RESUMO
Epidemiologic studies have shown that the fine particulate matter 2.5 (PM2.5) exaggerates chronic airway inflammation involving in acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Surfactant proteins (SPs) decreases significantly related to airflow limitation and airway inflammation. However, how to restore the reduction of SPs levels in airway inflammation exposed to PM2.5 has not been well understood. In the present study, the SPs including SPA, SPB, SPC and SPD levels in bronchoalveolar lavage fluid (BALF) were detected from patients with stable COPD. Rats were exposed to cigarette smoke and PM2.5. After given with Surfaxin, the expression of SPs, protein kinase C (PKC) and tight junction protein (ZO-1) in lung tissue and the levels of C-reactive protein (CRP) and fibrinogen (FIB) in plasma was observed. The results showed that SPA, SPB and SPD were significantly lower than those of the control group (p < 0.01). PM2.5 aggravated smoking-induced airway inflammation and oxidative stress demonstrated by pathological changes of lung tissue and increased levels of CRP and PKC in vivo. PM2.5 decreased the expression of all the SPs and ZO-1, which could be significantly restored by Surfaxin. These findings indicate that Surfaxin protects the alveolar epithelium from PM2.5 in airway inflammation through increasing SPs.
Assuntos
Material Particulado , Doença Pulmonar Obstrutiva Crônica , Poluição por Fumaça de Tabaco/efeitos adversos , Animais , Líquido da Lavagem Broncoalveolar , Humanos , Inflamação , Pulmão , Material Particulado/toxicidade , Ratos , Fumaça , Fumar , TensoativosRESUMO
Two types of inoculated sludges, granular sludge that had been stored at -20°C and activated sludge, were investigated for the domestication of aerobic granular sludges (AGSs) in sequencing batch reactors (SBRs). The results showed that using the stored granular sludge as inoculation sludge could effectively shorten the domestication time of AGS and yielded mature granular sludge after 22 days of operation. The AGS domesticated by stored granular sludge had better biomass and sedimentation properties; its MLSS and SVI reached 8.55 g/L and 35.27 mL/g, respectively. The removal efficiencies for chemical oxygen demand (COD), ammonium nitrogen (NH4+-N) and total phosphorus (TP) reached 90.76%, 97.39% and 96.40%, respectively. By contrast, 54 days were needed to obtain mature granules using activated sludge. The microbial community structure was probed by using scanning electron microscopy (SEM) and high-throughput sequencing. The results showed that the diversity of the microbial community in mature granules was reduced when stored granular sludge rather than activated sludge was employed as inoculation sludge, and the dominant microbes were changed. The dominant species in mature granules domesticated using stored granular sludge were Zoogloea, Acidovorax and Tolumonas at the genus classification level, while the dominant species were Zoogloea and TM7-genera in granules developed from activated sludge.
Assuntos
Reatores Biológicos , Esgotos/química , Eliminação de Resíduos Líquidos/métodos , Aerobiose , Compostos de Amônio , Análise da Demanda Biológica de Oxigênio , Biomassa , Nitrogênio , Fósforo , Esgotos/microbiologia , Poluentes Químicos da ÁguaRESUMO
BACKGROUND: Standardized training of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS- TBNA) is available only in highly developed countries. OBJECTIVE: To compare the skill differences in the performance of EBUS-TBNA by pulmonologists trained under different learning methods. METHODS: We performed a retrospective study of 145 EBUS-TBNA cases. We set up 3 comparative training groups: a standardized training group, a teaching group, and a self-study group. The main clinical outcomes were sensitivity, specificity and accuracy of EBUS-TBNA. Cumulative sum analysis was used to track EBUS-TBNA proficiency of the 3 groups. RESULTS: The sensitivities of EBUS-TBNA in the different groups were 90, 88, and 67%, respectively. The accuracies of the different groups were 91, 90, and 71%, respectively. With respect to the sensitivity and accuracy, there was no significant difference between the standardized training group and teaching group. However, the self-study group was inferior to the other 2 groups. By comparing the learning curve among the groups, we found that the minimum number of operations needed to reach a 90% accuracy for the standardized training group, the teaching group and the self-study group was 17, 32 and 40 cases, respectively. CONCLUSION: Compared with the teaching and self-study groups, the standardized training group resulted in practitioners achieving high skill levels following the performance of a lower number of cases. Pulmonologists trained in the teaching group achieved a similar level of skills, but required more experience to reach this level. Practitioners in the self-study group did not achieve a satisfactory level of skills, despite performing a high number of cases.
