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UV-aging reduces the effects of biodegradable microplastics on soil sulfamethoxazole degradation and sul genes development
Sun X, Tian S, You L, Huang X and Su JQ
In recent years, the biodegradable plastics has extensively used in industry, agriculture, and daily life. Herein, the effects of two biodegradable microplastics (BMPs), poly(butyleneadipate-co-terephthalate) (PBAT) and polyhydroxyalkanoate (PHA), on soil sulfamethoxazole (SMX) degradation and sul genes development were comparatively studied based on the type, dosage, and state. The addition of virgin BMPs significantly increased soil DOC following a sequential order PBAT > PHA and high dose > low dose. Meanwhile virgin PBAT significantly reduced soil pH. In general, the addition of BMPs not only promoted soil SMX degradation but also increased the abundance of sul genes, with an exception that pH reduction in virgin PBAT inhibited the proliferation of sul genes. The driving effects of BMPs on soil microbial diversity following the same order as that on DOC. Specific bacteria stimulated by BMPs, such as Arthrobacter and two genera affiliated with phylum TM7, accounted for the accelerated degradation of SMX. Intriguingly, UV-aging hindered the release of DOC from BMPs and the reduction in pH, mitigated the stimulation of microbial communities, and ultimately reduced the promotion effect of BMPs on SMX degradation and sul genes proliferation. Our results suggest that more attention should be paid to the proliferation risk of ARGs in the environment affected by BMPs and UV-aging can be employed sometimes to reduce this risk.
Seasonal changes of chemodiversity along with microbial succession in a municipal wastewater treatment plant
Cui Y, Zhang J, Wen L, Liu J, Hao Z, Wei C, Jiang Y, Wei Y and Shen P
The relationship between chemodiversity and microbial succession in wastewater treatment plants (WWTPs) is highly intricate and bidirectional. The specific contribution of the microbial community to changes in the composition of dissolved organic matter (DOM) within different biological treatment units remains unclear, as does the reciprocal influence of DOM composition on microbial succession. In this study, spectroscopy ((Excitation-emission matrix) EEM-PARAFAC, Ultraviolet (UV)-spectrum, Fourier transform infrared spectrometer (FT-IR)), Liquid chromatograph mass spectrometer (LC‒MS) and Fourier transform ion cyclotron resonance (FT-ICR) MS along with high-throughput sequencing technology were used to explore the relationship between chemodiversity and microbial succession in WWTPs concerning seasonal changes. The results showed that WWTPs with anaerobic/anoxic/oxic (AO) processes can metabolize and transform most of the wastewater DOM, and the anaerobic unit has the highest removal rate for fluorescence DOM (FDOM, 14.07%-64.43%); the anaerobic unit increased aliphatic/proteins and lignin-like molecules but decreased relative intensity, while the anoxic unit removed unsaturated hydrocarbons, aromatic structures, and lignin-like substances. The impact of seasonal changes on the composition and removal of FDOM and DOM in wastewater treatment is significant, and the variations that occur during different seasons affect microbial activity, as well as the production, degradation, and transformation of organic compounds throughout the wastewater treatment process. Network analysis shows that Parcubacteria_genera_incertae_sedis plays a crucial role in DOM chemodiversity, highlighting the crucial contribution of microbial communities to both the structure and operation of the entire DOM network. The results in this study could provide some theoretical and practical basis for guiding the process optimization of WWTPs.
Promotion effect of Ce and Ta co-doping on the NH-SCR performance over VO/TiO catalyst
Liu L, Shen X, Lian Z, Lin C, Zhu Y, Shan W and He H
NH-SCR (SCR: Selective catalytic reduction) is an effective technology for the de-NO process from both mobile and stationary pollution sources, and the most commonly used catalysts are the vanadia-based catalysts. An innovative VO-CeO/TaTiO catalyst for NO removal was prepared in this study. The influences of Ce and Ta in the VO-CeO/TaTiO catalyst on the SCR performance and physicochemical properties were investigated. The VO-CeO/TaTiO catalyst not only exhibited excellent SCR activity in a wide temperature window, but also presented strong resistance to HO and SO at 275 ℃. A series of characterization methods was used to study the catalysts, including H-temperature programmed reduction, X-ray photoelectron spectroscopy, NH-temperature programmed desorption, etc. It was discovered that a synergistic effect existed between Ce and Ta species. The introduction of Ce and Ta enlarged the specific surface area, increased the amount of acid sites and the ratio of Ce, (V+V) and O, and strengthened the redox capability which were related to synergistic effect between Ce and Ta species, significantly improving the NH-SCR activity.
Associations of polycyclic aromatic hydrocarbons exposure with serum uric acid and hyperuricemia in US adults: The role of systemic inflammation
Liu Y, Ding X, Yu L, Shi D, Liang R, Liu W, Huang X, Cao X, Zhou M and Chen W
The associations of polycyclic aromatic hydrocarbon (PAH) exposure with serum uric acid (SUA) or hyperuricemia have been rarely assessed. We aimed to investigate the relationships between urinary PAH metabolites and SUA or hyperuricemia among US adults and to explore the mediating role of systemic inflammation in the associations. A total of 10,307 US adults were conducted to assess the associations of seven urinary hydroxy‑PAH with SUA and hyperuricemia and evaluate the role of C-reactive protein (CRP), a biomarker of systemic inflammation, in such associations. Results showed that each 1-unit increase in ln-transformed 2-hydroxynaphthalene (2-OHNa), 1-hydroxyphenanthrene (1-OHPh), 2&3-hydroxyphenanthrene (2&3-OHPh) and total hydroxyphenanthrene (ΣOHPh) was associated with a 1.68 (95% confidence interval (CI): 0.19 to 3.17), 2.46 (0.78 to 4.13), 3.34 (1.59 to 5.09), and 2.99 (1.23 to 4.75) µmol/L increase in SUA, and a 8% (odds ratio (OR): 1.08, 1.02 to 1.15), 9% (OR: 1.09, 1.02 to 1.18), 13% (OR: 1.13, 1.05 to 1.22), and 12% (OR: 1.12, 95% CI: 1.03, 1.21) increase in hyperuricemia, respectively. Co-exposure of seven PAHs was positively associated with SUA and hyperuricemia, with 2&3-OHPh showing the highest weight (components weights: 0.83 and 0.78, respectively). The CRP mediated 11.47% and 10.44% of the associations of ΣOHPh and 2&3-OHPh with SUA and mediated 8.60% and 8.62% in associations of ΣOHPh and 2&3-OHPh with hyperuricemia, respectively. In conclusion, internal levels of PAH metabolites were associated with elevated SUA levels and the increased risk of hyperuricemia among US adults, and CRP played a mediating role in the associations.
Alcohol regulated phase change absorbent for efficient carbon dioxide capture: Mechanism and energy consumption
Wang C, Kong W, Dong Z, Lv B, Jing G and Zhou Z
Phase change absorbents based on amine chemical absorption for CO capture exhibit energy-saving potential, but generally suffer from difficulties in CO regeneration. Alcohol, characterized as a protic reagent with a low dielectric constant, can provide free protons to the rich phase of the absorbent, thereby facilitating CO regeneration. In this investigation, N-aminoethylpiperazine (AEP)/sulfolane/HO was employed as the liquid-liquid phase change absorbent, with alcohol serving as the regulator. First, appropriate ion pair models were constructed to simulate the solvent effect of the CO products in different alcohol solutions. The results demonstrated that these ion pair products reached the maximum solvation-free energy (ΔE) in the rich phase containing ethanol (EtOH). Desorption experiment results validated that the inclusion of EtOH led to a maximum regeneration rate of 0.00763 mol/min, thus confirming EtOH's suitability as the preferred regulator. Quantum chemical calculations and C NMR characterization were performed, revealing that the addition of EtOH resulted in the partial conversion of AEP-carbamate (AEPCOO) into a new product known as ethyl carbonate (CHOCOO), which enhanced the regeneration reactivity. In addition, the decomposition paths of different CO products were simulated visually, and every reaction's activation energy (ΔE) was calculated. Remarkably, the ΔE for the decomposition of CHOCOO (9.465 kJ/mol) was lower than that of the AEPCOO (26.163 kJ/mol), implying that CO was more likely to be released. Finally, the regeneration energy consumption of the alcohol-regulated absorbent was estimated to be only 1.92 GJ/ton CO, which had excellent energy-saving potential.
Mobilization of heavy metals from floodplain sediments of the Yellow River during redox fluctuations
Xie F, Li X, Yang Q, Meng Y and Luan F
The floodplain of the Yellow River is a typical area characterized by redox fluctuations and heavy metal pollution. However, the mobilization behavior of heavy metals in floodplain sediments during redox fluctuations remains poorly understood. In this study, reductive mobilization of Fe and Mn was observed under reducing environments through reduction and dissolution, leading to the subsequent release of adsorbed As. In contrast, the mobilization of U occurred under oxic conditions, as the oxidative state of U(VI) has higher solubility. Furthermore, insignificant effects on the mobilization of Cd, Cu, Pb, and Hg were noticed during redox fluctuations, indicating higher stability of these heavy metals. Additionally, we demonstrated that carbon sources can play a key role in the mobilization of heavy metals in floodplain sediments, amplifying the reductive mobilization of Fe, Mn, As and the oxidative mobilization of U. Our findings contribute to the understanding of the biogeochemical cycling of heavy metal in floodplain sediments of the Yellow River and the factors that control this cycling.
Monitoring bloom-forming Aphanizomenon using environmental DNA metabarcoding: Method development, validation, and field application
Sun D, Li S, Xiong W, Du X, Qiao K and Zhan A
Harmful algal blooms (HABs) have emerged as a critical global environmental and ecological concern. Timely and accurate monitoring of the prevalent bloom-forming genera is crucial for HAB management. Conventional microscope-based methods are time-consuming, labor-intensive, and specialized expertise-dependent, often making them impractical for large-scale surveillance. Molecular methods, such as metabarcoding, provide efficient technical solutions; however, the lack of competent PCR primers and further field validation present obstacles to their wide use. Here, we successfully developed Aphanizomenon-specific primers and validated the application of environmental DNA (eDNA) metabarcoding for field-based monitoring of Aphanizomenon in 37 sites across lentic and lotic freshwater ecosystems in Beijing. The sensitivity and specificity tests of newly developed primers demonstrated high performance - comprehensive recovery of biodiversity in Aphanizomenon communities and high ratios (>95%) of Aphanizomenon sequences in datasets. We observed significant correlations between the sequence abundance derived from eDNA metabarcoding and the total cell density determined through microscopic identification across all the sampling sites, both in the spring (r = 0.8086, p < 0.0001) and summer (r = 0.7902, p < 0.0001), thus validating the utility of eDNA metabarcoding based on the newly developed primers for monitoring in the field. Further, we identified key environmental variables that were primary drivers responsible for the spatiotemporal distribution of Aphanizomenon abundance. These variables included temperature, total nitrogen, and dissolved oxygen in lentic ecosystems, and total phosphorus in lotic ecosystems. The method developed and validated here offers an accurate, efficient, and high-throughput tool for the monitoring of Aphanizomenon blooms in freshwater ecosystems.
Review of Core-shell structure zeolite-based catalysts for NO emission control
Jia L, Liu J, Cheng H, Zhao Z and Liu J
Nitrogen oxides (NO) from diesel engine exhaust, is one of the major sources of environmental pollution. Currently, selective catalytic reduction with ammonia (NH-SCR) is considered to be the most effective protocol for reducing NO emissions. Nowadays, zeolite-based NH-SCR catalysts have been industrialized and widespread used in this field. Nevertheless, with the increasingly stringent environmental regulations and implementation of the requirement of "zero emission" of diesel engine exhaust, it is extremely urgent to prepare catalysts with superior NH-SCR activity and exceptional resistance to poisons (SO, alkali metals, hydrocarbons, etc.). Core-shell structure zeolite-based catalysts (CSCs) have shown great promise in NH-SCR of NO in recent years by virtue of its relatively higher low-temperature activity, broader operation temperature window and outstanding resistance to poisons. This review mainly focuses on the recent progress of CSCs for NH-SCR of NO with three extensively investigated SSZ-13, ZSM-5, Beta zeolites as cores. The reaction mechanisms of resistance to sulfur poisoning, alkali metal poisoning, hydrocarbon poisoning, and hydrothermal aging are summarized. Moreover, the important role of interfacial effect between core and shell in the reaction of NH-SCR was clarified. Finally, the future development and application outlook of CSCs are prospected.
