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The release of uranium from uranium tailings into the aqueous environment is a complex process controlled by a series of interacting geochemical reactions. In this paper, uranium tailings from a uranium tailings pond in southern China were collected at different depths by means of borehole sampling and mixed to analyze the fugacity state of U. Static leaching experiments of U at different pH, oxidant concentration and solid-to-liquid ratios and dynamic leaching experiments of U at different pH were carried out, and the adsorption and desorption behaviour of U in five representative stratigraphic media were investigated. The results show that U is mainly present in the residue state in uranium tailings, that U release is strong in the lower pH range, that the leached U is mainly in the form of U(VI), mainly from the water-soluble, Fe/Mn oxides and exchangeable fraction of uranium tailings, and that the reduction in U leaching at higher pH is mainly due to the combined effect of precipitation formation and larger particle size of platelets in uranium tailings. Experiments with different oxidant concentrations and solid-liquid ratios showed that the oxygen-enriched state and low solid-liquid ratios were favorable for the leaching of U from uranium tailings. Adsorption and desorption experiments show that U is weakly adsorbed in representative strata, reversibly adsorbed, and that U is highly migratory in groundwater. The present research results have important guiding significance for the management of existing uranium tailings ponds and the control of U migration in groundwater, which is conducive to ensuring the long-term safety, stability and sustainability of uranium mining sites.
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Poluentes Radioativos do Solo , Urânio , Poluentes Radioativos da Água , Urânio/análise , Adsorção , Poluentes Radioativos do Solo/análise , Poluentes Radioativos da Água/análise , Água , OxidantesRESUMO
The connectivity of urban river networks plays an important role in cities in many aspects, such as urban water safety, water quality (WQ), and aquatic ecological balance. This study focuses on the river network and the Majiawan Wetland in the Chaoyang District of Beijing by establishing a two-dimensional hydrological WQ model employing various water allocation schemes between the river network and the wetland. Water circulation and WQ are the main indexes, and the effects of different scenarios on improving water circulation and WQ are simulated and compared. This study demonstrates that the addition of water replenishment at the intersection of river network and internal slow-water zones of the wetland (Scheme 2) has greater effectiveness in improving both hydrology and WQ compared to two other schemes. The water area of the Majiawan Wetland has expanded, and water velocity has increased. Using chemical oxygen demand, total nitrogen, and total phosphorus as the index values for determining the water class, the WQ of about 20% of the wetland area was reached Water Class II (domestic drinking water), with Water Class III (general industrial water) accounting for the other 80%. This study provides valuable evaluation and reference for similar areas of urban river network connectivity.
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Rios , Qualidade da Água , Áreas Alagadas , Rios/química , Cidades , Modelos Teóricos , China , Simulação por ComputadorRESUMO
A plasmonic photocatalyst of AgBr/BiPO4/g-C3N4 was prepared. X-ray powder diffraction, Scanning electron microscope, Transmission electron microscopy, Fourier infrared spectroscopy, Ultraviolet Visible diffuse reflectance spectroscopy and photoluminescence emission spectra have been employed to determine the structure, morphology and optical property of the as-prepared AgBr/BiPO4/g-C3N4 composite and analysis the reasons for improving photocatalytic efficiency. The optimal doping ratio of AgBr was 10 wt% by degrading 20 mg/L of Reactive Blue 19 (RB19) under visible light (λ > 420 nm), and 10 wt%AgBr/BiPO4/g-C3N4 degraded 20 mg/L of RB19 to 2.59% at 40 min, which is ascribed to synergistic effects at the interface of AgBr, BiPO4 and g-C3N4. The effect of catalyst dosage, initial concentration and initial pH of RB19 solution on photocatalytic efficiency was investigated. Four cycles of experiments were conducted. Finally, through the trapping experiment, we found that the main active factor for degrading RB19 in the photocatalytic process is O2-. The possible photocatalytic mechanism of AgBr/BiPO4/g-C3N4 was discussed in connection with the synergistic effect of Ag and active substances at the AgBr/BiPO4/g-C3N4 interface.
