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1.
A regional survey of the microbiological water quality along the shoreline of the Southern California Bight (SCB), from Point Conception south to Ensenada, Mexico, was conducted during August, 1998, by 36 agencies under the coordination of the Southern California Coastal Water Research Project (SCCWRP). Microbiological water quality was assessed by calculating the percentage of shoreline-mile-days that exceeded bacterial indicator thresholds for total and fecal coliforms, total/fecal ratios, and enterococci. Sample sites were selected using a stratified random sampling approach, with the SCB recreational shoreline divided into six strata: high- and low-use sandy beaches, high- and low-use rocky shoreline, and perennial and ephemeral freshwater outlets. Samples were collected on a weekly basis at a total of 253 sites, beginning on August 2nd, 1998 and continuing for five weeks. Samples were analyzed by 22 participating labs using their normal methods (multiple tube fermentation, membrane filtration, Colilert® and/or Enterolert®). All labs met testing criteria established through intercalibration exercises and quality control check samples distributed during the sampling period. Nearly 95% of the shoreline-mile days did not exceed daily and monthly bacterial indicator thresholds, demonstrating good bacteriological water quality along the SCB shoreline. Freshwater outlets, comprised mainly of storm drains, had the poorest water quality with 60% and 40% of the shoreline-miles exceeding monthly and daily thresholds, respectively. Freshwater outlets were also more likely to demonstrate exceedances by multiple indicators at a single site, and repeat exceedances at sites over the five-week period. Compared with the southern California beaches, Mexican beaches had nearly 5 times the number of exceedances for total and fecal coliforms, and nearly 8 times the number of exceedances for total/fecal ratios.  相似文献   

2.
Three methods (membrane filtration, multiple tube fermentation, and chromogenic substrate technology kits manufactured by IDEXX Laboratories, Inc.) are routinely used to measure indicator bacteria for beach water quality. To assess comparability of these methods, quantify within-laboratory variability for each method, and place that variability into context of variability among laboratories using the same method, 22 southern California laboratories participated in a series of intercalibration exercises. Each laboratory processed three to five replicates from thirteen samples, with total coliforms, fecal coliforms or enterococci measured depending on the sample. Results were generally comparable among methods, though membrane filtration appeared to underestimate the other two methods for fecal coliforms, possibly due to clumping. Variability was greatest for the multiple tube fermentation method. For all three methods, within laboratory variability was greater than among laboratories variability.  相似文献   

3.
Studies on abundance and types of various pollution indicator bacterial populations from tropical estuaries are rare. This study was aimed to estimate current levels of pollution indicator as well as many groups of human pathogenic bacteria and their seasonal variations in different locations in Mandovi and Zuari Rivers in the central west coast of India. The sampling covered the estuarine and upstream regions of these rivers representing premonsoon (May 2005), monsoon (September 2006) and post-monsoon (November 2005). Both the abundance and types of autochthonous and allochthonous microbial populations in the near shore environments are affected by land drainages, domestic sewage outfalls and other discharges. The overall ranges (and their mean abundance; no. ml(-1)) of the monitored groups of bacteria were: total coliforms: 0-29,047 (3,134 ml(-1)); total streptococci: 3-14,597 (798); total vibrios: 13-42,275 (2,530); Escherichia coli: 0-1,333 (123); Vibrio cholerae: 0-3,012 (207); Salmonella spp: 0-1,646 (90); Streptococcus faecalis: 0-613 (88) and Aeromonas spp: 0-2,760 (205). In general, abundance of sewage pollution indicator bacteria such as total coliforms and total streptococci was lower than that reported from many other locations worldwide.  相似文献   