Optimization of nitrogen-doped sludge char preparation and mechanism study for catalytic oxidation of NO at room temperature
Deng W, Zhang Y, Hu M, Wang R and Su Y
Catalytic oxidation of NO at room temperature was carried out over nitrogen (N)-doped sludge char (SC) prepared from pyrolysis of municipal sewage sludge, and urea was adopted as nitrogen source. The effects of different N-doping methods (one-step and two-step method), dried sludge (DS)/urea mass ratios (5:1, 4:1, 3:1, 2:1, and 1:1), SC preparation procedures (pyrolysis only, pyrolysis with acid washing, and pyrolysis with KOH activation and acid washing), and different pyrolysis temperatures (500, 600, 700, and 800°C) on the catalytic oxidation of NO were compared to optimize the procedure for SC preparation. The results indicated that N-doping could obviously promote the catalytic performance of SC. The one-step method with simultaneous sludge pyrolysis (at 700°C), KOH activation, and N-doping (DS/urea of 3:1) was the optimal procedure for preparing the N-doped SC with the NO conversion rate of 54.7%, whereas the optimal NO conversion rate of SC without N-doping was only 47.3%. Urea worked both as carbon and nitrogen source, which could increase about 2.9%-16.5% of carbon and 24.8%-42.7% of nitrogen content in SC pyrolyzed at 700°C. N-doping significantly promoted microporosity of SC. The optimal N-doped SC showed specific surface areas of 571.38 m/g, much higher than 374.34 m/g of the optimal SC without N-doping. In addition, N-doping also increased amorphousness and surface basicity of SC through the formation of N-containing groups. Finally, three reaction paths, i.e. microporous reactor, active sites, and basic site control path, were proposed to explain the mechanism of N-doping on promoting the catalytic performance of NO.
Role of urea in the retention of DON in soil by clay minerals: Analysis based upon molecular weight
Wang L, Li M and Liu X
As a widely used fertilizer, urea significantly promotes the leaching of dissolved organic nitrogen (DON) in soils and aggravates nitrogen contamination in groundwater. Clay minerals are considered the most important factor in retaining DON. However, the effect of urea on the retention of DON with different molecular weights by clay minerals is unknown. In this study, the retention of both low-molecular weight DON (LMWD) and high-molecular weight DON (HMWD) by clay minerals in the presence of urea was investigated. For this purpose, batch adsorption and soil column leaching experiments, characterization analysis (Fourier transform infrared spectroscopy X-ray diffraction, and X-ray photoelectron spectroscopy), and molecular dynamics simulations were carried out. Urea had a positive effect on the adsorption of LMWD, whereas a competitive effect existed for the adsorption of HMWD. The dominant interactions among DON, urea, and clay minerals included H-bonding, ligand exchange, and cation exchange. The urea was preferentially adsorbed on clay minerals and formed a complex, which provided more adsorption sites to LMWD and only a few to HMWD. The presence of urea increased the retention of LMWD and decreased the retention of HMWD in clay minerals. The retention capacity of LMWD increased by 6.9%-12.8%, while that of HMWD decreased by 6.7%-53.1%. These findings suggest that LMWD tended to be trapped in soils, while HMWD was prone to be leached into groundwater, which can be used to evaluate the leaching of DON from soil to groundwater.
Combination of electrochemical advanced oxidation and biotreatment for wastewater treatment and soil remediation
Zeng W, Yao B, Zhou Y, Yang J and Zhi D
The global concern surrounding the advancement of methods for treating wastewater and polluted soil has markedly increased over time. While electrochemical advanced oxidation processes (EAOPs) and biotreatments are commonly employed technologies for remediating wastewater and polluted soil, their widespread adoption is hindered by their limitations, which include high costs associated with EAOPs and prolonged remediation time of biotreatments. In the review, we provided an overview of EAOP technology and biotreatment, emphasizing the critical aspects involved in building a combined system. This review systematically evaluates recent research that combines EAOPs with bioremediation for treating wastewater or contaminated soil as pretreatment or post-treatment process. Research findings suggest that the combined treatment method represents a promising and competitive technology that can overcome some of the limitations of individual treatments. Additionally, we discussed the potential applications of this technology in varying levels of wastewater and soil pollution, as well as the underlying combination mechanisms.
Highly enhanced removal of Cr(VI) by nZVI in presence of myo-inositol hexakisphosphate: The depassivation performance and multiple electron transfer mechanisms
Wang C, Zhou S, Jiang F, Yan Y, Wang X, Yin H, Tan W and Feng X
The capability of traditional ligand in countering rapid passivation on nanoscale zero-valent iron (nZVI) surface is inadequate, and the precise electron transfer mechanism remains elusive. In this study, we reported that myo-inositol hexakisphosphate (IHP), a redox-inactive organophosphorus in soil, could highly enhance Cr(VI) reduction and immobilization in comparison with typical ligands (TPP, EDTA, oxalate and phosphate). And the effects of IHP concentration, Cr(VI) concentration and initial pH were systematically investigated. Cr K-edge XANES and XPS analysis revealed that Cr(III) was the exclusive form in solid products regardless of IHP existence. Results of ATR-FTIR and FESEM inferred that IHP was adsorbed on nZVI surface via inner-sphere complexation, thus averting encapsulation of [Fe, Cr](OH) coprecipitate and impeding solid particles agglomeration. Additionally, IHP expedited the production of surface-bound Fe(II), primarily attributable to the interaction between nZVI and oxygen. These surface-bound Fe(II) species played a pivotal role in Cr(VI) reduction. Electrochemical analysis unveiled that IHP lowered redox potential of Fe(III)/Fe(II), thereby facilitating reaction between Fe(II) and Cr(VI), whereas inhibited direct electron transfer from nZVI core to Cr(VI). Our findings proposed a novel potential ligand for alleviating nZVI passivation in Cr(VI) removal and deepened our understanding in the process of electron transfer.
Metabolomic and gut-microbial responses of earthworms exposed to microcystins and nano zero-valent iron in soil
Wang Y, Zhang C, Lin D and Zhang J
The earthworm-based vermiremediation facilitated with benign chemicals such as nano zero-valent iron (nZVI) is a promising approach for the remediation of a variety of soil contaminants including cyanotoxins. As the most toxic cyanotoxin, microcystin-LR (MC-LR) enter soil via runoff, irrigated surface water and sewage, and the application of cyanobacterial biofertilizers as part of the sustainable agricultural practice. Earthworms in such remediation systems must sustain the potential risk from both nZVI and MC-LR. In the present study, earthworms (Eisenia fetida) were exposed up to 14 days to MC-LR and nZVI (individually and in mixture), and the toxicity was investigated at both the organismal and metabolic levels, including growth, tissue damage, oxidative stress, metabolic response and gut microbiota. Results showed that co-exposure of MC-LR and nZVI is less potent to earthworms than that of separate exposure. Histological observations in the co-exposure group revealed only minor epidermal brokenness, and KEGG enrichment analysis showed that co-exposure induced earthworms to regulate glutathione biosynthesis for detoxification and reduced adverse effects from MC-LR. The combined use of nZVI promoted the growth and reproduction of soil and earthworm gut bacteria (e.g., Sphingobacterium and Acinetobacter) responsible for the degradation of MC-LR, which might explain the observed antagonism between nZVI and MC-LR in earthworm microcosm. Our study suggests the beneficial use of nZVI to detoxify pollutants in earthworm-based vermiremediation systems where freshwater containing cyanobacterial blooms is frequently used to irrigate soil and supply water for the growth and metabolism of earthworms.
Effects of reductive soil disinfestation on potential pathogens and antibiotic resistance genes in soil
Duan H, Yin Y, Wang Y, Liu Z, Cai T, Zhu D, Chen C and Duan G
Reductive soil disinfestation (RSD) is commonly employed for soil remediation in greenhouse cultivation. However, its influence on antibiotic resistance genes (ARGs) in soil remains uncertain. This study investigated the dynamic changes in soil communities, potential bacterial pathogens, and ARG profiles under various organic material treatments during RSD, including distillers' grains, potato peel, peanut vine, and peanut vine combined with charcoal. Results revealed that applying diverse organic materials in RSD significantly altered bacterial community composition and diminished the relative abundance of potential bacterial pathogens (P < 0.05). The relative abundance of high-risk ARGs decreased by 10.7%-30.6% after RSD treatments, the main decreased ARG subtypes were AAC(3)_Via, dfrA1, ErmB, lnuB, aadA. Actinobacteria was the primary host of ARGs and was suppressed by RSD. Soil physicochemical properties, such as total nitrogen, soil pH, total carbon, were crucial factors affecting ARG profiles. Our findings demonstrated that RSD treatment inhibited pathogenic bacteria and could be an option for reducing high-risk ARG proliferation in soil.
Efficient chlorination reaction of Pt/RuO/g-CN under visible light irradiation for simultaneous removal of ammonia and bacteria from mariculture wastewater
Zhang Y, Zhao M, Huang Y, Hu YL and Wang L
The removal of ammonia nitrogen (NH-N) and bacteria from aquaculture wastewater holds paramount ecological and production significance. In this study, Pt/RuO/g-CN photocatalysts were prepared by depositing Pt and RuO particles onto g-CN. The physicochemical properties of photocatalysts were explored by X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM), X-ray diffraction (XRD), and UV-vis diffuse reflectance spectrometer (UV-vis DRS). The photocatalysts were then applied to the removal of both NH4+-N and bacteria from simulated mariculture wastewater. The results clarified that the removals of both NH-N and bacteria were in the sequence of g-CN < RuO/g-CN < Pt/g-CN < Pt/RuO/g-CN. This magnificent photocatalytic ability of Pt/RuO/g-CN can be interpreted by the transfer of holes from g-CN to RuO to facilitate the in situ generation of HClO from Cl in wastewater, while Pt extracts photogenerated electrons for H formation to enhance the reaction. The removal of NH-N and disinfection effect were more pronounced in simulated seawater than in pure water. The removal efficiency of NH-N increases with an increase in pH of wastewater, while the bactericidal effect was more significant under a lower pH in a pH range of 6-9. In actual seawater aquaculture wastewater, Pt/RuO/g-CN still exhibits effective removal efficiency of NH-N and bactericidal performance under sunlight. This study provides an alternative avenue for removement of NH-N and bacteria from saline waters under sunlight.
T-2 toxin induces cardiac fibrosis by causing metabolic disorders and up-regulating Sirt3/FoxO3α/MnSOD signaling pathway-mediated oxidative stress
Qiao L, Lin X, Liu H, Xiang R, Zhan J, Deng F, Bao M, He H, Wen X, Deng H, Wang X, He Y, Yang Z and Han J
T-2 toxin, an omnipresent environmental contaminant, poses a serious risk to the health of humans and animals due to its pronounced cardiotoxicity. This study aimed to elucidate the molecular mechanism of cardiac tissue damage by T-2 toxin. Twenty-four male Sprague-Dawley rats were orally administered T-2 toxin through gavage for 12 weeks at the dose of 0, 10, and 100 nanograms per gram body weight per day (ng/(g·day)), respectively. Morphological, pathological, and ultrastructural alterations in cardiac tissue were meticulously examined. Non-targeted metabolomics analysis was employed to analyze alterations in cardiac metabolites. The expression of the Sirt3/FoxO3α/MnSOD signaling pathway and the level of oxidative stress markers were detected. The results showed that exposure to T-2 toxin elicited myocardial tissue disorders, interstitial hemorrhage, capillary dilation, and fibrotic damage. Mitochondria were markedly impaired, including swelling, fusion, matrix degradation, and membrane damage. Metabonomics analysis unveiled that T-2 toxin could cause alterations in cardiac metabolic profiles as well as in the Sirt3/FoxO3α/MnSOD signaling pathway. T-2 toxin could inhibit the expressions of the signaling pathway and elevate the level of oxidative stress. In conclusion, the T-2 toxin probably induces cardiac fibrotic impairment by affecting amino acid and choline metabolism as well as up-regulating oxidative stress mediated by the Sirt3/FoxO3α/MnSOD signaling pathway. This study is expected to provide targets for preventing and treating T-2 toxin-induced cardiac fibrotic injury.
