficient design and, because of this, the real challenge is to retrofit existing buildings. Italian standards impose thermal transmittance limits for opaque and transparent surfaces, according to the climatic area. In order to understand buildings’ energy behavior, an accurate analysis, carried out by employing advanced calculation codes and instrumental diagnosis—provided by the use of heat flow meter, surface temperature probes and thermal imaging camera—is needed. In this paper, a structure built in the 50 s has been analyzed, by means of a measurement campaign, to investigate the building’s characteristics and its vulnerability. Finally, some retrofit hypotheses have been evaluated by means of a well-known dynamic code. All investments have to be analyzed under a financial point of view, considering materials and installation costs. For this reason, the payback time has been calculated in order to understand how quickly the energy upgrading can be repaid.

Description: The main aim of this research was to improve risk mapping of heavy metals by taking account of erosion effects. A new spatiotemporal index, namely the G2met index, is introduced, with integration of pre-existing methodologies (Hakanson, EPM, and G2). The G2met index is depicted as a series of risk maps for each heavy metal on a month-time step. The southern part of Cyprus Island was selected as a study area. Concentration of major heavy metals was extracted with soil sampling in a grid of 5350 sites. Rainfall, vegetation, soil, land use, topographic, and hydrologic data were collected from existing European or global databases (WorldClim, BioBar, REDES, ESDAC, CORINE, ASTER GDEM, and USGS). A large number of regional-scale risk maps (with 500-m cell size) were created: one for each heavy metal and totally per month and annually; in addition, choropleth maps in terms of statistics per river basin were produced for every metal. Generally, the G2met maps resulted in different spatial patterns in comparison to those depicted by the Hakanson index alone.

Description: Background: Second hand smoke (ETS)-associated particulate matter (PM) contributes considerably to indoor air contamination and constitutes a health risk for passive smokers. Easy to measure, PM is a useful parameter to estimate the dosage of ETS that passive smokers are exposed to. Apart from its suitability as a surrogate parameter for ETS-exposure, PM itself affects human morbidity and mortality in a dose-dependent manner. We think that ETS-associated PM should be considered an independent hazard factor, separately from the many other known harmful compounds of ETS. We believe that brand-specific and tobacco-product-specific differences in the release of PM matter and that these differences are of public interest. Methods: To generate ETS of cigarettes and cigarillos as standardized and reproducible as possible, an automatic second hand smoke emitter (AETSE) was developed and placed in a glass chamber. L&M cigarettes (“without additives”, “red label”, “blue label”), L&M filtered cigarillos (“red”) and 3R4F standard research cigarettes (as reference) were smoked automatically according to a self-developed, standardized protocol until the tobacco product was smoked down to 8 mm distance from the tipping paper of the filter. Results: Mean concentration (Cmean) and area under the curve (AUC) in a plot of PM2.5 against time were measured, and compared. CmeanPM2.5 were found to be 518 μg/m3 for 3R4F cigarettes, 576 μg/m3 for L&M “without additives” (“red”), 448 μg/m3 for L&M “blue label”, 547 μg/m3 for L&M “red label”, and 755 μg/m3 for L&M filtered cigarillos (“red”). AUCPM2.5-values were 208,214 μg/m3·s for 3R4F reference cigarettes, 204,629 μg/m3·s for L&M “without additives” (“red”), 152,718 μg/m3·s for L&M “blue label”, 238,098 μg/m3·s for L&M “red label” and 796,909 μg/m3·s for L&M filtered cigarillos (“red”). Conclusion: Considering the large and significant differences in particulate matter emissions between cigarettes and cigarillos, we think that a favorable taxation of cigarillos is not justifiable.

Description: We propose an optimal electric energy management of a cooperative multi-microgrid community with sequentially coordinated operations. The sequentially coordinated operations are suggested to distribute computational burden and yet to make the optimal 24 energy management of multi-microgrids possible. The sequential operations are mathematically modeled to find the optimal operation conditions and illustrated with physical interpretation of how to achieve optimal energy management in the cooperative multi-microgrid community. This global electric energy optimization of the cooperative community is realized by the ancillary internal trading between the microgrids in the cooperative community which reduces the extra cost from unnecessary external trading by adjusting the electric energy production amounts of combined heat and power (CHP) generators and amounts of both internal and external electric energy trading of the cooperative community. A simulation study is also conducted to validate the proposed mathematical energy management models.