4.
A study was performed in Del Rey Lagoon, City of Los Angeles, to determine if the lagoon was as a source or sink for fecal indicator bacteria (FIB: total coliforms, Escherichia coli, enterococci) and to screen for the presence of other potentially pathogenic bacteria. The lagoon receives tidal flows from the adjacent Ballona Estuary whose water usually is contaminated with FIB originating from the highly urbanized Ballona Creek Watershed. During 16 sampling events from February 2008 through March 2009, replicate water samples (n?=?3) were collected 1 h prior to the high tide and 1 h prior to the following low tide. FIB concentrations were measured by the defined substrate method (IDEXX, Westbrook, Me) followed by culturing of bacterial isolates sampled from positive IDEXX Quanti-Tray wells and were identified using the Vitek 2 Compact (bioMérieux, Durham, NC). Mean concentrations of FIB often differed by an order of magnitude from flood to ebb flow conditions. The lagoon tended to act as a sink for total coliforms based on the ratio of mean flood to ebb densities (R F/E) >1.0 during 56 % of the sampling events and during ebb flows, as a source for E. coli and enterococci (R F/E <1.69 % of events). Approximately 54 species were identified from 277 isolates cultured from the IDEXX Quanti-Trays. Of these, 54 % were species known to include pathogenic strains that can be naturally occurring, introduced in runoff, or originated from other sources. Diversity and cluster analyses indicated a dynamic assemblage that changes in species composition with day-to-day fluctuations as well as tidal action. The concept of monitoring the lagoon and estuary as a sentinel habitat for pathogenic assemblages is discussed.  相似文献   

5.
In this study, baseflow and storm discharges were monitored in seven watersheds of varying development density to document the effects of development on stream water quality. In addition, two of the watersheds contained package wastewater treatment facilities, which were evaluated as an alternative to residential on-site septic systems. Monthly grab samples of baseflow and flow-proportional samples of storm event discharge were collected and analyzed for nitrogen, phosphorus, sediment, and bacteria. For the five watersheds without wastewater treatment facilities, a significant linear relationship was documented between fecal coliform and enterococci levels in baseflow samples and the percentage of residential or impervious area. For the two watersheds with wastewater discharge, bacteria levels were significantly greater than those from the two relatively undeveloped watersheds. These results indicate that bacteria levels increased with increasing residential development even if many of the septic systems were replaced by a community wastewater treatment system. Computed annual export rates for ammonia nitrogen (NH3-N) were correlated to the percentage of impervious surfaces in the watersheds, while the rates for other nitrogen forms, total phosphorus, and total suspended sediment were not. Annual export rates from the two mostly undeveloped watersheds were greater than a compilation of rates for undeveloped areas across the USA. Export from the four watersheds with more than 68 % residential land use was less than those reported from local and national studies of residential areas.  相似文献   

6.
E. coli and enterococci in recreational waters are monitored as indicators of fecal contamination, pathogen presence, and health risk. Quantitative polymerase chain reaction (qPCR) tests for fecal indicator bacteria can provide beach managers with same-day information about water quality, unlike culture methods which provide that information the following day. The abilities of qPCR measurements of indicator bacteria, as compared to culture measurements of indicator bacteria, as predictors of pathogen presence or density in surface waters are not well understood. The purpose of this study was to make such comparisons between water samples collected from Chicago area surface waters, including rivers, inland lakes, Lake Michigan, and the Chicago Area Waterways System, which is dominated by wastewater effluent. A total of 294 twenty-litre samples were collected and analyzed for Giardia and Cryptosporidium. qPCR and membrane filtration methods were used to quantify E. coli and enterococci. Correlation, logistic regression, and zero-inflated Poisson modeling were utilized to evaluate associations between indicators and parasites. qPCR and culture measures of the indicator bacteria were similar in their ability to predict parasite presence and density. Correlations between parasites and indicators were generally stronger at waters not dominated by effluent. Associations between indicator density and Giarida presence were observed more consistently than between indicator density and Cryptosporidium presence. Associations between enterococci and parasites were generally stronger than associations between E. coli and parasites. The use of qPCR monitoring in our setting would generate more timely results without compromising the ability to predict parasite presence or density.  相似文献   

7.
The origin and distribution of microbial contamination in Lake Geneva's most polluted bay were assessed using faecal indicator bacteria (FIB). The lake is used as drinking water, for recreation and fishing. During 1 year, water samples were taken at 23 points in the bay and three contamination sources: a wastewater treatment plant (WWTP), a river and a storm water outlet. Analyses included Escherichia coli, enterococci (ENT), total coliforms (TC), and heterotrophic plate counts (HPC). E. coli input flux rates from the WWTP can reach 2.5 x 10(10) CFU/s; those from the river are one to three orders of magnitude lower. Different pathogenic Salmonella serotypes were identified in water from these sources. FIB levels in the bay are highly variable. Results demonstrate that (1) the WWTP outlet at 30 m depth impacts near-surface water quality during holomixis in winter; (2) when the lake is stratified, the effluent water is generally trapped below the thermocline; (3) during major floods, upwelling across the thermocline may occur; (4) the river permanently contributes to contamination, mainly near the river mouth and during floods, when the storm water outlet contributes additionally; (5) the lowest FIB levels in the near-surface water occur during low-flow periods in the bathing season.  相似文献   

