Water Intake Research Articles

Factors affecting the oral health of patients on maintenance hemodialysis and recommendations for standardized nursing care: a multicenter study.

To determine the oral health status of patients on maintenance hemodialysis and to identify the factors influencing their oral health. This observational study included 1,186 patients with chronic kidney disease who received maintenance hemodialysis across 33 hospitals in China. The patients were recruited for a questionnaire survey between April and August 2023 at Beijing Chaoyang Hospital using stratified sampling. Data collection tools included the General Information Questionnaire for Maintenance Hemodialysis Patients, the Oral Health Assessment Tool, the Pittsburgh Sleep Quality Index, and the Hospital Anxiety and Depression Scale. Spearman rank correlation coefficients were used to assess the relationships between the oral health of patients on maintenance hemodialysis and continuous variables such as sleep quality and emotional status. Multiple linear regression analysis was employed to explore the relationship between oral health and various variables. The oral health scores of the patients ranged from 8 to 22, with a mean score of 12.54 ± 2.63. The final model of the multiple linear regression analysis indicated a goodness of fit of 22.19%. Independent factors affecting the oral health of patients included smoking, the proportion of medical expenses, water consumption, sleep quality, and anxiety scores (all P .05). High levels of smoking, substantial medical expenses, poor sleep quality, and elevated anxiety scores were risk factors for poor oral health (all P .05). Adequate daily water intake served as a protective factor for oral health (P .05). This study proposes targeted interventions to enhance the management and improvement of oral health in patients on hemodialysis, aiming to provide highly personalized and effective oral health care. These interventions are expected to improve oral health outcomes in future clinical practice.

TRACking health behavior in people with multiple sclerosis: Effects of a randomized trial on physical activity and working memory.

Multiple sclerosis is associated with impairments in working memory functioning. Lifestyle physical activity interventions show promise in improving cognitive functioning; however, the evidence is limited. We examined the efficacy of a lifestyle physical activity intervention, involving step tracking and psychoeducational materials, on improving step counts, working memory functioning, and network strength in a whole-brain network of working memory. Participants (n = 75) were randomly assigned to a group tracking steps with a pedometer (step-track), or a group tracking water intake with a smart water bottle (water-track), for 6 months. At baseline, mid, and postintervention, we assessed weekly physical activity (GT3X+ accelerometer), weekly water intake (H20 Pal Smart Bottle), and working memory functioning. Additionally, the combined network strength of a validated working memory connectome was calculated. We ran random intercept linear mixed models to examine differences between the groups, over time. A significant Group × Time interaction effect with steps and water intake indicated that the step-track group increased their steps, and the water-track group increased their water intake, in comparison to each other, from baseline to postintervention (p < .05). Both groups improved in behavioral working memory over time (p < .05). No significant differences were found on the network strength. Our 6-month randomized controlled trial involving physical activity tracking showed increased step count in the intervention group. Behavioral working memory improved in both groups, potentially due to practice effects. Future studies should include both active and passive control groups to discern practice effects from intervention impact. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Early oral hydration on demand in postanesthesia care unit effectively relieves postoperative thirst in patients after gynecological laparoscopy: a prospective randomized controlled trial

