Rural Sites Research Articles

Quantification of NOx sources contribution to ambient nitrate aerosol, uncertainty analysis and sensitivity analysis in a megacity

Dual isotopes of nitrogen and oxygen of NO3− are crucial tools for quantifying the formation pathways and precursor NOx sources contributing to atmospheric nitrate. However, further research is needed to reduce the uncertainty associated with NOx proportional contributions. The acquisition of nitrogen isotopic composition from NOx emission sources lacks regulation, and its impact on the accuracy of contribution results remains unexplored. This study identifies key influencing factors of source isotopic composition through statistical methods, based on a detailed summary of δ15N-NOx values from various sources. NOx emission sources are classified considering these factors, and representative means, standard deviations, and 95 % confidence intervals are determined using the bootstrap method. During the sampling period in Tianjin in 2022, the proportional nitrate formation pathways varied between sites. For suburban and coastal sites, the ranking was fP1(NO2 + OH radical) >fP2(N2O5 + H2O) >fP3(NO3 + DMS/HC), while the rural site exhibited similar fractional contributions from all three formation pathways. Fossil fuel NOx sources consistently contributed more than non-fossil NOx sources in each season among three sites. The uncertainties in proportional contributions varied among different sources, with coal combustion and biogenic soil emission showing lower uncertainties, suggesting more stable proportional contributions than other sources. The sensitivity analysis clearly identifies that the isotopic composition of 15N-enriched and 15N-reduced sources significantly influences source contribution results, emphasizing the importance of accurately characterizing the localized and time-efficient nitrogen isotopic composition of NOx emission sources. In conclusion, this research sheds light on the importance of addressing uncertainties in NOx proportional contributions and emphasizes the need for further exploration of nitrogen isotopic composition from NOx emission sources for accurate atmospheric nitrate studies.

Imported Table Wares in the Palestinian Countryside in the 19th and Early 20th Centuries and Their Integration into (and Influence on?) Local Dining Habits

Archaeological fieldwork in Israel has testified to the presence of a variety of imported glazed table wares of the 19th and first half of the 20th century—notably from the northeast Mediterranean, Europe and the Far East—in numerous locations, including in rural sites of various ranks. The influx of import of these ceramics to the southern Levant and their widespread use reflect the intensifying commercial activity in the eastern Mediterranean and the gradual processes of globalization and quasi-Westernization or modernization among certain local populations. This article examines the extent of use of imported table wares among 19th to early 20th-century Palestinian Arab rural societies, the modes of use of these vessels in food consumption contexts, and consequently the power of foreign (culinary) objects to modify local (dining) traditions. These aspects are investigated by using archaeological materials, historical photographs and some written testimonies. This review shows, on the one hand, that imported table wares were integrated into local kitchens and functioned alongside locally-produced vessels. On the other hand, although many of these imports—specifically the European ones—were originally designated for individual eating, it is shown here that their influence on local, well-rooted traditions of communal dining was minor, especially among the great majority of the countryside population.

Molecular and entomological surveillance of malaria vectors in urban and rural communities of Benguela Province, Angola