Assuntos
Broncoscopia/educação , Educação Médica Continuada/métodos , Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico , Adulto , Idoso , Broncoscopia/efeitos adversos , Broncoscopia/métodos , Feminino , Humanos , Curva de Aprendizado , Linfonodos/patologia , Masculino , Mediastino , Pessoa de Meia-Idade , Estudos RetrospectivosRESUMO
Five types of pharmaceuticals and personal care products (PPCPs) substances were selected as pollutants in this study. The effects of the removal of these pollutants and the microbial succession process in a granular sludge membrane bioreactor (GMBR) were investigated. Results showed that wastewater containing PPCPs influenced the performance of granular sludge. The removal of the five PPCPs from the GMBR had different effects. The removal rates of prednisolone, norfloxacin and naproxen reached 98.5, 87.8 and 84 %, respectively. The degradation effect in the GMBR system was relatively lower for sulphamethoxazole and ibuprofen, with removal efficiency rates of 79.8 and 63.3 %, respectively. Furthermore, the microbial community structure and diversity variation of the GMBR were analysed via high-throughput sequencing technology. The results indicated the structural and functional succession of the microbial community based on the GMBR process. The results indicate the key features of bacteria with an important role in drug degradation.
Assuntos
Reatores Biológicos/microbiologia , Biota , Membranas/microbiologia , Preparações Farmacêuticas/metabolismo , Esgotos/microbiologia , Poluentes Químicos da Água/metabolismo , Aerobiose , Biotransformação , Águas Residuárias , Purificação da ÁguaRESUMO
An aerobic granular sludge membrane bioreactor (GMBR) was applied to the treatment of pharmaceutical and personal care products (PPCPs) wastewater. The influence of granular sludge on five antibiotic and antiphlogistic PPCPs wastewater and the removal effect of methyl alcohol and conventional organic matter were investigated while constantly reducing the density of inflow organic matter. The results showed that the sludge granulation process in the system was rapid but unstable, and that the system exhibits a dissolution-reunion dynamic equilibrium. The reactor demonstrated varying removal effects of PPCPs on different objects. The use of a GMBR was more effective for the removal of prednisolone, naproxen, and ibuprofen; the first two drugs were lower the average removal rate of which reached 98.46 and 84.02 %, respectively; whereas the average removal rate of ibuprofen was 63.32 %. By contrast, the GMBR has an insignificant degradation effect on antibiotics such as amoxicillin, indicating that such antibiotic medicine is not easily degraded by microorganisms, which plays different roles in system operation. Because of the different chemical structures and characteristics of drugs that result in various degradation behavior. During the GMBR granulation process, the value of mixed liquor volatility suspended solids (MLVSS) gradually increases from 1.5 to 4.1 g/L during the GMBR granulation process, and the removal rate of CODCr reaches up to 87.98 %. After reducing the density of organic matter is reduced, the removal rates of NH3-N and TP both reach more than 90 %, respectively. Moreover, the proposed technique is considerably effective in the removal of methanol.
Assuntos
Anti-Inflamatórios/metabolismo , Reatores Biológicos/microbiologia , Membranas/microbiologia , Esgotos/microbiologia , Poluentes Químicos da Água/metabolismo , Aerobiose , Amônia/metabolismo , Antibacterianos/metabolismo , Consórcios Microbianos , Nitrogênio/metabolismo , Compostos Orgânicos/metabolismoRESUMO
A pilot-scale ballasted flocculation system was used to remove fluoride from one type of industrial wastewater. The system included the formation of calcium fluoride (CaF2) using calcium hydroxide followed by coagulation sedimentation. Calcium fluoride was recycled as nuclei for enhancing CaF2 precipitation and as a ballasting agent for improving fluoride removal and flocculation efficiency. Factors affecting fluoride and turbidity removal efficiencies, including pH in the CaF2-reacting tank and coagulation-mixing tank, sludge recycling ratio, and dosages of FeCl3 and polyacrylamide (PAM), were investigated in the pilot-scale system. The recycled CaF2 precipitates improved CaF2 formation kinetics, enhanced fluoride removal and flocculation performance. Under the optimized condition, the ballast flocculation process reduced fluoride concentration from 288.9 to 10.67 mg/L and the turbidity from 129.6 NTU to below 2.5 NTU.