Description: We wish to make the following changes to the published article [1], agreed upon by all authors. Claudia R. Binder has withdrawn her co-authorship. The corrected author list should therefore read: Camilo Lesmes-Fabian.[...]

Description: The cadmium (Cd) contaminated rice fields in Mae Sot District, Tak Province, Thailand has been one of the major environmental problems in Thailand for the last 10 years. We used disability adjusted life years (DALYs) to estimate the burden of disease attributable to Cd in terms of additional DALYs of Mae Sot residents. Cd exposure data included Cd and β2–microglobulin (β2-MG) in urine (as an internal exposure dose) and estimated cadmium daily intake (as an external exposure dose). Compared to the general Thai population, Mae Sot residents gained 10%–86% DALYs from nephrosis/nephritis, heart diseases, osteoporosis and cancer depending on their Cd exposure type and exposure level. The results for urinary Cd and dietary Cd intake varied according to the studies used for risk estimation. The ceiling effect was observed in results using dietary Cd intake because of the high Cd content in rice grown in the Mae Sot area. The results from β2-MG were more robust with additional DALYs ranging from 36%–86% for heart failure, cerebral infraction, and nephrosis/nephritis. Additional DALYs is a useful approach for assessing the magnitude of environmental Cd exposure. The Mae Sot population lost more healthy life compared to populations living in a non- or less Cd polluted area. This method should be applicable to various types of environmental contamination problems if exposure assessment information is available.

Description: Titanium dioxide nanoparticles (TiO2NPs) suspensions (concentration 1.0 g/L) in synthetic sweat solution were applied on Franz cells for 24 h using intact and needle-abraded human skin. Titanium content into skin and receiving phases was determined. Cytotoxicity (MTT, AlamarBlue® and propidium iodide, PI, uptake assays) was evaluated on HaCat keratinocytes after 24 h, 48 h, and seven days of exposure. After 24 h of exposure, no titanium was detectable in receiving solutions for both intact and damaged skin. Titanium was found in the epidermal layer after 24 h of exposure (0.47 ± 0.33 μg/cm2) while in the dermal layer, the concentration was below the limit of detection. Damaged skin, in its whole, has shown a similar concentration (0.53 ± 0.26 μg/cm2). Cytotoxicity studies on HaCaT cells demonstrated that TiO2NPs induced cytotoxic effects only at very high concentrations, reducing cell viability after seven days of exposure with EC50s of 8.8 × 10−4 M (MTT assay), 3.8 × 10−5 M (AlamarBlue® assay), and 7.6 × 10−4 M (PI uptake, index of a necrotic cell death). Our study demonstrated that TiO2NPs cannot permeate intact and damaged skin and can be found only in the stratum corneum and epidermis. Moreover, the low cytotoxic effect observed on human HaCaT keratinocytes suggests that these nano-compounds have a potential toxic effect at the skin level only after long-term exposure.

Description: The disposal of industrial paper mill sludge waste is a big issue and has a great importance all over the world. A study was conducted to determine the chemical properties of recycled paper mill sludge (RPMS) and assess its possibilities for land application. RPMS samples were collected from six different paper mills in Malaysia and analyzed for physical and chemical properties, heavy metals, polycyclic aromatic hydrocarbons, 13C-NMR spectra and for the presence of dioxins/furans. The RPMS was dewatered, sticky with a strong odour, an average moisture of 65.08%, pH 7.09, cation exchange capacity (CEC) 14.43 cmol (+) kg–1, N 1.45, P 0.18, K 0.12, Ca 0.82, Mg 0.73, Na 0.76 and Al, 1.38%. The polycyclic aromatic hydrocarbons (PAHs) and heavy metals levels were below the standard Class 2 limits. The dioxin and furan were in below the standard concentration of Class 1. The most prominent peak in the 13C-NMR spectra of RPMS was centered at 31 ppm, proving the presence of methylene (-CH2) groups in long aliphatic chains, with lipids and proteins. The signal at 89 ppm and highly shielded shoulder at 83 ppm were due to presence of cellulose carbon C-4, and the peak at 63 and 65 ppm was due to the cellulose carbon spectrum. The RPMS therefore contains significant amount of nutrients with safe levels of heavy metals and PAHs for environment and can be used as a fertilizer and soil amendment for land application.

