Gender differences in ethmoid sinus morphology_ 3D reconstruction of computed tomographic images.

BACKGROUND: The ethmoid sinus (ES) is a three-dimensional (3D) complex structure, a clear understanding of the ES anatomy is helpful to plan intranasal surgery. However, most prior studies use 2D measurements, which may not accurately depict the 3D structure. The current study measured the gender differences in ES morphology based on 3D reconstruction of computed tomography (CT) images. METHODS: The 3D models were reconstructed using CT images. Twenty-one males and 15 females were enrolled in the study. The ES dimensions, including width, height and aspect ratio (AR) of each cutting-plane section, were measured at 10% increments along with the anteroposterior axis of the ES. The gender differences in the above parameters were further evaluated by an independent t-test. RESULTS: The width of the ES for males is 12.0 ± 2.1 mm, which was significantly greater than that in females (10.0 ± 2.1 mm). The average height for males is 18.4 ± 3.5 mm, and 18.2 ± 3.4 mm for females. The AR of female (male) is around 0.56 (0.63) for the anterior ES and 0.66 (0.75) for the posterior. There are significant differences between genders in the parameters of width and AR (p < 0.05). CONCLUSION: This study found that the aspect ratio greatly varies along the length of ES, indicating that the cross-section of the ES in the anterior is closer to an elliptical shape and turns closer to a circular shape near its posterior. There is a significant difference between genders in width and aspect ratio. The results would be helpful to know the complex anatomic details of the ethmoid sinus.

Simultaneous Carbamazepine and Phosphate Removal from a Moving-Bed Membrane Bioreactor Effluent by the Electrochemical Process: Treatment Optimization by Factorial Design.

Pharmaceutical and personal care products are frequently used in various fields and released into water bodies from the outlets of wastewater treatment plants. These products can harm the environment and human health even at low concentrations. Carbamazepine (CBZ), the most persistent pharmaceutical, has frequently been found in surface waters that bypassed the secondary treatments of conventional activated sludge. In addition, the treatment of phosphate in wastewater by the electrochemical process has recently attracted much attention because of its ability to remove, recover, and prevent environmental problems associated with eutrophication. This study proposes using the electrochemical process as an advanced oxidation process to simultaneously treat CBZ and phosphate from the moving-bed membrane bioreactor effluent. The study includes a long-term survey of CBZ treatment efficiency and common parameters of synthetic wastewater in the moving-bed membrane bioreactor system. Afterward, the electrochemical process is applied as an advanced oxidation process for the simultaneous removal of CBZ and phosphate from the moving-bed membrane bioreactor. Under the investigated conditions, CBZ has proven not to be an inhibitor of microbial activity, as evidenced by the high extent of chemical oxygen demand and nutrient removal. Using a factorial design, the electrochemical process using Pt/Ti as anode and cathode under optimal conditions (reaction time-80 min, bias potential-3 V, and electrode distance-1 cm) resulted in as high as 56.94% CBZ and 95.95% phosphate removal, respectively. The results demonstrated the ability to combine an electrochemical and a moving-bed membrane bioreactor process to simultaneously remove CBZ and phosphate in wastewater.

Effect of Operational Parameters on the Removal of Carbamazepine and Nutrients in a Submerged Ceramic Membrane Bioreactor.

Pharmaceuticals and personal care products have raised significant concerns because of their extensive use, presence in aquatic environments, and potential impacts on wildlife and humans. Carbamazepine was the most frequently detected pharmaceutical residue among pharmaceuticals and personal care products. Nevertheless, the low removal efficiency of carbamazepine by conventional wastewater treatment plants was due to resistance to biodegradation at low concentrations. A membrane bioreactor (MBR) has recently attracted attention as a new separation process for wastewater treatment in cities and industries because of its effectiveness in separating pollutants and its tolerance to high or shock loadings. In the current research, the main and interaction effects of three operating parameters, including hydraulic retention time (12-24 h), dissolved oxygen (1.5-5.5 mg/L), and sludge retention time (5-15 days), on removing carbamazepine, chemical oxygen demand, ammonia nitrogen, and phosphorus using ceramic membranes was investigated by applying a two-level full-factorial design analysis. Optimum dissolved oxygen, hydraulic retention time, and sludge retention time were 1.7 mg/L, 24 h, and 5 days, respectively. The research results showed the applicability of the MBR to wastewater treatment with a high carbamazepine loading rate and the removal of nutrients.

