Source apportionment of soil PTE in a northern industrial county using PMF model: Partitioning strategies and uncertainty analysis.

Positive matrix factorization (PMF) has commonly been applied for source apportionment of potentially toxic elements (PTE) in agricultural soil, however, spatial heterogeneity of PTE significantly undermines the accuracy and reliability of PMF results. In this study, a representative industrial-agricultural hub in North China (Xuanhua district, Zhangjiakou City) was selected as the research subject, multiple partition processing (PP) strategies and uncertainty analyses were integrated to advance the PMF modeling and associated algorithm mechanisms were comparatively discussed. Specifically, we adopted three methods to split the research area into several subzones according to industrial density (PP-1), population density (PP-2), and the ecological risk index (PP-3) respectively, to rectify the spatial bias phenomenon of PTE concentrations and to achieve a more interpretable result. Our results indicated that the obvious enrichment of Cd, Pb, and Zn was found in the agricultural soil, with Hg and Cd accounted for 83.49% of the overall potential ecological risk. Combining proper PP with PMF can significantly improve the modelling accuracy. Uncertainty analysis showed that interval ratios of tracer species (Cd, Pb, Hg, and Zn) calculated by PP-3 were consistently lower than that of PP-1 and PP-2, indicating that PP-3 coupled PMF can afford the optimal modeling results. It suggested that natural sources, fertilizers and pesticides, atmosphere deposition, mining, and smelting were recognized as the major contributor for the soil PTE contamination. The contribution of anthropogenic activities, specifically fertilizers and pesticides, and atmosphere deposition, increased by 1.64% and 5.91% compared to PMF results. These findings demonstrate that integration of proper partitioning processing into PMF can effectively improve the accuracy of the model even at the case of soil PTE contamination with high heterogeneity, offering support to subsequently implement directional control strategies.

Lithium and strontium accumulation in native and invasive plants of the Sava River: Implications for bioindication and phytoremediation.

The objective of this study was to investigate the potential of native and invasive plant species for the uptake and accumulation of lithium (Li) and strontium (Sr) along the Sava River, focusing on their bioindication and phytoremediation capabilities. Sampling was carried out in riparian zones exposed to different pollution sources in Slovenia, Croatia, and Serbia. Plant samples of native (Salix alba, Populus alba, Populus nigra, Ulmus glabra, Juglans regia) and invasive (Amorpha fruticosa, Reynoutria japonica, Solidago canadensis, Impatiens glandulifera) species were collected. The content of Li and Sr was analyzed in the soils, roots, and leaves of the selected plants, as well as physical and chemical soil properties. Both Li and Sr content in the soils increased from the source to the mouth of the Sava River. The native species showed significant potential for Li and Sr accumulation based on the metal accumulation index. The highest Sr accumulation was measured in the leaves of Salix alba and the roots of Juglans regia, while the highest Li accumulation was measured in Ulmus glabra. Native species, especially Salix alba, proved to be better bioindicators of Li and Sr. Invasive species, especially Amorpha fruticosa and Impatiens glandulifera, showed a remarkable ability to translocate Sr and Li, respectively, to leaves. These results provide valuable insight into the suitability of plants for biomonitoring soil contamination and potential applications in phytoremediation strategies. In summary, the study shows the importance of native species in the context of the accumulation and bioindication of soil pollution.

Assessment of Microplastics and Potentially Toxic Elements in Surface Sediments of the River Kelvin, Central Scotland, United Kingdom.