Cd/Pb behavior during combustion in a coal-fired power plant and their spatiotemporal impacts on soils: New insights from Cd/Pb isotopes
Xia Y, Gao T, Liu Y, Qi M, Zhu JM, Tong H, Lv Y and Liu C
Coal power plants annually generate quantities of byproducts that release environmentally hazardous heavy metals like Cd and Pb. Understanding the behavior and spatiotemporal impacts on soils of these releases is crucial for pollution control. This study investigated the concentrations and isotope ratios of Cd/Pb in combustion byproducts, depositions and soils collected from a coal-fired power plant or its surrounding area. The pulverized fuel ash (PFA) and desulfurized gypsum (DG) exhibited heavier Cd isotopes with ΔCd values of 0.304‰ and 0.269‰, respectively, while bottom ash (BA) showed lighter Cd isotopes (ΔCd = -0.078‰), compared to feed coal. We proposed a two-stage condensation process that governs the distribution of Cd/Pb, including accumulation on PFA and DG within electrostatic precipitators and desulfurization unit, as well as condensation onto fine particles upon release from the stack. Emissions from combustion and large-scale transport make a significant contribution to deposition, while the dispersion of Cd/Pb in deposition is primarily influenced by the prevailing wind patterns. However, the distribution of Cd/Pb in soils not only exhibit predominant wind control but is also potentially influenced by the resuspension of long-term storage byproducts. The power plant significantly contributes to soil in the NW-N-NE directions, even at a considerable distance (66%-79%), demonstrating its pervasive impact on remote regions along these orientations. Additionally, based on the vertical behavior in the profile, we have identified that Cd tends to migrate downward through leaching, while variations in Pb respond to the historical progression of dust removal.
Effects of isoprene on the ozonolysis of Δ-carene and β-caryophyllene: Mechanisms of secondary organic aerosol formation and cross-dimerization
Zhang Z, Zhao Y, Zhao Y, Zang X, Xie H, Yang J, Zhang W, Wu G, Li G, Yang X and Jiang L
Elucidating the mutual effects between the different volatile organic compounds (VOCs) is crucial for comprehending the formation mechanism of atmospheric secondary organic aerosols (SOA). Here, the mixed VOCs experiments of isoprene and Δ-carene/β-caryophyllene were carried out in the presence of O using an indoor smog chamber. The suppression effect of isoprene was recognized by the scanning mobility particle sizer spectrometer, online vacuum ultraviolet free electron laser (VUV-FEL) photoionization aerosol mass spectrometry, and quantum chemical calculations. The results indicate that the suppression effect of isoprene on the ozonolysis of Δ-carene and β-caryophyllene shows fluctuating and monotonous trends, respectively. The carbon content of the precursor could be the main factor for regulating the strength of the suppression effect. Plausible structures and formation mechanisms of several new products generated from the single VOC precursor and VOC-cross-reaction are proposed, which enrich the category of VOC oxidation products. Meanwhile, a new dimerization mechanism of the RO + R'O reaction is suggested, which offers an intriguing perspective on the gas phase formation process of particle phase accretion products. The present findings provide valuable insights into clarifying the pivotal roles played by isoprene in the interplay between different VOCs and understanding of SOA formation mechanisms of VOC mixtures, especially nearby the emission origins.
Occurrence and potential risks of organophosphate esters in agricultural soils: A case study of Fuzhou City, Southeast China
Wang T, Zhang H, Huang C, Ben Y, Zhou H, Guo H, Han Y, Zhang Y and Tong P
Fifty agricultural soil samples collected from Fuzhou, southeast China, were first investigated for the occurrence, distribution, and potential risks of twelve organophosphate esters (OPEs). The total concentration of OPEs (ΣOPEs) in soil ranged from 1.33 to 96.5 ng/g dry weight (dw), with an average value of 17.1 ng/g dw. Especially, halogenated-OPEs were the predominant group with a mean level of 9.75 ng/g dw, and tris(1-chloro-2-propyl) phosphate (TCIPP) was the most abundant OPEs, accounting for 51.1% of ΣOPEs. The concentrations of TCIPP and ∑OPEs were found to be significantly higher (P < 0.05) in soils of urban areas than those in suburban areas. In addition, the use of agricultural plastic films and total organic carbon had a positive effect on the occurrence of OPE in this study. The positive matrix factorization model suggested complex sources of OPEs in agricultural soils from Fuzhou. The ecological risk assessment demonstrated that tricresyl phosphate presented a medium risk to land-based organisms (0.1 ≤ risk quotient < 1.0). Nevertheless, the carcinogenic and non-carcinogenic risks for human exposure to OPEs through soil ingestion and dermal absorption were negligible. These findings would facilitate further investigations into the pollution management and risk control of OPEs.
Establish of air pollutants and greenhouse gases emission inventory and co-benefits of their reduction of transportation sector in Central China
Zhang X, Yin S, Lu X, Liu Y, Wang T, Zhang B, Li Z, Wang W, Kong M and Chen K
Recently, the transportation sector in China has gradually become the main source of urban air pollution and primary driver of carbon emissions growth. Considering air pollutants and greenhouse gases come from the same emission sources, it is necessary to establish an updated high-resolution emission inventory for the transportation sector in Central China, the most polluted region in China. The inventory includes on-road mobile, non-road mobile, oil storage and transportation, and covers 9 types of air pollutants and 3 types of greenhouse gases. Based on the Long-range Energy Alternatives Planning System (LEAP) model, the emissions of pollutants were predicted for the period from 2020 to 2035 in different scenarios. Results showed that in 2020, emissions of SO, NO, CO, PM, PM, VOCs, NH, BC, OC, CO, CH, and NO in Henan Province were 27.5, 503.2, 878.6, 20.1, 17.4, 222.1, 21.5, 9.4, 2.9, 92,077.9, 6.0, and 10.4 kilotons, respectively. Energy demand and pollutant emissions in Henan Province are simulated under four scenarios (Baseline Scenario (BS), Pollution Abatement Scenario (PA), Green Transportation Scenario (GT), and Reinforcing Low Carbon Scenario (RLC)). The collaborative emission reduction effect is most significant in the RLC scenario, followed by the GT scenario. By 2035, under the RLC scenario, energy consumption and emissions of SO, NO, CO, PM, PM, VOCs, NH, CO, CH, and NO are projected to decrease by 72.0%, 30.0%, 55.6%, 56.0%, 38.6%, 39.7%, 51.5%, 66.1%, 65.5%, 55.4%, and 52.8%, respectively. This study provides fundamental data support for subsequent numerical simulations.
Efficiency and mechanism of controlling phosphorus release from sediment using a biological aluminum-based P-inactivation agent
Chen C, Li F, Shen C, Tang X, Zhuang M, Zhou Z and Wang D
Eutrophication is a significant challenge for surface water, with sediment phosphorus (P) release being a key contributor. Although biological aluminum-based P-inactivation agent (BA-PIA) has shown effectiveness in controlling P release from sediment, the efficiency and mechanism by BA-PIA capping is still not fully understood. This study explored the efficiency and mechanism of using BA-PIA capping controlling P release from sediment. The main mechanisms controlling P release from sediment via BA-PIA capping involved transforming mobile and less stable fractions into stable ones, passivating DGT-labile P and establishing a 13 mm 'P static layer' within the sediment. Additionally, BA-PIA's impact on Fe redox processes significantly influenced P release from the sediment. After BA-PIA capping, notable reductions were observed in total P, soluble reactive P (SRP), and diffusive gradient in thin-films (DGT)-measured labile P (DGT-labile P) concentration in the overlying water, with reduction rates of 95.6%, 92.7%, and 96.5%, respectively. After BA-PIA capping, the diffusion flux of SRP across the sediment-water interface and the apparent P diffusion flux decreased by 91.3% and 97.8%, respectively. Additionally, BA-PIA capping led to reduced concentrations of SRP, DGT-labile P, and DGT-measured labile Fe(II) in the sediment interstitial water. Notably, BA-PIA capping significantly reduced P content and facilitated transformation in the 0∼30 mm sediment layers but not in the 30∼45 mm and 45∼60 mm sediment layers for NaOH-extractable inorganic P and HCl-extracted P. These findings offer a theoretical basis and technical support for the practical application of BA-PIA capping to control P release from sediment.
The role of nuclear factor erythroid 2-related factor 2 (NRF2) in arsenic toxicity
El-Mahrouk SR, El-Ghiaty MA and El-Kadi AOS
Arsenic, a naturally occurring toxic element, manifests in various chemical forms and is widespread in the environment. Exposure to arsenic is a well-established risk factor for an elevated incidence of various cancers and chronic diseases. The crux of arsenic-mediated toxicity lies in its ability to induce oxidative stress, characterized by an unsettling imbalance between oxidants and antioxidants, accompanied by the rampant generation of reactive oxygen species and free radicals. In response to this oxidative turmoil, cells deploy their defense mechanisms, prominently featuring the redox-sensitive transcription factor known as nuclear factor erythroid 2-related factor 2 (NRF2). NRF2 stands as a primary guardian against the oxidative harm wrought by arsenic. When oxidative stress activates NRF2, it orchestrates a symphony of downstream antioxidant genes, leading to the activation of pivotal antioxidant enzymes like glutathione-S-transferase, heme oxygenase-1, and NAD(P)H: quinone oxidoreductase 1. This comprehensive review embarks on the intricate and diverse ways by which various arsenicals influence the NRF2 antioxidant pathway and its downstream targets, shedding light on their roles in defending against arsenic exposure toxic effects. It offers valuable insights into targeting NRF2 as a strategy for safeguarding against or treating the harmful and carcinogenic consequences of arsenic exposure.
Reaction kinetics of CO capture into AMP/PZ/DME solid-liquid biphasic solvent
Chen X, Jing G, Lv B and Zhou Z
The non-aqueous solid-liquid biphasic solvent of 2-amino-2-methyl-1-propanol (AMP)/piperazine (PZ)/dipropylene glycol dimethyl ether (DME) features a high CO absorption loading, favorable phase separation behavior and high regeneration efficiency. Different with the liquid-liquid phase change solvent, the reaction kinetics of CO capture into solid-liquid biphasic solvent was rarely studied. In the present work, the reaction kinetics of CO absorption into AMP/PZ/DME solid-liquid biphasic solvent was investigated into the double stirred kettle reactor. The absorption reaction followed a pseudo-first-order kinetic model according to the zwitterion mechanism. The overall reaction rate constant (k) and the enhancement factor (E) of CO absorption both increased with increasing temperature. The total mass transfer resistance of the absorbent decreased with increasing temperature and increased with increasing absorption loading, so the higher reaction temperature was conducive to the absorption, and the liquid phase mass transfer resistance was the main factor affecting the absorption rate.