Assuntos
Eliminação de Resíduos Líquidos/métodos , Purificação da Água/métodos , Fluoreto de Cálcio/análise , Floculação , Concentração de Íons de Hidrogênio , Poluentes Químicos da ÁguaRESUMO
The Songhua River is the third largest river in China and the primary source of drinking and irrigation water for northeastern China. The distribution of 16 priority polycyclic aromatic hydrocarbons (PAHs) in water [dissolved water (DW) and suspended particulate matter (SPM)], sediment, and soil in the river basin was investigated, and the associated risk of cancer from these PAHs was also assessed. The total concentration of PAHs ranged from 13.9 to 161 ng L(-1) in DW, 9.21 to 83.1 ng L(-1) in SPM, 20.5 to 632 ng g(-1) dw (dry weight) in sediment, and from 30.1 to 870 ng g(-1) dw in soil. The compositional pattern of PAHs indicated that three-ring PAHs were predominant in DW and SPM samples, while four-ring PAHs dominated in sediment and soil samples. The spatial distribution of PAHs revealed some site-specific sources along the river, with principal component analysis indicating that these were from pyrogenic sources (such as coal and biomass combustion, and vehicle emissions) and coke oven emission distinguished as the main source of PAHs in the Songhua River Basin. Based on the ingestion of PAH-contaminated drinking water from the Songhua River, cancer risk was quantitatively estimated by combining the Incremental Lifetime Cancer Risk assessment model and BaP-equivalent concentration for five age groups of people (adults, teenagers, children, toddlers, and infants). Overall, the results suggest that the estimated integrated lifetime cancer risk for all groups was in acceptable levels. This study is the first attempt to provide information on the cancer risk of PAHs in drinking water from the Songhua River.
Assuntos
Monitoramento Ambiental , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluentes Químicos da Água/análise , China , Sedimentos Geológicos/química , Rios/química , Solo/químicaRESUMO
The spatial and seasonal variation of polychlorinated biphenyls (PCBs) were investigated in water and sediment samples collected from Songhua River, China, from 2007 to 2008. The total concentration of PCB congeners ranged from 1.1 to 14 ng/l in water and 0.26-9.7 ng/g dry weight (dw) in sediment. The results of seasonal variation may suggest an impact to PCB concentration in water from its atmospheric input, the dilution to PCBs concentrations of high stream in summer, and a general trend towards increased volatilization in warmer conditions. From PCBs concentrations comparison between upstream and downstream of industrial urban cities, it was obvious that industrial urban cities reflect an important pollutant source for PCBs in our study, also with the evidences of high concentrations of PCBs occurring in high development industry and residential areas. Meanwhile, the homologue profile of PCBs in Songhua was analyzed, whose comparison with published data indicates that the sources of PCBs accumulated in the sediment may also came from the residue of PCBs production in China. Total five dioxin-like PCBs (CB-77, 81, 105, 114, and 126) and nine (CB-77, 81, 105, 114, 118, 123, 126, 156, and 167) were found in Songhua water and sediment.
Assuntos
Monitoramento Ambiental , Sedimentos Geológicos/análise , Bifenilos Policlorados/análise , Rios/química , China , Estações do Ano , Poluentes Químicos da Água/análiseRESUMO
Polyurethane foam disk passive air samplers were deployed along an urban-rural-background transect in a northeastern Chinese region (Harbin) to investigate the spatial and seasonal variations of polycyclic aromatic hydrocarbons (PAHs). The ∑16PAHs concentrations [ng/(sample·day)] were high at urban sites (315 ± 206), followed by rural sites (222 ± 160), suburban site (142 ± 114) and background site (128 ± 107). The urban fractionation effect was observed along the transect with increasing proportions for low molecular weight PAHs and decreasing proportions for high molecular weight PAHs. PAHs were found to be higher in winter and spring than in summer and autumn, most likely due to the combustion of coal and biomass for domestic heating. Sources of PAHs were investigated by principal component analysis in combination with diagnostic ratios, which both indicated that pyrogenic sources were the main sources of PAHs in the air of Harbin, China.