Contamination of the environment by microplastics (MPs), polymer particles of <5 mm in diameter, is an emerging concern globally due to their ubiquitous nature, interactions with pollutants, and adverse effects on aquatic organisms. The majority of studies have focused on marine environments, with freshwater systems only recently attracting attention. The current study investigated the presence, abundance, and distribution of MPs and potentially toxic elements (PTEs) in sediments of the River Kelvin, Scotland, UK. Sediment samples were collected from eight sampling points along the river and were extracted by density separation with NaCl solution. Extracted microplastics were characterised for shape and colour, and the polymer types were determined through attenuated total reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy. Pollution status and ecological risks were assessed for both the microplastics and PTEs. Abundance of MPs generally increased from the most upstream location (Queenzieburn, 50.0 ± 17.3 particles/kg) to the most downstream sampling point (Kelvingrove Museum, 244 ± 19.2 particles/kg). Fibres were most abundant at all sampling locations, with red, blue, and black being the predominant colours found. Larger polymer fragments were identified as polypropylene and polyethylene. Concentrations of Cr, Cu, Ni, Pb and Zn exceeded Scottish background soil values at some locations. Principal component and Pearson's correlation analyses suggest that As, Cr, Pb and Zn emanated from the same anthropogenic sources. Potential ecological risk assessment indicates that Cd presents a moderate risk to organisms at one location. This study constitutes the first co-investigation of MPs and PTEs in a river system in Scotland.

Associations between community-level patterns of prenatal alcohol and tobacco exposure on brain structure in a non-clinical sample of 6-year-old children: a South African pilot study.

The current small study utilised prospective data collection of patterns of prenatal alcohol and tobacco exposure (PAE and PTE) to examine associations with structural brain outcomes in 6-year-olds and served as a pilot to determine the value of prospective data describing community-level patterns of PAE and PTE in a non-clinical sample of children. Participants from the Safe Passage Study in pregnancy were approached when their child was ∼6 years old and completed structural brain magnetic resonance imaging to examine with archived PAE and PTE data (n = 51 children-mother dyads). Linear regression was used to conduct whole-brain structural analyses, with false-discovery rate (FDR) correction, to examine: (a) main effects of PAE, PTE and their interaction; and (b) predictive potential of data that reflect patterns of PAE and PTE (e.g. quantity, frequency and timing (QFT)). Associations between PAE, PTE and their interaction with brain structural measures demonstrated unique profiles of cortical and subcortical alterations that were distinct between PAE only, PTE only and their interactive effects. Analyses examining associations between patterns of PAE and PTE (e.g. QFT) were able to significantly detect brain alterations (that survived FDR correction) in this small non-clinical sample of children. These findings support the hypothesis that considering QFT and co-exposures is important for identifying brain alterations following PAE and/or PTE in a small group of young children. Current results demonstrate that teratogenic outcomes on brain structure differ as a function PAE, PTE or their co-exposures, as well as the pattern (QFT) or exposure.

Traceability and dispersion of highly toxic soluble phases from historical mine tailings: insights from Pb isotope systematics.

Dispersion of potentially toxic elements associated with efflorescent crusts and mine tailings materials from historical mine sites threaten the environment and human health. Limited research has been done on traceability from historical mining sites in arid and semi-arid regions. Pb isotope systematics was applied to decipher the importance of identifying the mixing of lead sources involved in forming efflorescent salts and the repercussions on traceability. This research assessed mine waste (sulfide-rich and oxide-rich tailings material and efflorescent salts) and street dust from surrounding settlements at a historical mining site in northwestern Mexico, focusing on Pb isotope composition. The isotope data of tailings materials defined a trending line (R2 = 0.9); the sulfide-rich tailings materials and respective efflorescent salts yielded less radiogenic Pb composition, whereas the oxide-rich tailings and respective efflorescent salts yielded relatively more radiogenic compositions, similar to the geogenic component. The isotope composition of street dust suggests the dispersion of tailings materials into the surroundings. This investigation found that the variability of Pb isotope composition in tailings materials because of the geochemical heterogeneity, ranging from less radiogenic to more radiogenic, can add complexity during environmental assessments because the composition of oxidized materials and efflorescent salts can mask the geogenic component, potentially underestimating the influence on the environmental media.

Ecological risk from potentially toxic element legacy contamination in sediment from the Forth and Clyde Canal, Scotland, UK.