Description: Doctor-shopping has caused an increase in medical expense, potential to receive duplicate medications, and suffer adverse drug reactions. We carried out a population-based retrospective study aimed at examining the user patterns of traditional Chinese medicine (TCM) ambulatory care in Taiwan. We retrieved complete TCM ambulatory visit datasets for the year 2007 from the National Health Insurance database in Taiwan. We defined the patients whose distribution of TCM physician numbers scored more than 97.5 percent (more than, or equal to, five TCM physicians) within one year as TCM doctor-shoppers. In total, 6,596,814 subjects (28.9%) paid TCM visits during that year. All 177,728 subjects (2.69%) who visited more than five (including) TCM physicians were classified as TCM shoppers. The most prevalent diagnostic grouping was upper respiratory infections (44.7%) and sprains and strains (44.0%). Men had a lower odds ratio (OR) among TCM shoppers than women (OR = 0.94, 95% confidence interval (CI) = 0.93–0.96). Younger people were less likely to be TCM shoppers than other people were. The ORs of TCM shoppers were higher among veterans and low-income patients (OR = 1.29 (1.23–1.35), and 1.33 (1.27–1.41)). In conclusion, health education on the potential of drug interactions and iatrogenic health risks incurred from doctor-shopping should be addressed to those high-risk patients.

Description: Day-to-day variability and stability of children’s physical activity levels across days of the week are not well understood. Our aims were to examine the day-to-day variability of moderate-to-vigorous physical activity (MVPA), to determine factors influencing the day-to-day variability of MVPA and to estimate stability of MVPA in children. The sample comprises 686 Portuguese children (10 years of age). MVPA was assessed with an accelerometer, and BMI was computed from measured height and weight. Daily changes in MVPA and their correlates (gender, BMI, and maturity) were modeled with a multilevel approach, and tracking was calculated using Foulkes & Davies γ. A total of 51.3% of boys and 26.2% of girls achieved 60 min/day of MVPA on average. Daily MVPA was lower during the weekend (23.6% of boys and 13.6% of girls comply with the recommended 60 min/day of MVPA) compared to weekdays (60.8% and 35.4%, boys and girls, respectively). Normal weight children were more active than obese children and no effect was found for biological maturation. Tracking is low in both boys (γ = 0.59 ± 0.01) and girls (γ = 0.56 ± 0.01). Children’s MVPA levels during a week are highly unstable. In summary, boys are more active than girls, maturation does not affect their MVPA, and obese children are less likely to meet 60 min/day of MVPA. These results highlight the importance of providing opportunities for increasing children’s daily MVPA on all days of week, especially on the weekend.

Description: Congestion pricing strategy has been recognized as an effective countermeasure in the practical field of urban traffic congestion mitigation. In this paper, a bi-level programming model considering carbon dioxide emission is proposed to mitigate traffic congestion and reduce carbon dioxide emissions. The objective function of the upper level model is to minimize the sum of travel costs and the carbon dioxide emissions costs. The lower level is a multi-modal transportation network equilibrium model. To solve the model, the method of successive averages (MSA) and the shuffled frog leaping algorithm (SFLA) are introduced. The proposed method and algorithm are tested through the numerical example. The results show that the proposed congestion pricing strategy can mitigate traffic congestion and reduce carbon emissions effectively.

Description: We investigated the synergetic effect between light-emitting diode (LED) lighting efficiency and building energy savings in heating and cooling using an alternative thermal operating system (ATOS) of indoor LED lighting integrated with the ventilation system of a building as an active cooling device. The heat generated from LED lighting and the indoor lighting illuminance were experimentally determined. The indoor heat gains in cooling and heating periods were determined using measurement data; the annual energy savings of an office building in heating and cooling were calculated through simulation. The LED lighting illuminance increased by approximately 40% and the lighting contribution for indoor heat gain was 7.8% in summer, while 69.8% in winter with the ATOS. Consequently, the annual total energy use of the office building could be reduced by 5.9%; the energy use in cooling and heating was reduced by 18.4% and 3.3%, respectively.

