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1.
Bull Environ Contam Toxicol ; 96(1): 102-6, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26611368

RESUMEN

This study determined the influence of emerging industries development on molybdenum (Mo) groundwater contamination. A total of 537 groundwater samples were collected for Mo determination, including 295 samples from potentially contaminated areas of 3 industrial parks in Taiwan and 242 samples from non-potentially contaminated areas during 2008-2014. Most of the high Mo samples are located downstream from a thin film transistor-liquid crystal display (TFT-LCD) panel factory. Mean groundwater Mo concentrations from potentially contaminated areas (0.0058 mg/L) were significantly higher (p < 0.05) than those from non-potentially contaminated areas (0.0022 mg/L). The highest Mo wastewater concentrations in the effluent from the optoelectronics industry and following wastewater batch treatment were 0.788 and 0.0326 mg/L, respectively. This indicates that wastewater containing Mo is a possible source of both groundwater and surface water contamination. Nine samples of groundwater exceed the World Health Organization's suggested drinking water guideline of 0.07 mg/L. A non-carcinogenic risk assessment for Mo in adults and children using the Mo concentration of 0.07 mg/L yielded risks of 0.546 and 0.215, respectively. These results indicate the importance of the development of a national drinking water quality standard for Mo in Taiwan to ensure safe groundwater for use. According to the human health risk calculation, the groundwater Mo standard is suggested as 0.07 mg/L. Reduction the discharge of Mo-contaminated wastewater from factories in the industrial parks is also the important task in the future.


Asunto(s)
Agua Subterránea/química , Molibdeno/análisis , Contaminantes Químicos del Agua/análisis , Adulto , Niño , Agua Potable/normas , Humanos , Residuos Industriales , Medición de Riesgo , Taiwán , Aguas Residuales
2.
Waste Manag Res ; 34(2): 165-70, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26526019

RESUMEN

The novelty of this study is to rapidly reduce hazardous lead leachates from solid waste using microwave digestion treatment, which is an energy-saving and low greenhouse gas emission technology. The article presents the reduction of toxic characteristic leaching procedure-extractable lead concentration in the municipal solid waste incineration fly ash by the microwave digestion treatment in HNO3/H2SO4 combination, and focuses on the effects of treatment time and temperature. The results obtained from this study indicated a significant reduction efficiency of toxic characteristic leaching procedure-extractable lead concentration and showed sufficient reduction in leaching levels to render the treated fly ash safe in lead compound leaching characteristics. The reduction efficiency of toxic characteristic leaching procedure-extractable lead concentration can reach 98% in 15 minutes of treatment time. This is equivalent to the original toxic characteristic leaching procedure-extractable lead concentration of 46.2 mg L(-1) in raw fly ash being reduced down to less than 1.0 mg L(-1). Based on the experimental data obtained in this study, a useful correlation between reduction efficiency and treatment conditions is proposed. For engineering applications, the necessary minimum treatment time is solved using a graphic illustration method, by which the minimum treatment time (t(min)) is obtained if the desired reduction efficiency (η) and treatment temperature (T) are known. The effects of treatment time and temperature are discussed. Some problems caused by the microwave digestion treatment method are also delineated in this article.


Asunto(s)
Contaminantes Ambientales/química , Plomo/química , Microondas , Reciclaje/métodos , Residuos Sólidos/análisis , Administración de Residuos/métodos , Ceniza del Carbón/química , Contaminantes Ambientales/efectos de la radiación , Incineración , Plomo/efectos de la radiación
3.
Environ Technol ; 36(5-8): 675-80, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25176128

RESUMEN

Microwave peroxide oxidation is a less greenhouse gas emission and energy-efficient technology to destroy toxic organic compounds in hazardous waste. The research novelty is to adopt the innovative microwave peroxide oxidation in H2SO4/HNO3 solution to efficiently destroy the polychlorinated dibenzo-p-dioxins (PCDDs)/Fs in municipal solid waste incineration fly ash. The major objective of this paper is to study dynamic destruction of PCDDs/Fs using the microwave peroxide oxidation. Almost all PCDDs/Fs in the raw fly ash can be destructed in 120 min at a temperature of 423 K using the microwave peroxide oxidation treatment. It was found that the microwave peroxide oxidation provides the potential to destruct the PCDDs/Fs content in municipal solid waste incinerator (MSWI) fly ash to a low level as a function of treatment time. A useful kinetic correlation between destruction efficiency and treatment conditions is proposed on the basis of the experimental data obtained in this study. The significance of this work in terms of practical engineering applications is that the necessary minimum treatment time can be solved using a proposed graphic illustration method, by which the minimum treatment time is obtained if the desired destruction efficiency and treatment temperature are known. Because of inorganic salt dissolution, the temperature would be a critical factor facilitating the parts of fly ash dissolution. Material loss problem caused by the microwave peroxide oxidation and the effects of treatment time and temperature are also discussed in this paper.