BackgroundMalaria is a major public health problem in Angola, with Anopheles gambiae sensu lato (s.l.) and An. funestus s.l. being the primary vectors. This study aimed to clarify the information gaps concerning local Anopheles mosquito populations. Our objectives were to assess their abundance, geographical dispersion, and blood-feeding patterns. We also investigated their insecticide resistance. Molecular methods were used to identify sibling species, determine the origin of blood meals, measure Plasmodium falciparum infection rates, and detect the presence of knockdown resistance (kdr) mutations.MethodsAdult mosquitoes were collected indoors using CDC light traps from nine randomly selected households at two sentinel sites with distinct ecological characteristics. The samples were collected from 1 February to 30 June 2022. Anopheles mosquitoes were morphologically identified and subjected to molecular identification. Unfed Anopheles females were tested for the presence of P. falciparum DNA in head and thorax, and engorged females were screened for the source of the blood meals. Additionally, members of An. gambiae complex were genotyped for the presence of the L1014F and L1014S kdr mutations.ResultsIn total, 2226 adult mosquitoes were collected, including 733 Anopheles females. Molecular identification revealed the presence of Anopheles coluzzii, An. gambiae senso stricto (s.s.), An. arabiensis, and An. funestus s.s. Notably, there was the first record of An. coluzzii/An. gambiae s.s. hybrid and An. vaneedeni in Benguela Province. Plasmodium falciparum infection rates for An. coluzzii at the urban sentinel site and An. funestus s.s. at the rural site were 23.1% and 5.7%, respectively. The L1014F kdr mutation was discovered in both resistant and susceptible An. coluzzii mosquitoes, while the L1014S mutation was detected in An. gambiae s.s. for the first time in Benguela Province. No kdr mutations were found in An. arabiensis.ConclusionsThis study provides valuable insights into the molecular characteristics of malaria vectors from the province of Benguela, emphasising the need for continuous surveillance of local Anopheles populations regarding the establishment of both kdr mutations for tailoring vector control interventions.Graphical abstract

Changes in Prevalence and Seasonality of Pathogens Identified in Acute Respiratory Tract Infections in Hospitalised Individuals in Rural and Urban Settings in South Africa; 2018-2022.

Severe acute respiratory tract infections (SARIs) has been well described in South Africa with seasonal patterns described for influenza and respiratory syncytial virus (RSV), while others occur year-round (rhinovirus and adenovirus). This prospective syndromic hospital-based surveillance study describes the prevalence and impact of public interventions on the seasonality of other respiratory pathogens during the coronavirus disease-19 (COVID-19) pandemic. This occurred from August 2018 to April 2022, with 2595 patients who met the SARS case definition and 442 controls, from three sentinel urban and rural hospital sites in South Africa. Naso/oro-pharyngeal (NP/OP) swabs were tested using the FastTrack Diagnostics® Respiratory pathogens 33 (RUO) kit. Descriptive statistics, odds ratios, and univariate/multivariate analyses were used. Rhinovirus (14.80%, 228/1540) and Streptococcus pneumoniae (28.50%, 439/1540) were most frequently detected in NP/OP swabs and in children <1 years old (35%, 648/1876). Among others, pathogens associated with SARI cases causing disease were influenza A&B, HRV, RSV, hCoV 229e, Haemophilus influenzae, Staphylococcus aureus, and Streptococcus pneumoniae. Pre-COVID-19, seasonal trends of these pathogens correlated with previous years, with RSV and influenza A seasons only resuming after the national lockdown (2021). It is evident that stringent lockdown conditions have severe impacts on the prevalence of respiratory tract infections.

Promoting equitable and patient-centred care: an analysis of patient satisfaction in urban, rural and remote primary care sites in the Philippines

ObjectivesThis study measured changes in patient satisfaction levels before and after the introduction of primary care system strengthening interventions in urban, rural, and remote sites in the Philippines.MethodsA previously validated...

Forage Plants for Small Ruminant Feeding at Rural and Peri-Urban Sites in the Warm Humid Tropical Environment of Southeastern Nigeria

Summary This study aimed at determining the diversity of forage plants utilized for small ruminant feeding in rural and peri-urban sites in Imo state, Nigeria. The survey was carried out at rural and peri-urban sites in Aboh Mbaise and Mbaitoli Local Government Areas (LGAs), respectively. Ten small ruminant farmers were purposively selected from each LGA across the study communities. Data on fodder diversity, proximate composition, and mineral concentration were collected and analyzed using descriptive statistics such as frequency counts, percentages, means, and standard deviation. It was observed that a higher diversity of fodder plants existed at the rural sites compared to the peri-urban sites and 43.4% of the fodder plants were common to both sites. Respondents identified 60.8% of the fodder plants also as food-bearing plants, with 55.6% and 80% of these found at the rural and peri-urban sites, respectively. There were no significant differences (p &gt; 0.05) between the relative proximate or mineral supplies to the animals at the two sites. It was, therefore, concluded that despite the diversity and differences in forage selection at the two sites, the relative nutrient supplies to small ruminants will be similar if the cafeteria system of forage provision practiced at the sites is adhered to.

