Research on the effects of rice fertigation using treated municipal wastewater (TWW) as the sole source of nutrients and irrigation water remains limited. This study examined the impact of continuous TWW irrigation on rice-soil systems across three years (2021-2023), focusing on soil health, plant growth and yield, and the mineral and toxic element composition of rice grains. Forage rice cultivation using TWW fertigation (test field) was compared with conventional cultivation using chemical fertilisers and canal water (control field). The test field exhibited an average total nitrogen (TN) removal rate of 72 % across three crop seasons. However, low TN concentrations in TWW (2021: 4.7 mg L, 2022: 9.9 mg L, 2023: 2.8 mg L) resulted in lower leaf greenness, plant height, and shoot biomass compared to the control, particularly in 2023 (p < 0.01). In the same year, rice protein content in the test field (5.9 %) was significantly lower than the control (6.5 %) (p < 0.001), while mineral compositions remained consistent across fields (p > 0.05). Significant increases in K, Mg, Na, and Zn concentrations were observed in rice grains from the test field in 2021 (p < 0.05). However, As levels in the test field grains (0.35 mg kg) in 2023 approached the maximum allowable limit and were significantly higher than that in the control (0.25 mg kg), raising food safety concerns. TWW irrigation maintained soil C levels, with the test field exhibiting higher C:N ratios, humification indices, and complex carbon structures (R and SUVA) across the three seasons. These improvements enhanced soil structure and nutrient retention. While TWW irrigation shows potential as sustainable alternative to chemical fertilisers, optimizing its application to address varying N concentrations and complex organic matter dynamics is essential to maximize productivity and ensure food safety and environmental sustainability.
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http://dx.doi.org/10.1016/j.scitotenv.2025.179089 | DOI Listing |
Circ J
March 2025
Department of Cardiovascular Medicine, Shinshu University School of Medicine.
Background: The EMPA-REG OUTCOME trial confirmed empagliflozin reduced mortality and heart failure hospitalization risk. These findings raised the possibility that empagliflozin may modulate cardiac autonomic function in patients with type 2 diabetes (T2D).
Methods And Results: The EMPYREAN study was a prospective randomized open-label assessor-blinded multicenter investigation of patients with T2D without prior antidiabetic therapy with sodium-glucose cotransporter 2 or dipeptidyl peptidase 4 inhibitors.
Zhong Nan Da Xue Xue Bao Yi Xue Ban
October 2024
Department of Pediatrics, Third Xiangya Hospital, Central South University, Changsha 410013.
Objectives: In the post-epidemic era, the prevalence of obesity among urban residents in China has risen sharply, with 34.8% of the population being overweight and 14.1% classified as obese.
View Article and Find Full Text PDFBMJ Open Qual
March 2025
Medicine, University of California Los Angeles, Los Angeles, California, USA.
Inpatient hypoglycaemia is a significant concern in patients with diabetes due to its association with increased mortality. At the Veterans Affairs Greater Los Angeles Healthcare System, we developed a project to reduce overnight hypoglycaemia in hospitalised patients with diabetes by addressing insulin stacking, defined as insulin dosed within 4 hours of each other. By delaying the timing of bedtime correctional insulin administration in the electronic health record, we achieved a 28% reduction in the proportion of patients experiencing insulin stacking after one year.
View Article and Find Full Text PDFThe 1-year survival rate of patients with unresectable hepatocellular carcinoma is less than 50%, which indicates a poor prognosis. Recently, the combination of atezolizumab and bevacizumab has improved the prognosis of patients with advanced hepatocellular carcinoma and has become the first-line treatment for unresectable hepatocellular carcinoma. However, there are few reports on conversion surgery after chemotherapy for unresectable hepatocellular carcinoma.
View Article and Find Full Text PDFGan To Kagaku Ryoho
February 2025
Dept. of Surgery, Nishinomiya Municipal Central Hospital.
Introduction: To evaluate the level of anxiety and depression of the patients, Hospital Anxiety and Depression Scale (HADS) is useful to evaluate symptoms such as dejection and uneasiness by asking patients to answer 14 questions. The aim of this study was to evaluate the changes of psychological characteristics such as anxiety and depression using HADS after gastrectomy in gastric cancer(GC)patients.
Patients And Methods: We retrospectively analyzed the clinical data of 79 patients with GC who underwent gastrectomy and answered HADS questions between January 2017 and August 2023.
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