Assuntos
Poluentes Atmosféricos/análise , Monitoramento Ambiental , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluição do Ar/estatística & dados numéricos , China , Cidades , Estações do AnoRESUMO
RATIONALE: The incidence of nonsmall cell lung cancer (NSCLC) is high. Most nonsmall cell lung cancers have undergone multiple metastases at the time of initial diagnosis, and the 5âyear survival rate is low. At present, comprehensive treatments, including systemic chemotherapy, targeted therapy, antiangiogenic therapy, and immunotherapy, prolong the survival of patients with advanced NSCLC. Herein, we report a case of NSCLC with long-term survival. PATIENT CONCERNS: A 61-year-old woman complained of dry cough and shortness of breath and visited our hospital in July 2011. Imaging examination revealed a left upper lung mass with multiple metastases to the liver, adrenal gland, and bone. DIAGNOSES: Stage IVB (cT2aN3M1c) lung adenocarcinoma was diagnosed, with multiple metastases of the lymph nodes, liver, adrenal gland, and bone. INTERVENTIONS AND OUTCOMES: The patient received systemic chemotherapy and epidermal growth factor receptor-tyrosine kinase inhibitor-targeted therapy, and has survived for more than 9âyears. LESSONS: The patient benefited from maintenance chemotherapy and epidermal growth factor receptor-tyrosine kinase inhibitor treatment and achieved long-term survival.
Assuntos
Adenocarcinoma de Pulmão/tratamento farmacológico , Adenocarcinoma de Pulmão/secundário , Receptores ErbB/antagonistas & inibidores , Neoplasias Pulmonares/patologia , Quimioterapia de Manutenção/métodos , Adenocarcinoma de Pulmão/diagnóstico por imagem , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma Pulmonar de Células não Pequenas/epidemiologia , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Terapia de Alvo Molecular/métodos , Estadiamento de Neoplasias/métodos , Inibidores de Proteínas Quinases/uso terapêutico , Sobreviventes , Tomografia Computadorizada por Raios X/métodosRESUMO
The occurrence and spatial distribution of 22 congener phthalate esters (PAEs) in the Lanzhou section of the Yellow River were investigated using water and sediment samples collected from 12 stations along the river in August 2016 to March 2017. PAEs were determined by liquid-liquid extraction and gas chromatography-mass spectrometry. The average concentrations of PAE in the water samples during the dry and wet periods were 3236.0 ng/L and 2300.0 ng/L, and the average dry and wet periods of the PAEs in the sediments were 4238.9 ng/g and 3959.9 ng/g, respectively. PAEs were detected in all sampling sites. The six PAEs controlled by the United States Environmental Protection Agency (U.S. EPA), namely dimethyl phthalate (DMP), diethyl phthalate (DEP), dibutyl phthalate (DBP), di-2-ethylhexyl phthalate (DEHP), di-n-octyl phthalate (DNOP), and butyl benzyl phthalate(BBP), were detected. DMP, DEP, DBP, and DEHP accounted for more than 70% of all PAEs. In view of time distribution, PAEs concentration in the water samples of the dry season were greater than those of the wet season, but the sediments did not differ remarkably across the different periods. As for spatial distribution, the PAEs initially exhibited low concentrations in the upper reaches, high concentrations in the middle part, and low concentrations in the downstream; a health risk assessment of the six PAEs controlled by the U.S. EPA was carried out according to priority. Results showed that the carcinogenic risk value was less than 10-6, and the values of the non-carcinogenic compound risk index were less than 1, indicating the absence of carcinogenic damage to organisms or humans.
Assuntos
Ácidos Ftálicos , Poluentes Químicos da Água/análise , China , Dibutilftalato , Ésteres , Humanos , Medição de Risco , RiosRESUMO
A nationwide survey, including 75 sludge samples and 18 wastewater samples taken from different wastewater treatment plants (WWTPs) from 23 cities, was carried out to investigate the occurrence and composition profiles of polycyclic aromatic hydrocarbons (PAHs) in China. In total, the concentrations of ∑16PAHs in sludge ranged from 565 to 280,000â¯ng/g (mean: 9340â¯ng/g) which was at a moderate level in the world. The composition profiles of PAHs were characterized by 3- and 4-ring PAHs in textile dyeing sludge and 4- and 5-ring PAHs in domestic sludge. Significant variations in regional distribution of PAHs were observed. Both the principal components analysis and diagnostic ratios revealed that vehicle exhaust, coal and natural gas combustion were the main sources of PAHs in China. The estimated concentrations of PAHs were 3820â¯ng/L and 1120â¯ng/L in influents and effluents of the WWTPs, respectively. The high toxic equivalent quantity (TEQ) values of PAHs are ascribed to the high PAH levels. Risk quotient values (RQs) in sludge indicated that there was low potential risk to soil ecosystem after sludge had been applied one year except for indeno [1,2,3-cd]pyrene (IcdP) detected in Huaibei, Anhui province.
