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Although indispensable, significant uncertainty still exists in the underlying processes of the formation, dynamics, and emission of greenhouse gases (GHGs), the critical elements needed for the accurate estimation of greenhouse gas fluxes in inland lakes and reservoirs. Seasonal changes in water thermal stratification and turbulence strongly influence the concentration and emission of dissolved GHGs in water columns. Here, we studied the stratification and overturn processes of water column in the subtropical Lianhe Reservoir during different seasons and determined the dynamics of dissolved CO 2 , CH 4 , and N 2 O in the reservoir. Observation of temperature and analysis of chlorofluorocarbons (CFCs) clearly suggested that stratification of water column occurred in summer, but not in winter. The results showed that while dissolved oxygen (DO) was high in the top 5-m layer (the upper epilimnion layer), it dropped considerably especially below 10 m, resulting in an increase in concentration of CO 2 and CH 4 . The high concentrations of dissolved N 2 O and CH 4 were related to the decomposition of organic matter in the hypolimnion layer under anaerobic conditions after stratification. In winter overturn period, vertical circulants of water not only homogenized the concentration of DO in the water column, but also potentially moved CO 2 , CH 4 , and N 2 O from the bottom to the surface of the reservoir. The estimated GHG flux from the reservoir was − 7.13 mmol m −2 day −1 in summer and 2.14 mmol m −2 day −1 in winter. There was the potential that CO 2 fluxes from subtropical lakes and reservoirs are overestimated by traditional geochemical models.

Urban Blue Spaces (UBS) have been found to be beneficial to people’s mental health. Yet, the empirical evidence for how and why different types of urban blue spaces could promote residents’ mental health is still limited. Accordingly, 164 observation samples were collected for this experiment relating to the restorative perception of environmental exposure. The effects of two exposure behaviors (15 min of viewing and 15 min of walking) on psychological recovery in three different urban blue spaces settings (Urban River, Urban Canal, Urban Lake) were investigated in a field experiment. These are the main findings of this current study: (1) all three UBSs increased vitality, feelings of restoration, and positive emotions, and decreased negative emotions; (2) the mental restoration effects between walking and viewing among the three UBSs showed no significant differences; (3) of the three UBSs, urban rivers and urban lakes were the most restorative, while urban canals were less so; (4) the concept of “natural health dose” is proposed, where the health experiences of different UBSs in urban settings can show differences depending on the natural components and their levels of the environment (blue, blue + green, blue + blue). The results of this experiment can provide fundamental evidence that can contribute to building healthy cities through the management and design of different blue spaces.

Groundwater is a critical resource in remote and isolated islands where rainfall hardly provides a continuous and even water supply. In this paper, in a very rare and uncommonly found artificial aquifer on Miyako Island, far away from the main continent of Japan, with limited experimental results of evaluations of crop water requirement, MODIS ET together with crop ETc estimated from Kc coefficient from the nearest island were compared to determine the reliability of the MODIS ET and FAO-56-based ETc value. The testified Kc approach for sugarcane ET was used to assess the risk of irrigation water shortages using historical metrological data and to predict the future risk of irrigation agriculture under different scenarios of GCM models. It was shown that FAO-56-based ETc and MOD16A2 were both applicable for crop evapotranspiration on the island. Then, the response of groundwater storage to gross irrigation water requirement was analyzed to clarify the effect of irrigation on groundwater storage and the risk of groundwater depletion under current and future climatic conditions. Results showed that the construction of the dam efficiently secured the irrigation of sugarcane. Using historical climatic data (1951–2021), the influence of estimated irrigation water requirements on groundwater showed that in 296 out of 852 months, irrigation was heavily required. Over a 71 year period, there was absolutely no water for irrigation four times, or nearly once every 18 years. Under the future projected climate from four bias-corrected GCM models with two emission scenarios (2022–2100), the risk of groundwater depletion both in terms of frequency and duration will increase. Therefore, there is a need for either improvement of irrigation water management or additional construction of artificial aquifers on the island. The study proved the value of ET derived from remote sensing in areas lacking the support of experimental results. The methodology developed in the study can be potentially used to evaluate long-term irrigation demand and groundwater management over dry periods for engineering design or dam construction globally.