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Grafite , Antraquinonas , Catálise , LuzRESUMO
A series of caspase inhibitors containing γ-amino acid moiety have been synthesized. A systemic study on their structure-activity relationship of anti-apoptotic cellular activity is presented. These efforts led to the discovery of compound 20o as a potent caspase inhibitor, which demonstrated preclinical ameliorating total bilirubin efficacy with a significantly improved pharmacokinetic profile.
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Aminoácidos/química , Inibidores de Caspase/química , Animais , Bilirrubina/sangue , Sítios de Ligação , Caspase 1/química , Caspase 1/metabolismo , Inibidores de Caspase/farmacocinética , Inibidores de Caspase/uso terapêutico , Modelos Animais de Doenças , Meia-Vida , Humanos , Células Jurkat , Hepatopatias/tratamento farmacológico , Hepatopatias/patologia , Camundongos , Simulação de Acoplamento Molecular , Estrutura Terciária de Proteína , Relação Estrutura-Atividade , Receptor fas/antagonistas & inibidores , Receptor fas/metabolismoRESUMO
A good understanding of the microdynamics of the water absorption of poly(2-hydroxyethyl methacrylate) (PHEMA)-based contact lens is significant for scientific investigation and commercial applications. In this study, time-dependent ATR-FTIR spectroscopy combined with the perturbation correlation moving-window two-dimensional (PCMW2D) technique and 2D correlation analysis was used to study the microdynamics mechanism. PCMW2D revealed that D2O took 3.4 min to penetrate into the contact lens. PCMW2D also found the PHEMA-based contact lens underwent two processes (I and II) during D2O absorption, and the time regions of processes I and II are 3.4-12.4 min and 12.4-57.0 min. According to 2D correlation analysis, it was proved that process I has 5 steps, and process II has 3 steps. For process I, the first step is D2O hydrogen-bonding with "free" C[double bond, length as m-dash]O in the side chains. The second step is the hydrogen bond generation of the O-HO-D structure between D2O and "free" O-H groups in the side chain ends. The third step is the hydrogen bond generation of D2O and the "free" C[double bond, length as m-dash]O groups close to the crosslinking points in the contact lens. The fourth and the fifth steps are the hydration of -CH3 and -CH2- groups by D2O, respectively. For process II, the first step is the same as that of process I. The second step is the hydrogen bonds breaking of bonded O-H groups and the deuterium exchange between D2O and O-H groups in the side chain ends. The third step is also related to the deuterium exchange, which is the hydrogen bonds regeneration between the dissociated C[double bond, length as m-dash]O groups and the new O-D.
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Lentes de Contato , Óxido de Deutério/química , Hidrogéis/química , Poli-Hidroxietil Metacrilato/química , Absorção Fisico-Química , Ligação de Hidrogênio , Interações Hidrofóbicas e HidrofílicasRESUMO
In the present study, the theory of the data treatment with scaling techniques for moving-window two-dimensional (scaling-MW2D) correlation analysis was first proposed. This new analytical method of spectroscopy can significantly enhance the resolving capacity of the moving-window two-dimensional (MW2D) correlation infrared spectroscopy in the direction of the perturbation variable. So, it strengthened the ability of MW2D to highlight the weak transitions. The in situ infrared spectra of four common polymers, including polyamide 66 (PA66), polystyrene-block-polybutadiene-block-polystyrene block copolymer (SBS), isotactic polypropylene (iPP), and polyoxymethylene (POM), were employed to illustrate the advantages of scaling-MW2D. In the applications of the present study, the conventional autocorrelation MW2D can only distinguish the melting point of PA66, the maximum crystallization temperature of POM, and the primary oxidation of SBS. However, the autocorrelation scaling-MW2D not only can more easily determine the above transitions, but also can identify PA66 brill transition, the dissociation of adsorbed water in PA66, POM secondary crystallization, the glass transition of hard blocks in SBS, and the generation of the aldehyde and hydroxyl groups during SBS oxidation. Our further study found that the selection of the scaling factor α was very important. The golden point α = 0.618 was the best value, and satisfactory application results can be achieved. The slice scaling-MW2D was also investigated. The scaling-MW2D method of spectroscopy can be used elsewhere. The application of this analytical method should not be limited to the infrared spectra, and it also should not be limited to transitions in polymers. This method can be easily extended and applied to other materials and spectra.