Industrial activities on the banks of waterways can degrade both the waterbody and the surrounding area and continue to exert pressure on the environment even after the closure of the industries involved. An assessment was undertaken to determine concentration, distribution, mobility and ecological risk of potentially toxic elements (PTE) from legacy contamination in sediments of the Forth and Clyde Canal, UK. Concentrations of PTE, determined by ICP-MS following aqua regia digestion, were 5.54-219 mg kg-1 for As, < 0.025-11.0 mg kg-1 for Cd, 44.8-883 mg kg-1 for Cr, 39.3-618 mg kg-1 for Cu, 35.8-72.1 g kg-1 for Fe, 720-4460 mg kg-1 for Mn, 42.0-154 mg kg-1 for Ni, 93.9-2740 mg kg-1 for Pb, 5.36-122 mg kg-1 for Sn and 288-3640 mg kg-1 for Zn. With the exception of Fe and Mn, higher levels were observed at urban locations than at rural. Enhanced Cr, Pb and Sn content at suburban locations could be attributed to historical industrial activities on the canal bank, while widespread distribution of As and Pb was consistent with atmospheric deposition. In the inner-city area, sediment quality was severely deteriorated, and the potential ecological risk was very high. Fractionation patterns, determined using the modified BCR sequential extraction, indicated a particularly high risk of mobilization for Cd, Mn and Zn, and the highest exchangeable fraction risk from Zn. The research highlights the need to assess and, where necessary, manage legacy contaminated sites in line with the UN 2030 Agenda for Sustainable Development.

A new approach for the assessment of the environmental risk of a soil-like fraction in landfills due to PTE contamination.

In the context of the shift toward a closed-loop economy, soil-like fractions from landfills are increasingly seen as a potential raw material. Pollution, including potentially toxic elements (PTEs), limits the use of soil-like fractions. The study objective was to assess the level of contamination with PTEs and the ecological risk of the soil-like fraction from a landfill using an interval method on the basis of a quantile analysis. Quantile analysis allows visualization and interpretation of data based on statistical principles using a cumulative distribution function for the data. Quantiles divide the entire dataset into equal parts by probability, and they indicate the proportion of observations that have a value less than or equal to a given quantile. A study was conducted at a landfill in Volgograd. The contents of Cd, Ni, Pb, Hg, Cu, and Zn were studied in a soil-like fraction. The contents of Hg, Pb, and Zn were low and did not pose any risks to the environment. Cd, Ni, and Cu were the main reasons for the contamination of the soil-like fraction. Quantile analysis has shown that the soil-like fraction is polluted unevenly and is described by several contamination levels. The pollution level with PTEs in the soil-like fraction is low, with a probability of 27-31%. The other part of the soil-like fraction has a pollution level ranging from moderate to very high. The environmental risk of a soil-like fraction is associated with Cd and Ni. With a probability of 23.5%, a soil-like fraction is a high environmental risk and requires a responsible attitude and measures to ensure environmental safety. With probabilities of 29.4% and 47.1%, the complex potential environmental risks of a soil-like fraction are low and moderate, respectively. The soil-like fraction located at a depth of more than 2.5 m has a low level of pollution and a low environmental risk. Potentially, this part of a soil-like fraction can be isolated and, after detoxification, used. The significance of this research lies in providing a novel approach to evaluate the ecological risk of soil-like fractions from landfills, which can inform more effective sustainable waste utilization practices in landfill mining.

Accumulation of potentially toxic elements in fourfinger threadfin (Eleutheronema tetradactylum) and black pomfret (Parastromateus niger) from Selangor, Malaysia.