Comparison of Estimated Effectiveness of Case-Based and Population-Based Interventions on COVID-19 Containment in Taiwan.

Importance: Taiwan is one of the few countries with initial success in COVID-19 control without strict lockdown or school closure. The reasons remain to be fully elucidated. Objective: To compare and evaluate the effectiveness of case-based (including contact tracing and quarantine) and population-based (including social distancing and facial masking) interventions for COVID-19 in Taiwan. Design, Setting, and Participants: This comparative effectiveness study used a stochastic branching process model using COVID-19 epidemic data from Taiwan, an island nation of 23.6 million people, with no locally acquired cases of COVID-19 reported for 253 days between April and December 2020. Main Outcomes and Measures: Effective reproduction number of COVID-19 cases (the number of secondary cases generated by 1 primary case) and the probability of outbreak extinction (0 new cases within 20 generations). For model development and calibration, an estimation of the incubation period (interval from exposure to symptom onset), serial interval (time between symptom onset in an infector-infectee pair), and the statistical distribution of the number of any subsequent infections generated by 1 primary case was calculated. Results: This study analyzed data from 158 confirmed COVID-19 cases (median age, 45 years; interquartile range, 25-55 years; 84 men [53%]). An estimated 55% (95% credible interval [CrI], 41%-68%) of transmission events occurred during the presymptomatic stage. In our estimated analysis, case detection, contact tracing, and 14-day quarantine of close contacts (regardless of symptoms) was estimated to decrease the reproduction number from the counterfactual value of 2.50 to 1.53 (95% CrI, 1.50-1.57), which would not be sufficient for epidemic control, which requires a value of less than 1. In our estimated analysis, voluntary population-based interventions, if used alone, were estimated to have reduced the reproduction number to 1.30 (95% CrI, 1.03-1.58). Combined case-based and population-based interventions were estimated to reduce the reproduction number to below unity (0.85; 95% CrI, 0.78-0.89). Results were similar for additional analyses with influenza data and sensitivity analyses. Conclusions and Relevance: In this comparative effectiveness research study, the combination of case-based and population-based interventions (with wide adherence) may explain the success of COVID-19 control in Taiwan in 2020. Either category of interventions alone would have been insufficient, even in a country with an effective public health system and comprehensive contact tracing program. Mitigating the COVID-19 pandemic requires the collaborative effort of public health professionals and the general public.

The photocatalytic degradation of methylene blue by green semiconductor films that is induced by irradiation by a light-emitting diode and visible light.

This study develops a low-energy rotating photocatalytic contactor (LE-RPC) that has Cu-doped TiO2 films coated on stainless-steel rotating disks, to experimentally evaluate the efficiency of the degradation and decolorization of methylene blue (MB) under irradiation from different light sources (visible 430 nm, light-emitting diode [LED] 460 nm, and LED 525 nm). The production of hydroxyl radicals is also examined. The experimental results show that the photocatalytic activity of TiO2 that is doped with Cu2+ is induced by illumination with visible light and an LED. More than 90% of methylene blue at a 10 mg/L concentration is degraded after illumination by visible light (430 nm) for 4 hr at 20 rpm. This study also demonstrates that the quantity of hydroxyl radicals produced is directly proportional to the light energy intensity. The greater the light energy intensity, the greater is the number of hydroxyl radicals produced. IMPLICATIONS: The CuO-doped anatase TiO2 powder was successfully synthesized in this study by a sol-gel method. The catalytic abilities of the stainless-steel film were enhanced in the visible light regions. This study has successfully modified the nano-photocatalytic materials to drop band gap and has also successfully fixed the nano-photocatalytic materials on a substratum to effectively treat dye wastewater in the range of visible light. The results can be useful to the development of a low-energy rotating photocatalytic contactor for decontamination purposes.