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UNLABELLED: Aims: To evaluate the feasibility and safety of Laparoscopic transcystic duct common bile duct exploration(LTCBDE) in elderly patients. METHODOLOGY: Between Jan 2010 and Dec 2011, 308 elderly patients (age 65 years) with CBD stones underwent surgery. 165 were initially treated with LTCBDE, 143 patients underwent open choledocholithotomy surgery. Two groups were compared with operative duration, incidence of postoperative complication, and the average days of in hospital. RESULTS: The LTCBDE was performed successfully in 157 of 165 patients 95.15%. 3 cases were converted to laparotomy and the other 5 were changed to laparoscopic choledocholithotomy and T-tube drainage. All he elderly patients receiving LTCBDE were dealt with primary closure of cystic duct. There were no severe complications such as bleeding and residual stones.The average duration of surgery was 102 ± 35 min and the mean blood loss 43 ± 20 ml. The postoperative hospital day was 3 ± 0.5 days. 143 patients underwent open choledocholithotomy surgery. There were 2 (1.4%) cases abdominal wall incision infection, 5 (3.5%) cases pulmonary infection, 2 (1.4%) bile leakage, and 1 (0.7%) local bile leakage for part T-tube pulled out postoperation. The operation duration was about 120 ± 30 minutes, and postoperative hospital day 7 ± 1.5 days CONCLUSIONS: Elective LTCBDE to treat CBD stones in elderly patients is safe and effective.
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Coledocolitíase/cirurgia , Ducto Colédoco/cirurgia , Ducto Cístico/cirurgia , Laparoscopia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Coledocolitíase/diagnóstico , Ducto Colédoco/patologia , Ducto Cístico/patologia , Drenagem , Procedimentos Cirúrgicos Eletivos , Estudos de Viabilidade , Feminino , Humanos , Laparoscopia/efeitos adversos , Tempo de Internação , Masculino , Duração da Cirurgia , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Fatores de Risco , Fatores de Tempo , Resultado do TratamentoRESUMO
Each approach for artificial cornea design is toward the same goal: to develop a material that best mimics the important properties of natural cornea. Accordingly, the selection and optimization of corneal substitute should be based on their physicochemical properties. In this study, three types of polyvinyl alcohol (PVA) hydrogels with different polymerization degree (PVA1799, PVA2499 and PVA2699) were prepared by freeze-thawing techniques. After characterization in terms of transparency, water content, water contact angle, mechanical property, root-mean-square roughness and protein adsorption behavior, the optimized PVA2499 hydrogel with similar properties of natural cornea was selected as a matrix material for artificial cornea. Based on this, a biomimetic artificial cornea was fabricated with core-and-skirt structure: a transparent PVA hydrogel core, surrounding by a ringed PVA-matrix composite skirt that composed of graphite, Fe-doped nano hydroxyapatite (n-Fe-HA) and PVA hydrogel. Different ratio of graphite/n-Fe-HA can tune the skirt color from dark brown to light brown, which well simulates the iris color of Oriental eyes. Moreover, morphologic and mechanical examination showed that an integrated core-and-skirt artificial cornea was formed from an interpenetrating polymer network, no phase separation appeared on the interface between the core and the skirt.