BackgroundPostoperative thirst is one of the most intense, common and easily ignored subjective discomforts in patients after gynecological surgery. This study aimed to investigate whether early oral hydration on demand in the postanesthesia care unit (PACU) after gynecological laparoscopy under general anesthesia can appease postoperative thirst and increase patient comfort.MethodsParticipants were randomized into the intervention and control groups. Patients in the intervention group were allowed to achieve early oral hydration on demand in the PACU if they were evaluated as fully conscious, with stable vital signs, grade 5 muscle strength, and well-recovered cough and swallowing reflex. However, the total amount of water intake throughout the entire study should not exceed 0.5mL/kg. During the study, the frequency of water intake, the total amount of water intake and adverse events were accurately recorded. The control group was managed according to the routine procedures and began to drink water 2 h after anesthesia. The intensity of thirst and subjective comfort in patients were assessed using the visual analog scale (VAS) when they entered and left the PACU.ResultsNo statistically significant differences were identified in age, height, weight, body mass index, pre-operative fasting time, duration of surgery, intraoperative fluid intake, intraoperative blood loss, intraoperative urine volume, and thirst intensity and subjective comfort scores between the groups before intervention (P > 0.05). After intervention, the VAS score for thirst intensity in the intervention group significantly decreased (P < 0.05), and the VAS score for subjective comfort in the intervention group significantly increased (P < 0.05). No adverse events were detected in both groups during the entire study.ConclusionEarly oral hydration on demand in the PACU can safely and effectively relieve postoperative thirst in patients, and improve patient comfort after gynecological laparoscopy.Trial registrationThis single-center, prospective, randomized controlled trial was registered at the Chinese Clinical Trial Center on April 27, 2023. The registration number of this study is ChiCTR2300070985.

Chronic Intake of Water Supplemented with Deep-Sea Water Extract Reduces Body Fat Percentage and Increases Basal Metabolic Rate and Muscle Mass in Humans

Modern humans are mineral deficient; thus, considerable attention has been focused on vitamins and polyphenols taken in supplements. However, in the case of minerals, only a few are known, such as calcium, zinc, and iron. As minerals are essential for proper physiologic function, mineral deficiencies are a risk factor for various serious diseases. For a variety of reasons, it has become difficult in recent years for humans to ingest the required amounts of minerals through diet alone, creating the need for a means of easy mineral replenishment. In this study, we measured changes in various physiologic parameters when 36 healthy individuals drank one bottle (550 mL) of water per day for one month containing minerals extracted from deep-sea water and adjusted to a hardness of 300. Although there were no changes in body weight or body mass index, body fat percentage decreased significantly, and basal metabolic rate and muscle mass increased significantly. Although the mechanism behind these changes is unknown, continuous intake of water amended with minerals extracted from deep-sea water may be an excellent approach to replenishing essential minerals.

Acute and Sub-acute Oral Toxicity Studies of an Aqueous Extract of Ocimum gratissimum (Lamiaceae) in the Mouse Mus Musculus

Ocimum gratissimum is a medicinal plant that is widely used in the world, and has multiple uses in traditional medicine, including the treatment of epilepsy in children. The objective of this study was to evaluate the acute and subacute toxicity of decoction of Ocimum gratissimum leaves in Mus musculus mice. For the acute toxicity test, a single dose of 50, 300 and 2000 mg/kg of extract was administered orally to randomly selected to mice; then they were observed for 14 days. In the subacute study, the extract was administered orally daily to mice of both sexes at doses of 250, 500 and 1000 mg/kg body weight during the 28 days of the experiment. finally, Body weight was measured weekly, haematological, biochemical and histological analysis were performed. The aqueous extract of Ocimum gratissimum did not cause any mortality or significant changes in relative animal and organ weights during the acute and subacute tests at all doses. Few significant changes in food and water intake were observed at the dose of 1000 mg/kg. The highest dose of aqueous extract (2000 mg/kg) administered orally in the acute toxicity did not induce mortality. There were no significant changes in haematological parameters in the different batches treated. Therefore, the oral aqueous extract of Ocimum gratissimum did not produce any adverse side effects compared to the control group (distiller water) in the acute and subacute study. We can therefore conclude that Ocimum gratissimum can be considered safe in oral administration at the dose tested since it did not cause lethality or undesirable effects in general behaviour in white mice.