Asunto(s)
Benzofuranos/química , Peróxidos/química , Dibenzodioxinas Policloradas/análogos & derivados , Benzofuranos/efectos de la radiación , Ceniza del Carbón , Dibenzofuranos Policlorados , Incineración , Cinética , Microondas , Dibenzodioxinas Policloradas/química , Dibenzodioxinas Policloradas/efectos de la radiación
4.
J Air Waste Manag Assoc ; 64(8): 970-8, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25185398

RESUMEN

Water-emulsified diesel has proven itself as a technically sufficient improvement fuel to improve diesel engine fuel combustion emissions and engine performance. However, it has seldom been used in light-duty diesel engines. Therefore, this paper focuses on an investigation into the thermal efficiency and pollution emission analysis of a light-duty diesel engine generator fueled with different water content emulsified diesel fuels (WD, including WD-0, WD-5, WD-10, and WD-15). In this study, nitric oxide, carbon monoxide, hydrocarbons, and carbon dioxide were analyzed by a vehicle emission gas analyzer and the particle size and number concentration were measured by an electrical low-pressure impactor. In addition, engine loading and fuel consumption were also measured to calculate the thermal efficiency. Measurement results suggested that water-emulsified diesel was useful to improve the thermal efficiency and the exhaust emission of a diesel engine. Obviously, the thermal efficiency was increased about 1.2 to 19.9%. In addition, water-emulsified diesel leads to a significant reduction of nitric oxide emission (less by about 18.3 to 45.4%). However the particle number concentration emission might be increased if the loading of the generator becomes lower than or equal to 1800 W. In addition, exhaust particle size distributions were shifted toward larger particles at high loading. The consequence of this research proposed that the water-emulsified diesel was useful to improve the engine performance and some of exhaust emissions, especially the NO emission reduction. Implications: The accumulated test results provide a good basis to resolve the corresponding pollutants emitted from a light-duty diesel engine generator. By measuring and analyzing transforms of exhaust pollutant from this engine generator, the effects of water-emulsified diesel fuel and loading on emission characteristics might be more clear. Understanding reduction of pollutant emissions during the use of water-emulsified diesel helps improve the effectiveness of the testing program. The analyzed consequences provide useful information to the government for setting policies to curb pollutant emissions from a light-duty diesel engine generator more effectively.


Asunto(s)
Contaminantes Atmosféricos/análisis , Emulsiones/química , Gasolina/análisis , Material Particulado/análisis , Emisiones de Vehículos/análisis , Agua/química , Emulsiones/análisis , Tamaño de la Partícula , Temperatura , Agua/análisis
5.
Hu Li Za Zhi ; 61(5): 91-6, 2014 Oct.
Artículo en Zh | MEDLINE | ID: mdl-25271037

RESUMEN

The focus of emergency departments on resolving immediate threats to patient survival and wellbeing distinguishes their services from those provided by all other hospital departments. The high-pressure environment in the emergency department is a source of significant stress for patients and their families, with some experiencing serious physical and mental impacts that result in high tension, acute stress, anxiety, and other mental and physical reactions. The concepts of family-centered care and transition theory have been shown to help promote a sense of wellbeing and adjustment to unfamiliar experiences. Therefore, these concepts may be applied to help facilitate the successful transition of patients and their families to the emergency department and thus help maintain normal family functions during the transition from the emergency department to other departments.