Advancing antibiotic detection and degradation: recent innovations in graphitic carbon nitride (g-CN) applications
Liu R, Zhang C, Liu R, Sun Y, Ren B, Tong Y and Tao Y
The uncontrolled release of antibiotics into the environment would be extremely harmful to human health and ecosystems. Therefore, it is in urgent need to monitor the environment and promote the detection and degradation of antibiotics to the relatively harmless by-products to a feasible extent. Graphitic carbon nitride (g-CN) is a non-metallic n-type semiconductor that can be used for the antibiotic detection and degradation due to its easy synthesis process, excellent chemical stability and unique optical properties. Unfortunately, the utilization of visible light, electron-hole recombination and electron conductivity have hindered its potential applications in the fields of photocatalytic degradation and electrochemical detection. Although previous publications have highlighted the diverse modification methods for the g-CN-based materials, the underlying structure-performance relationships of g-CN, especially for the detection and degradation of antibiotics, remains to be further explored. In view of this, the current review centered on the recent progress in the modification techniques of g-CN, the detection and degradation of antibiotics using the g-CN-based materials, as well as the potential antibiotic degradation mechanisms of the g-CN-based materials. Additionally, the underlying applications of the g-CN-based materials for antibiotic detection and degradation were also prospected. This review would provide a valuable research foundation and the up-to-date information for the g-CN-based materials to combat antibiotic pollution in the environment.
Humic-like components in dissolved organic matter inhibit cadmium sequestration by sediment
Li B, Li Z, Chen J, Jin C, Cao W and Peng B
China's lakes are plagued by cadmium (Cd) pollution. Dissolved organic matter (DOM) significantly regulates Cd(II) transport properties at the sediment-water interface. Understanding the effects of different DOM components on the transportation properties of Cd(II) at the sediment-water interface is essential. In this study, typical DOM from different sources was selected to study Cd(II) mobility at the sediment-water interface. Results showed that terrestrial-derived DOM (fulvic acids, FA) and autochthonous-derived DOM (α-amylase, B1) inhibit Cd(II) sequestration by sediments (42.5% and 5.8%, respectively), while anthropogenic-derived DOM (sodium dodecyl benzene sulfonate, SDBS) increased the Cd(II) adsorption capacity by sediments by 2.8%. Fluorescence quenching coupling with parallel factor analysis (EEM-PARAFAC) was used to characterize different DOM components. The results showed that FA contains three kinds of components (C1, C3: protein-like components, C2: humic-like components); SDBS contains two kinds of components (C1, C2: protein-like components); B1 contains three kinds of components (C1, C2: protein-like components, C3: humic-like components).Three complex reaction models were used to characterize the ability of Cd(II) complex with DOM, and it was found that the humic-like component could hardly be complex with Cd(II). Accordingly, humic-like components compete for Cd(II) adsorption sites on the sediment surface and inhibit Cd(II) adsorption from sediments. Fourier transform infrared spectroscopy (FTIR) of the sediment surface before and after Cd(II) addition was analyzed and proved the competitive adsorption theory. This study provides a better understanding of the Cd(II) mobilization behavior at the sediment-water interface and indicates that the input of humic-like DOM will increase the bioavailability of Cd.
A methodological framework for estimating ambient PM particulate matter concentrations in the UK
Galán-Madruga D, Broomandi P, Satyanaga A, Jahanbakhshi A, Bagheri M, Fathian A, Sarvestan R, Cárdenas-Escudero J, Cáceres JO, Kumar P and Kim JR
Scientific evidence sustains PM particles' inhalation may generate harmful impacts on human beings' health; therefore, their monitoring in ambient air is of paramount relevance in terms of public health. Due to the limited number of fixed stations within the air quality monitoring networks, development of methodological frameworks to model ambient air PM particles is primordial to providing additional information on PM exposure and its trends. In this sense, this work aims to offer a global easily-applicable tool to estimate ambient air PM as a function of meteorological conditions using a multivariate analysis. Daily PM data measured by 84 fixed monitoring stations and meteorological data from ERA5 (ECMWF Reanalysis v5) reanalysis daily based data between 2000 and 2021 across the United Kingdom were attended to develop the suggested approach. Data from January 2017 to December 2020 were employed to build a mathematical expression that related the dependent variable (PM) to predictor ones (sea-level pressure, planetary boundary layer height, temperature, precipitation, wind direction and speed), while 2021 data tested the model. Evaluation indicators evidenced a good performance of model (maximum values of RMSE, MAE and MAPE: 1.80 µg/m, 3.24 µg/m, and 20.63%, respectively), compiling the current legislation's requirements for modelling ambient air PM concentrations. A retrospective analysis of meteorological features allowed estimating ambient air PM concentrations from 2000 to 2021. The highest PM concentrations relapsed in the Mid- and Southlands, while Northlands sustained the lowest concentrations.
Comparative evaluation of single and multiple exposure to PM in respirable air on cardiac physiology, structure and function in a Wistar rat model
Sivakumar B and Kurian GA
Many studies have shown the negative relationship between long term exposure to PM and cardiac dysfunction. Recently, studies have shown that even a single exposure of PM from air sample in permissible range can induce very mild cardiac pathological changes. In the present study, we revisited the toxic effect of PM on rat heart by adopting single and multiple exposure durations. Female Wistar rats were exposed to PM at a concentration of 250 µg/m daily for 3 hr for single (1 day) and multiple (7, 14, 21 days) durations. The major pathological changes noted in 21 days exposed myocardium comprised of an elevated ST segment (the segment between the S wave and the T wave), development of cardiac fibrosis, hypertrophy, cardiac injury, tissue inflammation and declined cardiac function. With 14 days exposed heart, the electrocardiograms (ECG),data showed insignificantly declined heart rate and an increased QT (the time from the start of the Q wave to the end of the T wave) interval along with mild fibrosis, hypertrophy and lesser number of TUNEL positive cells. On the other hand, single- and 7-days exposure to PM did not impart any significant changes in the myocardium. To determine the reversibility potential of PM induced cardiotoxicity, a washout period of 24 hours was adopted and all observed changes in the myocardium were reversed till day 7, but not in 14- and 21-days exposed samples. Based on the above findings we concluded that PM associated cardiac dysfunction is the cumulative outcome of ineffective cardiac adaptive and repair process that accumulate additively over the time due to prolonged exposure durations.
In situ growth of iron incorporated NiS nanosheet on nickel foam in mediating electron transfer to peroxymonosulfate for pollutant abatement
Yao Y, Tao Z, Hu H, Zhang L, Ma Z, Wang Y, Lin S and Wang S
Catalytic oxidation of organic pollutants is a well-known and effective technique for pollutant abatement. Unfortunately, this method is significantly hindered in practical applications by the low efficiency and difficult recovery of the catalysts in a powdery form. Herein, a three-dimensional (3D) framework of Fe-incorporated NiS nanosheets in-situ grown on Ni foam (Fe-NiS@NF) was fabricated by a facile two-step hydrothermal process and applied to trigger peroxymonosulfate (PMS) oxidation of organic compounds in water. A homogeneous growth environment enabled the uniform and scalable growth of Fe-NiS nanosheets on the Ni foam. Fe-NiS@NF possessed outstanding activity and durability in activating PMS, as it effectively facilitated electron transfer from organic pollutants to PMS. Fe-NiS@NF initially supplied electrons to PMS, causing the catalyst to undergo oxidation, and subsequently accepted electrons from organic compounds, returning to its initial state. The introduction of Fe into the NiS lattice enhanced electrical conductivity, promoting mediated electron transfer between PMS and organic compounds. The 3D conductive Ni foam provided an ideal platform for the nucleation and growth of Fe-NiS, accelerating pollutant abatement due to its porous structure and high conductivity. Furthermore, its monolithic nature simplified the catalyst recycling process. A continuous flow packed-bed reactor by encapsulating Fe-NiS@NF catalyst achieved complete pollutant abatement with continuous operation for 240 h, highlighting its immense potential for practical environmental remediation. This study presents a facile synthesis method for creating a novel type of monolithic catalyst with high activity and durability for decontamination through Fenton-like processes.
Development and application of a nitrogen oxides analyzer based on the cavity attenuated phase shift technique
Zhou J, Wang W, Wu Y, Zhang C, Liu A, Hao Y, Li XB and Shao M
Nitrogen oxides (NO) are crucial in tropospheric photochemical ozone (O) production and oxidation capacity. Currently, the widely used NO measurement technique is chemiluminescence (CL) (CL-NO), which tends to overestimate NO due to atmospheric oxidation products of NO (i.e., NO). We developed and characterized a NO measurement system using the cavity attenuated phase shift (CAPS) technique (CAPS-NO), which is free from interferences with nitrogen-containing species. The NO measured by the CAPS-NO and CL-NO analyzers were compared. Results show that both analyzers showed consistent measurement results for NO, but the NO measured by the CAPS-NO analyzer (NO) was mostly lower than that measured by the CL-NO analyzer (NO), which led to the deviations in O formation sensitivity regime and O (= O + NO) sources (i.e., regional background and photochemically produced O) determined by the ozone production efficiencies (OPE) calculated from NO and NO. Overall, OPE exceeded OPE by 18.9%, which shifted 3 out of 13 observation days from the VOCs-limited to the transition regime when judging using OPE, as compared to calculations using OPE. During the observation period, days dominated by regional background O accounted for 46% and 62% when determined using NO and NO, respectively. These findings suggest that the use of the CL-NO analyzer tends to underestimate both the VOCs-limited regime and the regional background Ox dominated days. The newly built CAPS-NO analyzer here can promote the accurate measurement of NO, which is meaningful for diagnosing O formation regimes and O sources.
Characterization and function of particulate organic matter: Evidence from lakes undergoing ecological restoration
Zhang L, Zhang W, Guo H, Shan B and Wei D
Particulate organic matter (POM) plays a crucial role in the organic composition of lakes; however, its characteristics remain poorly understood. This study aimed to characterize the structure and composition of POM in Lake Baiyangdian using many kinds of techniques and investigate the effects of different extracted forms of POM on water quality. The suspended particulate matter in the lake had complex compositions, with its components primarily derived from aquatic plants and their detritus. The organic matter content of the suspended particulate matter was relatively high (organic carbon content 27.29-145.94 g/kg) for the sum of three extractable states (water-extracted organic matter [WEOM], humic acid, and fulvic acid) and one stable bound state (humin). Spatial distribution analysis revealed that the POM content in the water increased from west to east, which was consistent with the water flow pattern influenced by the Baiyangdian water diversion project. Fluorescence spectroscopy analysis of the WEOM showed three prominent peaks with excitation/emission wavelengths similar to those of dissolved organic matter peaks. These peaks were potentially initial products of POM conversion into dissolved organic matter. Furthermore, the intensity of the WEOM fluorescence peak (total fluorescence peak intensity) was negatively correlated with the inorganic nitrogen concentration in water (p < 0.01), while the intensity of the HA fluorescence peak showed a positive correlation with the inorganic nitrogen concentration (p < 0.01). This suggested that exogenous organic matter inputs led to the diffusion of alkaline dissolved nitrogen from sediment into water, while degradation processes of aquatic plant debris contributed to the decrease in inorganic nitrogen concentrations in the water column. These findings enhance our understanding of POM characteristics in shallow lakes and the role of POM in shallow lake ecosystems.
Insight into the crystal facet-dependent Cr(VI) reduction: A comparative study of pyrite {100} and {111} facets
Tang B, Liang J, Wen Z, Zhou Y, Yan Z, Zhou Y, He P, Gu C, Gan M and Zhu J
The migration and transformation of hexavalent chromium (Cr(VI)) in the environment are regulated by pyrite (FeS). However, variations in pyrite crystal facets influence the adsorption behavior and electron transfer between pyrite and Cr(VI), thereby impacting the Cr(VI) reduction performance. Herein, two naturally common facets of pyrite were synthesized hydrothermally to investigate the facet-dependent mechanisms of Cr(VI) reduction. The experimental results revealed that the {111} facet exhibited approximately 1.30-1.50 times higher efficiency in Cr(VI) reduction compared to the {100} facet. Surface analyses and electrochemical results indicated that {111} facet displayed a higher iron-sulfur oxidation level, which was affected by its superior electrochemical properties during the reaction with Cr(VI). Density functional theory (DFT) calculations demonstrated that the narrower band gap and lower work function on {111} facet were more favorable for the electron transfer between Fe(II) and Cr(VI). Furthermore, different adsorption configurations were observed on {100} and {111} surfaces due to the unique arrangements of Fe and S atoms. Specifically, O atoms in CrO directly bound with the S sites on {100} but the Fe sites on {111}. According to the density of states (DOS), the Fe site had better reactivity than the S site in the reaction, which appeared to be related to the fracture of S-S bonds. Additionally, the adsorption configuration of CrO on {111} surface showed a stronger adsorption energy and a more stable coordination mode, favoring subsequent Cr(VI) reduction process. These findings provide an in-depth analysis of facet-dependent mechanisms underlying Cr(VI) reduction behavior, offering new insights into studying environmental interactions between heavy metals and natural minerals.