Microplastics in Atlantic Ribbed Mussels (Geukensia demissa) from the Delaware Inland Bays, USA

Due to the prevalence of plastic pollution in coastal ecosystems, aquatic organisms are at high risk for accumulating microplastics (MPs). Filter-feeding bivalves, such as mussels and oysters, may be exposed to, and subsequently accumulate, MPs due to the high volume of water they pass through their bodies. This study assessed the levels of MPs within Atlantic ribbed mussels (Geukensia demissa), a common filter feeder found along the United States Atlantic Coast, from 12 sites within Rehoboth Bay, Indian River Bay, and Little Assawoman Bay, collectively known as the Delaware Inland Bays. Composited mussels from each site were digested using potassium hydroxide and filtered. Microplastics were physically identified, sorted based on color, and counted using a digital microscope. Microplastics, almost entirely dominated by synthetic microfibers, were found in all mussels well above laboratory blanks. Across all sites, 40% of microfibers were black, and 27% of fibers were clear. The composite concentrations of MPs ranged from 0.25 to 2.06 particles/g wet tissue, with a mean of 0.08 ± 0.06. In general, higher concentrations were found in mussels collected at sites that were adjacent to more urbanized land use versus those from rural sites. At two sites, individual mussels, in addition to composites, were analyzed and had MP concentrations ranging from 11 to 69 particles/mussel. This study represents the first evaluation of MPs in this ecologically important coastal species and suggests its viability as a biomonitoring species for microplastic pollution.

Excavations at the Late Bronze Age site of Erimi-Pitharka, Cyprus (2022-2023 seasons): Regional production and storage in the Kouris Valley

The rural site of Erimi-Pitharka is located in the archaeologically rich Kouris Valley of south-central Cyprus. Previous rescue excavations by the Department of Antiquities, Cyprus, have revealed a subterranean complex, industrial areas, and a building complex at the highest topographical point of the site. New excavations by an international team began in 2022 and continued in 2023. We here report on the findings from these first two seasons, which have focused on the large building complex in Area I/1A. Dated to LC IIC-IIIA (c. 1300-1150 BCE), this part of the site is characterised by an emphasis on agricultural production and storage. The inhabitants took advantage of the soft limestone-rich bedrock to create subterranean and semi-subterranean installations, rooms and storage spaces, and pithoi were similarly used for storage and industrial activities. Pitharka was peacefully abandoned, and much of the material culture was removed in the process.

Variation in chemical composition and volatility of oxygenated organic aerosol in different rural, urban, and mountain environments