Asunto(s)
Enfermería de Urgencia , Servicio de Urgencia en Hospital , Enfermería de la Familia , Humanos
6.
Br J Ophthalmol ; 2024 Apr 04.
Artículo en Inglés | MEDLINE | ID: mdl-38575199

RESUMEN

AIMS: To compare the refractive and visual outcomes of femtosecond laser-assisted astigmatic keratotomy (FSAK) and toric intraocular lens (IOL) implantation for correcting astigmatism in cataract patients. METHODS: Studies were retrieved from the Ovid-Medline, EMBASE, Cochrane Central Register of Controlled Trials and Scopus which compared FSAK and toric IOL for astigmatism correction in cataract patients. Outcome measures included postoperative refractive cylinder, correction index, uncorrected distance visual acuity (UDVA), the proportion of patients achieving a residual refractive cylinder of 1.00 dioptre or less, target-induced astigmatism (TIA) and surgically induced astigmatism (SIA). The trial sequential analysis (TSA) was used to collect firm evidence supporting our conclusion. RESULTS: 9 studies encompassing 590 participants were analysed. The meta-analysis revealed that toric IOLs could result in less postoperative refractive cylinder and provide better UDVA compared with FSAK. The TSA disclosed strong evidence of lower postoperative refractive cylinder in the toric IOL group compared with that of the FSAK group. FSAK showed a smaller correction index and lower mean TIA and SIA compared with toric IOLs. CONCLUSIONS: For cataract patients, both FSAK and toric IOLs are effective methods for correcting astigmatism. However, toric IOLs offer less postoperative astigmatism and result in better postoperative UDVA compared with FSAK. In vector analysis of astigmatism, toric IOLs can also produce higher TIA and SIA. Additionally, neither method is associated with severe untreatable complications. Therefore, the conclusion is that toric IOLs are the preferred choice for astigmatism correction in cataract patients and FSAK serves as a viable alternative when toric IOLs are contraindicated.

7.
Sci Rep ; 14(1): 2044, 2024 01 24.
Artículo en Inglés | MEDLINE | ID: mdl-38267491

RESUMEN

This study compared the visual outcomes and complications between sutureless scleral-fixated intraocular lens and iris claw intraocular lens implantation in aphakia without adequate capsule and/or zonule support. Studies comparing the clinical outcomes of scleral-fixated intraocular lens and iris claw intraocular lens implantation published until April 2022 were retrieved from the PubMed, EMBASE, Cochrane Library, and Google Scholar databases. The outcomes included postoperative final visual acuity, surgical time, surgery-induced astigmatism, and complications. The weighted mean difference and odds ratio were calculated. Two randomized controlled trials and five cohort studies, including 244 and 290 eyes in the scleral-fixated intraocular lens group and iris claw group, respectively, were included. Scleral-fixated intraocular lens implantation results in a better postoperative final corrected distance visual acuity compared with iris claw intraocular lens implantation; however, it is more time-consuming. Scleral-fixated intraocular lens implantation seems to have lesser incidences of surgery-induced astigmatism. Furthermore, both procedures have a similar complication rate. Therefore, based on current best evidence, these two procedures should be considered according to patient's conditions.


Asunto(s)
Afaquia , Lentes Intraoculares , Humanos , Afaquia/cirugía , Astigmatismo , Esclerótica/cirugía
8.
Clin Exp Optom ; 107(1): 23-31, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37078178

RESUMEN

CLINICAL RELEVANCE: Corneal epithelial healing after refractive surgery is a clinically significant issue, especially for surface ablation procedures, and this can be monitored using optical coherence tomography (OCT). BACKGROUND: The aim of this work is to investigate the corneal epithelial thickness and irregularity by OCT after transepithelial photorefractive keratectomy (t-PRK) and analyse its correlation with visual and refractive outcomes. METHODS: Patients aged ≥18 years with myopia, with or without astigmatism, who underwent t-PRK between May 2020 and August 2021 were included. All participants were subjected to complete ophthalmic examinations and OCT pachymetry at every follow-up visit. Patients were followed up at 1 week and 1, 3, and 6 months postoperatively. RESULTS: A total of 67 patients (126 eyes) were enrolled in this study. One month postoperatively, spherical equivalent refraction and visual acuity achieved preliminary stability. However, central corneal epithelial thickness (CCET) and standard deviation of the corneal epithelial thickness (SDcet) took 3-6 months to progressive recovery. Patients with higher baseline spherical equivalent refraction were associated with slower epithelial recovery. At every follow-up time point, a significant superior-inferior difference in the minimum corneal epithelial thickness area was observed. Higher stromal haze was correlated with higher spherical equivalent refraction (both baseline and residual) but had no relation with visual outcomes. There was a significant correlation between higher CCET with a better uncorrected distance visual acuity and lower corneal epithelial thickness irregularity. CONCLUSIONS: CCET and SDcet measured by OCT seem to be a good auxiliary indicator for reflecting the status of corneal wound recovery after t-PRK surgery. However, a well-designed randomised control study is needed to confirm the study results.