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Órgãos Artificiais , Materiais Biomiméticos/síntese química , Córnea , Transplante de Córnea/instrumentação , Hidrogéis/química , Álcool de Polivinil/química , Força Compressiva , Análise de Falha de Equipamento , Dureza , Humanos , Teste de Materiais , Conformação Molecular , Desenho de Prótese , Refratometria , Propriedades de SuperfícieRESUMO
The automatic classification of epilepsy electroencephalogram (EEG) signals plays a crucial role in diagnosing neurological diseases. Although promising results have been achieved by deep learning methods in this task, capturing the minute abnormal characteristics, contextual information, and long dependencies of EEG signals remains a challenge. To address this challenge, a positional multi-length and mutual-attention (PMM) network is proposed for the automatic classification of epilepsy EEG signals. The PMM network incorporates a positional feature encoding process that extracts minute abnormal characteristics from the EEG signal and utilizes a multi-length feature learning process with a hierarchy residual dilated LSTM (RDLSTM) to capture long contextual dependencies. Furthermore, a mutual-attention feature reinforcement process is employed to learn the global and relative feature dependencies and enhance the discriminative abilities of the network. To validate the effectiveness PMM network, we conduct extensive experiments on the public dataset and the experimental results demonstrate the superior performance of the PMM network compared to state-of-the-art methods.
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Americium (III) (Am(III)) in the natural environment is considered immobile due to its low solubility, strong adsorption, and high affinity to solid surfaces. However, the presence of natural colloids may carry Am(III) transport for long distance. The individual and co-transport behaviors of Am(III) and natural colloids through the unsaturated packed columns were investigated under the influence of pH, electrolyte concentration, velocity, Am(III) concentration and natural colloids concentration. Under all experimental conditions, Am(III) individual transport construct sight breakthrough curves (BTCs, CAm/C0 < 3%), but the presence of natural colloids increased the BTCs plateau of Am(III) significantly (30% < CAm/C0 < 80%), indicating that the colloids were able to promote Am(III) transport in the unsaturated porous media. DLVO theoretical calculations reveal that the increased pH and decreased electrolyte concentration lead to a rase in electrostatic repulsion, and the natural colloids tend to be dispersed and stabilized, which facilitates elution. In addition to this, the increase of velocity and colloids concentration will lead to greater breakthrough of natural colloids. The non-equilibrium two-site model and the two-site kinetic retention model well-described the BTCs of Am(III) and natural colloids, respectively. This study provide new insights into the behavior of natural colloids carrying the Am(III) into aquifers through the vadose zone sediments.
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Amerício , Coloides , Sedimentos Geológicos , Coloides/química , Sedimentos Geológicos/química , Amerício/química , Adsorção , Poluentes Químicos da Água/química , Cinética , Concentração de Íons de HidrogênioRESUMO
This paper explores the environmental hazards associated with nuclear facilities in arid regions, focusing on the rapid migration of radionuclides facilitated by flood runoff resulting from extreme rainstorms. Through a case study of a proposed nuclear facility site in China, the study developed a comprehensive model to calculate the transformation of 90Sr and 137Cs in flood and subsurface water during accidents. The methodology employs a combination of field tests, radionuclide adsorption tests, the SWAT model, and the HGS model to create a fully integrated model. This approach allows for the several complex couplings (radionuclide-flood runoff-subsurface water) that have not been previously examined in the reactive solute transport. The findings reveal that despite groundwater movement being relatively sluggish, 90Sr and 137Cs migrate downstream rapidly due to their transportation by floods, which permeate the Upper Pleistocene gravel aquifer along the route. The study underscores the importance of considering the migration of radionuclides carried by floods generated by extreme rainstorms, as it poses a significant risk that cannot be ignored.