8.
A total of 357 water samples were collected from a public beach in northern Taiwan during beach season, and the densities of enterococci were analyzed by Enterolert methods. The mean enterococci level was 356 MPN/100 ml and ranged from <10 to 2,005 MPN/100 ml, which was classified as high contamination level according to the WHO water quality guideline (95 percentile >1,000 MPN/100 ml). Most of the deteriorated water quality conditions occurred during rainfall. By excluding data from the rain days, the overall beach water quality would be considered in the moderate contamination level (95 percentile 200-1,000 MPN/100 ml). Among the selected microbiological parameters tested, the densities of total coliforms and enterococci exhibited the highest correlation (r = 0.449, p = 0.009), followed by the concentrations of total coliforms and fecal coliforms (r = 0.403, p = 0.02). Nonetheless, no significant correlation was found between enterococci and fecal coliform levels (r = 0.197, p = 0.271).  相似文献   

9.
This study scrutinized bacteriological and chemical quality of groundwater supplies of Marrakesh (Morocco) within a year. It assessed the influence of some chemical factors on fecal and opportunistic pathogenic bacterial communities. The annual average densities of fecal coliforms, fecal streptococci and Pseudomonas aeruginosa were respectively: 1891 colony forming units (CFU)/100 mL, 1246 CFU/100 mL and 206 CFU/100 mL. The total occurrence of these bacteria during the period of study was 94%. Detectable non-O1 Vibrio cholerae was present in 81% of samples and the mean abundances ranged from 0 to 11100 MPN/100 mL. Significant correlations between fecal coliforms and streptococci and between fecal coliforms and non-O1 V. cholerae (p < 0.01) were found. Fecal coliforms can be used to detect the presence of non-O1 V. cholerae in this groundwater. These well waters were greatly mineralized, hard, salt with high concentrations of nitrogenous ions and major elements (Ca(2+), Na(+), Cl(-), SO(2-)(4) and K(+)). Most of chemical parameters were relatively steady with time except for calcium, ammonium, nitrites and organic matter which were seasonally influenced. The degree of correlation between chemical parameters and the abundances of isolated bacteria is heterogeneous. The concentrations of calcium and nitrites favored (p < 0.01) the abundance of fecal coliforms and streptococci, but reduced P. aeruginosa abundances. Calcium, salinity, chlorides, nitrites and nitrates tests can be used for screening in situ when the laboratory facilities are limited. This work is expected to assist local authorities in developing plans and actions to reduce the pollution to acceptable levels.  相似文献   

10.
We assessed the incidence of faecal-indicator bacteria in Tyume River over a 12-month period between August 2010 and July 2011. Total coliforms, faecal coliforms and enterococci were determined by the membrane filtration method. Total coliforms were detected in counts ranging from 2.1?×?102 to 3.4?×?104?CFU/100 ml. Faecal coliform counts ranged from 1?×?102 to 1.6?×?104?CFU/100 ml while enterococci counts were in the range of 3.3?×?101 to 5.1?×?103?CFU/100 ml. Indicator bacteria counts increased from upstream to downstream sampling sites. Counts of indicator bacteria at all sites were significantly affected by seasonal changes. The bacteriological qualities of the river water were poor, exceeding the guideline of 200 CFU/100 ml and 33 CFU/100 ml for faecal coliforms and enterococci, respectively, for recreational water. Faecal coliform counts also exceeded the 1,000 CFU/100 ml guideline for water used in fresh produce irrigation. Microbial source tracking results showed that faecal pollution was predominantly of human origin during spring at all sampling sites. During other seasons, human faecal pollution was largely confined to midstream and downstream sampling sites. Generally, the presence of faecal-indicator bacteria in the river water samples suggests faecal pollution of this freshwater resource, raising the possibility of the presence of pathogenic microorganisms in the water and a threat to public health.  相似文献   