Baiyangdian lake, the largest fresh lake on the Haihe Basin in North China, has attracted wide attention on account of the distinguished ecological water bodies in Xiong’an New Area. Although remarkable achievements have been made in pollution control in Baiyangdian lake, the problem facing the overall water environment remains serious. The complex pollutant sources, drastic pollutant flux changes, and the unclear impact of the role of pollutants pose great challenges to the water quality, water environment management, and long-term restoration of the ecological environment. Here, the potential pollution sources, their contribution ratio, and the influence of the pollution load of different sources on the water quality in the priority source areas of Baiyangdian lake are discussed in detail based on collected and existing monitoring data. It is proven that the primary pollution sources of for nitrogen, phosphorus, and organic pollutants are from agricultural and rural non-point source pollution; the load contribution rates exceed 50%, of which the contribution rate to the total phosphorus load reaches 73.37%. The total load contribution of runoff to the three pollutants was small, although the contribution of soil erosion to total nitrogen was 22.95%. The contribution of point source pollution to COD was high, with a rate of 22.33%. In order to ensure the environmental quality of Baiyangdian lake, it is obligatory to strengthen the control of agricultural and rural pollution discharge and to standardize the pollution discharge of livestock and poultry breeding. This study provides a helpful support for protecting the water ecology of the national Xiong’an New Area.

Background The change in the characteristics of the gut microbiota is linked to gestational diabetes mellitus (GDM). However, whether and how the gut microbiota‐derived metabolites change in GDM is uncertain. Here, we aimed to determine associations between the gut microbiota‐derived metabolites and GDM. Methods Using targeted metabolomics approaches, 7 types of short‐chain fatty acids (SCFAs), 38 types of bile acids (BAs), and 5 types of trimethylamine N‐oxide (TMAO), and its derivatives of serum samples were obtained from pregnant women with GDM (n = 24), and healthy pregnant controls (HC, n = 28) were detected to identify the metabolic signature of GDM to investigate the potential biomarkers. Moreover, we assessed the associations between gut microbiota‐derived metabolites and clinical parameters. Results In our study, the gut microbiota‐derived metabolites signatures were significantly different between GDM and HC. Quantitative results showed the levels of isobutyric acid, isovaleric acid, valeric acid, caproic acid, GUDCA, THDCA + TUDCA, and LCA‐3S were significantly higher in GDM, but the level of TMAO and its derivatives did not change significantly. Some altered gut microbiota‐derived metabolites were significantly correlated with glucose and lipid levels. Receiver‐operating characteristic (ROC) analysis of generalized linear models showed that gut microbiota‐derived metabolites may be potential biomarkers of GDM. Conclusion This study highlights gut microbiota‐derived metabolites alterations in GDM and correlation of the clinical indicators, which provides a new direction for future studies aiming to novel serum biomarker for early detection or target of drug therapy of GDM. Using targeted metabolomics approaches, identify the gut microbiota‐derived metabolites signature of GDM to investigate the potential biomarkers and assess the clinical significance.

Abstract In the current study, the C18-modified halloysite was fabricated via silylation reaction and subsequently used as sorbent in matrix solid-phase dispersion (MSPD) for the extraction of bisphenol A and diethylstilbestrol from human placenta, followed by high-performance liquid chromatography-tandem mass spectrometry analysis. The as-prepared sorbent was characterized by scanning electron microscopy, energy-dispersive spectrometry, Fourier transform infrared spectroscopy, X-ray diffraction, and thermo-gravimetric analysis. Varied parameters such as methanol concentration in wash solvent, pH and salt concentration in elution solvent, elution volume, and mass ratio of sample to sorbent were optimized. The adsorption capacities of bisphenol A and diethylstilbestrol on the developed C18-modified halloysite were 6.3 and 14.2 mg g−1, respectively, higher than those on the commercial C18 silica gel. Under the optimal condition, the average recoveries of bisphenol A and diethylstilbestrol by MSPD varied from 91.0 to 106.0%, and the relative standard deviations were less than 10.6% for human placenta samples. The limits of detection in the human placenta were 0.2 μg kg−1 for bisphenol A and diethylstilbestrol. The simple C18-modified halloysite-based MSPD method holds great potential for the determination of trace bisphenol A and diethylstilbestrol in the human placenta and other tissues of pregnant women with high sensitivity, accuracy, and reliability.