Asunto(s)
Queratectomía Fotorrefractiva , Humanos , Adolescente , Adulto , Queratectomía Fotorrefractiva/efectos adversos , Queratectomía Fotorrefractiva/métodos , Tomografía de Coherencia Óptica , Láseres de Excímeros , Córnea/diagnóstico por imagen , Córnea/cirugía , Agudeza Visual , Refracción Ocular
9.
J Environ Sci Health B ; 48(8): 686-92, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23638896

RESUMEN

Photocatalytic degradation of malathion, is investigated using Titanium Nanotubes (TNT) and Pt modified TNT (Pt-TNT) photocatalyst in an aqueous solution under 365 nm UV lamp irradiation. The TNT photocatalyst is prepared on pretreated strong alkaline solution via the hydrothermal method. The Pt-TNT was prepared by light deposition. The variations in morphology, formation mechanism, phase structure, and pore structure of TNT and Pt-TNT are characterized using UV-Vis, transmission electron microscopy (TEM), and N2 adsorption/desorption isotherm analyzer, respectively. The effect of the initial malathion concentration, reaction temperature, catalyst loading, solution pH value, irradiation time and Pt loading are studied and the optimized values are obtained. Moreover, the photodegradation performance and kinetics of malathion onto TNT and Pt-TNT are also examined with the aid of model analysis by kinetic data. The results show that under acid conditions, the performance of photocatalysts for treating malathion is high. The time of complete degradation increases with an increase in the initial malathion concentration. The degradation rate decreases with increasing initial malathion concentration. The degradation efficiency can reach 100% under acid conditions for any initial malathion concentration when the reaction time is 70 min. In addition, experimental decoloration kinetics data follow the pseudo-first-order reaction model.


Asunto(s)
Malatión/química , Fotoquímica/métodos , Catálisis , Concentración de Iones de Hidrógeno , Insecticidas/química , Cinética , Microscopía Electrónica de Transmisión , Nanotubos , Platino (Metal)/química , Espectrofotometría Ultravioleta , Temperatura , Titanio/química , Contaminantes Químicos del Agua/química
10.
Waste Manag Res ; 31(1): 87-97, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23129604

RESUMEN

This work presents the enforcement performance of recent Haulien County, Taiwan municipal solid waste (MSW) recycling management programs. These programs include: Mandatory Refuse Sorting and Recycling, Diverse Bulk Waste Reuse, Pay-as-you-Discharge, Total Food Waste Recycling, Restricted Use on Plastic Shopping Bags & Plastic Tableware, Recycling Fund Management, and Ash Reuse. These programs provide incentives to reduce the MSW quantity growth rate. It was found that the recycled material fraction of MSW generated in 2001 was from 6.8%, but was 32.4% in 2010 and will increase stably by 2-5% yearly in the near future. Survey data for the last few years show that only 2.68% (based on total MSW generated) of food waste was collected in 2001. However, food waste was up to 9.7% in 2010 after the Total Food Waste Recycling program was implemented. The reutilization rate of bottom ash was 20% in 2005 and up to 65% in 2010 owing to Ash Reuse Program enforcement. A quantified index, the Total Recycle Index, was proposed to evaluate MSW management program performance. The demonstrated county will move toward a zero waste society in 2015 if the Total Recycle Index approaches 1.00. Exact management with available programs can lead to slow-growing waste volume and recovery of all MSW.


Asunto(s)
Reciclaje/métodos , Eliminación de Residuos/métodos , Residuos Sólidos , Alimentos , Artículos Domésticos , Incineración , Plásticos , Taiwán
11.
Clin Exp Optom ; : 1-7, 2023 Sep 27.
Artículo en Inglés | MEDLINE | ID: mdl-37766425

