Contamination of typical phthalate acid esters in surface water and sediment of the Pearl River, South China: Occurrence, distribution, and health risk assessment.

The occurrence and distribution of six phthalate acid esters (PAEs) in surface water and sediment of the Pearl River were investigated, including Xijiang River (XR), Beijiang River (BR), Lingdingyang Estuary (LE), and Guangzhou River (GR) in South China. Six target PAEs were identified in surface water and sediment at almost all sites in the Pearl River, with di(2-ethyl-ethyl) phthalate (DEHP) and dibutyl phthalate (DBP) as dominant PAEs. Total 6 PAEs (ΣPAEs) in surface water and sediment ranged from 1,797.5 to 4,968.5 ng L-1 and 95.24 to 3,677.26 ng g-1 dw, respectively. In addition, the contamination levels of PAEs in the Pearl River are in the following order: XR > BR > GR > LE for surface water and BR > XR > GR for sediment. Local agricultural activities, industrial production, water confluence, and seawater intrusion are the probable sources of PAEs in the Pearl River. Based on correlation analysis, the possible collocation patterns of different PAEs were revealed. The risk assessment indicates that residual PAEs in the Pearl River pose a serious threat to the ecological environment. According to risk characterization of fish living in the Pearl River, the decreasing order of health risks was: GR > LE > XR > BR.

Comparison of different general anesthesia method on preoperation cognitive function in elderly patients / 中国基层医药

Objective To compare the effect of different general anesthesia method on preoperation cognitive function in elderly patients.Methods According to the digital table,82 elderly patients(non cardiac surgical operation) were selected and divided into the two groups,each group 41 cases.The group A was given to sufentanil combined with propofol intravenous injection anesthesia,and the group B was given to sevoflurane inhalation anesthesia.The cognitive function of patients of two groups in preoperative,postoperative 3h,6h,24h were assessed by simple intelligence scale(MMSE),and the indicators of postoperative recovery were evaluated.Results The postoperative sleep time [(6.9 ± 1.2) min],language ability recovery time [(9.8 ± 2.2) min] in the group A were all higher than those of group B (t =6.687,5.640,all P ＜ 0.01).The MMSE scores in group A after 3h [(17.1 ± 2.2) points],6h [(19.6 ±2.7)points],24h[(22.4 ±2.3) points] were lower than those of group B(t =10.026,6.229,5.082,all P＜0.01).And the PCOD rate in group A after 24h was 36.6％,which was higher than 17.1％ in group B(x2 =3.98,P ＜ 0.05).Conclusion The inhalational anesthetic methods has more quickly postoperative recovery,lower incidence of cognitive dysfunction,better clinical effects.

Using Six Sigma Method to Reduce the Defects in Drug Delivery / 中国药房

OBJECTIVE:To improve the drug delivery procedures and reduce the defects occurred in drug delivery.METHODS:The five procedures of six sigma including defining,measuring,analyzing,improving and controlling were applied to improve the drug delivery in our hospital's single dose dispensing(UDD)center.RESULTS:Due to the application of the six sigma method,the defect rate of drug delivery dropped from 25.1%(before the initiation of the six sigma method)to 5%(after the initiation of the six sigma method),which was significant lower as compared before the initiation of the six sigma method.CONCLUSION:Six sigma method contributed to the reduction of defect rate of drug delivery,so it deserves to be widely used in each management link in UDD center so as to improve the quality of dispensing.