Air pollution is an important risk factor for autoimmune diseases, but its association with the recurrence of rheumatoid arthritis (RA) remains unclear so far. This study aimed to investigate the short-term association between traffic-related air pollutants and hospital readmissions for RA in Hefei, China. Data on daily hospital readmissions for RA and traffic-related air pollutants, including particulate matter (PM₂.₅ and PM₁₀), nitrogen dioxide (NO₂), and carbon monoxide (CO), from 2014 to 2018 were retrieved. A time-series approach using generalized linear regression model was employed. The analysis was further stratified by sex, age and season. A total of 1153 readmissions for RA were reported during the study period. A significant association between high-concentration PM₂.₅ (90th percentile) and RA readmissions was observed on lag1 (relative risk (RR) = 1.09, 95% confidence interval (CI): 1.01–1.19) and lasted until lag3 (RR = 1.06, 95%CI: 1.01–1.12). From lag2 to lag5, high-concentration NO₂ (90th percentile) was associated with increased risk of RA readmissions, with the highest RR observed at lag 4 (1.11, 95%CI: 1.05–1.17). Stratified analyses indicated that females and the elderly appeared to be more vulnerable to high-concentration PM₂.₅ and NO₂ exposure. High-concentration PM₂.₅ and NO₂ in cold seasons were consistently significantly associated with increased risk of RA readmissions. Exposure to high-concentration PM₂.₅ and NO₂ was associated with increased risk of RA readmissions. Protective measures against the exposure to high-concentration PM₂.₅ and NO₂ should be taken to reduce the recurrence risk in RA patients, especially in females, the elderly and during cold seasons.

The accuracy of the nitrogen (N) budget is of great importance for evidence-based decision-making to address both food security and environmental protection challenges. This study attempts to advance understanding of uncertainties in China's N budget using the Coupled Human And Natural Systems (CHANS) model and Monte Carlo simulation from 1980 to 2018. Results show that the spatial and temporal variations in agricultural and industrial activities and insufficient knowledge on N cycling parameterization are the two dominant causes of uncertainties in the N budget in China. Uncertainties of N inputs generally are <10%, while they are <30% for N outputs and >30% for N accumulations. Uncertainty of nitrogen oxides emission is more sensitive to energy consumption due to the large contributions from industry and transportation. While the uncertainty of ammonia emission is predominantly affected by agricultural activity. Combining surface measurements, satellite observations, and atmospheric simulation models enables cross-check of N fluxes in multiple systems and reduces uncertainties of N budget.

Freshwater salinization is a rapidly emerging ecological issue and is correlated with significant declines in aquatic biodiversity. It remains unclear how changing salinity regimes affect the physiology of sensitive aquatic insects. We used the parthenogenetic mayfly, Neocloeon triangulifer, to ask how ionic exposure history alters physiological processes and responses to subsequent major ion exposures. Using radiotracers (²²Na, ³⁵SO₄, and ⁴⁵Ca), we observed that mayflies chronically reared in elevated sodium or sulfate (157 mg L⁻¹ Na or 667 mg L⁻¹ SO₄) had 2-fold (p < 0.0001) and 8-fold (p < 0.0001) lower ion uptake rates than mayflies reared in dilute control water (16 mg L⁻¹ Na and 23 mg L⁻¹ SO₄) and subsequently transferred to elevated salinities, respectively. These acclimatory ion transport changes provided protection in 96-h toxicity bioassays for sodium, but not sulfate. Interestingly, calcium uptake was uniformly much lower and minimally influenced by exposure history, but was poorly tolerated in the toxicity bioassays. With qRT-PCR, we observed that the expression of many ion transporter genes in mayflies was influenced by elevated salinity in an ion-specific manner (general upregulation in response to sulfate, downregulation in response to calcium). Elevated sodium exposure had minimal influence on the same genes. Finally, we provide novel light microscopic evidence of histomorphological changes within the epithelium of the Malpighian tubules (insect primary excretory system) that undergoes cellular degeneration and necrosis secondary to calcium toxicity. We conclude that physiological plasticity to salinity stress is ion-specific and provide evidence for ion-specific toxicity mechanisms in N. triangulifer.

Road traffic emissions are an increasingly important source of particulate matter in urban and non-road environments, where non-tailpipe emissions can contribute substantially to elevated levels of metals associated with adverse health effects. Thus, better characterization and quantification of traffic-emitted metals is warranted. In this study, real-world emission factors for fine particulate metals were determined from hourly x-ray fluorescence measurements over a three-year period (2015–2018) at an urban roadway and busy highway. Inter-site differences and temporal trends in real-world emission factors for metals were explored. The emission factors at both sites were within the range of past studies, and it was found that Ti, Fe, Cu, and Ba emissions were 2.2–3.0 times higher at the highway site, consistent with the higher proportion of heavy-duty vehicles. Weekday emission factors for some metals were also higher by 2.0–3.5 times relative to Sundays for Mn, Zn, Ca, and Fe, illustrating a dependence on fleet composition and roadway activity. Metal emission factors were also inversely related to relative humidity and precipitation, due to reduced road dust resuspension under wetter conditions. Correlation analysis revealed groups of metals that were co-emitted by different traffic activities and sources. Determining emission factors enabled the isolation of traffic-related metal emissions and also revealed that human exposure to metals in ambient air can vary substantially both temporally and spatially depending on fleet composition and traffic volume.