Study on estimating method of feed and water intake of broilers based on object detection by deep learning

Study on estimating method of feed and water intake of broilers based on object detection by deep learning

Behavioral, Clinical, and Coronary Artery Calcium Screening for Prevention and Treatment of Subclinical Atherosclerosis: Implications for Health Education

ABSTRACT Background In the USA, heart disease is the leading cause of death for women and men. Coronary artery disease (CAD) is the most common type of heart disease. Purpose To investigate the association between behavioral and non-behavioral risk factors associated with subclinical atherosclerosis. Methods Patients referred for a CT angiography completed a demographic/behavioral questionnaire and medical history interview for CAD risk factors. Risk factor data were correlated with CAD subclinical atherosclerosis scores for 521 participants. Results Frequency among four levels of CAD revealed: no disease 38%, mild atherosclerotic 20%, moderate atherosclerotic 30%, and severe atherosclerosis 12%. Significant (p ≤ .05) demographic variables were as follows: age, race, marital status, and employment status. Significant predictive behavioral variables were as follows: tobacco use, daily water intake, sodium consumption, exercise days per week, and junk food consumption. Risk factors significantly associated with subclinical CAD included hypertension, diabetes, sleep apnea, and abnormal coronary calcium score. Discussion Multi-slice CT angiography allows early reliable evaluation of subclinical atherosclerosis and correlation with behavioral/non-behavioral risk factors with level of CAD, instrumental to primary and secondary CAD prevention, limiting tertiary CAD treatment. Translation to Health Education Practice Study results have implications for Health Educators with regard to intervention research planning, implementation, and evaluation.

Polarization lidar observations of diurnal and seasonal variations in the atmospheric mixing layer above a tropical rural place gadanki, India

This study presents the daily and seasonal variation of the atmospheric mixing layer height (MLH) over Gadanki, India (13.45°N, 79.18°E), a tropical rural location based on polarization lidar observations. The observations spanned the years 2009–2014, encompassing 303 instances, and coinciding with radiosonde and surface weather station measurements. The MLH was determined through the analysis of aerosol profiles and confirmed with the MLH values derived from radiosonde data. The lidar depolarization ratio was employed to characterize aerosol shape. This study aims to establish a connection between aerosol backscatter and its shape through lidar observations, considering diurnal and seasonal variations, while also identifying the influencing factors. This study illustrates four distinct case studies conducted during different seasons to depict aerosol behavior in both convectively active and non-active periods. These case studies unveil the influence of aerosol shape on water intake and subsequent residual layer and cloud formation. The observed fluctuations in MLH and aerosol shape suggest a dynamic relationship between local meteorology and long-range aerosol transport.

Long-term effects of COVID-19 pandemic on physical activity and eating behaviour of the Italian population: a longitudinal study.

Restrictive measures due to the Covid-19 pandemic strongly impacted lifestyle and daily behaviour. The purpose of this longitudinal retrospective study was to investigate short-term and long-term effects of Covid-19 pandemic on physical activity and eating habits of the Italian population investigating three time periods: pre-, during- and post-lockdown. A sample of 2773 adults recruited through social media provided data by an online survey administered from July to October 2023. Participants completed the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Mediterranean Diet Adherence Screener (MEDAS) and provided information about eating habits, socio-demographic and anthropometric characteristics. There was a significant increase (p < 0.001) in mean BMI from pre-pandemic period (24.53 ± 5.34 Kg/m2) to post-pandemic period (25.22 ± 6.0 Kg/m2). Physical Activity significantly decreased during the pandemic period compared to the pre-pandemic period (χ² = 271.97; p < 0.001; φ = 0.31) with an increase in inactive subjects from 25.7% to 52.8%. In the post pandemic period, there was an increase in the level of Physical Activity compared to the pandemic period (χ² = 413.61; p < 0.001; φ = 0.39) with a reduction of inactive subjects from 52.8% to 25.6%. Adherence to Mediterranean Diet score significantly (p < 0.001) increase from pre-pandemic (7.18 ± 1.58) to during-pandemic (7.29 ± 1.69) and post-pandemic (7.75 ± 1.63) periods with significant differences emerged in the consumption of single MEDAS items during the pandemic period by different BMI classes. Consumption of seasonal fruit and vegetables, water intake, the preparation/consumption of traditional or local dishes and the time dedicated for dinner and lunch significant increase (p < 0.001) during pandemic. The Covid-19 pandemic changed people's lifestyles, but in different ways for Physical Activity and diet. During the pandemic there was a negative effect for PA that decreased while the time spent sitting increased. This seems to be a temporary effect as, after the end of the phase of mandatory restrictions, it returns to the original level. The lockdown period improved the quality of the Italian population's eating habits, with an increase in adherence to the Mediterranean diet even after the end of the pandemic showing a rediscovery of traditional dishes, increase in consumption of seasonal products, greater preference for local products and more time spent preparing meals.