11.
Using a spatially extensive database from the Maryland Biological Stream Survey (MBSS), we describe nutrient relationships of small-order, non-tidal streams to Maryland watershed basins, Maryland Tributary Strategy basins, and stream order. In addition, we estimate the number of stream km affected by nutrient loading, using derived nutrient criteria. Based on the MBSS spring water quality sampling, we determined several important factors relating to nutrient levels in non-tidal streams. There are strong linear relationships of nutrients to the percentage of agriculture and forested land present within MBSS sampling strata. Both mean total nitrogen (TN) and mean total phosphorus (TP) levels for watershed basins by stream order show exceedances of derived nutrient reference criteria for Maryland. Four Maryland basins have over 85% of their stream kilometers exceeding the TN criterion, with three basins over 90% of the TP criterion. To protect small stream integrity in Maryland, we recommend an upper stream TN criterion between 1.34 and 1.68 mg/L and an upper stream TP criterion between 0.025 and 0.037 mg/L, based on quantile analyses. Elevated levels of both TN and TP are present in non-tidal streams, with subsequent nutrient inputs into the upper freshwater tidal reaches of the Chesapeake Bay.  相似文献   

12.
This research aimed to understand the sources and fate of Salmonella and fecal bacteria in urban surface waters. An urban creek (San Pedro Creek, California, USA) that had unusually high levels of Salmonella and fecal bacteria relative to other nearby waterbodies was chosen as a model field site. State of the art microbiological methods were used in concert with modeling to investigate Salmonella and fecal bacteria sources, and determine field-relevant dark inactivation and photoinactivation rates. Three along-creek surveys that spanned reaches adjacent to both urban and forested land covers were conducted to measure Salmonella, enterococci, Escherichia coli, and horse- and human-specific Bacteroidales. Salmonella were detected adjacent to and downstream of urban land cover, but not adjacent to forested land cover. No human or horse-specific Bacteroidales fecal markers were detected implicating other urban animal sources of bacteria. Two locations along the creek where Salmonella was consistently detected were sampled hourly for 25 hours and a mass-balance model was applied to determine field-relevant light and dark inactivation rates for Salmonella, enterococci, and E. coli. Sunlight inactivation did not appear to be important in modulating concentrations of Salmonella, but was important in modulating both enterococci and E. coli concentrations. Dark inactivation was important for all three organisms. This is the first study to quantitatively examine the fate of Salmonella within an urban surface water. Although the work is carried out at a single site, the methodologies are extendable to source tracking in other waterbodies. Additionally, the rate constants determined through the modeling will be useful for modeling these organisms in other surface waters, and represent useful benchmarks for comparison to laboratory-derived inactivation rates.  相似文献   

13.
The Central Valley, California, R-EMAP project assessed the effects of highly modified, agriculturally dominated landuse on the aquatic resources of the lower portion of the Central Valley watersheds. The focus of this paper is to assess the utility of the EMAP design and the River Reach File version 3 (RF3) 1:100,000 scale Digital Line Graph (DLG) as a sampling frame. The study area is 34,099 mi2(88,316 km2) and comprises the lower reaches of the Sacramento River and San Joaquin River watersheds to the 1000 ft. (305 m) elevation. Sampling sites are selected using a tessellation stratified design to represent the two main populations of interest: natural streams and man-made waterways. Sites are selected to represent 13,226 miles of streams and sloughs, and 14,648 miles of irrigation canals, ditches and drains. To achieve an approximately equal sample size across stream orders and basins, the sample design was weighted by Strahler order categories to ensure sampling occurred in the higher order streams. Based on office and field reconnaissance, the study provided information on the quality of RF3 as a sampling frame. Site selection using RF3 had a success rate of approximately 44%. The RF3 database has an error rate of approximately 7%. When human influence factors were included, the error rate increased to 16%. There was an 11% error rate when selecting sites for natural streams, and approximately a 14% error rate for man-made waterways. The reconnaissance information indicated that presence or absence of irrigation ditches and return drains depends on changing agricultural uses. Some of the error in the RF3 for natural streams and man-made waterways can be attributed to rapid urban expansion, especially in the San Joaquin basin.  相似文献   