RESUMEN

CLINICAL RELEVANCE: Meibomian gland dysfunction and dry eye disease are closely related conditions that often coexist and can contribute to the development of each other. Understanding the similarities and differences between these diseases can assist clinicians in implementing effective treatments for both conditions in a clinical setting. BACKGROUND: Dry eye disease is a multifactorial disease of the tears and ocular surface. This study aimed to evaluate the demographic characteristics of patients with meibomian gland dysfunction in Taiwan, investigate the association between meibomian gland dysfunction and dry eye parameters, and estimate the prevalence of meibomian gland dysfunction among patients with dry eye symptoms at a tertiary referral centre. METHODS: This cross-sectional study enrolled patients aged ≥20 years who complained of dry eye symptoms and visited a tertiary centre between September 2019 and March 2020. The patients completed the Ocular Surface Disease Index and Standard Patient Evaluation of Eye Dryness questionnaires before undergoing ocular examination. The lipid layer thickness and meiboscale scores were recorded. In addition, the study measured tear film break-up time, examined corneal staining, and evaluated the number of meibomian glands yielding liquid secretions using a slit lamp. RESULTS: The study evaluated 202 eyes of 202 patients with a mean age of 58.05 ± 13.34 years. The prevalence of meibomian gland dysfunction was 93%. Mean meiboscale score and age were negatively associated, and tear film break-up time was positively associated with the mean number of meibomian glands yielding liquid secretions. Hyperlipidaemia and smoking were the main risk factors for Meibomian gland dysfunction. CONCLUSIONS: The prevalence of meibomian gland dysfunction among patients with dry eye symptoms was extremely high at the tertiary centre, highlighting the strong relationship between Meibomian gland dysfunction and dry eye disease. Clinicians should consider meibomian gland dysfunction as a possible cause of dry eye.

12.
Cont Lens Anterior Eye ; 46(4): 101843, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37037712

RESUMEN

PURPOSE: This study aimed to evaluate corneal topographic findings in patients with thyroid eye disease (TED) using a Galilei camera and compare their corneal topographic parameters with those of control patients. METHODS: This retrospective cross-sectional study included 52 eyes of 26 patients with TED (study group) and 40 eyes of 20 controls treated at a tertiary medical center in Taiwan between January and December 2021. All participants underwent basic ophthalmological examinations, corneal topography examination using a Galilei dual Scheimpflug camera, thyroid function examination, and orbital computed tomography. The corneal topographic parameters and cross-sectional area of the extraocular muscles were compared between the TED and control groups. RESULTS: Several corneal topographic parameters, including the Inferior-Superior Index, Keratoconus Prediction Index, Surface Asymmetry Index, Surface Regularity Index, simulated keratometry astigmatism, and anterior instantaneous astigmatism axis, differed significantly between the groups (P ≤ 0.05). The anterior instantaneous astigmatism axis was more oblique in the TED group than in the control group. A scatter plot revealed a more scattered distribution in the anterior instantaneous astigmatism axis in the TED group than in the control group. However, the corneal topographic parameters did not differ significantly among the different thyroid dysfunction groups. CONCLUSIONS: The corneas of patients with TED are suspicious and keratoconus-like, and TED can increase anterior corneal astigmatism in the oblique axis, albeit with large variations in the extent of change. These TED-related corneal changes may aid in the early diagnosis of TED, especially "silent" TED.


Asunto(s)
Astigmatismo , Oftalmopatía de Graves , Queratocono , Humanos , Topografía de la Córnea/métodos , Queratocono/diagnóstico , Estudios Transversales , Estudios Retrospectivos , Oftalmopatía de Graves/diagnóstico , Córnea/diagnóstico por imagen
13.
Emerg Med Int ; 2022: 1296590, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35712231

RESUMEN

Introduction: Skull fractures are often found in patients with traumatic brain injury (TBI). Although skull fractures may indicate greater force impact and are associated with local or diffuse brain injuries, the prognostic value of skull fractures remains unclear. This retrospective study aimed to assess the association between skull fractures and mortality in patients with TBI. Methods: This study included 5,430 TBI patients registered in the trauma registry system from January 2009 to December 2018. Clinical and demographic data including age, sex, trauma mechanisms, comorbidities, Glasgow Coma Scale (GCS) score, abbreviated injury score (AIS)-head, injury severity score (ISS), and in-hospital mortality were acquired. Multiple logistic regression and propensity score matching were used to elucidate the effect of skull fractures on mortality outcomes of TBI patients. Results: Compared to TBI patients without skull fracture, patients with skull fractures were predominantly male, younger, had lower GCS upon arrival at the emergency room, and had higher AIS-head, ISS, and in-hospital mortality. The patients with skull fracture had 1.7-fold adjusted odds of mortality (95% confidence interval (CI): 1.27-2.25; p < 0.001) than those without skull fracture, controlling for age, sex, comorbidities, and AIS-head. Additionally, the propensity score-matched analysis of 1,023 selected paired patients revealed that skull fracture was significantly associated with increased 1.4-fold odds of risk for mortality (95% CI: 1.02-1.88; p=0.036). Conclusions: Using a propensity score-matched cohort to attenuate the confounding effect of age, comorbidities, and injury severity, skull fracture was identified as a significant independent risk factor for mortality in patients with TBI.