The accumulation of potentially toxic elements (PTEs) has raised public awareness due to harmful contamination to both human and marine creatures. This study was designed to determine the concentration of copper (Cu), zinc (Zn), cadmium (Cd), and nickel (Ni) in the intestine, kidney, muscle, gill, and liver tissues of local commercial edible fish, fourfinger threadfin (Eleutheronema tetradactylum), and black pomfret (Parastromateus niger) collected from Morib (M) and Kuala Selangor (KS). Among the studied PTEs, Cu and Zn were essential elements to regulate body metabolism with certain dosages required while Cd and Ni were considered as non-essential elements that posed chronic and carcinogenic risk. The concentration of PTEs in fish tissue samples was analyzed using flame atomic absorption spectrometry (F-AAS). By comparing the concentration of PTEs in fish tissues as a bioindicator, the environmental risk of Morib was more serious than Kuala Selangor because both fish species collected from Morib resulted in a higher PTEs concentration. For an average 62 kg adult with a fish ingestion rate (FIR) of 0.16 kg/person/day in Malaysia, the estimated weekly intake (EWI) of Cd from the consumption of E. tetradactylum (M: 0.0135 mg/kg; KS: 0.0134 mg/kg) and P. niger (M: 0.0140 mg/kg; KS: 0.0132 mg/kg) had exceeded the provisional tolerable weekly intake (Cd: 0.007 mg/kg) established by the Joint FAO/WHO Expert Committee on Food Additives (JECFA) and oral reference dose (ORD) values of Cd (0.001 mg/kg/day) as provided by the United States Environmental Protection Agency (USEPA) regional screening level, thus it posed chronic risks for daily basis consumption. Besides, the value of the carcinogenic risk of Cd (0.7-3 to 0.8-3) and Ni (0.5-3 to 0.6-3) were in between the acceptable range (10-6 to 10-4) of the health index that indicates a relatively low possibility cancer occurrence to the consumers in both Morib and Kuala Selangor. This study recommended FIR to be 0.80 kg/person/day to reduce the possibility of posing chronic and carcinogenic risks while at the same time obtaining the essential nutrients from the fish.

Discovering Reactant Supply Pathways at Electrode/PEM Reaction Interfaces Via a Tailored Interface-Visible Characterization Cell.

In situ and micro-scale visualization of electrochemical reactions and multiphase transports on the interface of porous transport electrode (PTE) materials and solid polymer electrolyte (SPE) has been one of the greatest challenges for electrochemical energy conversion devices, such as proton exchange membrane electrolyzer cells (PEMECs), CO2 reduction electrolyzers, PEM fuel cells, etc. Here, an interface-visible characterization cell (IV-CC) is developed to in situ visualize micro-scaled and rapid electrochemical reactions and transports in PTE/SPE interfaces. Taking the PEMEC of a green hydrogen generator as a study case, the unanticipated local gas blockage, micro water droplets, and their evolution processes are successfully visualized on PTE/PEM interfaces in a practical PEMEC device, indicating the existence of unconventional reactant supply pathways in PEMs. Further comprehensive results reveal that PEM water supplies to reaction interfaces are significantly impacted with current densities. These results provide critical insights about the reaction interface optimization and mass transport enhancement in various electrochemical energy conversion devices.

Association between pediatric traumatic brain injury and epilepsy at later ages in Finland: A nationwide register-based cohort study.

OBJECTIVE: This study was undertaken to examine how pediatric traumatic brain injury (pTBI) correlates with incidence of epilepsy at later ages in Finland. METHODS: This nationwide retrospective register-based cohort study extended from 1998 to 2018. The study group consisted of 71 969 pediatric (<18 years old) patients hospitalized with TBI and a control group consisting of 64 856 pediatric patients with distal extremity fracture. Epilepsy diagnoses were gathered from the Finnish Social Insurance Institution. Kaplan-Meier and multivariable Cox regression models were conducted to analyze the probability of epilepsy with 95% confidence intervals (CIs). RESULTS: Cumulative incidence rates (CIRs) for the first 2 years were .5% in the pTBI group and .1% in the control group. The corresponding rates after 15 years of follow-up were 1.5% in the pTBI group and .7% in the control group. Due to proportional hazard violations, the study population was split to the first 2 years and in subgroup analysis 4 years. During the first 2 years of surveillance, the hazard ratio (HR) for the pTBI group was 4.38 (95% CI = 3.39-5.66). However, between years 2 and 20, the HR for the pTBI group was 2.02 (95% CI = 1.71-2.38). A total of 337 patients (.47%) underwent neurosurgery, and 36 (10.7%) patients subsequently developed epilepsy. The CIR for the first year after TBI was 4.5% (95% CI = 2.3-6.7) in operatively managed patients and .3% (95% CI = .3-.4) in nonoperatively managed patients. Corresponding figures after 15 years were 12.0% (95% CI = 8.2-15.8) and 1.5% (95% CI = 1.4-1.6). During the first 4 years of surveillance, the HR for the operative pTBI group was 14.37 (95% CI = 9.29-20.80) and 3.67 (95% CI = 1.63-8.22) between years 4 and 20. SIGNIFICANCE: pTBI exposes patients to a higher risk for posttraumatic epilepsy for many years after initial trauma. Children who undergo operative management for TBI have a high risk for epilepsy, and this risk was highest during the first 4 years after injury.