Assuntos
Monitoramento Ambiental , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluentes Químicos da Água/análise , China , Cidades , Carvão Mineral/análise , Pirenos , Medição de Risco , Esgotos/análise , Solo , Águas Residuárias/análiseRESUMO
The kinetics and mechanism of p-chloronitrobenzene (pCNB) degradation by ozone were investigated. With reference compounds, nitrobenzene (NB) and chlorobenzene (CB), reaction rate constants of pCNB with O3 and OH were measured by means of competition kinetics (mixtures of pCNB and NB, or pCNB and CB), with the rate constants being, 1.6 L mol(-1) s(-1), 2.6 x 10(9) L mol(-1) s(-1), respectively. During the ozonation process of pCNB, an increase of chloride and nitrate ions in the water sample solution was observed, which is consistent with the decrease in pCNB concentration. But the total organic carbon (TOC) removal rate is not consistent with the pCNB elimination rate indicating only part of pCNB was mineralized and thus presumably some intermediate products were formed. The pCNB degradation intermediate products were analyzed by gas chromatography-mass spectrometry (GC-MS), liquid chromatography-mass spectrometry (LC-MS), high performance liquid chromatography (HPLC) and ion chromatography (IC). The main intermediate products were phenol, p-chlorophenol, p-nitrophenol, 2-chloro-5-nitrophenol, 5-chloro-2-nitrophenol, 5-nitro-catechol, para-benzoquinone, 5-nitro-1,2,3-trihydroxy phenol, trihydroxy semiquinone, glycolic acid, oxalic acid, hydroxybutanoic acid, mesoxalic acid, tartrouic acid, malonic acid, maleic acid, hydroxymalonic acid, tartaric acid, malic acid, ketoglutaric acid and muconic acid. From the identified reaction products, a possible degradation pathway for the ozonation of pCNB has been proposed.
Assuntos
Nitrobenzenos/química , Ozônio/química , Poluentes Químicos da Água/química , Cromatografia Líquida de Alta Pressão , Cromatografia Gasosa-Espectrometria de Massas , Cinética , Espectrometria de MassasRESUMO
This study is the first attempt to comprehensively investigate deca-BDE and alternative flame retardants in a wastewater treatment plant in such a long term in China (2009-2016). Influent, effluent and sludge samples were collected. The mean concentration of deca-BDE, Σ19NBFRs and ΣDPs in influent were 311.5, 76.0 and 1.4ng/L, respectively, which were at the low end of the global range. The levels of deca-BDE, Σ19NBFRs and ΣDPs in effluent were range from 9.5-68.6, 4.1-38.5 and BLD-1.6ng/L, respectively. In sludge samples, the mean concentrations were 406.7, 510.5 and 6.9ng/g dw for deca-BDE, Σ19NBFRs and ΣDPs. The concentration of temporal trends in this study may reflected the release of those compounds. Compared to the beginning year of this study, the usage of deca-BDE was decreased but the usage of total NBFRs and DPs presented sustained increase over the sampling period. There were no significant variation of deca-BDE, NBFRs and DPs in the wastewater treatment plant in Harbin was observed in the four seasons except for NBFRs in influents, which the Σ19NBFRs mean concentration in influents in the summer was statistically significantly higher than that in winter indicating that NBFRs was easier impacted by temperature compared to deca-BDE and DPs. In addition, sorption and accumulation to sludge was the major removal mechanism for those compounds, accounting for 73.3% to 89.0%.