Determination of persulfate based on the principle of the oxidation of chloride ion
Duan Y, Fang D, Wang J, Peng X and Hu X
Persulfate (PS) is a widely used oxidant for the chemical oxidation of organic pollutants. The accurate measurement of PS concentration is crucial for the practical application process. The iodometry is the most recommended method for PS determination, and its principle is based on the redox reaction between SO and iodide ions. However, hydrogen peroxide (HO), an important intermediate product in the process of PS use, often leads to abnormally high determination concentrations of PS. Given this, a novel method was developed for the determination of PS based on the principle of the oxidation of chloride ion (Cl). The concentration of PS is calculated according to the consumption of Cl concentration, which is not disturbed by HO. The optimized test conditions were explored as: C(H) = 2 mol/L, T = 80℃, C(Cl):C(PS) = 4:1 and t = 30 min. Under the optimized conditions, the limit of detection and the limit of quantification of PS concentration determined by this method were 0.26 and 0.85 g/L, respectively. And the linear range of the PS determination was 1-100 g/L with an error of 0.53%-12.06%. The spike recovery rate for determining PS concentration in the actual wastewater ranged from 94.07%-109.52%. Interfering factors such as HO, Fe, MnO and natural organic matter had almost no effect on the results. This method could not only accurately determine the concentration of PS in industrial wastewater, but also determine the purity of PS industrial products.
Synergistic toxic effects of high-strength ammonia and ZnO nanoparticles on biological nitrogen removal systems and role of exogenous C-HSL regulation
Zhao R, Gao H, Duan L and Yu R
The inhibitory effects of zinc oxide nanoparticles (ZnO NPs) and impacts of N-acyl-homoserine lactone (AHL)-based quorum sensing (QS) on biological nitrogen removal (BNR) performance have been well-investigated. However, the effects of ammonia nitrogen (NH-N) concentrations on NP toxicity and AHL regulation have seldom been addressed yet. This study consulted on the impacts of ZnO NPs on BNR systems when high NH-N concentration was available. The synergistic toxic effects of high-strength NH-N (200 mg/L) and ZnO NPs resulted in decreased ammonia oxidation rates and dropped the nitrogen removal efficiencies by 17.5% ± 0.2%. The increased extracellular polymeric substances (EPS) production was observed in response to the high NH-N and ZnO NP stress, which indicated the defense mechanism against the toxic effects in the BNR systems was stimulated. Furthermore, the regulatory effects of exogenous N-decanoyl-homoserine lactone (C-HSL)-mediated QS system on NP-stressed BNR systems were revealed to improve the BNR performance under different NH-N concentrations. The C-HSL regulated the intracellular reactive oxygen species levels, denitrification functional enzyme activities, and antioxidant enzyme activities, respectively. This probably synergistically enhanced the defense mechanism against NP toxicity. However, compared to the low NH-N concentration of 60 mg/L, the efficacy of C-HSL was inhibited at high NH-N levels of 200 mg/L. The findings provided the significant application potential of QS system for BNR when facing toxic compound shock threats.
Proteomic insights from extracellular vesicles into the molecular mechanisms of health effects induced by Per- and polyfluoroalkyl substances
Li Y, Luo Y, Liu Y, Li N, Huang K, Li L, Li Z, Han C, Zhu N, Wang Y and Jiang G
Per- and polyfluoroalkyl substances (PFASs) can induce a range of adverse health effects, with the precise molecular mechanisms remaining elusive. Extracellular vesicles (EVs) have demonstrated their potential to elucidate unknown molecular mechanisms. Building upon the close alignment of their biological functions with the observed health effects of PFASs, this study innovatively focuses on proteomic insights from EVs into the molecular mechanisms underlying the systemic health effects of PFASs. Through rat exposure experiments and proteomics technology, it not only demonstrated the occurrence of PFASs in EVs but also revealed the alterations in the serum EVs and the expression of their protein cargos following mixed exposure to PFASs, leading to changes in related pathways. These changes encompass various biological processes, including proteasome activity, immune response, cytoskeletal organization, oxidative stress, cell signaling, and nervous system function. Particularly noteworthy is the uncovering of the activation of the proteasome pathway, highlighting significant key contributing proteins. These novel findings provide a new perspective for exploring the molecular mechanism underlying the systemic health effects of PFASs and offer reliable screening for potential biomarkers. Additionally, comparisons with serum confirmed the potential of serum EVs as biological responders and measurable endpoints for evaluating PFASs-induced toxicity.
Inhibition mechanisms of perchlorate on the photosynthesis of cyanobacterium Synechocystis sp. PCC6803: Insights from physiology and transcriptome analysis
Zhang X, Zhang Y, Chen Z, Chen L, Li X and Wang G
Perchlorate (ClO) is a type of novel persistent inorganic pollutant that has gained increasing attention because of its high solubility, poor degradability, and widespread distribution. However, the impacts of perchlorate on aquatic autotrophs such cyanobacterium are still unclear. Herein, Synechocystis sp. PCC6803 (Synechocystis) was used to investigate the response mechanisms of perchlorate on cyanobacterium by integrating physiological and transcriptome analyses. Physiological results showed that perchlorate mainly damaged the photosystem of Synechocystis, and the inhibition degree of photosystem II (PSII) was severer than that of photosystem I (PSI). When the exposed cells were moved to a clean medium, the photosynthetic activities were slightly repaired but still lower than in the control group, indicating irreversible damage. Furthermore, perchlorate also destroyed the cellular ultrastructure and induced oxidative stress in Synechocystis. The antioxidant glutathione (GSH) content and the superoxide dismutase (SOD) enzyme activity were enhanced to scavenge harmful reactive oxygen (ROS) in Synechocystis. Transcriptome analysis revealed that the genes associated with "photosynthesis" and "electron transport" were significantly regulated. For instance, most genes related to PSI (e.g., psaf, psaJ) and the "electron transport chain" were upregulated, whereas most genes related to PSII (e.g., psbA3, psbD1, psbB, and psbC) were downregulated. Additionally, perchlorate also induced the expression of genes related to the antioxidant system (sod2, gpx, gst, katG, and gshB) to reduce oxidative damage. Overall, this study is the first to investigate the impacts and mechanisms of cyanobacterium under perchlorate stress, which is conducive to assessing the risk of perchlorate in aquatic environments.
Leadership disparity in vascular surgery: Time to recalibrate perceptions and acknowledge reality
Afifi RO
Coactivation of the Laryngeal Muscles in Pigs Without External Neural Control Indicates Existence of an Intrinsic Neuronal Network
Tracicaru RV, Bräuer L, Döllinger M, Tamba BI, Szilagyi A, Catalin CC, Hînganu D, Paulsen F and Hînganu MV
Electrophysiological studies of the larynx expose the mechanisms by which voice production is controlled. Previous studies have revealed certain phenomena during laryngeal oscillations that suggest a complex control mechanism. Starting from the principle of agonist-antagonist muscular pairing, the aim of this study was to gain a deeper insight into the function of the cricothyroid (CT) and thyroarytenoid (TA) muscles, both central to voice production. Electromyographic recordings were used to determine the response of the two muscles to different stimulation situations in an ex vivo animal model of the denervated larynx of pigs (n=26). Using a set of different experiments, it was shown that when one muscle (CT or TA muscle) was electrically stimulated, a response was observed in the other muscle, which in the otherwise-denervated larynx, was caused only by the applied stimulation and exhibited the characteristics of compound action potentials. This response was reproducible in all larynxes examined and was present bidirectionally. No response was registered in the absence of stimulation. The results show the existence of coactivation of the CT and TA muscles in the absence of external innervation hinting at the presence of a localized neuronal network of the larynx that has not been described previously. Further morphological investigation is needed to determine the presence of this internal laryngeal neuronal network.
Veno-venous extracorporeal membrane oxygenation in devastating bacterial pneumonia: a case report and review of the literature
Josef Š, Jiří Š, Bohuslav K, Richard T, Dita S, Cihlářová P and Mirek Š
Bacterial pneumonia is one of the most common causes of acute respiratory distress syndrome. In fulminant cases, when mechanical ventilation fails, veno-venous extracorporeal membrane oxygenation is required. However, this method is still associated with significant mortality and a wide range of potential complications. However, there are now many case reports of good outcomes even in patients with prolonged extracorporeal oxygenation, as in our rather complicated case report.
Alcohol Feedback, Reflection, and Morning Evaluation (A-FRAME): Refining and testing feasibility and acceptability of a smartphone-delivered alcohol intervention for heavy-drinking young adults
Merrill JE, Gebru NM, Peterson R, López G, Lau-Barraco C, Barnett NP and Carey KB
Young adults drink heavily and experience negative alcohol consequences. To capitalize on mornings after drinking as an optimal time to intervene, we developed a novel, theory-based personalized feedback intervention (PFI) called Alcohol Feedback, Reflection, and Morning Evaluation (A-FRAME), to reduce heavy drinking. An initial prototype was refined via feedback from college students who drink heavily. The goal of the present study was to conduct an open trial to establish feasibility and acceptability of the refined PFI.
Practical approach to mid-ranging control of double-unit actuating systems
Nowak P, Grelewicz P, Fratczak M, Madonski R and Czeczot J
The paper focuses on the problem of controlling a double-unit actuating system with a series of actuators. Based on the conventional mid-ranging control system (MCS) with two PI controllers, a robust step-by-step design and tuning framework is proposed based on the D-partition method to improve the cooperation between the controllers. Furthermore, a universal modification is proposed that can improve the MCS performance by adding a feedforward compensator. Both numerical and experimental tests are conducted to validate the introduced concepts. The locally produced results show quantitative improvements over conventional solutions, which in selected instances reach between 16 % and 26 %, according to the user-defined integral quality criterion.
The role of the microbiome in head and neck squamous cell cancers
Sahin TK and Sonmezer MC
The human microbiome has garnered tremendous interest in the field of oncology, and microbiota studies in head and neck oncology has also flourished. Given the increasing incidence and mortality of HNSCC, as well as the suboptimal outcomes of available treatments, there is an urgent need for innovative approaches involving the microbiome. This review evaluates the intricate relationship between the microbiome and HNSCC, highlighting the potential of the microbiome as a marker for cancer detection, its role in malignancy, and its impact on the efficacy of conventional treatments like chemotherapy and radiotherapy. The review also explores the effects of treatment modalities on the microbiome and discusses the potential of microbiome alterations to predict and influence treatment toxicities such as mucositis and xerostomia. Further research is warranted to characterize the microbiome-HNSCC association, which holds promise for advancing early diagnosis, enhancing prognostic accuracy, and personalizing treatment strategies to improve patient outcomes. The exploration of the microbiome in clinical trials indicates a burgeoning subject of microbiome-focused therapies, heralding a new frontier in most cancer care.
"A stratified pathway to stent-free reperfusion: Selecting suitable patients in ST-elevation myocardial infarction"
Mila R, Albistur J, Valdez M, Loza G, Torrado J, Bachini J, Murguía S, Acquistapace F, Nóbile N, Briano V, Niggemeyer A, Trujillo P, Niell N, Durán A, Alfonso F and Dayan V
The DANAMI-3 DEFER study demonstrated that deferring stent implantation in ST-elevation myocardial infarction (STEMI) is safe, although not superior to immediate stenting. It is possible that an individualized revascularization strategy in STEMI, achieved through appropriate patient selection, could be feasible and effective.