A Study on the Optimal Magnetic Beam Forming of Coil Arrays for Long Distance Wireless Power Transmission.

Multiple-input multiple-output (MIMO) wireless power transfer (WPT) technology which employs multiple transmitter (TX) coils to simultaneously couple power to the receiver (RX) coil has proved to be an effective technique to enhance power transfer efficiency (PTE). Conventional MIMO-WPT systems rely on the phase-calculation method based on the phased-array beam steering concept to constructively combine the magnetic fields induced by the multiple TX coils at the RX coil. However, increasing the number and distance of the TX coils in an attempt to enhance the PTE tends to deteriorate the received signal at the RX coil. In this paper, a phase-calculation method is presented that enhances the PTE of the MIMO-WPT system. The proposed phase-calculation method considers the coupling between the coils and applies the phase and amplitude to calculate the coil control data. From the experimental results, the transfer efficiency is enhanced as a result of the transmission coefficient improvement from a minimum of 2 dB to a maximum of 10 dB for the proposed method as compared to the conventional one. By implementing the proposed phase-control MIMO-WPT, high-efficiency wireless charging is realizable wherever electronic devices are located in a specific space.

Impacts of a lead smelter in East Java, Indonesia: degree of contamination, spatial distribution, ecological risk, and health risk assessment of potentially toxic elements in soils.

This study investigates the characteristics of potentially toxic elements in soils collected from the vicinity of a lead smelter in East Java, Indonesia. The objective is to assess the impact of the lead smelter on the surrounding soil. The study involves chemical composition analysis, spatial distribution mapping, and potential ecological and health risk assessments. Soil samples were collected from the surface area (0-10 cm) and subsurface (15-30 cm) within radii of 1.5 km, 3 km, and 5 km from the lead smelter. The samples were analyzed for As, Cr, Cu, Ni, Pb, and Zn using energy-dispersive X-ray fluorescence. Principal component analysis (PCA) was performed to identify the sources of potentially toxic elements in the soil. The results indicate severe Pb contamination within a 1.5 km radius of the smelter, with an average contamination factor (Cf) value of 22.0, posing a high potential health risk. The contamination factor indicated that the soils were heavily polluted by As and Pb and moderately polluted by Cu, Ni, and Zn. The results of PCA showed that smelter releases are the main source of potentially toxic element contamination in the soil, accounting for 66.2%. The health risk assessment suggested that the children and adults in the study region were exposed to non-carcinogenic risks caused by As and Pb. Oral ingestion was identified as the primary exposure route impacting health risks. The carcinogenic risk from potentially toxic elements in soil was found to exceed the acceptable level for children and adults in the study region. Therefore, it is necessary for the government to take effective measures, including designing regulations and interventions, and improving lead smelter management to mitigate potential contamination and minimize the impact of lead smelter releases on the surrounding environment, especially to protect human health, particularly that of children.

Characterization of a novel theta-type replicon of indigenous plasmid pTE15 from Lactobacillus reuteri N16.

BACKGROUND: pTE15 is a ~ 15-kb narrow-host-range indigenous plasmid from Lactobacillus reuteri N16 that does not replicate in selected Bacillus spp., Staphylococcus spp., and other Lactobacillus spp. METHODS: Combined deletion analysis the minireplicon essential of pTE15 with replicon-probe vector pUE80 (-) to confirmed sufficient for replication and from the ssDNA intermediate detection, plasmid amplification tested by chloramphenicol treatment, and replication origin sequence analysis to delineated the novel theta-type replication of pTE15. RESULTS: Single-stranded intermediate of pTE15 DNA was not detected in L. reuteri, indicating that this plasmid does not replicate via a rolling circle mechanism. The replicon of pTE15 did not display the structural organization typical of rolling-circle plasmids, nor were they similar to known rolling-circle plasmids. We further provided evidence that this plasmid applied a new mode of theta-type replication mechanism: (1) the size of this plasmid was > 10-kb; (2) the minireplicon consisted of AT-rich (directed repeat, iteron) and DnaA sequences; (3) the minireplicon did not contain double-strand origin (DSO) and essential rep genes, and it also showed no single-strand origin (SSO) structure; (4) the intermediate single-stranded DNA products were not observed for pTE15 replication; (5) the minireplicon did not contain a typical essential replication protein, Rep, (6) its copy number was decreased by chloramphenicol treatment, and (7) genes in pTE15 replication region encoded truncated RepA (TRepA), RepB and RepC, which were replication-associated proteins, but they were not essential for pTE15 replication. CONCLUSIONS: Collectively, our results strongly suggested that the indigenous plasmid pTE15 of L. reuteri N16 belongs to a new class of theta replicons.