14.
The protistan genus Acanthamoeba is a free-living amoeba existing in various environments. Within this protistan genus, there are some species recognized as potential human pathogens, which may cause granulomatous amoebic encephalitis, Acanthamoeba keratitis and chronic granulomatous lesions of the skin. In this study, 211 water samples were collected from two watersheds in southern Taiwan. We detected Acanthamoeba based on the PCR amplification with a genus-specific primer pair and investigation of Acanthamoeba in Puzih River and Kaoping River in southern Taiwan. Acanthamoeba species were detected in 34 (16.1%) samples. The presence or absence of Acanthamoeba within the water samples showed significant difference with the levels of water temperature and total coliforms. The most frequently identified Acanthamoeba genotype was T4 (n = 19), followed by T5 (n = 8), and then T15 (n = 3). Genotype T6, T7/T8, T11 and T12 were all detected once. Genotype T4, T5, T6, T11 and T15 of Acanthamoeba are responsible for Acanthamoeba keratitis and should be considered a potential health threat associated with human activities in environmental surface water watersheds.  相似文献   

15.
The increasing problem of antibiotic resistance in common pathogenic bacteria and the concern about the spreading of antibiotics in the environment bring the need to find new methods to control fish pathogens. Phage therapy represents a potential alternative to antibiotics, but its use in aquaculture requires a detailed understanding of bacterial communities, namely of fish pathogenic bacteria. Therefore, in this study the seasonal dynamics of the overall bacterial communities, microbiological water quality and disease-causing bacteria were followed in a marine aquaculture system of Ria de Aveiro (Portugal). Analysis of the bacterial diversity of the water samples by denaturing gradient gel electrophoresis (DGGE) of 16S rRNA gene fragments indicates that the bacterial community structure varied seasonally, showing a higher complexity during the warm season. The diversity of the main fish pathogenic bacteria, assessed by DGGE targeting the Vibrio genus, showed lower seasonal variation, with new dominating populations appearing mainly in the spring. Bacterial indicators, faecal coliforms and enterococci, enumerated by the filter-membrane method, also varied seasonally. The fluorescent in situ hybridization (FISH) results showed that the specific groups of bacteria varied during the study period and that the non-indigenous Enterobactereaceae family was the most abundant group followed by Vibrio and Aeromonas. The seasonal variation detected in terms of density and structure of total and pathogenic bacterial communities demonstrates the need for a careful monitoring of water through the year in order to select the suitable phages to inactivate fish pathogenic bacteria. The spring season seems to be the critical time period when phage therapy should be applied.  相似文献   

16.
Water quality monitoring is essential for the provision of safe drinking water. In this study, we compared a selection of fecal indicators with universal Bacteroidales genetic marker to identify fecal pollution of a variety of drinking water sources. A total of 60 samples were collected from water sources. The microbiological parameters included total coliforms, fecal coliforms, Escherichia coli and fecal streptococci as the fecal indicator bacteria (FIB), Clostridium perfringens and H2S bacteria as alternative indicators, universal Bacteroidales genetic marker as a promising alternative fecal indicator, and Salmonella spp., Shigella spp., and E. coli O157 as pathogenic bacteria. From 60 samples analyzed, Bacteroidales was the most frequently detected indicator followed by total coliforms. However, the Bacteroidales assay failed to detect the marker in nine samples positive for FIB and other alternative indicators. The results of our study showed that the absence of Bacteroidales is not necessarily an evidence of fecal and pathogenic bacteria absence and may be unable to ensure the safety of the water. Further research, however, is required for a better understanding of the use of a Bacteroidales genetic marker as an indicator in water quality monitoring programs.  相似文献   

17.
The effects of timber harvesting on stream water quality and efficiency of alternate streamside management zones were evaluated in Pockwock Lake and Five Mile Lake watersheds in central Nova Scotia, Canada. The streamside management zone (SMZ) included a 20 m no cut, 20 m select cut and a 30 m select cut buffer strips along the stream. Water quality of eight streams, six in harvested and two in not-harvested watersheds were monitored for two years before and two years after the harvesting of timber. Nonparametric statistical tests on stream water quality showed that there was significant change in the concentration of potassium in six streams, manganese in five streams, zinc in two streams and total nitrogen in one stream after timber harvesting. There was no significant change in the quality of water in two streams used as control sites in the neighboring watersheds of similar size and hydrological characteristics. The results show that forest management practices were most favorable in streams maintained with 30 m select cut followed by 20 m no cut and 20 m select cut SMZ. The streamside zone width and treatment of select cut or no cut in the zone played an important role in filtering or retaining the minerals in surface water runoff. In buffer zones of similar width, the buffer zone with no cut or forested buffer was relatively more effective at protecting stream water quality than select cut SMZ. The vegetation in the zone may have decreased the flow velocity and increased residence time and thus increased filtration and retention of minerals in the riparian soil.  相似文献   