In recent years, severe air pollution still frequently occurs in winter despite the effective implementation of clean air actions in China. Therefore, field measurements of particle composition and gas precursors were collected from December 1, 2018 to January 15, 2019 at an urban site in a central Chinese city to investigate the existing mechanisms of pollution. The hourly averaged PM₂.₅ concentration during the campaign was 92.7 μg m⁻³, with nitrate and organic aerosol (OA) demonstrated as the principal components. Generally, NO₂ oxidation in the daytime was observed as the major mechanism for nitrate generation, and aerosol water content (AWC) showed its influential role with the associated increases in the nitrogen oxidation and nitrate partitioning ratios. When AWC increased from dozens to hundreds of μg m⁻³ after the afternoon, nocturnal N₂O₅ hydrolysis was demonstrated as the overriding mechanism and provoked extreme contamination of nitrates. Five sources of organic aerosols (OAs) were identified: hydrocarbon-like OAs (HOAs, 16.5%), coal combustion OAs (CCOAs, 19.2%), biomass burning OAs (BBOAs, 9.9%), semi-volatile oxygenated OAs (SV–OOAs, 29.4%), and low-volatile oxygenated OAs (LV-OOAs, 25.0%). SV-OOAs and LV-OOAs were identified as gasSOAs and aqSOAs according to their sensitivities to the atmospheric oxidation capacity and AWC. In addition, aqueous-phase processing was found to be the dominant pathway for SOA formation when the AWC concentration was higher than 80 μg m⁻³. As an influential factor for nitrate and SOA formation, AWC could be greatly affected by RH and the concentrations of inorganic species. Sulfate, which was mainly contributed by anthropogenic emissions, was demonstrated to be a significant factor for active aqueous phase reactions, although SO₂ has been dramatically reduced in recent years. Above all, this study revealed the significant role of AWC in current pollution episode in winter, and will assist in establishing future measures for pollution mitigation.

Ammonia (NH₃) is an important precursor for forming PM₂.₅. In this study, we estimated the impact of upwind transboundary and local downwind NH₃ emissions on PM₂.₅ and its inorganic components via photochemical grid model simulations. Nine sensitivity scenarios with ±50% perturbations of upwind (China) and/or downwind (South Korea) NH₃ emissions were simulated for the year 2016 over Northeast Asia. The annual mean PM₂.₅ concentrations in the downwind area were predicted to change from −3.3 (−18%) to 2.4 μg/m3(13%) when the NH₃ emissions in the upwind and downwind areas were perturbed by -50% to +50%. The change in PM₂.₅ concentrations in the downwind area depending on the change in NH₃ emissions in the upwind area was the highest in spring, followed by winter. This was mainly attributed to the change in nitrate (NO₃⁻), a secondary inorganic aerosol (SIA) that is a predominant constituent of PM₂.₅. Since NH₃ is mainly emitted near the surface and vertical mixing is limited during the night, it was modeled that the aloft nitric acid (HNO₃)-to-NO₃⁻ conversion in the morning hours was increased when the NH₃ accumulated near the surface during nighttime begins to mix up within the Planetary Boundary Layer (PBL) as it develops after sunrise. This implies that the control of upwind and/or downwind NH₃ emissions is effective at reducing PM₂.₅ concentrations in the downwind area even under NH₃ rich conditions in Northeast Asia.

Inhaled polycyclic aromatic hydrocarbons (PAHs) can directly interact with the lung surfactant (PS) lining of alveoli, thereby affecting the normal physiological functions of PS, which is a serious threat to lung health. In spite of the extensive study of benzo[a]pyrene (BaP, a representative of PAHs), its potential biophysical influence on the natural PS is still largely unknown. In this study, the interfacial interaction between PS (extracted from porcine lungs) and BaP is investigated in vitro. The results showed that the surface tension, phase behavior, and interfacial structure of the PS monolayers were obviously altered in the presence of BaP. A solubilization test manifested that PS and its major components (dipalmitoyl phosphatidylcholine, DPPC; bovine serum albumin, BSA) could in turn accelerate the dissolution of BaP, which followed the order: PS > DPPC > BSA, and mixed phospholipids were significantly responsible for the solubilization of BaP by PS. In addition, solubilization of BaP also enhanced the consumption of hydroxyl radicals (·OH) in the simulated lung fluid, which could disturb the balance between oxidation and antioxidation.