RESUMO
Invasive mucinous adenocarcinoma (IMA) was formerly referred to as mucinous bronchioloalveolar carcinoma. The lack of effective chemotherapy and comprehensive treatment for this type of tumor poses a great challenge in clinical practice. We herein report the case of a male patient with IMA who was treated with a combination of pemetrexed (500 mg/m2), cisplatin (75 mg/m2) and bevacizumab (15 mg/kg) as first-line chemotherapy. The patient achieved significant radiological improvement with 6 courses of this regimen. After the tumor progressed, the patient again achieved marked improvement with an additional 4 courses of the same regimen. The patient survived for a total of 30 months after the first chemotherapy. Therefore, bevacizumab in combination with pemetrexed/cisplatin may be an effective strategy for the treatment of IMA. The available literature on this chemotherapy regimen was also reviewed and discussed in the present study.
RESUMO
The role of Cu(II) in the reduction of N-nitrosodimethylamine (NDMA) with zero-valent metals was investigated by determining the effects of Cu(II) on the removal, kinetics, products, and mechanism. NDMA removal was enhanced, and all reactions followed a pseudo-first-order kinetic model except for the Fe and Fe/0.1 mM Cu(II) systems. The iron mass-normalized pseudo-first-order rate constants (kMFe) increased with the Cu(II) concentration. The zinc mass-normalized pseudo-first-order rate constants (kMZn) were identical to those with the Cu(II) concentrations from 0.1 mM to 1.0 mM and were higher with 2.0 mM Cu(II). The types of products detected were unchanged. Some unknown products were also found. NDMA was reduced to 1,1-dimethylhydrazine (unsymmetrical dimethylhydrazine, UDMH). Then, UDMH was reduced into dimethylamine (DMA) by the Fe/Cu(II) and Zn/Cu(II) systems. Catalytic hydrogenation was proposed as the reduction mechanism. Several copper species, such as Cu(OH)2 in the Fe/Cu(II) system and Cu2O and Cu(OH)2 in the Zn/Cu(II) system enhanced NDMA reduction. Differences between the Fe/Cu(II) and Zn/Cu(II) systems were caused by the reduction potentials and surface conditions of the different metals and the copper species in the various systems.
Assuntos
Cobre/química , Dimetilnitrosamina/química , Ferro/química , Poluentes Químicos da Água/química , Zinco/química , Dimetilaminas/química , Dimetilidrazinas/química , Cinética , Oxirredução , Purificação da ÁguaRESUMO
The solidification/stabilization (S/S) of chromite ore processing residue (COPR) was performed using zero-valent iron (ZVI) and lime-activated ground granulated blast furnace slag (GGBFS). The degree of Cr immobilization was evaluated using the leaching procedure, mineral composition analysis and morphology analysis. Semi-dynamic leaching tests were implemented to investigate the potential for reusing the final treatment product as a readily available construction material. The results showed that after reduction, all of the S/S treated COPR samples met the pollution control limit of bricks and building block products (Chinese standard HJ/T 301-2007) produced with COPR for total Cr (0.3 mg x L(-1)), the compressive strength of all the S/S samples could meet the compressive strength standard (15 MPa) for producing clay bricks, and Cr existed as the specie that bound to Fe/Mn oxides in the S/S samples. At the same time, all of the S/S treated specimens tested were suitable for utilization at certain levels.
Assuntos
Compostos de Cálcio/química , Cromo/análise , Poluentes Ambientais/análise , Resíduos Industriais , Ferro/química , Óxidos/química , Silicatos de Alumínio , Argila , Indústrias Extrativas e de ProcessamentoRESUMO
BACKGROUND: Heterogeneity of clinical presentation of chronic obstructive pulmonary disease (COPD) attributes to different pathological basis. High-resolution computed tomography (HRCT) phenotypes of COPD may reflex the pathological basis of COPD indirectly by evaluating the small airway inflammation and emphysema. How the pulmonary function related with different HRCT phenotypes has not been well known. The aim was to explore the features of pulmonary function parameters in the 3 phenotypes. METHODS: Sixty-three stable COPD patients were allocated in 3 groups based on HRCT findings: phenotype A (absence of emphysema, with minimal evidence of emphysema with or without bronchial wall thickening [BWT]), phenotype E (emphysema without BWT) and phenotype M (emphysema with BWT). The pulmonary function testing was also analyzed. RESULTS: The values of forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC%), FEV1% and maximum expiratory flows (MEF)50% were the highest in phenotype A (P < 0.05), so was residual volume (RV)/total lung capacity (TLC%) in phenotype E (P < 0.05). Those with MEF50/MEF25 ratio >4.0 were more prevalence in phenotype A than in E and M (odds ratio = 2.214; P < 0.05). The occurrences of RV/TLC% >40% were higher in phenotype E than in A and M (odds ratio = 3.906; P < 0.05). Receiver operating characteristic analysis showed that the cutoff value of MEF50/MEF25 ratio for identifying phenotype A was 2.5, with sensitivity 66.7% and specificity 92.9%. The cutoff value of RV/TLC% for identifying phenotype E was 57.4%, with sensitivity 75.0% and specificity 79.1%. CONCLUSIONS: The different features of pulmonary function parameters were found in various HRCT phenotypes; MEF50/MEF25 ratio could imply phenotype A, whereas RV/TLC% may be the indicator of phenotype E.