Accelerometers-based position and time interval comparisons for predicting the behaviors of young bulls housed in a feedlot system

Animal behavior monitoring is an important tool for animal production. This behavior monitoring strategy can indicate the well-being and health of animals, which can lead to better productive performance. This study aimed to assess the most effective accelerometer attachment position (on either the halter or a neck collar) and data transmission time intervals (ranging from 6 to 600 s) for predicting behavioral patterns, including water and food intake frequencies, as well as other activities in young beef cattle bulls within a feedlot system. A range of machine learning algorithms were applied to satisfy the aims of the study, including the random forest, support vector machine, multilayer perceptron, and naive Bayes classifier algorithms. All studied models produced high performance metrics (above 0.90) when using both attachment positions, except for the models built using the naive Bayes classifier. Therefore, coupling accelerometers with collars is a more viable alternative for use on animals, as doing so is easier than applying accelerometers to halters. Utilizing a dataset with more observations (i.e., shorter time intervals) did not result in considerable improvements in the performance metrics of the trained models. Therefore, using datasets with fewer observations is more advantageous, as it can lead to decreased computational and temporal demands for model training, in addition to saving the battery of the device considered in this study.

Pera orange juice (Citrus sinensis L. Osbeck) alters lipid metabolism and attenuates oxidative stress in the heart and liver of rats treated with doxorubicin

BackgroundDoxorubicin (DOX) is a highly effective chemotherapy drug widely used to treat cancer, but its use is limited due to multisystemic toxicity. Lipid metabolism is also affected by doxorubicin. Orange juice can reduce dyslipidemia in other clinical situations and has already been shown to attenuate cardiotoxicity. Our aim is to evaluate the effects of Pera orange juice (Citrus sinensis L. Osbeck) on mitigating lipid metabolism imbalance, metabolic pathways, and DOX induced cytotoxic effects in the heart and liver. MethodsTwenty-four male Wistar rats were allocated into 3 groups: Control (C); DOX (D); and DOX plus Pera orange juice (DOJ). DOJ received orange juice for 4 weeks, while C and D received water. At the end of each week, D and DOJ groups received 4 mg/kg/week DOX, intraperitoneal. At the end of 4 weeks animals were submitted to echocardiography and euthanasia. ResultsAnimals treated with DOX decreased water intake and lost weight over time. At echocardiography, DOX treated rats presented morphologic alterations in the heart. DOX increased aspartate aminotransferase (AST), alanine aminotransferase (ALT), total cholesterol, high density lipoprotein (HDL), low-density lipoprotein (LDL), and triglycerides. It also reduced superoxide dismutase (SOD) activity, increased protein carbonylation in the heart and dihydroethidium (DHE) expression in the liver, decreased glucose transporter type 4 (GLUT4) and the nuclear receptor peroxisome proliferator-activated receptor γ (PPARγ1) in the heart, and reduced carnitine palmitoyltransferase I (CPT1) in the liver. ConclusionDOX caused dyslipidemia, liver and cardiac toxicity by increasing oxidative stress, and altered energy metabolic parameters in both organs. Despite not improving changes in left ventricular morphology, orange juice did attenuate oxidative stress and mitigate the metabolic effects of DOX.