14.
J Air Waste Manag Assoc ; 61(1): 35-45, 2011 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-21305886

RESUMEN

Volatile organic compounds (VOCs) emitted from surface coatings have caused growing public concern for air quality. Even the low-emitted VOC impact from water-based paints on indoor air quality in urban areas has caused concern. This paper presents experimental data using a mathematical model to simulate dynamic VOC emissions from water-based paints that is based on mass transfer and molecular diffusion theories. A series of field-analogous experiments were carried out to continuously measure the VOCs emitted from two typical water-based paints using a gas chromatography-flame-ionization detector monitor in an artificial wind tunnel system. In the study cases, the mass flux of VOCs emitted from the water-based paints was up to 50 microg/m2sec. It was found that the time needed to completely emit VOCs from water-based paints is just hundreds of seconds. However, the order of magnitude of the VOC emission rate from water-based paints is not lower than that from some dry building materials and solvent-based paints. The experimental data were used to produce a useful semiempirical correlation to estimate the VOC emission rates for water-based paints. This correlation is valid under appropriate conditions as suggested by this work with a statistical deviation of +/- 7.6%. With this correlation, it seems feasible to predict the dynamic emission rates for VOCs during a painting process. This correlation is applicable for assessing the hazardous air pollutant impact on indoor air quality or for environmental risk assessment. Associated with the dynamic VOC emission characterization, the air-exchange rate effect on the VOC emission rates is also discussed.


Asunto(s)
Contaminación del Aire Interior/análisis , Modelos Químicos , Pintura/análisis , Compuestos Orgánicos Volátiles/análisis , Difusión
15.
J Clin Med ; 10(9)2021 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-33922687

RESUMEN

BACKGROUND: Uncontrolled intraocular pressure (IOP) plays a principal role in the deterioration of glaucoma, and the intraocular pressure is also accepted as the most important modifiable factor. Calcium ion has been found to play a vital role in regulating the resistance of the trabecular meshwork in humans. However, the relationship between serum total calcium and IOP has not been well-established. METHODS: We investigated the association between serum total calcium and the IOP in a large population (14,037 eligible participants, consisting of 7712 men and 6325 women, were included) at the Tri-Service General Hospital from 2010 to 2016. Several models of covariate adjustments associated with IOP were designed. Univariate and multivariate regression analysis was performed for gender differences in the association between the serum total calcium level and IOP. RESULTS: There was a significant relationship between serum total calcium levels and IOP in women and men with a ß coefficient of 0.050 (95% confidence interval (CI), 0.030-0.069) and 0.025 (95%CI, 0.007-0.043). Notably, participants in the highest tertiles of serum total calcium levels had significantly higher IOP, in both the male and female participants. CONCLUSIONS: Our study shows that IOP is significantly associated with serum total calcium levels in a large Asian population. This study supports the notion that serum total calcium may play an important role in groups at high risk for elevated IOP.

16.
Acta Ophthalmol ; 99(6): 652-662, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33326173

RESUMEN

PURPOSE: To evaluate the anti-haze effect and visual outcome after intraoperative mitomycin C (MMC) use during photorefractive keratectomy (PRK) in myopia or myopic astigmatism patients. METHODS: We searched in PubMed, EMBASE, Cochrane Library and Google Scholar comprehensively to obtain studies comparing the clinical effects after PRK with and without MMC published until February 2020. Meta-analysis of primary outcome (corneal haze rate) and secondary outcomes [predictability, efficacy, safety and corneal endothelial cell density (ECD)] were conducted. We used trial sequential analysis (TSA) in an effort to collect firm evidence supporting our conclusion. RESULTS: Of the included 11 randomized controlled trials, five cohort and one case-control studies, 3536 eyes (2232 and 1304 in the MMC and control groups, respectively) were enrolled for meta-analysis. The TSA disclosed strong evidence of decline in corneal haze rate in the MMC group compared with that of the control group. In the subgroup analysis of duration, MMC seemed to reduce corneal haze rate in early-onset and late-onset haze. Predictability of refraction and visual acuity were greater in the MMC groups, not significantly though. The proportion of patients losing at least two lines of best corrected visual acuity postoperatively in the MMC groups was lower than that in the control groups. The corneal postoperative ECD showed no significant difference between the MMC and control groups. CONCLUSION: Our meta-analysis revealed that MMC is an important anti-haze agent in PRK for reducing both early- and late-onset haze and can also help improving predictability of refraction and subjective postoperative visual acuity.