Pelvic floor disorder (PFD) is a common disease affecting the quality of life of middle-aged and elderly women. Pelvic floor muscle (PFM) damage is related to delivery mode, fetal size, and parity. Spontaneous vaginal delivery causes especially great damage to PFM. The purpose of this study was to summarize the characteristics of PFM action during the second stage of labor by collecting female pelvic MRI (magnetic resonance imaging) data and, further, to try to investigate the potential pathogenetic mechanism of PFD. A three-dimensional model was established to study the influence factors and characteristics of PFM strength. In the second stage of labor, the mechanical responses, possible damage, and the key parts of postpartum lesions of PFM due to the different fetal biparietal diameter (BPD) sizes were analyzed by finite element simulations. The research results showed that the peak stress and strain of PFM appeared at one-half of the delivery period and at the attachment point of the pubococcygeus to the skeleton. In addition, during the simulation process, the pubococcygeus was stretched by about 1.2 times and the levator ani muscle was stretched by more than two-fold. There was also greater stress and strain in the middle area of the levator ani muscle and pubococcygeus. According to the statistics, either being too young or in old maternal age will increase the probability of postpartum PFM injury. During delivery, the entire PFM underwent the huge deformation, in which the levator ani muscle and the pubococcygeus were seriously stretched and the attachment point between the pubococcygeus and the skeleton were the places with the highest probability of postpartum lesions.

Enterovirus 71 (EV71), a cause of hand, foot, and mouth disease, may be associated with poliomyelitis-like paralysis. In this report from China, a vaccine was shown to significantly decrease EV71-associated illness in children. Epidemics of hand, foot, and mouth disease in children have emerged recently in Asia and have been caused primarily by enterovirus 71 (EV71) and coxsackievirus A16, 1 which typically show two peak epidemic incidences each year, in May and October. 2 – 5 An important clinical concern regarding hand, foot, and mouth disease is central nervous system injury, which occurs during the disease course in some severe cases and may result in a poor outcome. 6 – 11 Infection with the EV71 C4 genotype accounts for 40.1 to 55.4% of cases of hand, foot, and mouth disease, with considerable associated mortality, including thousands of deaths . . .

The efficacy, safety, optimal timing, and urate-lowering effects of surgical interventions in gout management remain poorly understood. This study aims to fill this gap by evaluating the role of surgery in treating gout patients with tophi. A retrospective analysis was conducted on 28 gout patients presenting with tophi. Data were comprehensively retrieved from electronic medical records, including medical history, laboratory findings, surgical procedures, hospitalization duration, postoperative monitoring, and relevant variables. Postoperative improvements were observed in joint symptoms and functionality. Surgical intervention effectively reduced the frequency of gout flares, demonstrating short-term urate-lowering effects (STULE) and potential long-term urate-lowering effects (LTULE) when combined with urate-lowering treatments (ULT). Primary healing occurred in 65 out of 67 surgical sites (97.01%), with only 2 sites (2.99%) experiencing delayed healing, and minimal complications reported. Prolonged hospital stays were associated with elevated leukocyte counts, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) levels, as well as a higher number of surgical sites, rather than serum uric acid (SUA) levels. Surgical intervention is a promising and safe therapeutic option for managing gout, particularly in cases with joint deterioration, functional impairment, or nerve involvement. Surgery not only reduces the frequency of gout flares but also provides STULE and potential LTULE when complemented with ULT. Patients with lower inflammatory indices and fewer incisions exhibit faster postoperative recoveries. Optimal timing of surgery, ideally during periods of disease remission, is crucial for minimizing complications and reducing hospitalization durations.

The efficacy, safety, optimal timing, and urate-lowering effects of surgical interventions in gout management remain poorly understood. This study aims to fill this gap by evaluating the role of surgery in treating gout patients with tophi. A retrospective analysis was conducted on 28 gout patients presenting with tophi. Data were comprehensively retrieved from electronic medical records, including medical history, laboratory findings, surgical procedures, hospitalization duration, postoperative monitoring, and relevant variables. Postoperative improvements were observed in joint symptoms and functionality. Surgical intervention effectively reduced the frequency of gout flares, demonstrating short-term urate-lowering effects (STULE) and potential long-term urate-lowering effects (LTULE) when combined with urate-lowering treatments (ULT). Primary healing occurred in 65 out of 67 surgical sites (97.01%), with only 2 sites (2.99%) experiencing delayed healing, and minimal complications reported. Prolonged hospital stays were associated with elevated leukocyte counts, C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) levels, as well as a higher number of surgical sites, rather than serum uric acid (SUA) levels. Surgical intervention is a promising and safe therapeutic option for managing gout, particularly in cases with joint deterioration, functional impairment, or nerve involvement. Surgery not only reduces the frequency of gout flares but also provides STULE and potential LTULE when complemented with ULT. Patients with lower inflammatory indices and fewer incisions exhibit faster postoperative recoveries. Optimal timing of surgery, ideally during periods of disease remission, is crucial for minimizing complications and reducing hospitalization durations.