Individual and environmental correlates of tap water consumption among adolescents in Canada

The study objective was to identify correlates of tap water consumption among adolescents. French-speaking adolescents from the province of Québec (Canada) were recruited in person and online from March to July 2023 using diverse recruitment strategies. Water consumption was measured using the validated French version of a questionnaire specifically designed to measure adolescents' beverage intake. Participants answered an online survey on their attitude towards tap and bottled water which also measured individual and environmental factors that can influence tap water consumption. A total of 218 adolescents (14–17 years; 55.5% female) completed the survey. On average, 79.2% of adolescents' water intake came from tap and 33.5% of them consumed exclusively tap water. Thinking that bottled water is more convenient than tap water was a significant correlate of adolescents' tap water consumption (OR = 0.70; 95% CI: 0.51, 0.95; p = 0.0219). Adolescents who believed that bottled water is more convenient than tap water were less likely to consume exclusively tap water. Public health interventions aimed at promoting adolescents’ tap water should strive to make tap water intake be perceived as convenient as bottled water, such as encouraging teenagers to always carry along a reusable water bottle, installing drinking fountains in popular public areas, and increasing the visibility of such fountains.

Assessment of groundwater suitability using water quality index and health risk analysis in upper catchment area of Kangsabati river, India

In the upper catchment area of the Kangsabati river basin, local people are highly dependent on groundwater for drinking purpose. The objectives of the present study are to assess the status of groundwater quality in this area and to examine the appropriateness of groundwater resource for drinking purpose in this region based on geochemical analysis. In this study, 20 sites have been selected to collect water samples from the four Community Development (CD) blocks under the study area amid the pre- and post-monsoon seasons during 2018, 2019, and 2020. A total of 13 hydro-chemical parameters have been selected to examine the groundwater quality status. In this study, the Water Quality Index (WQI) and Health Risk Analysis (HRA) have been applied to examine the health of groundwater resources and assess the non-carcinogenic risk to human health through the intake of fluoride-contaminated drinking water individually. The result reflects that the concentration of the selective hydro-chemical parameters has been accentuated from 2018 to 2020. The concentration of a few parameters like TH, Mg2+, K+, NO3–, and HCO3– has exceeded the desirable limit as per BIS guidelines. According to the WQI analysis, maximum groundwater samples (total of 12 samples) are categorized as poor, very poor, and not suitable for drinking purpose category. The outcomes of the HRA analysis reflect that local women are more vulnerable to the threats of fluoride contamination compared with male and children. The toxic agricultural and domestic effluents are considered vital factors in case of groundwater health deterioration in the study area.

Natural vs. anthropogenic sources of N-Nitrosodimethylamine precursors in surface water

N-nitrosodimethylamine (NDMA) is a carcinogenic disinfection byproduct formed from reactions between dichloramine and organic nitrogen-containing precursors. It is unclear if NDMA precursors in surface water intakes originate in anthropogenic (i.e., wastewater) or natural sources. The Truckee River has a single point source release of treated wastewater effluent, making it an ideal system to study the relative importance of precursor sources. Three Lagrangian sampling events were conducted. NDMA formation potential (FP, a measurement of precursors) above the wastewater outfall indicated that the natural background of NDMA precursors was 2-28 ng/L. NDMA FP increased to 18-31 ng/L immediately downstream of the wastewater outfall, but decreased rapidly in a first order manner, and were not statistically different from the upstream samples in only ∼6 km. This suggests that the dominant source of NDMA precursors may be wastewater derived only near wastewater outfalls and deviates from the previous belief that wastewater-derived precursors are responsible for NDMA formation in drinking water sources located further downstream. Additionally, given the rapid loss of the wastewater precursors in this study, precursors which are slow to biodegrade/photolyze/adsorb to sediment are likely to be poor surrogates for the overall wastewater NDMA precursor pool. To understand temporal changes in the wastewater impact on environmental NDMA precursor loading, two 24-hour sampling events were conducted near (<3 km) the wastewater outfall and demonstrated that temporal changes in the NDMA precursors directly downstream of the wastewater outfall are directly linked to the wastewater flow contribution.