Description: The microbiological sanitary quality and safety of leafy greens and strawberries were assessed in the primary production in Belgium, Brazil, Egypt, Norway and Spain by enumeration of Escherichia coli and detection of Salmonella, Shiga toxin-producing E. coli (STEC) and Campylobacter. Water samples were more prone to containing pathogens (54 positives out of 950 analyses) than soil (16/1186) and produce on the field (18/977 for leafy greens and 5/402 for strawberries). The prevalence of pathogens also varied markedly according to the sampling region. Flooding of fields increased the risk considerably, with odds ratio (OR) 10.9 for Salmonella and 7.0 for STEC. A significant association between elevated numbers of generic E. coli and detection of pathogens (OR of 2.3 for STEC and 2.7 for Salmonella) was established. Generic E. coli was found to be a suitable index organism for Salmonella and STEC, but to a lesser extent for Campylobacter. Guidelines on frequency of sampling and threshold values for E. coli in irrigation water may differ from region to region.

Description: The objective of this research is to provide a standardized platform to monitor and predict indicators of people with traumatic brain injury using the International Classification of Functioning, Disability and Health, and analyze its potential benefits for people with disabilities, health centers and administrations. We developed a platform that allows automatic standardization and automatic graphical representations of indicators of the status of individuals and populations. We used data from 730 people with acquired brain injury performing periodic comprehensive evaluations in the years 2006–2013. Health professionals noted that the use of color-coded graphical representation is useful for quickly diagnose failures, limitations or restrictions in rehabilitation. The prognosis system achieves 41% of accuracy and sensitivity in the prediction of emotional functions, and 48% of accuracy and sensitivity in the prediction of executive functions. This monitoring and prognosis system has the potential to: (1) save costs and time, (2) provide more information to make decisions, (3) promote interoperability, (4) facilitate joint decision-making, and (5) improve policies of socioeconomic evaluation of the burden of disease. Professionals found the monitoring system useful because it generates a more comprehensive understanding of health oriented to the profile of the patients, instead of their diseases and injuries.

Description: Objectives: In 2005, China acceded to the World Health Organization Framework Convention on Tobacco Control (WHO FCTC), the foundation for the global fight against tobacco. Certain cities in China have established local regulations to control tobacco use ahead of national policy; however, without the enforcement of statutory law, some of these regulations are merely lip service. The aim of the study was to assess the effects of city policy on smoking prevalence and on second-hand smoke (SHS) exposure status among non-smokers in Changchun City. Methods: A cross-sectional survey covering a multiple-stage, representative sample of the urban population aged ≥15 years was conducted between 1 Dec 2013 and 31 Jan 2014. The WHO and the US Centers for Disease Control and Prevention developed the questionnaires used, which included demographic characteristics, smoking behaviors and SHS exposure status. Results: Overall cigarette smoking prevalence was 23.5%; daily cigarette smoking prevalence was 21.2%. Smoking prevalence and cigarettes consumed per day was higher among men (p 〈 0.05) and those aged 45–64 years (p 〈 0.05). Among current smokers, 8.1% planned to quit within 12 months; 53.4% had no intention of quitting. Overall SHS exposure prevalence was 41.9% (workplace) and 34.1% (at home) over the previous 30 days. The weighted workplace SHS exposure prevalence increased with age. Conclusions: The high proportion of smokers with no intention of quitting and the high level of SHS exposure may constitute one of the most significant barriers to successful smoking cessation in the city. A continued drive to promote full implementation of the WHO FCTC is still needed.