Progressive cervical osteophytosis and dysphagia associated with isotretinoin treatment for rosacea
Naraghi K and Marzo-Ortega H
Frailty and Renal Cell Carcinoma: Integration of Comprehensive Geriatric Assessment into Shared Decision-making
Pecoraro A, Testa GD, Marandino L, Albiges L, Bex A, Capitanio U, Cappiello I, Masieri L, Mir C, Roupret M, Serni S, Ungar A, Rivasi G and Campi R
Frailty, a geriatric syndrome characterized by decreased resilience and physiological reserve, impacts the prognosis and management of older adults significantly, particularly in the context of surgical and oncological care.
Face masks and protection against COVID-19 and other viral respiratory infections: Assessment of benefits and harms in children
Sandlund J, Duriseti R, Ladhani SN, Stuart K, Noble J and Beth Høeg T
Mask mandates for children were implemented at schools and childcare centers during the COVID-19 pandemic, and the US continues to recommend masking down to the age of two in certain settings. Medical interventions should be informed by high-quality evidence and consider the possibility of harm (i.e., include harm-benefit analyses). In this review, we weigh the existing evidence for the effectiveness of mask mandates to protect against COVID-19 and other viral respiratory infections and the harms associated with face mask wearing in children. There is a lack of robust evidence of benefit from masking children to reduce transmission of SARS-CoV-2 or other respiratory viruses. The highest quality evidence available for masking children for COVID-19 or other viral respiratory infections has failed to find a beneficial impact against transmission. Mechanistic studies showing reduced viral transmission from use of face masks and respirators have not translated to real world effectiveness. Identified harms of masking include negative effects on communication and components of speech and language, ability to learn and comprehend, emotional and trust development, physical discomfort, and reduction in time and intensity of exercise. Effectiveness of child masking has not been demonstrated, while documented harms of masking in children are diverse and non-negligible and should prompt careful reflection. Recommendations for masking children fail basic harm-benefit analyses.
Evaluation of adolescents' cardiovascular health behaviors and health literacy levels in Turkey
Ozturk Eyimaya A and Tezel A
The study aimed to examine the relationship between cardiovascular health behaviors and health literacy levels of adolescents.
Combination effect of levofloxacin and cefmenoxime against ocular isolates of Pseudomonas aeruginosa
Itoi M and Willcox MDP
This study aimed to investigate the effects of the combination of levofloxacin (LVFX) and cefmenoxime (CMX) on ocular isolates of Pseudomonas aeruginosa.
Gender bias in surgery: A systematic review of qualitative studies
Lech GE, Goulart LB, Alves CH, Aguiar CP, Moraes LBL and Brandão GR
In order to gain a comprehensive understanding of gender bias in the field of surgery, a systematic review was conducted to assess relevant perceptions.
How do we fund Public Health in Australia? How should we?
Shiell A, Garvey K, Kavanagh S, Loblay V and Hawe P
To map how public health is funded in Australia. To assess whether changes to funding methods might improve system performance.
Adaptive critic design for safety-optimal FTC of unknown nonlinear systems with asymmetric constrained-input
Zhang D, Wang Y, Meng L, Yan J and Qin C
Safe fault tolerant control is one of the key technologies to improve the reliability of dynamic complex nonlinear systems with limited inputs, which is hard to solve and definitely a great challenge to tackle. Thus the paper presents a novel safety-optimal FTC (Fault Tolerant Control) approach for a category of completely unknown nonlinear systems incorporating actuator fault and asymmetric constrained-input, which can guarantee the system's operation within a safe range while showcasing optimal performance. Firstly, a CBF (Control Barrier Function) is incorporated into the cost function to penalize unsafe behaviors, and then we translate the intractable safety-optimal FTC problem into a differential ZSG (Zero-Sum Game) problem by defining the control input and the actuator fault as two opposing sides. Secondly, a neural-network-based identifier is employed to reconstruct system dynamics using system data, and the resolution of handling asymmetric constrained-input with the introduced non-quadratic cost function is achieved through the design of an adaptive critic scheme, aiming to reduce computational expenses accordingly. Finally, through the theoretical stability analysis, it is demonstrated that all signals in the closed-loop system are consistently UUB (Uniformly Ultimately Bounded). Furthermore, the proposed method's effectiveness is also verified in the simulation experiments conducted on a model of a single-link robotic arm system with actuator failure. The result shows that the algorithm can fulfill the safety-optimal demand of fault tolerant control in fault system with asymmetric constrained-input.
The Effects of Speaker Head Posture on Auditory Perception of Vocal Masculinity
Howerton CE, Buckley DP, Dahl KL and Stepp CE
The purpose of this study was to investigate the impact of head position on listeners' perception of vocal masculinity.
Health-care workers in fragile and conflict-ridden contexts
St Louis P, Makali SL and Paul E
Profiles of community support and challenges associated with insomnia symptoms: Findings from the pilot Bhutanese Community of Central Ohio Health Study
Singh R, Villalobos K, Cohen JH, Maleku A, Pyakurel S, Suzuki T, Raut S, Troyer M, Jackson CL and Montiel Ishino FA
We investigated profiles of community support and challenges in relation to insomnia symptoms among the Bhutanese living in the United States.
Cuban doctors cannot be the definitive solution for Italy
Rausei S and Bertolini AG
Flooding crisis in Poland: A global call to fortify healthcare against climate disasters
Goniewicz K
Chinese medical legislation: punishment with little protection?
Zhao R, Shen ZA and Hou Y
Liver transplantation plus chemotherapy versus chemotherapy alone in patients with permanently unresectable colorectal liver metastases (TransMet): results from a multicentre, open-label, prospective, randomised controlled trial
Adam R, Piedvache C, Chiche L, Adam JP, Salamé E, Bucur P, Cherqui D, Scatton O, Granger V, Ducreux M, Cillo U, Cauchy F, Mabrut JY, Verslype C, Coubeau L, Hardwigsen J, Boleslawski E, Muscari F, Jeddou H, Pezet D, Heyd B, Lucidi V, Geboes K, Lerut J, Majno P, Grimaldi L, Levi F, Lewin M, Gelli M and
Despite the increasing efficacy of chemotherapy, permanently unresectable colorectal liver metastases are associated with poor long-term survival. We aimed to assess whether liver transplantation plus chemotherapy could improve overall survival.
Rate of difficult intubation during caesarean delivery: A single centre before/after standardised airway management implementation study
Sinai YB, Papadimitraki EA, Rabkin V, Arviv C, Aptekman B, Matot I and Weiniger CF
The use of general anaesthesia (GA) for caesarean delivery (CD) introduces the risk of both difficult and failed intubation. Various strategies may be utilised to reduce this risk; however, not all are supported by evidence. We analysed the rate of difficult intubation following implementation of three recommendations specific to airway management in CD.
Considerations for the CHH-Lancet Commission on Health, Conflict, and Forced Displacement
El Bairi K and Trapani D
Transforming the electronic health record from a documentation application to an automated diet program for personalizing neonatal nutrition and improving feeding administration safety through process improvement
Owen AH, Husain A, ElHalta D, Chen SA, Spackman J, Murphy J and Chan B
Delivering adequate nutrition to preterm and sick neonates is critical for growth. Infants in the neonatal intensive care unit (NICU) require additional calories to supplement feedings for higher metabolic demands. Traditionally, clinicians enter free-text diet orders for a milk technician to formulate recipes, and dietitians manually calculate nutrition components to monitor growth. This daily process is complex and labor intensive with potential for error. Our goal was to develop an electronic health record (EHR)-integrated solution for entering feeding orders with automated nutrition calculations and mixing instructions. The EHR-integrated automated diet program (ADP) was created and implemented at a 52-bed level III academic NICU. The configuration of the parenteral nutrition orderable item within the EHR was adapted to generate personalized milk mixing recipes. Caloric, macronutrient, and micronutrient constituents were automatically calculated and displayed. To enhance administration safety, handwritten milk bottle patient labels were substituted with electronically generated and scannable patient labels. The program was further enhanced by calculating fortifier powder displacement factors to improve mixing precision. Order entry was optimized to allow for more complex mixing recipes and include a preference list of frequently ordered feeds. The EHR-ADP's safeguarded features allowed for catching multiple near-missed feeding administration errors. The NICU preterm neonate cohort had an average of 6-day decrease (P = 0.01) in the length of stay after implementation while maintaining the same weight gain velocity. The EHR-ADP may improve safety and efficiency; further improvements and wider utilization are needed to demonstrate the growth benefits of personalized nutrition.
Cuban doctors in Calabria and the Italian health system crisis
Barone M, De Luca GM, Mucilli F and Testini M
Effect of upper eyelid blepharoplasty surgery on cornea biomechanics and ocular surface
İnal Özen M, Demirok G, Yalnız Akkaya Z, Akbaş Kocaoğlu F, Katırcıoğlu Y, Çelik T, Örnek F and Açar DD
To evaluate the changes in corneal biomechanical properties and tear film layer analysis after upper eyelid blepharoplasty surgery.
Abolitionist child protection
Brown J and DasGupta S
Urosepsis after ureterorenoscopy, intraoperative recognition of type-IV stones could change clinical practice
Pattou M, Yonneau L, de Gouvello A, Almeras C, Saussine C, Hoznek A, Denis E, Chabannes E, Lechevallier E, Abid N, Hubert J, Estrade V and Meria P
Urosepsis currently accounts for half of all post flexible ureterorenoscopy (F-URS) complications, with an incidence of up to 4.3%. It represents a quarter of all septic episodes in adults and 2% of hospital spendings. The primary objective of this study was to define the predictive clinical parameters that increase the risk of urosepsis after F-URS.
Stool and blood metabolomics in the metabolic syndrome: a cross-sectional study
Ponce-de-Leon M, Wang-Sattler R, Peters A, Rathmann W, Grallert H, Artati A, Prehn C, Adamski J, Meisinger C and Linseisen J
Changes in the stool metabolome have been poorly studied in the metabolic syndrome (MetS). Moreover, few studies have explored the relationship of stool metabolites with circulating metabolites. Here, we investigated the associations between stool and blood metabolites, the MetS and systemic inflammation.
Characterizing daily physical activity patterns with unsupervised learning via functional mixture models
Ensari I, Caceres BA, Jackman KB, Goldsmith J, Suero-Tejeda NM, Odlum ML and Bakken S
Physical inactivity is a significant public health concern. Consideration of inter-individual variations in physical activity (PA) trends can provide additional information about the groups under study to aid intervention design. This study aims to identify latent profiles ("phenotypes") based on daily PA trends among adults living in. This was a secondary analysis of 724 person-level days of accelerometry data from 133 urban-dwelling adults (89% Latinx, age = 19-77 years). We used Actigraph accelerometers and the Actilife software to collect and process 24-hour PA data. We implemented a probabilistic clustering technique based on functional mixture models. Multiple days of data per person were averaged for entry into the models. We evaluated step counts, moderate-intensity PA (MOD), total activity and sedentary minutes as potential model variables. Bayesian Information Criterion (BIC) index was used to select the model that provided the best fit for the data. A 4-cluster resolution provided the best fit for the data (i.e., BIC=-3257, improvements of Δ = 13 and Δ = 7 from 3- and 5-cluster models, respectively). MOD provided the greatest between-cluster discrimination. Phenotype 1 (N = 61) was characterized by a morning peak in PA that declined until bedtime. Later bedtimes and the highest daily PA volume were distinct for phenotype 2 (N = 18), along with a similar peak pattern. Phenotype 3 (N = 29) membership was associated with the lowest PA levels throughout the day. Phenotype 4 was characterized by a more evenly distributed PA during the day, and later waking/bedtimes. Our findings point to distinct, interpretable PA phenotypes based on temporal patterns. Functional clustering of PA data could provide additional actionable points for tailoring behavioral interventions.