Abstract. The apparent volatility of atmospheric organic aerosol (OA) particles is determined by their chemical composition and environmental conditions (e.g., ambient temperature). A quantitative, experimental assessment of volatility and the respective importance of these two factors remains challenging, especially in ambient measurements. We present molecular composition and volatility of oxygenated OA (OOA) particles in different rural, urban, and mountain environments (including Chacaltaya, Bolivia; Alabama, US; Hyytiälä, Finland; Stuttgart and Karlsruhe, Germany; and Delhi, India) based on deployments of a filter inlet for gases and aerosols coupled to a high-resolution time-of-flight chemical ionization mass spectrometer (FIGAERO-CIMS). We find on average larger carbon numbers (nC​​​​​​​) and lower oxygen-to-carbon (O : C) ratios at the urban sites (nC: 9.8 ± 0.7; O : C: 0.76 ± 0.03; average ±1 standard deviation) compared to the rural (nC: 8.8 ± 0.6; O : C: 0.80 ± 0.05) and mountain stations (nC: 8.1 ± 0.8; O : C: 0.91 ± 0.07), indicative of different emission sources and chemistry. Compounds containing only carbon, hydrogen, and oxygen atoms (CHO) contribute the most to the total OOA mass at the rural sites (79.9 ± 5.2 %), in accordance with their proximity to forested areas (66.2 ± 5.5 % at the mountain sites and 72.6 ± 4.3 % at the urban sites). The largest contribution of nitrogen-containing compounds (CHON) is found at the urban stations (27.1 ± 4.3 %), consistent with their higher NOx levels. Moreover, we parametrize OOA volatility (saturation mass concentrations, Csat) using molecular composition information and compare it with the bulk apparent volatility derived from thermal desorption of the OOA particles within the FIGAERO. We find differences in Csat values of up to ∼ 3 orders of magnitude and variation in thermal desorption profiles (thermograms) across different locations and systems. From our study, we draw the general conclusion that environmental conditions (e.g., ambient temperature) do not directly affect OOA apparent volatility but rather indirectly by influencing the sources and chemistry of the environment and thus the chemical composition. The comprehensive dataset provides results that show the complex thermodynamics and chemistry of OOA and their changes during its lifetime in the atmosphere. We conclude that generally the chemical description of OOA suffices to predict its apparent volatility, at least qualitatively. Our study thus provides new insights that will help guide choices of, e.g., descriptions of OOA volatility in different model frameworks such as air quality models and cloud parcel models.

Optical properties and simple forcing efficiency of the organic aerosols and black carbon emitted by residential wood burning in rural central Europe

Abstract. Recent years have seen an increase in the use of wood for energy production of over 30 %, and this trend is expected to continue due to the current energy crisis and geopolitical instability. At present, residential wood burning (RWB) is one of the most important sources of organic aerosols (OAs) and black carbon (BC), posing a significant risk to air quality and health. Simultaneously, as a substantial aerosol source, RWB also holds relevance in the context of aerosol radiative effects and climate. While BC is recognized for its large light absorption cross-section, the role of OAs in light absorption is still under evaluation due to their heterogeneous composition and source-dependent optical properties. Existing studies that characterize wood-burning aerosol emissions in Europe primarily concentrate on urban and background sites and focus on BC properties. Despite the significant RWB emissions in rural areas, these locations have received comparatively less attention. The present scenario underscores the imperative for an improved understanding of RWB pollution, aerosol optical properties, and their subsequent connection to climate impacts, particularly in rural areas. We have characterized atmospheric aerosol particles from a central European rural site during wintertime in the village of Retje in Loški Potok, Slovenia, from 1 December 2017 to 7 March 2018. The village experienced extremely high aerosol concentrations produced by RWB and near-ground temperature inversion. The isolated location of the site and the substantial local emissions made it an ideal laboratory-like place for characterizing RWB aerosols with low influence from non-RWB sources under ambient conditions. The mean mass concentrations of OA and BC were 35 µg m−3 (max⁡=270 µg m−3) and 3.1 µg m−3 (max⁡=24 µg m−3), respectively. The mean total particle number concentration (10–600 nm) was 9.9×103 particles cm−3 (max⁡=59×103 particles cm−3). The mean total light absorption coefficients at 370 and 880 nm measured by an AE33 Aethalometer were 120 and 22 Mm−1 and had maximum values of 1100 and 180 Mm−1, respectively. The aerosol concentrations and absorption coefficients measured during the campaign in Loški Potok were significantly larger than reported values for several urban areas in the region with larger populations and a larger extent of aerosol sources. Here, considerable contributions from brown carbon (BrC) to the total light absorption were identified, reaching up to 60 % and 48 % in the near-UV (370 nm) and blue (470 nm) wavelengths. These contributions are up to 3 times higher than values reported for other sites impacted by wood-burning emissions. The calculated mass absorption cross-section and the absorption Ångström exponent for RWB OA were MACOA,370nm=2.4 m2 g−1, and AAEBrC,370-590nm=3.9, respectively. Simple-forcing-efficiency (SFE) calculations were performed as a sensitivity analysis to evaluate the climate impact of the RWB aerosols produced at the study site by integrating the optical properties measured during the campaign. The SFE results show a considerable forcing capacity from the local RWB aerosols, with a high sensitivity to OA absorption properties and a more substantial impact over bright surfaces like snow, typical during the coldest season with higher OA emissions from RWB. Our study's results are highly significant regarding air pollution, optical properties, and climate impact. The findings suggest that there may be an underestimation of RWB emissions in rural Europe and that further investigation is necessary.