GoogleTrends as a patient therapeutic education resource on extracorporeal life support: What do patients want to know?

INTRODUCTION: Extracorporeal membrane oxygenation (ECMO) is implemented as rescue therapy in COVID-19 related acute distress respiratory syndrome (ARDS) and refractory hypoxemia. Google Trends (GT) is an ongoing-developing web kit providing feedback on specific population's interests. This study uses GT to analyze the United States (US) general population interest in ECMO as COVD-19/ARDS salvage therapy. METHODS: GT was used to access data searched for the term ECMO and COVID-19. The gathered information included data from March 2020 to July 2021 within US territories. Search frequency, time intervals, sub-regions, frequent topics of interest, and related searches were analyzed. Data were reported as search frequency on means, and a value of 100 represented overall peak popularity. RESULTS: The number of Google searches related to the terms ECMO and COVID-19 has surged and sustained interest over time ever since the initial reports of COVID-19 in the US, from an initial mean of 34% in March 2020 to a 100% interest by April 2020, resulting in an up-to-date overall average of 40% interest. Over time West Virginia, Gainesville, and Houston, lead the frequency of searches in sub-region, metro and city areas, respectively. Top search terms by frequency include: ECMO machine, COVID ECMO, what is ECMO, ECMO treatment and VV ECMO. Parallel to this, the related rising terms are: COVID ECMO, ECMO machine COVID, ECMO for COVID, ECMO machine coronavirus, and ECMO vs ventilator. Seemingly, medical-relevant websites fail to adequately address these for patient therapeutic education (PTE) purposes. CONCLUSIONS: GT complements the understanding of interest in ECMO for COVID-19. When properly interpreted, the use of these trends can potentially improve on PTE and therapy awareness via specific medical relevant websites.

Duration of regional cerebral oxygen saturation under 40% is a risk factor for neurological injury following pulmonary thromboendarterectomy: A prospective observational study.

BACKGROUND: Deep hypothermic circulatory arrest (DHCA) is nowadays commonly used in pulmonary thromboendarterectomy (PTE). Neurological injury related to DHCA severely impairs the prognosis of patients. However, the risk factors and predictors of neurological injury are still unclear. METHODS: We conducted a prospective observational study, including 82 patients diagnosed as chronic thromboembolic pulmonary hypertension and underwent PTE alone in our center from December 2016 to May 2021. Demographic characteristics, clinical and surgical data, and neurological adverse events were recorded prospectively. Univariate and multivariate analyses were conducted to identify the predictors of neurological injury. RESULTS: Eleven (13.4%) patients exhibited neurological injuries after surgery. Univariate analysis showed that the duration of regional cerebral oxygen saturation (rSO2 ) under 40% (p < .001), the minimum rSO2 (p = .006), and the percentage of decrease in rSO2 (p = .011) were significantly associated with neurological injury. Multivariate analysis showed that the duration of rSO2 under 40% was an independent predictor for postoperative neurological injury (odds ratio = 3.896, 95% confidence interval: 1.812-8.377, p < .001). The receiver operating characteristic curve showed that when the cut-off value was 1.25 min, its sensitivity for predicting neurological injury was 63.6% with a specificity of 88.7%. CONCLUSIONS: The duration of rSO2 under 40% is an independent predictor for neurological injury following PTE. For complicated lesions, more times of circulatory arrest were much safer and more reliable than a prolonged time of a single circulatory arrest. The circulation should be restored as soon as possible, when the rSO2 under 40% is detected, rather than waiting for 5 min.