18.
Land cover change can be caused by human-induced activities and natural forces. Land cover change in watershed level has been a main concern for a long time in the world since watersheds play an important role in our life and environment. This paper is focused on how to apply Landsat Multi-Spectral Scanner (MSS) satellite image of 1973 and Landsat Thematic Mapper (TM) satellite image of 2001 to determine the land cover changes of coastal watersheds from 1973 to 2001. GIS and remote sensing are integrated to derive land cover information from Landsat satellite images of 1973 and 2001. The land cover classification is based on supervised classification method in remote sensing software ERDAS IMAGINE. Historical GIS data is used to replace the areas covered by clouds or shadows in the image of 1973 to improve classification accuracy. Then, temporal land cover is utilized to determine land cover change of coastal watersheds in southern Guam. The overall classification accuracies for Landsat MSS image of 1973 and Landsat TM image of 2001 are 82.74% and 90.42%, respectively. The overall classification of Landsat MSS image is particularly satisfactory considering its coarse spatial resolution and relatively bad data quality because of lots of clouds and shadows in the image. Watershed land cover change in southern Guam is affected greatly by anthropogenic activities. However, natural forces also affect land cover in space and time. Land cover information and change in watersheds can be applied for watershed management and planning, and environmental modeling and assessment. Based on spatio-temporal land cover information, the interaction behavior between human and environment may be evaluated. The findings in this research will be useful to similar research in other tropical islands.  相似文献   

19.
Urban household kitchen environment was assessed for safety by determining their levels of indicator bacteria, hygienic habits and risk of cross-contamination. Household kitchens (60) were selected in Warri Town, Nigeria, by the multi-stage sampling technique. Contact surfaces, water and indoor kitchen air were analysed for aerobic plate counts, total and faecal coliforms using Nutrient and McConkey media by swab/rinse method, membrane filtration and sedimentation methods, respectively. Hygienic habits and risk of cross-contamination were assessed with structured questionnaire which included socio-demographic variables. On the basis of median counts, the prevalence of high counts (log cfu/cm2/m3/100 mL) of aerobic plate counts (>3.0), total coliforms (>1.0) and faecal coliforms (>0) on contact surfaces and air was high (58.0–92.0%), but low in water (30.0–40.0%). Pots, plates and cutleries were the contact surfaces with low counts. Prevalence of poor hygienic habits and high risk of cross-contamination was 38.6 and 67.5%, respectively. Education, occupation and kitchen type were associated with cross-contamination risk (P = 0.002–0.022), while only education was associated with hygienic habits (P = 0.03). Cross-contamination risk was related (P = 0.01–0.05) to aerobic plate counts (OR 2.30; CL 1.30–3.17), total coliforms (OR 5.63; CL 2.76–8.25) and faecal coliforms (OR 4.24; CL 2.87–6.24), while hygienic habit was not. It can be concluded that urban household kitchens in the Nigerian setting are vulnerable to pathogens likely to cause food-borne infections.  相似文献   

20.
Accurate estimation of total nitrogen loads is essential for evaluating conditions in the aquatic environment. Extrapolation of estimates beyond measured streams will greatly expand our understanding of total nitrogen loading to streams. Recursive partitioning and random forest regression were used to assess 85 geospatial, environmental, and watershed variables across 636 small (<585 km2) watersheds to determine which variables are fundamentally important to the estimation of annual loads of total nitrogen. Initial analysis led to the splitting of watersheds into three groups based on predominant land use (agricultural, developed, and undeveloped). Nitrogen application, agricultural and developed land area, and impervious or developed land in the 100-m stream buffer were commonly extracted variables by both recursive partitioning and random forest regression. A series of multiple linear regression equations utilizing the extracted variables were created and applied to the watersheds. As few as three variables explained as much as 76 % of the variability in total nitrogen loads for watersheds with predominantly agricultural land use. Catchment-scale national maps were generated to visualize the total nitrogen loads and yields across the USA. The estimates provided by these models can inform water managers and help identify areas where more in-depth monitoring may be beneficial.  相似文献   

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