Combined Effects of Treatment and Sewer Connections to Reduce Future Microplastic Emissions in Rivers.

Global mitigation strategies are needed to reduce the amount of microplastics reaching our oceans via rivers. However, what strategies will be most effective, and when and where to implement these strategies is unclear. We applied the global water quality model MARINA-Plastics, covering 10,226 sub-basins worldwide, to assess the effects of different emission reduction strategies on microplastic inputs to rivers worldwide over the period 2010-2100, taking time steps of 10 years.

Antibiotic residues in the cirata reservoir, Indonesia and their effect on ecology and the selection for antibiotic-resistant bacteria.

Antibiotic residues, their mixture toxicity, and the potential selection for antibiotic-resistant bacteria could pose a problem for water use and the ecosystem of reservoirs. This study aims to provide a comprehensive understanding of the occurrence, concentration, distribution, and ecological risks associated with various antibiotics in the Cirata reservoir, Indonesia. In our water and sediment samples, we detected 24 out of the 65 antibiotic residues analyzed, revealing a diverse range of antibiotic classes present.

Quantifying future sanitation scenarios and progress towards SDG targets in the shared socioeconomic pathways.

Two main targets of SDG 6 (Sustainable Development Goal), clean water and sanitation, are SDG 6.2, to achieve universal and equitable access to improved sanitation and to phase out unimproved sanitation (include pit latrines without a slab or platform, hanging latrines, bucket latrines and open defecation) and SDG 6.3, to halve the proportion of untreated wastewater by 2030.

Shared Decision Making in Health Care Visits for CKD: Patients' Decisional Role Preferences and Experiences.

Rationale & Objective: Research on shared decision making (SDM) in chronic kidney disease (CKD) has focused almost exclusively on the modality of kidney replacement treatment. We explored what other CKD decisions are recognized by patients, what their preferences and experiences are regarding these decisions, and how decisions are made during their interactions with medical care professionals.

Study Design: Cross-sectional study.

A systematic review and meta-analysis of pathogen reduction in onsite sanitation systems.

The safe management of fecal sludge from the 3.4 billion people worldwide that use onsite sanitation systems can greatly reduce the global infectious disease burden. However, there is limited knowledge about the role of design, operational, and environmental factors on pathogen survival in pit latrines, urine diverting desiccation toilets, and other types of onsite toilets.