Occurrence of Polycyclic Aromatic Hydrocarbons and Polychlorinated Biphenyls in Fogwater at Urban, Suburban, and Rural Sites in Northeast France between 2015 and 2021

Polycyclic aromatic hydrocarbons (PAHs) and polychlorinated biphenyls (PCBs) exist in the atmosphere in the vapor and particulate phases, as well as in solubilized form in fog/rain/cloud waters. In the current paper, fogwater samples are collected during 42 events between 2015 and 2021 at four different sites (Strasbourg, Geispolsheim, Erstein, Cronenbourg) in the Alsace region. Organics are extracted using liquid–liquid extraction (LLE) supported on a solid cartridge (XTR Chromabond), and then analyzed by gas chromatography–tandem mass spectrometry (GC-MS/MS). The total PAHs and PCBs concentrations in fog samples vary between 0.58 and 6.7 µg L−1 (average of 2.70 µg L−1), and 0.14 and 15.5 µg L−1 (average of 2.75 µg L−1). Low-molecular-weight (LMW) PAHs are predominant and highly detectable compared to high-molecular-weight (HMW) PAHs, while pentachloro-biphenyls are the dominant PCB congener. The PAHs and PCBs concentrations have increased over the sampling years at all sites, except for a slight decrease in PCBs level at Geispolsheim. A diagnostic ratio (DR) and principal component analysis (PCA) are applied to suggest potential contamination sources at Strasbourg metropolitan. Their results reveal that PAHs derive from a mixture of pyrogenic activities, while PCBs mainly come from industrial activities. The results also reveal, in some cases, inter-site variability for simultaneous and successive fog events.

Physiological stress response to urbanisation differs between native and invasive squirrel species

Novel pressures derived from urbanisation can alter native habitats and ultimately impact wildlife. Coping with such human-driven changes might induce shifts in species phenotypic traits, such as physiological responses to anthropogenic stressors. Preadaptation to face those challenges has been suggested to favour settlement and spread of invasive alien species in urbanised areas which, consequently, might respond differently than ecologically similar native species to stressors posed by urbanisation. The activation of the hypothalamic-pituitary-adrenal (HPA) axis and the subsequent release of glucocorticoids (GCs) has been suggested to mediate responses to anthropogenic disturbance in vertebrates. Furthermore, intraspecific competition, in conjunction with stressors related to urbanisation, might affect invasive and native species physiological stress responses differently. Using a parallel pseudo-experimental study system we measured faecal glucocorticoid metabolite (FGM) concentrations of the native Eurasian red squirrel and the invasive alien Eastern grey squirrel along a rural-urban gradient and in relation to conspecific density. The two species responded differently to challenges posed by the synergic effect of urbanisation and intraspecific competition. Association of FGMs and conspecific density in native red squirrels varied between rural and suburban sites, potentially depending on differential HPA axis responses. In urban sites, this relationship did not differ significantly from that in rural and suburban ones. Conversely, invasive grey squirrels' FGMs did not vary in relation to conspecific density, nor differed along the rural-urban gradient. Improving knowledge about native and competing invasive species' physiological responses to anthropogenic stressors can support conservation strategies in habitats altered by man. Our findings suggested that the invasive squirrels might be preadapted to cope with these challenges in urbanised areas, potentially increasing their success under the future global change scenario.