Description: Contemporary ecological models of health prominently feature the natural environment as fundamental to the ecosystem services that support human life, health, and well-being. The natural environment encompasses and permeates all other spheres of influence on health. Reviews of the natural environment and health literature have tended, at times intentionally, to focus on a limited subset of ecosystem services as well as health benefits stemming from the presence, and access and exposure to, green infrastructure. The sweeping influence of green infrastructure on the myriad ecosystem services essential to health has therefore often been underrepresented. This survey of the literature aims to provide a more comprehensive picture—in the form of a primer—of the many simultaneously acting health co-benefits of green infrastructure. It is hoped that a more accurately exhaustive list of benefits will not only instigate further research into the health co-benefits of green infrastructure but also promote consilience in the many fields, including public health, that must be involved in the landscape conservation necessary to protect and improve health and well-being.

Description: There is growing evidence of climate change affecting infectious disease risk in Western Europe. The call for effective adaptation to this challenge becomes increasingly stronger. This paper presents the results of a survey exploring Dutch expert perspectives on adaptation responses to climate change impacts on infectious disease risk in Western Europe. Additionally, the survey explores the expert sample’s prioritization of mitigation and adaptation, and expert views on the willingness and capacity of relevant actors to respond to climate change. An integrated view on the causation of infectious disease risk is employed, including multiple (climatic and non-climatic) factors. The results show that the experts consider some adaptation responses as relatively more cost-effective, like fostering interagency and community partnerships, or beneficial to health, such as outbreak investigation and response. Expert opinions converge and diverge for different adaptation responses. Regarding the prioritization of mitigation and adaptation responses expert perspectives converge towards a 50/50 budgetary allocation. The experts consider the national government/health authority as the most capable actor to respond to climate change-induced infectious disease risk. Divergence and consensus among expert opinions can influence adaptation policy processes. Further research is necessary to uncover prevailing expert perspectives and their roots, and compare these.

Description: Cigarette butts (tobacco product waste (TPW)) are the single most collected item in environmental trash cleanups worldwide. This brief descriptive study used an online survey tool (Survey Monkey) to assess knowledge, attitudes, and beliefs among individuals representing the Framework Convention Alliance (FCA) about this issue. The FCA has about 350 members, including mainly non-governmental tobacco control advocacy groups that support implementation of the World Health Organization’s (WHO) Framework Convention on Tobacco Control (FCTC). Although the response rate (28%) was low, respondents represented countries from all six WHO regions. The majority (62%) have heard the term TPW, and nearly all (99%) considered TPW as an environmental harm. Most (77%) indicated that the tobacco industry should be responsible for TPW mitigation, and 72% felt that smokers should also be held responsible. This baseline information may inform future international discussions by the FCTC Conference of the Parties (COP) regarding environmental policies that may be addressed within FCTC obligations. Additional research is planned regarding the entire lifecycle of tobacco’s impact on the environment.

Description: The aim of this study was to assess the correlation between blood lead levels and both serum uric acid and hyperuricemia in adult residents living within an area of China with lead pollution.  We conducted a cross-sectional analysis of 2120 subjects (1180 of whom were male) between the ages of 20 and 75 years who had undergone health examinations at the Centers for Disease Control and Prevention (CDC) in a lead-polluted area of China between January 2013 and August 2014. Blood lead was positively correlated with serum uric acid in both males (r = 0.095, p = 0.001) and females (r = 0.134, p 〈 0.001). Multivariate linear regression analysis demonstrated that for males, blood lead (p = 0.006), age (p = 0.001), current smoking (p = 0.012), education (p = 0.001), triglycerides (TG) (p 〈 0.001), and serum creatinine (p 〈 0.001) were independently associated with serum uric acid. For females, blood lead (p 〈 0.001), body mass index (BMI) (p = 0.009), and TG (p 〈 0.001) were independently associated with serum uric acid. After multiple adjustments, blood lead was significantly associated with a higher prevalence of hyperuricemia when female subjects were categorized into quartiles (for the highest quartile vs. the lowest quartile, odds ratio (OR) = 2.190; 95% confidence interval (CI): 1.106–4.338; p = 0.025); however, no such association was observed for male subjects. Continuous lead exposure has an independent impact on serum uric acid for both males and females, although this impact is more pronounced for females than for males. Lead exposure is significantly associated with hyperuricemia for females but not for males.