The IDH1-R132H mutation aggravates cisplatin-induced acute kidney injury by promoting ferroptosis through disrupting NDUFA1 and FSP1 interaction
Lai K, Chen Z, Lin S, Ye K, Yuan Y, Li G, Song Y, Ma H, Mak TW and Xu Y
The IDH1-R132H mutation is implicated in the development of various tumors. Whether cisplatin, a common chemotherapeutic agent, induces more significant renal toxicity in individuals with the IDH1-R132H mutation remains unclear. In this study, we observed that the IDH1-R132H mutation exacerbates mitochondrial lipid peroxidation and dysfunction in renal tubules, rendering the kidneys more susceptible to cisplatin-induced ferroptosis. The IDH1-R132H mutation increases methylation of the Ndufa1 promoter, thereby suppressing NDUFA1 transcription and translation. This suppression disrupts NDUFA1's interaction with FSP1, reducing its resistance to cisplatin-induced tubular epithelial cell death. As a consequence, ROS accumulates, lipid peroxidation occurs, and ferroptosis is triggered, thereby promoting acute kidney injury. In summary, this study elucidates a novel mechanism underlying cisplatin-induced nephrotoxicity and provides valuable insights for the development of personalized treatment strategies for tumor patients carrying the IDH1-R132H mutation.
Secretory Carcinoma of the Thyroid: A Case Report and Update of Literature
Chu YH, Kobrossy B, Schwartz D, Bruns AD and Marsh J
Primary secretory carcinoma (SC) of the thyroid gland is a rare neoplasm, characterized by the presence of oncogenic ETV6::NTRK3 fusions, which are amenable to tropomyosin receptor kinase (TRK) inhibitor therapy. Despite its morphologic, immunophenotypic, and genetic similarities to SC of the salivary and mammary glands, diagnostic pitfalls may arise in differentiating from papillary thyroid carcinoma due to overlapping features such as papillary growth, nuclear irregularity, and variable expression of PAX8. Tumor misclassification may lead to delayed consideration of molecular testing and targeted therapy. A total of 13 cases of thyroid SC have been documented in the literature, indicating a tendency for advanced clinical presentation followed by a protracted clinical course, with most patients surviving until the end of the study period despite some experiencing recurrences. However, tumor-related mortality occurred in around 30% of cases, with the overall survival ranging from days to years, underscoring the variability in tumor behavior and the need for further research efforts. Among documented cases of thyroid SC, prognostic factors established for salivary SC have shown broad distributions, including a mitotic activity ranging from < 1 to 10 per 10 high-power fields and variable presence of necrosis, awaiting additional case experience to better elucidate their relevance in thyroid SC. We hereby present a 61-year-old female patient with widely metastatic thyroid SC treated with larotrectinib and provide an updated review of the literature on the molecular pathogenesis and clinicopathologic characteristics of this rare entity.
Methylation profiling in the contemporary management of meningioma
Landry AP, Yefet LS, Wang JZ, Zadeh G and Nassiri F
The last decade has seen major international research efforts focus on better understanding disease heterogeneity in meningioma. Multiple molecular platforms have generated significant biological and clinical utility, and there is a need to translate these findings into routine clinical practice. Here we review the role of DNA methylation profiling in meningioma and advocate for its widespread adoption.
GC-MS metabolomics of French lettuce (Lactuca Sativa L. var capitata) leaves exposed to bisphenol A via the hydroponic media
Cabrera-Peralta J and Peña-Alvarez A
Bisphenol A (BPA), an organic compound used to produce polycarbonate plastics and epoxy resins, has become a ubiquitous contaminant due to its high-volume production and constant release to the environment. Plant metabolomics can trace the stress effects induced by environmental contaminants to the variation of specific metabolites, making it an alternative way to study pollutants toxicity to plants. Nevertheless, there is an important knowledge gap in metabolomics applications in this area.
Prevalence and antibiotic susceptibility patterns of uropathogens in men with prostate cancer and benign prostate hyperplasia from Southwestern Nigeria
Akinpelu SO, Olasehinde GI, Ikuerowo SO and Akinnola OO
Epidemiological investigations have revealed an important association between infection, inflammation and prostate cancer. Certain bacterial species, such as Klebsiella spp, Escherichia coli, Pseudomonas spp, Proteus mirabilis, Chlamydia trachomatis have been linked to prostate cancer. This study aimed to examine the microbiota; specifically bacterial species that have been linked to prostate infections in the urine of individuals diagnosed with prostate cancer.
Whole-genome sequencing of two multidrug-resistant acinetobacter baumannii strains isolated from a neonatal intensive care unit in Egypt: a prospective cross-sectional study
Mohamed RAE, Moustafa NM, Mahmoud FM, Elsaadawy YS, Aziz HSA, Gaber SAB, Hussin AM and Seadawy MG
Acinetobacter baumannii (A. baumannii) is a life-threatening and challenging pathogen. In addition, it accounts for numerous serious infections, particularly among immunocompromised patients. Resistance to nearly all clinically used antibiotics and their ability to spread this resistance is one of the most important concerns related to this bacterium.
Effectiveness of selective antibiotics use in ESBL-related UTIs
Aththanayaka AMWGKP, Weerasinghe GGYH, Weerakkody NS, Samarasinghe SHGG and Priyadharshana U
Urinary tract infections (UTIs) are the second most common infection, affecting 150 million people each year worldwide. Enterobacteriaceae species expressing extended-spectrum β-lactamases (ESBLs) are on the rise across the globe and are becoming a severe problem in the therapeutic management of clinical cases of urinary tract infection. Knowledge of the prevalence and antibiogram profile of such isolates is essential to develop an appropriate treatment methodology. This study aimed to investigate the prevalence of Enterobacteriaceae isolates exhibiting ESBL and their selective oral antibiogram profile at the district general hospital, Polonnaruwa.
Utilization of facial fat grafting augmented reality guidance system in facial soft tissue defect reconstruction
Liu K, Chen S, Wang X, Ma Z and Shen SGF
Successfully restoring facial contours continues to pose a significant challenge for surgeons. This study aims to utilize head-mounted display-based augmented reality (AR) navigation technology for facial soft tissue defect reconstruction and to evaluate its accuracy and effectiveness, exploring its feasibility in craniofacial surgery.
Changes in the epidemiology of pediatric brain abscesses pre- and post-COVID-19 pandemic: a single-center study
Liu Y, Bai Z, Yang T, Yuan B, Han Y, Xiang Y, Zhou R, Sun J, Chen M, Hao C and Wang H
An increased incidence of brain abscesses was observed post-COVID-19 pandemic. However, it remains unclear how the COVID-19 pandemic influenced the epidemiology of brain abscesses. This study aimed to investigate changes in the epidemiology of brain abscesses pre- and post-COVID-19 pandemic.
A lifesaving improvised peritoneal dialysis on a toddler with acute kidney injury following a swarm of bees' sting at Iringa Regional Referral Hospital, Southern Highland-Tanzania: a case report
Mlay IE, Jaddi HM, Sanga MP, Ramadhan IO, Ryoki MM, Mbotoni TS and Laison AM
Peritoneal dialysis as one of the nephrology services in children with acute kidney injury is a safe and cost-effective modality of treatment in low and lower-middle income countries. Despite evidence of its effectiveness in limited resource settings, the service is still provided only in tertiary level healthcare facilities in Tanzania.
Exploring Deep Learning Applications using Ultrasound Single View Cines in Acute Gallbladder Pathologies: Preliminary results
Ge C, Jang J, Svrcek P, Fleming V and Kim YH
In this preliminary study, we aimed to develop a deep learning model using ultrasound single view cines that distinguishes between imaging of normal gallbladder, non-urgent cholelithiasis, and acute calculous cholecystitis requiring urgent intervention.
Effect of sublingual fast-dissolving piroxicam premedication on postoperative pain experience in mandibular molars with non-vital pulp: a randomized double-blind controlled trial
Mohamed AF, El-Asfouri HA and Amin SAW
The aim of this trial was to evaluate the effect of a preoperative, single dose sublingual fast-dissolving piroxicam (20 mg) compared to placebo on postoperative pain at rest (POP), on biting (POPB) and on percussion (POPer) after single-visit endodontic treatment of asymptomatic mandibular molars with non-vital pulp.
F-Fluorocholine-Positron Emission Tomography/Computerized Tomography (FCH PET/CT) Imaging for Detecting Abnormal Parathyroid Glands: Indication, Practice, Interpretation and Diagnostic Performance
Noskovicova L, Balogova S, Aveline C, Tassart M, Zhang-Yin J, Kerrou K, Jaksic I, Montravers F and Talbot JN
In patients with confirmed hyperparathyroidism (HPT) scheduled for surgical treatment, the preoperatory imaging permits to optimize the operatory protocol of parathyroidectomy (PTX), in particular by selecting those patients who can benefit from minimally invasive PTX (MIPTX). The MIPTX has the merit to shorten the operative time, incision length, and to reduce the operatory risks. With preoperative localization studies, the rate of PTX failure, in particular due to nonsuspected multiglandular or ectopic disease, has been profoundly decreased. The first cases of incidental localization of abnormal parathyroid glands (PTs) on FCH PET/CTs performed for another indication were reported more than one decade ago. Since then, significant amount of data from heterogeneous series of patients consistently confirmed better diagnostic performances of FCH PET/CT (sensitivity for detection of abnormal PT 97%, range 96%-98%) in comparison with other radiopharmaceuticals, ultrasonography or 4D-CeCT in localizing hyperfunctioning parathyroid glands (HFPTGs) in case of primary HPT. Utility of FCH PET/CT in case of renal HPT has been reported in fewer series. The article discusses and summarizes the bibliographic evidence on documented indications of FCH PET/CT in patients with HPT, its safety profile, the practice of FCH PET/CT and interpretation of FCH PET/CT findings, including potential interpretation pitfalls and tips to avoid them. Our real-world experience over 12 years reinforces published evidence supporting the use of FCH PET/CT as the first-line radionuclide imaging technique in patients with all types of HPT in whom surgery is an option.
Classification of Infant Cry Based on Hybrid Audio Features and ResLSTM
Qiu Y, Yang X, Yang S, Gong Y, Lv Q and Yang B
Crying is one of the primary means by which infants communicate with their environment in the early stages of life. These cries can be triggered by physiological factors such as hunger or sleepiness, or by pathological factors such as illness or discomfort. Therefore, analyzing infant cries can assist inexperienced parents in better caring for their babies. Most studies have predominantly utilized a single-speech feature, such as Mel Frequency Cepstral Coefficients (MFCC), for classifying infant cries, while other speech features, such as Mel Spectrogram and Tonnetz, are often overlooked. In this study, we manually designed a hybrid feature set, MMT (including MFCC, Mel Spectrogram, and Tonnetz), and explored its application in infant cry classification. Additionally, we proposed a convolutional neural network based on residual connections and long short-term memory (LSTM) networks, termed ResLSTM. We compared the performance of different deep learning models using the hybrid feature set MMT and the single MFCC feature. This study utilized the Baby Crying, Dunstan Baby Language, and Donate a Cry datasets. The results indicate that the hybrid feature set MMT outperforms the single MFCC feature. The MMT combined with the ResLSTM method achieved the best performance, obtaining accuracy rates of 94.15%, 92.92%, and 95.98% on the three datasets, respectively.
Genome-wide association study of hypersensitivity skin reactions induced by nonionic iodinated contrast media
Lin MR, Liu TY, Hsu HY, Hsieh YW, Palupi PD, Lau PP, Chang WC and Tsai FT
In Taiwan, nonionic iodinated contrast media (ICMs) are commonly used but can occasionally cause severe side effects. The infrequency of these adverse events, coupled with the complexities in establishing direct causality, poses significant challenges for genetic research.