The effect of an attractant toxic sugar bait (ATSB) incorporating &lt;em&gt;Bacillus thuringiensis israelensis &lt;/em&gt;and methoprene on mosquito populations

Background: The threat posed by mosquito-borne diseases continues to increase globally. The increase of pesticide resistance is impacting vector control and public health globally. The development and testing of new pesticides faces several challenges, e.g., time for development, high cost, and regulatory hurdles. Adapting pesticides that are currently used within integrated vector management can help alleviate these challenges. Methoprene has demonstrated reduction of larval populations and fecundity in adult mosquitoes. The objective of the study was to demonstrate the efficacy of ProVector Entobac with methoprene (Entobac M) on mosquito populations in rural sites in Southeastern Georgia. Methods: ProVector® Military Camouflage Tubes with ProVector Entobac M pesticide were placed in a grid at test sites. A positive control test site and a negative control site were used to compare results statistically. Mosquito diversity and evenness among sites were measured using Shannon Diversity Index and Equitability. Results: Deployment of ProVector® Military Camouflage Tubes with ProVector Entobac M pesticide was effective in reducing total mosquito populations. The mosquito species shared among the test sites and positive control site were similar, and the negative control site was least similar in diversity and evenness. There was variation of control within Aedes, Anopheles, and Culex genera. Discussion: The aim of the study was to demonstrate the efficacy of the ProVector Military Camouflage Tube delivery of Entobac with methoprene (Entobac M) on mosquito populations. Mosquito-borne diseases are an increasing threat to communities around the world due to invasive species and global warming. In previous studies, ProVector® Entobac™ has been validated in laboratory and field studies to control both adult and larval mosquitoes in the United States and several other countries. Application of ecofriendly and target specific pesticides with no-resistance is critical in reducing mosquito populations and the risk of vector-borne diseases. Our study demonstrated a significant decrease in adult mosquito populations due to the utilization of a target specific mosquito larvicide that has been adapted to kill adult mosquitoes.

Microbiological risk assessment and resistome analysis from shotgun metagenomics of bovine colostrum microbiome

Colostrum is known for its nutraceutical qualities, probiotic attributes, and health benefits. The aim of this study was to profile colostrum microbiome from bovine in rural sites of a developing country. The focus was on microbiological safety assessments and antimicrobial resistance, taking into account the risks linked with the consumption of raw colostrum. Shotgun sequencing was employed to analyze microbiome in raw buffalo and cow colostrum. Alpha and beta diversity analyses revealed increased inter and intra-variability within colostrum samples' microbiome from both livestock species. The colostrum microbiome was mainly comprised of bacteria, with over 90% abundance, whereas fungi and viruses were found in minor abundance. Known probiotic species, such as Leuconostoc mesenteroides, Lactococcus lactis, Streptococcus thermophilus, and Lactobacillus paracasei, were found in the colostrum samples. A relatively higher number of pathogenic and opportunistic pathogenic bacteria were identified in colostrum from both animals, including clinically significant bacteria like Clostridium botulinum, Pseudomonas aeruginosa, Escherichia coli, and Listeria monocytogenes. Binning retrieved 11 high-quality metagenome-assembled genomes (MAGs), with three MAGs potentially representing novel species from the genera Psychrobacter and Pantoea. Notably, 175 antimicrobial resistance genes (ARGs) and variants were detected, with 55 of them common to both buffalo and cow colostrum metagenomes. These ARGs confer resistance against aminoglycoside, fluoroquinolone, tetracycline, sulfonamide, and peptide antibiotics. In conclusion, this study describes a thorough overview of microbial communities in buffalo and cow colostrum samples. It emphasizes the importance of hygienic processing and pasteurization in minimizing the potential transmission of harmful microorganisms linked to the consumption of colostrum.