Description: The internet and associated Information and Communications Technologies (ICT) are diffusing at an astounding pace. As data centers (DCs) proliferate to accommodate this rising demand, their environmental impacts grow too. While the energy efficiency of DCs has been researched extensively, their water footprint (WF) has so far received little to no attention. This article conducts a preliminary WF accounting for cooling and energy consumption in DCs. The WF of DCs is estimated to be between 1047 and 151,061 m3/TJ. Outbound DC data traffic generates a WF of 1–205 liters per gigabyte (roughly equal to the WF of 1 kg of tomatos at the higher end). It is found that, typically, energy consumption constitues by far the greatest share of DC WF, but the level of uncertainty associated with the WF of different energy sources used by DCs makes a comprehensive assessment of DCs’ water use efficiency very challenging. Much better understanding of DC WF is urgently needed if a meaningful evaluation of this rapidly spreading service technology is to be gleaned and response measures are to be put into effect.

Description: This study investigated the capability of a biosurfactant produced by a novel strain of Bacillus salmalaya to enhance the biodegradation rates and bioavailability of organic contaminants. The biosurfactant produced by cultured strain 139SI showed high physicochemical properties and surface activity in the selected medium. The biosurfactant exhibited a high emulsification index and a positive result in the drop collapse test, with the results demonstrating the wetting activity of the biosurfactant and its potential to produce surface-active molecules. Strain 139SI can significantly reduce the surface tension (ST) from 70.5 to 27 mN/m, with a critical micelle concentration of 0.4%. Moreover, lubricating oil at 2% (v/v) was degraded on Day 20 (71.5). Furthermore, the biosurfactant demonstrated high stability at different ranges of salinity, pH, and temperature. Overall, the results indicated the potential use of B. salmalaya 139SI in environmental remediation processes.

Description: Objective: To evaluate the outcome of 80 pregnant women with systemic lupus erythematosus (SLE) and explore the risk factors for lupus flare, obstetric complications and fetal loss. Methods: 83 pregnancies in 80 women were divided into three groups. Group A: patients in remission for > 6 months before pregnancy, proteinuria 〈 0.5 g per day, without renal failure and discontinuation of cytotoxic drugs for > one year; Group B: patients with SLE disease activity in the six months before pregnancy; Group C: patients with new onset SLE during pregnancy. Results: In group A, 76.47% pregnancies achieved full-term deliveries and 80.39% achieved live born infants. In group B and C, the outcome was poor. Among 62 patients (64 pregnancies) diagnosed as SLE before pregnancy, SLE flares occurred in 27 (42.19%) pregnancies. SLE disease activity in the six months before pregnancy was significantly associated with lupus flare (OR 5.00, 95% CI 1.14–21.87, p = 0.03) and fetal loss. New onset lupus during pregnancy was independently associated with obstetric complications (OR 7.22, 95% CI 2.14–24.38, p = 0.001). Conclusions: The current study confirmed the previous report that SLE should be considered a high risk of pregnancy. If pregnancy is planned after remission for > 6 months, the favorable outcome can be achieved.

Description: Purpose: To determine the epidemiological characteristics of work-related eye injury in representative southwest region of China. Methods: Patients with eye injuries treated at the Ninth People’s Hospital of Chongqing from 1 January 2014 to 31 December 2014 were included in the current study. All patients completed a comprehensive examination and interview. Demographic characteristics and injury details were recorded. The International Classification of Diseases (ICD-10) and Birmingham Eye Trauma Terminology (BETT) were used. Results: The average age of eye injury patients was 37.52 years and the majority were male. Among the 1055 total patients, approximately 42.9% of the injuries were work-related. The highest proportion of occupational eye trauma was observed in the group between 36 and 45 years of age. Occupational ocular trauma occurred more frequently in summer, with most from 16:00 to 18:00. Metal was the most common injury cause. Foreign body on external eye was the most common diagnosis. Workers in the manufacturing industry without pre-work safety training or eye protection were far more likely to suffer from occupational ocular trauma than those with training and protection. Conclusions: This study provides insight into the epidemiological characteristics of occupational ocular trauma in southwest region of China. The current findings might be considered as a baseline for future research on regional work-related eye injuries. Our findings will provide valuable information for further development of preventive strategies.