Global treatment of haemorrhoids-A worldwide snapshot audit conducted by the International Society of University Colon and Rectal Surgeons.

There is no universally accepted treatment consensus for haemorrhoids, and thus, management has been individualized all over the world. This study was conducted to assess a global view of how surgeons manage haemorrhoids. The research panel of the International Society of University Colon and Rectal Surgeons (ISUCRS) developed a voluntary, anonymous questionnaire evaluating surgeons' experience, volume and treatment approaches to haemorrhoids. The 44 multiple-choice questionnaire was available for one month via the ISUCRS email database and the social media platforms Viber and WhatsApp. The survey was completed by 1005 surgeons from 103 countries; 931 (92.6%) were in active practice, 819 (81.5%) were between 30 and 60 years of age, and 822 (81.8%) were male. Detailed patient history (92.9%), perineal inspection (91.2%), and digital rectal examination (91.1%) were the most common assessment methods. For internal haemorrhoids, 924 (91.9%) of participants graded them I-IV, with the degree of haemorrhoids being the most important factor considered to determine the treatment approach (76.3%). The most common nonprocedural/conservative treatment consisted of increased daily fibre intake (86.9%), increased water intake (82.7%), and normalization of bowel habits/toilet training (74.4%). Conservative treatment was the first-line treatment for symptomatic first (92.5%), second (72.4%) and third (47.3%) degree haemorrhoids; however, surgery was the first-line treatment for symptomatic fourth degree haemorrhoids (77.6%). Rubber band ligation was the second-line treatment in first (50.7%) and second (47.2%) degree haemorrhoids, whereas surgery was the second-line treatment in third (82.9%) and fourth (16.7%) degree symptomatic haemorrhoids. Rubber band ligation was performed in the office by 645(64.2%) of the participants. The most common surgical procedure performed for haemorrhoids was an excisional haemorrhoidectomy for both internal (87.1%) and external (89.7%) haemorrhoids - with 716 (71.2%) of participants removing 1, 2 or 3 sectors as necessary. Although there is no global haemorrhoidal treatment consensus, there are many practice similarities among the different cultures, resources, volume and experience of surgeons around the world. With additional studies, a consensus statement could potentially be developed.

Germanium and its isotopes as indicators of hydrogeochemical conditions in a terrestrial geothermal system (Karkonosze granitoid, Sudetes, Poland)

The germanium content and its isotope ratio in thermal waters, aquifer rocks and main silicate minerals in a terrestrial groundwater system located in a granitic pluton (Karkonosze granitoid, Sudetes, Poland) have been investigated. This is the first extensive Ge isotope study carried out in both groundwater and aquifer rocks to better understand previously the identified enrichment of groundwater relative to rocks. This research also provides the first data on δ74/70Ge for hybrid acid rocks formed by mixing magmas from two different sources (mantle- and crustal-derived) and main silicate minerals. The Ge isotopic composition in different facies of granite (porphyritic, equigranular) is comparable (δ74/70Ge of 0.43–1.23‰) to its hybrid rocks (quartz diorite–granodiorite, microgranular magmatic enclaves, composite dykes) – 0.79–1.27‰. However, the range of variability of this feature is quite wide. The minerals have δ74/70Ge values of 1.01–1.04‰ in quartz, 0.84–0.90‰ in alkali feldspars, 0.76–0.88‰ in plagioclase, and 0.36–0.39‰ in biotite. The thermal waters are enriched in heavy Ge isotopes (δ74/70Ge of 1.21–2.78‰) relative to the aquifer rocks (δ74/70Ge of 0.43–1.27‰). Currently, the most likely explanation for this is the influence of secondary mineral phases formed in the geothermal granitic system. This comprises the preferential incorporation and adsorption of light Ge isotopes in/onto iron oxide/hydroxides and clay minerals. The other theoretical explanation, i.e., sulfide formation, is unlikely due to the unfavourable hydrogeochemical conditions in the studied system. The δ74/70Ge values of thermal waters are similar to those of previously studied continental geothermal waters (1.65–3.29‰; Siebert et al., 2011) and fresh groundwater (2.24–4.02‰; Baronas et al., 2020), confirming that groundwater enrichment in heavy Ge isotopes relative to aquifer rocks may be widespread in the upper continental crust. Variation in the isotopic composition of the studied thermal waters is a result of the aquifer rock mineralogy and, in some cases, mixing of the old deep-circulating thermal water with the shallow modern cold groundwater. The general similarities in the chemical composition of the studied waters are due to the influence of porphyritic granite, which is the dominant rock type in this aquifer system. Some differences in chemical composition, including differences in the Ge isotopic composition, are related to the local distribution of hybrid rocks and sulfides. The δ74/70Ge and Ge/Si ratios have been shown to be sensitive indicators of local hydrogeochemical conditions in an alimentation zone and a near-borehole zone of particular water intakes.