Assessment of the Spatiotemporal Variability of Urban Heat Island Intensity in Colombo Metropolitan Area

&#x0D; &#x0D; &#x0D; During the last few decades, the Colombo Metropolitan Area (CMA) has experienced rapid population growth and unplanned urbanization, resulting in the replacement of natural landcover with more impervious surfaces. The primary approach of current study was to determine the gradients of air temperature and assess the spatiotemporal variation of atmospheric urban heat island (AUHI) intensity in the CMA considering a range of rural sites extending in different radial directions from the urban center. A total of sixteen rural observation sites that extend from an urban center in four directions were selected within the CMA, with four sites 3.5 km apart from each other in any direction. The air temperatures at each site were measured using HOBO UX-100-003 temperature data loggers for an 8-day period from 21st to 28th, of February 2022. The normalized difference vegetation index (NDVI) and normalized difference building index (NDBI) were used to determine the influence of land use/land cover on air temperatures. The results revealed that air temperature had a strong positive correlation with NDBI. Thus, the current study suggests that the impervious surface/s is a significant predictor of air temperature over the study area. The higher air temperatures were observed at the urban center in relation to the selected suburban and rural observation sites. Hence, the current study confirms that AUHI exists within the selected study area over the CMA. It was found that AUHI tends to be present throughout the day in the CMA. However, it becomes strong between 12.00 A.M. and 6.00 A.M and mostly weakens in the late afternoon hours. Furthermore, this study found that the timing and magnitudes of AUHI vary from direction to direction across the study area depending on the site-specific characteristics of the rural observation sites. The current study emphasizes that site-specific land use/land cover characteristics can have a significant impact on the interpretation of UHI study results even within a single metropolitan area. Therefore, taking only one rural site might not be effective in determining the UHI intensity and a range of sites need to be considered (to select from) for in-depth analysis of UHI in any given area. The findings of the current study will provide firsthand knowledge for urban planners to identify future trends in UHI in the CMA and will promote further UHI research in this area.&#x0D; Keywords: Rural observation site, Atmospheric urban heat island, Normalized Difference Vegetation Index&#x0D; &#x0D; &#x0D;

Investing in disadvantaged children for common prosperity in China

Despite rapid economic growth in China since 1978, rural-urban inequality has widened. High levels of socioeconomic inequality can have profound implications for child development and lifelong educational equity. Using a dataset containing early childhood development (ECD) outcomes of 0- to 3-year-olds (N = 9,053) from study sites in Eastern, Central, and Western China, the study finds that the risks of cognitive, language, and motor delay are, respectively, 43.2, 18.3, and 20.7 percentage points higher in rural study sites than in urban Shanghai (ps < .01). Impact evaluation of cluster-randomized experiments shows that parental training (focusing on child psychosocial stimulation and caregiver-child interaction) can improve parenting beliefs and practices (or investments) and ECD outcomes of disadvantaged rural children (p<.01). Such programs can play an important role in advancing progress toward more social equality and economic equity, the stated goals of China’s “Common Prosperity” policy.

Widespread Pesticide Distribution in the European Atmosphere Questions their Degradability in Air.

Risk assessment of pesticide impacts on remote ecosystems makes use of model-estimated degradation in air. Recent studies suggest these degradation rates to be overestimated, questioning current pesticide regulation. Here, we investigated the concentrations of 76 pesticides in Europe at 29 rural, coastal, mountain, and polar sites during the agricultural application season. Overall, 58 pesticides were observed in the European atmosphere. Low spatial variation of 7 pesticides suggests continental-scale atmospheric dispersal. Based on concentrations in free tropospheric air and at Arctic sites, 22 pesticides were identified to be prone to long-range atmospheric transport, which included 15 substances approved for agricultural use in Europe and 7 banned ones. Comparison between concentrations at remote sites and those found at pesticide source areas suggests long atmospheric lifetimes of atrazine, cyprodinil, spiroxamine, tebuconazole, terbuthylazine, and thiacloprid. In general, our findings suggest that atmospheric transport and persistence of pesticides have been underestimated and that their risk assessment needs to be improved.