Resting heart rate as a preoperative predictor of postoperative atrial fibrillation after pulmonary thromboendarterectomy.

BACKGROUND: As a marker of the autonomic nervous system, resting heart rate is a predictor of postoperative atrial fibrillation (POAF). However, its predictive value for POAF after pulmonary thromboendarterectomy (PTE) has not been adequately studied. METHODS: We enrolled 97 patients who underwent PTE in our hospital from December 2016 to November 2021 in this retrospective study. Almost all preoperative characteristics, including electrocardiogram, demographics, hematologic and biochemical indices, echocardiography, and pulmonary hemodynamics, were compared between patients with and without POAF. Multivariate logistic regression analysis was used to identify the independent risk factors for POAF after PTE. RESULTS: Overall, 21 patients (21.6%) suffered from POAF after PTE. Compared with patients without POAF, those with POAF were older (p = .049), with a higher resting heart rate (p = .012), and higher platelet count (p = .040). In the binary logistic regression analysis, the resting heart rate (odds ratio [OR] = 1.043, 95% confidence interval [CI] = 1.009-1.078, p = .012) and age (OR = 1.051, 95% CI = 1.003-1.102, p = .037) were independent risk factors for POAF after PTE. The optimal cutoff point of resting heart rate was 89.5 with sensitivity and specificity of 47.6% and 77.6%. When the cutoff value of the age was 54.5, its sensitivity for predicting POAF was 71.4%, with a specificity of 59.2%. CONCLUSIONS: POAF is common after PTE surgery, and the incidence may be underestimated. The resting heart rate and age are independent preoperative risk factors for POAF after PTE. Considering the lower predictive power of the resting heart and age, further large-scale studies are needed.

Assessment of natural and anthropogenic factors on the distribution of chemical elements in soil from the Skopje region, North Macedonia.

The main objective of this study is to present the distribution of different chemical elements in soil samples from the Skopje region, North Macedonia. To determine the level of presence of chemical elements, soil samples are collected from a total of 60 locations. From each location, from an area of 5 × 5 km2 samples of soil are collected: topsoil (0-5 cm) and subsoil (20-30 cm). The soil samples were analyzed for 69 elements by using two instrumental methods: inductively coupled plasma-atomic emission spectrometry (ICP-AES) for macro-elements and inductively coupled plasma-mass spectrometry (ICP-MS) for trace elements. A factor analysis was applied to analyze the factors affecting the linear combination variables grouped at the same factor. Spatial distribution maps of each factor as well as distribution maps for the analyzed elements were prepared by universal kriging interpolation. It was found that the distribution of most elements follows the lithology of the examined area, except for some elements (Cd, Cu, Fe, Hg, Mn, Pb, and Zn) whose higher contents are found in the area of the city of Skopje as a result of urban and industrial activities (traffic, metal processing, fossil fuel combustion for heating).

Sensitivity of unilateral- versus bilateral-onset spike-wave discharges to ethosuximide and carbamazepine in the fluid percussion injury rat model of traumatic brain injury.