Pathways of exposure to Vibrio Cholerae in an urban informal settlement in Nairobi, Kenya.

Cholera is a diarrhoeal disease caused by Vibrio cholerae (V. cholerae) bacterium, with strains belonging to serogroups 01 and 0139 causing a huge proportion of the disease. V. cholerae can contaminate drinking water sources and food through poor sanitation and hygiene. This study aimed to identify environmental routes of exposure to V. cholerae within Mukuru informal settlement in Nairobi. We collected nine types of environmental samples (drinking water, flood water, open drains, surface water, shaved ice, raw produce, street food, soil, and public latrine swabs) over 12 months. All samples were analysed for V. cholerae by culture and qPCR, then qPCR-positive samples were quantified using a V. cholerae DNA standard. Data about the frequency of contact with the environment was collected using behavioural surveys. Of the 803 samples collected, 28.5% were positive for V. cholerae by qPCR. However, none were positive for V. cholerae by culture. V. cholerae genes were detected in majority of the environmental water samples (79.3%), including open drains, flood water, and surface water, but were only detected in small proportions of other sample types. Vibrio-positive environmental water samples had higher mean V. cholerae concentrations [2490-3469 genome copies (gc) per millilitre (mL)] compared to drinking water samples (25.6 gc/mL). Combined with the behavioural data, exposure assessment showed that contact with surface water had the highest contribution to the total V. cholerae exposure among children while ingestion of municipal drinking water and street food and contact with surface water made substantial contributions to the total V. cholerae exposure for adults. Detection of V. cholerae in street food and drinking water indicates possible risk of exposure to toxigenic V. cholerae in this community. Exposure to V. cholerae through multiple pathways highlights the need to improve water and sanitation infrastructure, strengthen food hygiene practices, and roll out cholera vaccination.

THE IMPACT OF ELECTRO-ACUPUNCTURE ON “BAIHUAN SHU” (BL 30) AND “HUIYANG” (BL 35) POINTS ON THE TLR4/NF-κB PATHWAY IN RATS WITH CHRONIC PROSTATITIS

