Determination of antibiotic substances in hospital sewage water using solid phase extraction and liquid chromatography/mass spectrometry and group analogue internal standards

A method for determination of antibiotics in hospital sewage water has been developed and validated. Analogue internal standards for fluoroquinolones, sulfonamides, trimethoprim, beta-lactams (penicillins and cephalosporins), nitroimidazoles and tetracyclines were successfully used for calibration and shown to generally improve precision compared to external calibration. Matrix components caused ion suppression/enhancement effects during the MS detection for all analytes studied. Two effects were observed: general suppression and short-term variations in the MS response. In the hospital sewage water large temporal variations in the analyte concentration were observed during the course of the sampling period (seven grab samples in 13 h). Analyte concentrations varied within the following ranges (in microg l(-1)): ciprofloxacin, 3.6-101.0; metronidazole, 0.1-90.2; sulfamethoxazole, 0.4-12.8; ofloxacin, 0.2-7.6; trimethoprim, 0.6-7.6; and doxycycline, 0.6-6.7.     

不确定性及建议

在北极气候影响评估(ACIA)中,一项气候及紫外线B辐射变化对北极陆地生态系统影响的评估着重强调了预期中的变暖的深远意义,尤其是变暖在未来生态系统功能、生物多样性,以及对气候的反馈方面的深远意义.然而,尽管在有些地理区域和有些学科,我们目前对气候和紫外线B辐射驱动下生态过程及生态变化的了解已算充分,但在其他区域及学科,这种了解是微弱的.即使随着北极地区研究成果的积累和新技术的引用,近来我们的预测能力已空前提高,我们目前的了解程度也还受到各种各样的不确定性的限制.这项评估是在每一种都含有不确定性的一系列方式方法,以及常常远非完整的数据集的基础上完成的.不确定性从各种方法和概念框架而来,从不可预测的意外事件、从对模型的缺乏验证、从未来温室气体排放及气候变化的一些特别情景的应用而不是预测而来.此项评估中,以减少不确定性为目的的建议比比皆是,而且涉及所有学科.然而,一再出现的主题是在北极这样人烟稀少的偏远地区,环境变化及其影响的实验、观察及监测活动达到足够的空间广度和时间长度是极其重要的.     

北极陆地生态系统、气候及紫外线辐射的历史演变

在末次盛冰期,地球上很多大陆都被大量的冰层所覆盖,一些浅海域的海床露出水面将先前分离的大陆连接起来.尽管存在一些适宜于动植物生长而未被冰层覆盖的地区,但其年平均气温仍比更新世时期低10～13℃.在盏冰期的几千年时间内冰川开始消融,其显著特征是气候在大约18000～11400年以前出现了一系列的波动.气候在更新世度过一个温暖期后,开始了一个缓慢的全面变冷的过程,这导致了一系列为期几百年至几千年的气候波动,例如发生在大约13世纪晚期至19世纪早期的"小冰期".在最近150000年的气候变化过程中,北极的各种生态系统和生物组成在近10000年接近其最低分布范围.大冰期结束时的全球大范围急剧升温导致了许多物种的消失,这使北极地区的生物多样性大大降低.因此,北极生态系统以及大型脊椎动物等北极生物的生存正在受到威胁,尤其是目前以及将来的全球变暖都会进一步给它们带来重大灾难.已有的证据表明,就像更新世早期的情形那样,北极地区的树线很有可能会进一步向北发展,并迅速进入到苔原地区,从而减小苔原带,这就会进一步增加北极地区物种灭绝的可能性.一些物种将很有可能向北扩大它们的领地,并取代该地区原有的物种.在更新世早期,由于北极地区的海平面相对较低,当树线入侵到现在的海岸地区时,苔原带至少能够在北极圈的一部分低地区域生存,而从目前来看,未来的海平面极有可能上升,这将会对北极苔原带和其它无树生态系统的分布施加进一步的限制.很显然,全球现在的气候状况对北极生态系统带来的负面影响超出更新世的任何时期,很有可能是巨大的,尤其是当各种环境变化(例如紫外线B的增加,大气中氮化合物的沉积,重金属和酸污染,放射性污染物,生物栖息地破碎化)共同作用于北极生态系统时的影响也是前所未有之际.     