Unilateral-onset spike-wave discharges (SWDs) following fluid percussion injury (FPI) in rats have been used for nearly two decades as a model for complex partial seizures in human posttraumatic epilepsy (PTE). This study determined if SWDs with a unilateral versus bilateral cortical onset differed. In this experiment, 2-mo-old rats received severe FPI (3 atm) or sham surgery and were instrumented for chronic video-electrocorticography (ECoG) recording (up to 9 mo). The antiseizure drug, carbamazepine (CBZ), and the antiabsence drug, ethosuximide (ETX), were administered separately to determine if they selectively suppressed unilateral- versus bilateral-onset SWDs, respectively. SWDs did not significantly differ between FPI and sham rats on any measured parameter (wave-shape, frequency spectrum, duration, or age-related progression), including unilateral (∼17%) versus bilateral (∼83%) onsets. SWDs with a unilateral onset preferentially originated ipsilateral to the craniotomy in both FPI and sham rats, suggesting that the unilateral-onset SWDs were related to surgical injury and not specifically to FPI. ETX profoundly suppressed SWDs with either unilateral or bilateral onsets, and CBZ had no effect on either type of SWD. These results suggest that SWDs with either a unilateral or bilateral onset have a pharmacosensitivity similar to absence seizures and are very different from the complex partial seizures of PTE. Therefore, SWDs with a unilateral onset after FPI are not a model of the complex partial seizures that occur in PTE, and their use for finding new treatments for PTE could be counterproductive, particularly if their close similarity to normal brain oscillations is not acknowledged.NEW & NOTEWORTHY Unilateral-onset spike-wave discharges (SWDs) in rats have been used to model complex partial seizures in human posttraumatic epilepsy (PTE), compared to bilateral-onset SWDs thought to reflect human absence seizures. Here, we show that both unilateral- and bilateral-onset SWDs following traumatic brain injury are suppressed by the antiabsence drug ethosuximide and are unaffected by the antiseizure drug carbamazepine. We propose that unilateral-onset SWDs are not useful for studying mechanisms of, or treatments for, PTE.

Nanoparticles prepared from pterostilbene reduce blood glucose and improve diabetes complications.

BACKGROUND: Diabetes complications are the leading cause of mortality in diabetic patients. The common complications are decline in antioxidant capacity and the onset of micro-inflammation syndrome. At present, glucose-responsive nanoparticles are widely used, as they can release insulin-loaded ultrafine particles intelligently and effectively reduce blood sugar. However, the toxicology of this method has not been fully elucidated. The plant extracts of pterostilbene (PTE) have a wide range of biological applications, such as antioxidation and inflammatory response improvement. Therefore, we have proposed new ideas for the cross application of plant extracts and biomaterials, especially as part of a hypoglycaemic nano-drug delivery system. RESULTS: Based on the PTE, we successfully synthesised poly(3-acrylamidophenyl boric acid-b-pterostilbene) (p[AAPBA-b-PTE]) nanoparticles (NPs). The NPs were round in shape and ranged between 150 and 250 nm in size. The NPs possessed good pH and glucose sensitivity. The entrapment efficiency (EE) of insulin-loaded NPs was approximately 56%, and the drug loading (LC) capacity was approximately 13%. The highest release of insulin was 70%, and the highest release of PTE was 85%. Meanwhile, the insulin could undergo self-regulation according to changes in the glucose concentration, thus achieving an effective, sustained release. Both in vivo and in vitro experiments showed that the NPs were safe and nontoxic. Under normal physiological conditions, NPs were completely degraded within 40 days. Fourteen days after mice were injected with p(AAPBA-b-PTE) NPs, there were no obvious abnormalities in the heart, liver, spleen, lung, or kidney. Moreover, NPs effectively reduced blood glucose, improved antioxidant capacity and reversed micro-inflammation in mice. CONCLUSIONS: p(AAPBA-b-PTE) NPs were successfully prepared using PTE as raw material and effectively reduced blood glucose, improved antioxidant capacity and reduced the inflammatory response. This novel preparation can enable new combinations of plant extracts and biomaterials to adiministered through NPs or other dosage forms in order to regulate and treat diseases.

Proportion of treatment effect mediated by surrogate endpoints.

One of the central aims in randomized clinical trials is to find well-validated surrogate endpoints to reduce the sample size and/or duration of trials. Clinical researchers and practitioners have proposed various surrogacy measures for assessing candidate surrogate endpoints. However, most existing surrogacy measures have the following shortcomings: (i) they often fall outside the range [0,1], (ii) they are imprecisely estimated, and (iii) they ignore the interaction associations between a treatment and candidate surrogate endpoints in the evaluation of the surrogacy level. To overcome these difficulties, we propose a new surrogacy measure, the proportion of treatment effect mediated by candidate surrogate endpoints (PMS), based on the decomposition of the treatment effect into direct, indirect, and interaction associations mediated by candidate surrogate endpoints. In addition, we validate the advantages of PMS through Monte Carlo simulations and the application to empirical data from ORIENT (the Olmesartan Reducing Incidence of Endstage Renal Disease in Diabetic Nephropathy Trial).