Coexisting Sacroiliac Arthritis and Chronic Nonbacterial Osteomyelitis in an Adolescent with Ehlers-Danlos Syndrome: A Case Report and Treatment Success
Ożga J, Mężyk E, Kmiecik W, Wojciechowski W and Żuber Z
BACKGROUND Chronic nonbacterial osteomyelitis (CNO) is a multifocal autoinflammatory bone disease mainly affecting children and adolescents. Sacroiliitis is an inflammation of the sacroiliac joint, diagnosed with the use of musculoskeletal MRI due to its ability to visualize active inflammatory lesions. Ehlers-Danlos syndrome (EDS) is non-inflammatory hereditary disorder of connective tissue. Here, we report the case of a 17.5-year-old female patient with classical EDS and long-term course of the CNO with coexistence of sacroiliac arthritis. CASE REPORT On admission, a patient with CNO reported pain in the scapula, thoracic spine, shoulders, and iliac region, with morning stiffness present for 5 months. Physical examination revealed knee and elbow joint hyperextension, hypermobility of the phalanges, increased range of motion of the hip joints, and the presence of reticular rash on the face. In the laboratory blood tests, minor leukocytosis was reported. During hospitalization, a whole-body MRI was performed, detecting bone marrow edema in the Th3, Th4, and Th7 vertebral bodies and the head of seventh rib on the left side, as well as bilaterally in the sacroiliac joints. The patient was diagnosed with sacroiliitis and EDS and successfully treated with risedronate sodium, methotrexate with folic acid, sulfasalazine, and meloxicam, achieving CNO remission and reduced severity of axial skeleton pain. CONCLUSIONS The coexistence of these 3 diseases - CNO, sacroiliac arthritis, and EDS - in the same patient is rare and requires interphysician collaboration to determine the correct diagnosis and subsequently arrange multi-speciality therapeutic management to achieve remission.
Reply to Ching-Heng Tsai and Lien-Chung Wei
Lawson J, Kim M, Jandaghi P, Goodridge D, Balbuena L, Cockcroft D, Adamko D and Khanam U
Causal relationship between folic acid and prostate cancer risk: Insights from Mendelian randomization analysis
Guo X, Zhang F and Hao G
Folic acid is a commonly used dietary supplement of trace element, but it may increase the risk of prostate cancer (PCa). The aim of this study was to investigate the causal relationship between PCa and folic acid supplementation, as well as dietary folate equivalents, using Mendelian randomization (MR) analysis.
How to dramatically reduce dehydration-related readmission in patients undergoing restorative surgery with diverting ileostomy for ulcerative colitis
Mineccia M, Valenti A, Massucco P, Dagatti S, Perotti S, Fazio F and Ferrero A
Patients affected by ulcerative colitis (UC) often require surgery, involving two or three-stage procedures, including ileostomy creation. While ileostomy has some advantages, it can lead to complications, such as dehydration. The aim of this study was to evaluate the impact of a new individualized stoma-therapeutic-care-pathway (STCP) on dehydration-related readmissions. Secondary endpoints were stoma-related complications.
Lupus flare and recurrent lupus nephritis following kidney transplantation in patients with lupus nephritis
Kim YE, Kim JM, Ahn SM, Oh JS, Kim YG, Lee CK, Yoo B, Shin S and Hong S
Clinical manifestations and risk factors associated with systemic lupus erythematosus (SLE) flares, including recurrent lupus nephritis (LN), in patients with LN who undergo kidney transplantation have been unclear.
In Praise of Uncertainty
Smith J and Gunderman RB
Beyond IL-5 inhibition for the treatment of episodic angioedema with eosinophilia (Gleich syndrome)
Ledoult E, Groh M, Kahn JE and Lefevre G
A Comparative Study on the Diagnostic Performance of Multiple Radiomics Models in Differentiating PGL and MIA in Pulmonary Ground-Glass Nodules
Li C, Bao Y, Wang Y, Chen J, Yang R and Song Q
Histological subtypes of lung cancers are critical for clinical treatment decision. The aim of this study is to compare the diagnostic performance of multiple radiomics models in differentiating PGL and MIA in pulmonary GGN, in order to identify the most optimal diagnostic model.
Epicureanism and euthanasia
Skrzypek JW
If Epicurean arguments for the harmlessness of death are successful, then they also successfully undermine a common justification for physician-assisted suicide, euthanasia, and the termination of hopeless pregnancies that I call the 'Mercy Intuition', according to which, by ending the life of a suffering loved one for whom there is little to no chance of recovery, one is relieving that person of her suffering, and thus providing a great benefit to her. For, if death is not a harm to the person who dies, then it cannot be a benefit to her either, even in cases of intense and prolonged suffering. Along these lines, in this paper, I defend the claim that death cannot provide a benefit to those who are suffering. I begin by highlighting the Epicurean foundations of the argument, focusing on three main Epicurean arguments for the harmlessness of death and their no-benefit analogues. I then move on to explore several important limitations of the argument, which make available a number of strategies for avoiding its conclusion. Along the way, I respond to each of these avoidance strategies. I conclude that even granting several of its limitations, the argument still poses a serious challenge to the Mercy Intuition.
Developing Interdisciplinary Competency in Voice Performance: A Phenomenological Study of Higher Education in China
Jiang H, Cheong KW, Wang H, Wu W and Wang Y
This phenomenological study investigates the experiences and perceptions of interdisciplinary competencies for voice performance in higher education in China through semistructured interviews with four vocal education experts. Participants were selected via selective sampling based on their teaching experience, theoretical research, location, and professional development contributions. Coding and thematic analyses identify key interdisciplinary domains crucial for voice performers. Physiological and anatomical principles, informed by life sciences, are fundamental for vocal health and technique. Incorporating historical and cultural knowledge enriches performers' interpretive depth and emotional expression. Digital technologies further modernize vocal training and prepare students for contemporary performance environments. The findings illuminate that Chinese interdisciplinary competency in vocal performance has unique characteristics, emphasizing cultural literacy and the fusion of Italian bel canto with Chinese Indigenous vocalization methods, but it has its limitations. This study contributes to the global discourse on higher education voice performance studies by presenting the lived experiences of Chinese voice professors in higher education, which can inspire and inform educational initiatives worldwide.
Reality Cheque: Different Methods of Eliciting Fear-Related Beliefs Reveal Multiple Representations of Threat
Elsey JWB, Metselaar VN, Geiser E, Knoop DF, Gangadien SM, Schrijver NA, Nieuwenhof LMVD, Spiekman VM, Jakschik MJ, Enkelaar CM, Visbeek ESJ, Effting M and Kindt M
Influential models of fears and phobias suggest that irrational threat beliefs underpin excessive fear. Yet, many fearful individuals recognize their fear is not justified. Drawing on memory competition/multiple representations theory, we developed a novel, fear-relevant procedure, which reveals conflicting representations of threat. In three experiments (Experiment 1,  = 49, Experiment 2,  = 47, Experiment 3,  = 75), fearful and non-fearful participants not only provided Probability Ratings for fear-related outcomes in a fear-relevant exposure task, but placed Bets, with payoffs depending on what happened in reality. Fearful participants displayed much higher Probability Ratings than Low fear participants. However, Bets revealed far less consistent group differences, even when proximal to threat (Experiments 1 and 2), and differences between High and Low fear participants' Bets disappeared when they could not be anchored to previous Probability Ratings (Experiment 3). A Neutral Betting task also showed that general betting strategies were comparable between groups. We suggest that these findings may reflect the multi-representational nature of belief, in which both adaptive and maladaptive representations of a feared object may exist in parallel, with personal and contextual factors determining which form of representation is retrieved or expressed. This perspective can provide insights into the complex interplay of adaptive and maladaptive beliefs that is a central focus of currently dominant therapies.
Factors Affecting Brain Drain and a Solution to Reduce it in Iran's Health System: A Qualitative Study
Ghanbari-Jahromi M and Ahmadi Marzaleh M
Brain drain is an issue of concern in developing countries. Many factors are involved in this issue, and their identification can be a good guide for decision-makers at different management levels. Therefore, the present study was carried out to identify the factors affecting brain drain and solutions to reduce it in Iran's health system.
Pheochromocytoma/Paraganglioma Syndrome Type 1 Presenting with Atypical Symptoms and a Novel Pathogenic Variant in the Gene: A Case Report
Zohrehvand E, Injinari N, Kiani Feyzabadi M, Aghili K, Ghaemi F and Azizi R
This case report presents a 10-year-old patient diagnosed with pheochromocytoma/paraganglioma syndrome type 1 (PPGL1), underlined by a novel heterozygous pathogenic variant (c.154_161del, p.ser52Profster14) in the gene. Initially, the patient manifested symptoms unusual for pheochromocytoma, including polyuria and polydipsia; however, further diagnostic investigations revealed a pheochromocytoma (PCC) tumor in the adrenal gland. Subsequently, whole exome sequencing (WES) test identified a pathogenic frameshift variant in the gene, strongly suggestive of PPGL1. This study highlights the importance of considering atypical symptoms in diagnosing rare pediatric pheochromocytoma/paraganglioma tumors and underscores the value of genetic testing in identifying underlying genetic causes, thereby facilitating personalized management of the condition.
Comparison of Factors Influencing Gestational Outcomes in Healthy Versus Hypothyroid Women from Karachi, Pakistan
Kiran Z, Khoja A, Khushk IA, Sheikh A and Islam N
Gestational outcomes are known to be negatively correlated with hypothyroidism. This study was designed to compare the maternal factors affecting gestational outcomes in women with and without hypothyroidism.
Prevalence of Certain Corneal Conditions and their Demographic Risk Factors; Tehran Geriatric Eye Study
Hashemi A, Hashemi H, Aghamirsalim M, Jamali A and Khabazkhoob M
Corneal abnormalities are one of the important reasons for visual impairment. There is little evidence of the prevalence of different types of corneal abnormalities. The aim of this study was to assess the prevalence of various corneal abnormalities and identify the key risk factors associated with these abnormalities in an elderly population residing in Tehran.
Pattern of Participation in Colorectal Cancer Screening from a Population-Based Screening Program in Iran
Rahimi F, Rezayatmand R, Najafi E, Ravankhah Z, Tabesh E and Adibi P
In Isfahan, the fecal immunochemical test (FIT) has been used since January 2016 as part of the Iran's Package of Essential Non-communicable Diseases (IraPEN) program for colorectal cancer (CRC) screening. The test is recommended for people who are 50-70 years old. Then, those with positive results would be referred for colonoscopy. This study aims to describe the uptake of the program and its outcome.
Fibrinogen and plasma clot properties are associated with apolipoprotein B and apolipoprotein B-containing lipoproteins in Africans
Bruwer D, de Lange-Loots Z, Koschinsky ML, Boffa MB and Pieters M
Case-control, intervention and laboratory studies have demonstrated a link between apolipoprotein B-containing lipoproteins and clot structure and thrombosis. There is, however, limited evidence on population level.
Monocyte/lymphocyte ratio as a risk factor of cardiovascular and all-cause mortality in coronary artery disease with low-density lipoprotein cholesterol levels below 1.4 mmol/L: A large longitudinal multicenter study
Jiang R, Ruan H, Wu W, Wang Y, Huang H, Lu X, Liang W, Zhou Y, Wu J, Ruan X, Chen J, Zhang W, Xiang Y, Yan Z, Liu Y and Tan N
The monocyte/lymphocyte ratio (MLR), an inflammatory marker, has an unclear relationship with the risk of residual inflammation in patients with coronary artery disease (CAD) and low-density lipoprotein cholesterol (LDL-C) below 1.4 mmol/L. This study aimed to assess the association between the MLR and cardiovascular and all-cause mortalities in these patients.
Optimization of Minocycline-Containing Bismuth Quadruple Therapy for Helicobacter pylori Rescue Treatment: A Real-World Evidence Study
Huang Y, Qiu S, Guo Y, Chen J, Li M, Ding Z, Zhang W, Liang X and Lu H
The optimal dosage of minocycline remains unclear for Helicobacter pylori (H. pylori) eradication. We aimed to evaluate the efficacy and safety of four different regimens with minocycline and metronidazole compared to classical bismuth quadruple therapy for H. pylori rescue treatment.
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