Comparing resident operative volumes for routine general surgery cases at academic, urban community, and rural training sites.

Surgical training traditionally took place at academic centres, but changed to incorporate community and rural hospitals. As little data exist comparing resident case volumes between these locations, the objective of this study was to determine variations in these volumes for routine general surgery procedures. We analyzed senior resident case logs from 2009 to 2019 from a general surgery residency program. We classified training centres as academic, community, and rural. Cases included appendectomy, cholecystectomy, hernia repair, bowel resection, adhesiolysis, and stoma formation or reversal. We matched procedures to blocks based on date of case and compared groups using a Poisson mixed-methods model and 95% confidence intervals (CIs). We included 85 residents and 28 532 cases. Postgraduate year (PGY) 3 residents at academic sites performed 10.9 (95% CI 10.1-11.6) cases per block, which was fewer than 14.7 (95% CI 13.6-15.9) at community and 15.3 (95% CI 14.2-16.5) at rural sites. Fourth-year residents (PGY4) showed a greater difference, with academic residents performing 8.7 (95% CI 8.0-9.3) cases per block compared with 23.7 (95% CI 22.1-25.4) in the community and 25.6 (95% CI 23.6-27.9) at rural sites. This difference continued in PGY5, with academic residents performing 8.3 (95% CI 7.3-9.3) cases per block, compared with 18.9 (95% CI 16.8-21.0) in the community and 14.5 (95% CI 7.0-21.9) at rural sites. Senior residents performed fewer routine cases at academic sites than in community and rural centres. Programs can use these data to optimize scheduling for struggling residents who require exposure to routine cases, and help residents complete the requirements of a Competence by Design curriculum.

Feasibility, acceptability and impact of a clinical decision support tool among primary care providers in an urban, rural and remote site in the Philippines

IntroductionStrengthening primary care helps address health inequities that continue to persist in the Philippines. The Philippine Primary Care Studies pilot-tested interventions to improve the primary care system. One intervention was...

Air-soil cycling of oxygenated, nitrated and parent polycyclic aromatic hydrocarbons in source and receptor areas

Polycyclic aromatic hydrocarbons (PAHs) and their oxygenated and nitrated derivatives, OPAHs and NPAHs, are semivolatile air pollutants which are distributed and cycling regionally. Subsequent to atmospheric deposition to and accumulation in soils they may re-volatilise, a secondary source which is understudied.We studied the direction of air-soil mass exchange fluxes of 12 OPAHs, 17 NPAHs, 25 PAHs and one alkylated PAH in two rural environments being influenced by the pollutant concentrations in soil and air, by season, and by land cover. The OPAHs and NPAHs in samples of topsoil, of ambient air particulate and gas phases and in the gas-phase equilibrated with soil were analysed by GC-APCI-MS/MS. The pollutants soil burdens show a pronounced seasonality, a winter maximum for NPAHs and PAHs and a summer maximum for OPAHs. One order of magnitude more OPAH and parent PAH are found stored in forest soil than in nearby grassland soil. Among a number of 3–4 ring PAHs, the OPAHs benzanthrone and 6H-benzo(c,d)pyren-6-one, and the NPAHs 1- and 2-nitronaphthalene, 9-nitrophenanthrene and 7-nitrobenz(a)anthracene are found to re-volatilise from soils at a rural background site in central Europe in summer. At a receptor site in northern Europe, net deposition of polycyclic aromatic compounds (PACs) prevails and re-volatilisation occurs only sporadic.Re-volatilisation of a number of PACs, including strong mutagens, from soils in summer and even in winter indicates that long-range atmospheric transport of primary PAC emissions from central Europe to receptor areas might be enhanced by secondary emissions from soils.