Assuntos
Doença Pulmonar Obstrutiva Crônica/diagnóstico por imagem , Testes de Função Respiratória , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Fenótipo , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Curva ROC , Tomografia Computadorizada por Raios XRESUMO
The intermediates and byproducts formed during the ozonation of microcystin-LR (MC-LR, m/z = 995.5) and the probable degradation pathway were investigated at different initial molar ratios of ozone to MC-LR ([O3]0/[MC-LR]0). Seven reaction intermediates with m/z ≥ 795.4 were observed by LC/MS, and four of them (m/z = 815.4, 827.3, 853.3 and 855.3) have not been previously reported. Meanwhile, six aldehyde-based byproducts with molecular weights of 30-160 were detected for the first time. Intermediates structures demonstrated that ozone reacted with two sites of MC-LR: the diene bonds in the Adda side chain and the Mdha amino acid in the cyclic structure. The fragment from the Adda side chain oxidative cleavage could be further oxidized to an aldehyde with a molecular weight of 160 at low [O3]0/[MC-LR]0. Meanwhile, the polypeptide structure of MC-LR was difficult to be further oxidized, unless [O3]0/[MC-LR]0 > 10. After further oxidation of the intermediates, five other aldehyde-based byproducts were detected by GC/MS: formaldehyde, acetaldehyde, isovaleraldehyde, glyoxal and methylglyoxal. Formaldehyde, isovaleraldehyde and methylglyoxal were the dominant species. The yields of the aldehydes varied greatly, depending on the value of [O3]0/[MC-LR]0.
Assuntos
Toxinas Bacterianas/metabolismo , Microcistinas/metabolismo , Ozônio/química , Poluentes Químicos da Água/metabolismo , Purificação da Água/métodos , Cromatografia Líquida , Cromatografia Gasosa-Espectrometria de Massas , Toxinas MarinhasRESUMO
N-Nitrosodimethylamine (NDMA) is known as the disinfection by-product and the pollutant in the source water. Reduction with zero-valent zinc (Zn(0)) was investigated as a potential technology to treat NDMA. The results showed that Zn(0) was effective for NDMA reduction at initial pH 7.0. There were lag period and rapid period during the process, the corresponding zero-order rate constant (k(zero)) was 2.968 ± 0.245 µg L(-1) h(-1) ([Zn(0)](0) = 10g L(-1)),the mass normalized pseudo-first-order rate (k(M)) was 0.1215 ± 0.0171 L g(-1) h(-1). The reactivity of zinc on NDMA removal was consistent with the zinc corrosion rate. NDMA had little effect on the corrosion of zinc. Lower solution pH benefited the reduction of NDMA with Zn(0). The consumption of the oxygen and the localized acidification should be the cause of the shift from lag to rapid reaction period in the aerobic experiments. 1,1-dimethylhydrazine (unsymmetrical dimethylhydrazine, UDMH), dimethylamine (DMA) were detected as the products of NDMA degradation. The nitrogen mass balance at 24 h was 56%, the loss can be due to the formation of ammonium, the degradation of UDMH and other unmeasured products. DMA formed during the degradation of UDMH with Zn(0), the nitrogen loss could be caused by the formation of unmeasured products. Catalytic hydrogenation is proposed to be the mechanism based on the results and the redox properties of zinc and NDMA. One reduction process is: the active hydrogen atoms initially cleave and reduce the N=O bond in NDMA, generating UDMH. Then the N-N bond in UDMH is cleaved to form DMA and ammonium.