Asunto(s)
Opacidad de la Córnea/prevención & control , Mitomicina/uso terapéutico , Miopía/cirugía , Queratectomía Fotorrefractiva/efectos adversos , Complicaciones Posoperatorias/prevención & control , Refracción Ocular/fisiología , Agudeza Visual , Opacidad de la Córnea/fisiopatología , Reactivos de Enlaces Cruzados/uso terapéutico , Humanos , Miopía/fisiopatología , Complicaciones Posoperatorias/fisiopatología
17.
Curr Eye Res ; 46(5): 648-656, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-32886570

RESUMEN

PURPOSE: Corneal scarring is a common poor outcome of corneal trauma. Transforming growth factor ß-1 plays a vital role in corneal fibrosis, inducing keratocyte transformation to myofibroblasts. Other than corneal transplantation, no other curative treatment methods for corneal scarring are currently available. Hypercapnic acidosis exerts anti-inflammatory and anti-migratory effects on numerous organs; however, its effect on corneal fibroblasts remains unknown. Hence, this study aimed to evaluate the effect of hypercapnic acidosis on transforming growth factor ß-1-induced fibrosis in corneal fibroblasts and to elucidate the underlying mechanisms. MATERIALS AND METHODS: Corneal fibroblasts were obtained from human limbal tissue and cultured with or without transforming growth factor ß-1 under hypercapnic acidosis or no-hypercapnic acidosis conditions, and subjected to scratch wound, cell migration, and collagen matrix contraction assays. Furthermore, immunocytochemistry was performed to evaluate the alpha-smooth muscle actin stress fiber. Finally, western blotting was performed to assess the expression of proteins in the NF-κB and Smad pathways. RESULTS: Hypercapnic acidosis suppressed collagen gel contraction capacity in transforming growth factor ß-1-treated corneal fibroblasts and inhibited transforming growth factor ß-1-induced cell migration. Moreover, hypercapnic acidosis downregulated corneal fibrosis marker alpha-smooth muscle actin in transforming growth factor ß-1-treated corneal fibroblasts. Furthermore, hypercapnic acidosis suppressed transforming growth factor ß-1-induced fibrosis, at least partly, by inhibiting Smad2/3 phosphorylation and down-regulating p-IκB-dependent and RelB signaling transduction. CONCLUSIONS: Hypercapnic acidosis inhibits transforming growth factor ß-1-induced corneal fibroblast migration, collagen gel contraction capacity, and alpha smooth muscle actin expression, potentially through the Smad and NF-κB pathways. Therefore, hypercapnic acidosis may be a potentially useful anti-fibrotic therapy for corneal scarring.


Asunto(s)
Acidosis/metabolismo , Córnea/patología , Hipercapnia/metabolismo , Factor de Crecimiento Transformador beta1/metabolismo , Actinas/metabolismo , Western Blotting , Movimiento Celular/fisiología , Células Cultivadas , Colágeno/metabolismo , Queratocitos de la Córnea/efectos de los fármacos , Queratocitos de la Córnea/metabolismo , Fibrosis , Humanos , Inmunohistoquímica , FN-kappa B/metabolismo , Transducción de Señal/fisiología , Proteínas Smad/metabolismo , Factor de Crecimiento Transformador beta1/farmacología
18.
J Air Waste Manag Assoc ; 60(10): 1262-8, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21090554