环境变化背景下北极生物的多样性、分布及其适应性

生物个体是对气候变化和紫外线B(UV－B)辐射变化产生反应的基础,而且这种反应会在各种时间尺度上发生.北极地区的动物、植物以及微生物种类的多样性从表面上看是低的,而且从北方针叶林到极地荒漠逐渐减少,但其原始物种却很丰富.与这种物种多样性随纬向梯度减少的趋势相反,一些空间分布范围很广的单一优势物种的优势度则呈增长趋势.全球气候变暖可能会减少该地区的物种多样性,并限制到这些物种的分布范围,尤其是在该地区生物分布的北部边缘,一些极地特有的动物和植物种类会面临着灭绝的危险.最有可能侵入苔原地带的物种是那些目前生存在极地外缘的北方地区生物.许多植物都具有自身的特征使它们能够在以下环境中生存短暂的无冰雪覆盖的生长季节,低的太阳高度角,永久冻结地带及低的土壤温度,贫乏的养分获取条件以及极少的物理扰动.以上这些特征有些可能会限制当地物种对气候变暖的反应,但其最主要的因素是这些物种与那些潜在的入侵物种相比缺乏竞争能力.北极地区陆生动物拥有许多适应特性,这使它们能够适应北极地区剧烈的温度变化.许多动物通过冬眠或迁移来逃避极地地区的恶劣天气和资源短缺.北极地区动物生存的生物环境则相对简单几乎没有天敌、竞争者、疾病、寄生生物,但同时食物资源也很短缺.极地陆生动物可能对由气候变化带来的温暖而干旱的夏季非常不适应,这种变化将会影响到动物的迁移路线、途中栖息地,并会改变冬季积雪的状况和冻融的循环过程.气候变化还会改变动物繁殖和发育的季节,并会引来新的竞争者、捕食者、寄生生物以及疾病等.极地微生物也能很好地适应该地区的气候一些微生物甚至在-39℃的低温下还能进行代谢活动.蓝藻细菌和藻类生物有着很广泛的适应策略,这能够使它们避免(至少可以减少)紫外线的伤害.微生物能够忍受许多环境条件,而且其生长周期很短,这些特点将使它们能很快适应新的生存环境.与此形成对比的是,极地植物和动物很可能通过改变其分布范围而不是积极的生物进化来适应环境的变暖.     

Atelosteogenesis type II: Sonographic and radiological correlation

Atelosteogenesis type II is a lethal chondrodysplasia characterized by severe micromelia, spinal abnormalities, talipes equinovarus, and abducted thumbs and toes. We present a case diagnosed at 21 weeks of gestation in which antenatal sonographic and post-mortem radiological findings were correlated. The patient had a recurrence of this disorder in a subsequent pregnancy which was terminated at 15 weeks, supporting previous reports of an autosomal recessive inheritance pattern. The feasibility of diagnosing the following morphological features by prenatal ultrasonography is demonstrated: coronal clefts of the vertebral bodies, metaphyseal and epiphyseal abnormalities, spinal deviations such as cervical kyphosis and a horizontal sacrum, additional ossification centres in the pelvis, and preaxial deviation of the thumbs and toes. The differential diagnosis of this disorder from other skeletal dysplasias with similar features is discussed.     

在物种水平上生物对气候和紫外线B辐射预期变化的响应

控制实验表明,不同物种对每个环境因子变化变量产生的响应也存在着差异.植物往往对营养元素的变化反应最为强烈,尤其是氮素的增加.夏季增温实验表明,木本植物对温度的升高表现出了积极的响应,而地衣、苔藓类植物的丰富度却因增温而降低.物种对增温的响应主要受水分有效性和雪覆盖程度控制.在气候保持湿润的情况下,伴随着夏季温度的升高,许多无脊椎动物种群的数量都有所增加.实验表明,CO2浓度和紫外线B(UV-B)辐射的增加对植物和动物影响较小,但是,一些微生物和真菌却对紫外线B辐射的增加非常敏感,甚至可能会因此产生一些诱导突变而引起流行传染病的爆发.苔原土壤的加温、CO2浓度的升高以及矿物质营养的改善一般都会增加微生物的活动.在温带气候中,藻类往往比蓝藻细菌更占优势.冬季结冰-解冻过程的增加会导致冻壳的形成,从而会大大降低许多陆生动物的冬季存活率,改变这些动物群体的动态过程.厚的积雪会使驯鹿等植食性动物很难采食到雪下的草类植物,同时也不利于其逃避食肉动物的追捕.而无雪期的提前到来则可能会加速植物的生长.物种对气候变化的响应最初可能出现在亚种这一水平上一个具有很高遗传/群系多样性的北极植物或动物物种,演化历史已经使其具有一种适应不同环境条件的能力,这将使它们能够很快适应未来的环境变化.本土知识(IK)、航空照片和卫星图像表明一些物种的分布已经发生了变化北极植被更加趋向灌木化,而且生长也更加旺盛；北极驯鹿的分布范围最近也发生了变化；一些原来在树线以南区域活动的害虫和鸟类也在北极被发现.与此相对应,大多数在北极地区进行繁殖鸟类的数量却都在下降.根据一些模型的预测,随着气候的变暖,苔原带鸟类的数量将会大幅度地下降.据物种-气候响应模型预测,由于受到气候变暖的影响,北极地区现有物种在未来的潜在分布范围都将大大缩小和向北退缩,而一些无脊椎动物和微生物则很可能会迅速向北扩展到北极地区.     