PM₂.₅ in Shijiazhuang was collected from October 15, 2018 to January 31, 2019, and selected toxic elements were measured. Five typical haze episodes were chosen to analyze the health risks and critical risk sources. Toxic elements during the haze episodes accounted for 0.33% of PM₂.₅ mass. Non-cancer risk of toxic elements for children was 1.8 times higher than that for adults during the haze episodes, while cancer risk for adults was 2.5 times higher than that for children; cancer and non-cancer risks were primarily attributable to As and Mn, respectively. Health risks of toxic elements increased during the growth and stable periods of haze episodes. Non-cancer and cancer risks of toxic elements during the haze stable periods were higher than other haze stages, and higher for children than for adults during the stable period. Mn was the largest contributor to non-cancer risk during different haze stages, while As was the largest contributor to cancer risk. Crustal dust, vehicle emissions, and industrial emissions were critical sources of cancer risk during the clean-air periods; while vehicle emissions, coal combustion, and crustal dust were key sources of cancer risk during the haze episodes. Cancer risks of crustal dust and vehicle emissions during the haze episodes were 2.0 and 1.7 times higher than those in the clean-air periods. Non-cancer risks from emission sources were not found during different periods. Cancer risks of biomass burning and coal combustion increased rapidly during the haze growth period, while that of coal combustion decreased sharply during the dissipation period. Vehicle emissions, crustal dust, and coal combustion were significant cancer risk sources during different haze stages, cancer risk of each source was the highest during the stable period. Southern Hebei, Northern and central Shaanxi were potential risk regions that affected the health of both adults and children in Shijiazhuang.

Pollutants discharged from wastewater are the main cause of the spread of antibiotic resistance in river biofilms. There is controversy regarding the primary contribution of environmental selectors such as antibiotics and heavy metals to the development of antibiotic resistance in bacterial communities. Here, this study compared the effect of environmental safety concentration Cu²⁺ and enrofloxacin (ENR) on the evolution of antibiotic resistance by examining phenotypic characteristics and genotypic profiles of bacterial communities in a river biofilm, and then distinguished the major determinants from a comprehensive perspective. The pollution induced community tolerance in ENR-treated group was significantly higher than that in Cu²⁺-treated group (at concentration levels of 100 and 1000 μg/L). Metagenomic sequencing results showed that ENR significantly increased the number and total abundance of antibiotic resistance genes (ARGs), but there was no significant change in the Cu²⁺- treated group. Compared with Cu²⁺, ENR was the major selective agent in driving the change of taxonomic composition because the taxonomic composition in ENR was the most different from the original biofilm. Comparing and analyzing the prokaryotic composition, the phylum of Proteobacteria was enriched in both ENR and Cu²⁺ treated groups. Among them, Acidovorax and Bosea showed resistance to both pollutants. Linking taxonomic composition to ARGs revealed that the main potential hosts of fluoroquinolone resistance genes were Comamonas, Sphingopyxis, Bradyrhizobium, Afipia, Rhodopseudomonas, Luteimonas and Hoeflea. The co-occurrence of ARGs and metal resistance genes (MRGs) showed that the multidrug efflux pump was the key mechanism connecting MRGs and ARGs. Network analysis also revealed that the reason of Cu²⁺ selected for fluoroquinolones resistant bacterial communities was the coexistence of multidrug efflux gene and MRGs. Our research emphasizes the importance of antibiotics in promoting the development of antibiotic resistant bacterial communities from the perspective of changes in community structure and resistome in river biofilms.

Children in urban environments are exposed to potential harmful elements (PHEs) through variable exposure media. Playing activities in outdoor playgrounds have been considered of high concern due to children's exposure to sand-bound PHEs through unintentional or intentional sand ingestion. Furthermore, the affinity of magnetic particles with dust-bound PHEs in playgrounds has been reported. In this study, playground sands (PG sands) from public playgrounds in the city of Thessaloniki, N. Greece were sampled and the levels, the contamination degree, oral bioaccessibility and exposure assessment of PHEs were evaluated. In addition, low-cost and fast magnetic measurements (i.e. mass specific magnetic susceptibility, χₗf) were explored as potential pollution and health risk proxies. Mineralogically, siliceous PG sands dominated, while morphologically angular magnetic particles and Fe-rich “spherules” of anthropogenic origin were revealed and verified by enhanced χₗf values. The average total elemental contents exhibited a descending order of Mn > Ba > Cr > Zn > Ni > Pb > Cu > Co > As > Sn > Bi > Cd, however only Cd, Bi, Pb, Cr, As and Zn were presented anthropogenically enhanced. Notable increase on PHEs levels and finer sand fractions were observed with continuous sand use. Anthropogenically derived elements (i.e. Cd and Pb with high Igₑₒ values) exhibited higher bioaccessible fractions in PG sands and considered easily soluble in gastric fluids through ingestion. However, increased risks were found for specific PHEs (especially Pb) only in a worst case exposure scenario of an intentional sand ingestion (pica disorder). Statistical analysis results revealed a linkage of anthropogenic components with sand-bound magnetic particles. Moreover, the recorded high affinity of Pb contents (in an enhanced magnetized sub-set of PG sands) and bioaccessible Cd fractions with χₗf provide a preliminary indication on the successful applicability of low-cost and fast magnetic measurements in high impacted playground environments.