RESUMEN

Particles emitted from gravel processing sites are one contributor to worsening air quality in Taiwan. Major pollution sources at gravel processing sites include gravel and sand piles, unpaved roads, material crushers, and bare ground. This study analyzed fugitive dust emission characteristics at each pollution source using several types of particle samplers, including total suspended particulates (TSP), suspended particulate (PM10), fine suspended particulate (PM2.5), particulate sizer, and dust-fall collectors. Furthermore, silt content and moisture in the gravel were measured to develop particulate emission factors. The results showed that TSP (< 100 microm) concentrations at the boundary of gravel sites ranged from 280 to 1290 microg/m3, which clearly exceeds the Taiwan hourly air quality standard of 500 microg/m3. Moreover, PM10 concentrations, ranging from 135 to 550 microg/m3, were also above the daily air quality standard of 125 microg/m3 and approximately 1.2 and 1.5 times the PM2.5 concentrations, ranging from 105 to 470 microg/m3. The size distribution analysis reveals that mass mean diameter and geometric standard deviation ranged from 3.2 to 5.7 microm and from 2.82 to 5.51, respectively. In this study, spraying surfactant was the most effective control strategy to abate windblown dust from unpaved roads, having a control efficiency of approximately 93%, which is significantly higher than using paved road strategies with a control efficiency of approximately 45%. For paved roads, wet suppression provided the best dust control efficiencies ranging from 50 to 83%. Re-vegetation of disturbed ground had dust control efficiencies ranging from 48 to 64%.


Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminación del Aire/prevención & control , Materiales de Construcción/análisis , Polvo/análisis , Polvo/prevención & control , Material Particulado/análisis , Monitoreo del Ambiente , Humedad , Estaciones del Año , Taiwán
19.
J Hazard Mater ; 161(2-3): 1436-43, 2009 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-18599199

RESUMEN

To obtain a minimum feeding rate (F(min)) of activated carbon (AC), a series of measurements on dioxin emission concentration were carried out in a large-scale municipal solid waste incinerator. It was found that dioxin removal efficiency (eta) increased with an increase in AC feeding concentration. This had an almost linear function to F/Q when F/Q was less than 65 g/Nm(3), where F was the AC feeding rate (mg/min), and Q was the volumetric flow rate of flue gas (Nm(3)/min). However, it did not seem to be affected by F/Q, when F/Q was larger than 150 mg/Nm(3). On the basis of the experimental data obtained in this study, the removal efficiency of dioxins by the application of AC could be correlated as eta (%)=100/[1.0+(40.2/(F/Q)(3))]. It is valid in appropriate conditions (F/Q=10-300 mg/Nm(3)) suggested by the study with a statistical error of +/-18%. The correlation would be applied to estimate the dioxin removal efficiency (eta) using the F/Q value. For engineering applications, the (F/Q)(min) could be solved using a graphic illustration method, by which the minimum feeding rate (F) was obtained if the flue gas volumetric flow rate (Q) was known.


Asunto(s)
Contaminación del Aire/prevención & control , Carbono/química , Dioxinas/química , Adsorción , Contaminantes Atmosféricos , Monitoreo del Ambiente/métodos , Contaminantes Ambientales , Diseño de Equipo , Gases , Incineración/métodos , Modelos Estadísticos , Eliminación de Residuos/métodos , Temperatura , Factores de Tiempo
20.
J Hazard Mater ; 161(2-3): 1075-80, 2009 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-18555595

RESUMEN

A designed two-stage electrodialysis system is proposed to concentrate and purify chromate from a low pH electroplating wastewater using monovalent selective electrodialysis membranes. With low pH of the raw water (pH 2.2) in the first stage, chromate was presented as HCrO(4)(-) and monovalent ions (HCrO(4)(-), NH(2)SO(3)(-), Na(+) and Cl(-)) were able to pass through the membrane thus chromate was concentrated up to 191%. Higher current density, flowrate and more membrane area all increased the chromium recovery. When pH was adjusted to 8.5 before entering the second stage, the chromate species was presented as divalent CrO(4)(2-) and retained in the concentrated stream, and the rest monovalent ions (NH(2)SO(3)(-), Na(+) and Cl(-)) were separated by passing through the membrane. For example, 45% of the chlorides were separated in this study. The separation efficiencies in the second stage were also increased when the current density, flowrate and membrane area were increased. Electron Spectroscopy for Chemical Analysis was used to examine the surface chromate species for stage 1, and anion exchange membrane showed more chromate fouling comparing to cation exchange membrane due to more adsorption and concentration polarization effects for the anion exchange membrane.


Asunto(s)
Cromatos/química , Electroquímica/métodos , Contaminantes Químicos del Agua/análisis , Purificación del Agua/métodos , Adsorción , Aniones , Cromatos/análisis , Cromatografía por Intercambio Iónico/métodos , Cromo/análisis , Diálisis , Galvanoplastia , Diseño de Equipo , Concentración de Iones de Hidrógeno , Iones , Oxígeno/química , Factores de Tiempo
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