Urban photochemical pollution in the Iberian Peninsula: Lisbon and Barcelona airsheds

Numerical simulations with photochemical transport models were independently performed for two domains situated in the Iberian Peninsula covering the Lisbon and Barcelona airsheds. Although the days chosen for simulation of the two cities are not the same, the synoptic situations in both cases, known as typical summertime situations, were similar, which allowed the development of typical mesoscale circulations, such as sea breezes and mountain and valley winds dominated by the Azores anticyclone. Emission inventories for the two areas were developed. The O3 concentrations recorded in both cities have a similar level. Nevertheless, O(x) values in Barcelona are higher than in Lisbon, which may, at a first glance, indicate an apparently more oxidant atmosphere in Barcelona. Photochemical modeling for the two cities has shown that the behavior of the circulatory patterns in both urban areas is rather different, which mainly has to do with the different strengths of the sea breeze and the topography, inducing an important offshore vertical layered dimension of pollutant transport in Barcelona versus an important inland horizontal transport in Lisbon.     

Comparative health impact assessment of local and regional particulate air pollutants in Scandinavia

The ongoing program Clean Air for Europe (CAFE) is an initiative from the EU Commission to establish a coordinated effort to reach better air quality in the EU. The focus is on particulate matter as it has been shown to have large impact on human health. CAFE requested that WHO make a review of the latest findings on air pollutants and health to facilitate assessments of the different air pollutants and their health effects. The WHO review project on health aspects of air pollution in Europe confirmed that exposure to particulate matter (PM), despite the lower levels we face today, still poses a significant risk to human health. Using the recommended uniform risk coefficients for health impact assessment of PM, regardless of sources, premature mortality related to long-range transported anthropogenic particles has been estimated to be about 3500 deaths per year for the Swedish population, corresponding to a reduction in life expectancy of up to about seven months. The influence of local sources is more difficult to estimate due to large uncertainties when linking available risk coefficients to exposure data, but the estimates indicate about 1800 deaths brought forward each year with a life expectancy reduction of about 2-3 months. However, some sectors of the population are exposed to quite high locally induced concentrations and are likely to suffer excessive reductions in life expectancy. Since the literature increasingly supports assumptions that combustion related particles are associated with higher relative risks, further studies may shift the focus for abatement strategies. CAFE sets out to establish a general cost effective abatement strategy for atmospheric particles. Our results, based on studies of background exposure, show that long-range transported sulfate rich particles dominate the health effects of PM in Sweden. The same results would be found for the whole of Scandinavia and many countries influenced by transboundary air pollution. However, several health studies, including epidemiological studies with a finer spatial resolution, indicate that engine exhaust particles are more damaging to health than other particles. These contradictory findings must be understood and source specific risk estimates have to be established by expert bodies, otherwise it will not be possible to find the most cost effective abatement strategy for Europe. We are not happy with today's situation where every strategy to reduce PM concentrations is estimated to have the same impact per unit change in the mass concentration. Obviously there is a striking need to introduce more specific exposure variables and a higher geographical resolution in epidemiology as well as in health impact assessments.     

Heavy metal surveys in Nordic lakes; concentrations, geographic patterns and relation to critical limits

In the autumn of 1995, coordinated national lake surveys were conducted in the Nordic countries, including Russian Kola. The 11 metals (Pb, Cd, As, Zn, Cu, Ni, Co, Fe, Mn, Cr, V) investigated in nearly 3000 lakes have generally low concentrations and distinct geographical patterns. Direct and indirect influence of long-range transported air pollution is the major important factor for distribution of Pb, Cd, Zn and to a certain degree Co. Total organic carbon (TOC) concentrations in lakes are important for Fe and Mn but also to a certain degree for As, Cr and V. Bedrock geology is the major controlling factor for Cu and Ni, with the exception of areas around the smelters in the Kola peninsula, where the Cu and Ni concentrations in lakes are very high due to local airborne pollution. Bedrock and surficial geology is also an important factor for controlling the concentrations of As, Co, Cr and V. The results indicate that heavy metal pollution in lakes is a minor ecological problem on a regional scale in the Nordic countries.