The objective of this research is to investigate the potential mechanisms underlying electro-acupuncture intervention in chronic prostatitis (CP). Rats were randomly divided into five groups: a control group, a model group (suffering from CP), an electro-acupuncture group, an inhibitor group, and an activator group. One day post-modeling, electro-acupuncture intervention was conducted on the electro-acupuncture group, inhibitor group, and activator group at the acupoints “Baihuan Shu” (BL 30) and “Huiyang” (BL 35). Relevant indicators were used to evaluate the efficacy. Compared with models, the electro-acupuncture group showed significantly increased horizontal and vertical movement scores and sugar water intake, and significantly decreased prostate wet weight and prostate index. Compared with the electro-acupuncture group, the inhibitor group showed significantly increased horizontal and vertical movement scores and sugar water consumption. In contrast, for the activator group, these scores and consumption levels significantly decreased, while their prostate wet weight and prostate index increased significantly. Compared with models, the expression of TLR4 and p-NF-[Formula: see text]B/NF-[Formula: see text]B proteins in the prostate tissue of electro-acupuncture group was significantly lower. In terms of the inhibitor group, they also showed a decrease in TLR4 and p-NF-[Formula: see text]B/NF-[Formula: see text]B protein expression, whilst the activator group showed an increase. Therefore, electro-acupuncture at “Baihuan Shu” (BL 30) and “Huiyang” (BL 35) can significantly enhance movement scores, vertical movement scores, and sugar water consumption in rats with CP. Moreover, it can decrease the wet weight and index of the prostate, possibly by regulating the TLR4/NF-[Formula: see text]B pathway.

Occurrences of nitrate-contaminated groundwater in the piedmont aquifers: hydrogeochemical characteristics and health risks.

Groundwater nitrate (NO3-) contamination is a global concern. The distribution patterns, enrichment mechanisms, and human health risks of NO3- contaminated groundwater were investigated using 144 groundwater samples collected from domestic and irrigation wells in the piedmonts of the North China Plain (Beijing and Shijiazhuang areas). The results showed that the groundwater was neutral to weakly alkaline, and 47% of the groundwater samples had NO3- concentrations exceeding 50mg/L, a threshold proposed by world health organization to threaten infants up to 3months. Groundwater NO3- concentrations were generally higher in the Beijing piedmont than in the Shijiazhuang piedmont and decreased with depth in both piedmonts. High-NO3- (> 50mg/L) groundwater was distributed sporadically spatially and mainly was of Ca-Mg-HCO3 hydrochemical facies. Stable isotopes (D and 18O) compositions and NO3-/Cl- ratios indicated that NO3- accumulation in groundwater was primarily due to use of N-fertilizers under agricultural practices, and was associated with groundwater recharge sources such as septic tank leakage and re-infiltration of reclaimed irrigation water. Water quality evaluation showed that groundwater quality was highly dependent on NO3- concentration, with entropy-weighted water quality index values increasing linearly with increasing NO3- concentrations. The potential health risk of high-NO3- groundwater was the most serious for infants in both the piedmonts. Therefore, reducing NO3- input from sources and drinking water intake is recommended to minimize the human health risk.

Evaluation of return cooling water reuse in the wet cooled power plant to minimise the impact of water intake and drainage

The treatment and reuse of industrial water is a matter of great interest, given the severe shortage of water resources. It is widely acknowledged that power plants, particularly wet-cooled power plants, consume a significant amount of water. Therefore, research on the circulating cooling system (CCS) and the treatment of the return cooling water is of utmost importance. This study examined data on CCS inlet (water body), make up, and cooling water parameters, calculated a water balance, and predicted the hydrochemical quality of cooling tower blowdown water (CTBD). The study was conducted for an operating power plant to propose an effective treatment scheme for the return of CTBD to the process cycle. Additionally, it evaluated the possibility of recycling CTBD in the clarifier through laboratory modeling. Therefore, based on the results of this study, an effective treatment scheme is proposed to return CTBD to the technological cycle to ensure environmental sustainability. Recycled water was used as the water supply for the cooling tower, and a lime softening treatment was applied to clean the CTBD. According to the results, it is possible to recover quality indicators from a portion of the return cooling water after lime softening treatment. The novelty of this study lies in the successful demonstration of a lime softening regime that enables the blending of up to 25 % CTBD with make up water, without necessitating an increased CaO dose. This regime maintains TH levels at 2.2 mg-eq/dm³ and ensures that the discharge velocity of 0.7 m/s remains within regulatory standards. Additionally, it maintains standard concentrations of chloride (Cl⁻) and sulfate (SO₄²⁻) in CTBD at 200 mg/dm³ and 250 mg/dm³, respectively.