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The presence of carbonates or humic substances (HS) will significantly affect the species and chemical behavior of U(VI) in solution, but lacking systematic exploration of the coupling effect of carbonates and HS under near real environmental conditions at present. Herein, the sorption behavior of U(VI) on illite was systematically studied in the co-existence of carbonates and HS including both humic acid (HA) and fulvic acid (FA) by batch technique. The distribution coefficients (Kd) increased as function of time and temperature but decreased with increasing concentrations of initial U(VI), Ca2+, and Mg2+, as well as ion strength. At pH 2.0-10.5, the Kd values first increased rapidly and then decreased visibly, with its maximum value appearing at pH 5.0, owning to the changes in the interaction between illite and the dominant species of U(VI) from electrostatic attraction to electrostatic repulsion. The sorption was a heterogeneous, spontaneous, and endothermic chemical process, which could be well described by pseudo-second-order kinetic and Flory-Huggins isotherm models. When carbonates and HA/FA coexisted, the Kd values always increased first and then decreased as a function of pH, with the only difference for HA and FA being the key pH (pHkey) at which the promoting and inhibiting effects on the sorption of U(VI) onto illite undergo a transition. The carbonates and HS have a synergistic inhibitory effect on the U(VI) sorption onto illite at pH 7.8. FTIR and XPS spectra demonstrated that the hydroxyl groups on the illite surface and in the HS were involved in U(VI) sorption on illite in the presence of carbonates. These results provide valuable data for a deeper understanding of U(VI) migration in geological media.
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The leaching process of uranium tailings is a typical water-rock interaction. The release of 226Ra from uranium tailings depends on the nuclides outside the intrinsic properties of uranium tailings on the one hand, and is influenced by the water medium on the other. In this paper, a uranium tailings repository in southern China was used as a research object, and uranium tailings at different depths were collected by drilling samples and mixed to analyze the 226Ra occurrence states. Static dissolution leaching experiments of 226Ra under different pH conditions, solid-liquid ratio conditions, and ionic strength conditions were carried out, and the adsorption and desorption behaviours of 226Ra in five representative stratigraphic media were investigated. The results show that 226Ra has a strong adsorption capacity in representative strata, with adsorption distribution coefficient Kd values ranging from 1.07E+02 to 1.29E+03 (mL/g) and desorption distribution coefficients ranging from 4.97E+02 to 2.71E+03 (mL/g), but the adsorption is reversible. The 226Ra in uranium tailings exists mainly in the residual and water-soluble states, and the release of 226Ra from uranium tailings under different conditions is mainly from the water-soluble and exchangeable state fractions. Low pH conditions, low solid-liquid ratio conditions and high ionic strength conditions are favourable to the release of 226Ra from uranium tailings, so the release of 226Ra from uranium tailings can be reduced by means of adjusting the pH in the tailings and setting up a water barrier. The results of this research have important guiding significance for the management of existing uranium tailings ponds and the control of 226Ra migration in groundwater, which is conducive to guaranteeing the long-term safety, stability and sustainability of uranium mining sites.
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Rádio (Elemento) , Urânio , Urânio/química , Adsorção , Rádio (Elemento)/análise , Rádio (Elemento)/química , China , Poluentes Radioativos do Solo/análise , Monitoramento de Radiação , Mineração , Poluentes Radioativos da Água/química , Poluentes Radioativos da Água/análiseRESUMO
Clay colloids in the subsurface environment have a strong adsorption capacity for radionuclides, and the mobile colloids will carry the nuclides for migration, which would promote the movability of radionuclides in the groundwater environment and pose a threat to the ecosphere. The investigations of the adsorption/desorption behaviors of radionuclides in colloids and porous media are significant for the evaluation of the geological disposal of radioactive wastes. To illustrate the adsorption/desorption behaviors of 241Am(â ¢) in Na-montmorillonite colloid and/or quartz sand systems at different pH (5, 7 and 9), ionic strengths (0, 0.1 and 5 mM), colloid concentrations (300 and 900 mg/L), nuclide concentrations (500, 800, 1100 and 1400 Bq/mL) and grain sizes (40 and 60 mesh), a series of batch sorption-desorption experiments were conducted. Combining the analysis of the physical and chemical properties of Na-montmorillonite with the Freundlich model, the influencing mechanism of different controlling factors is discussed. The experimental results show that the adsorption/desorption behaviors of 241Am(â ¢) in Na-montmorillonite colloid and/or quartz sand strongly are influenced by the pH value and ionic strength of a solution, the colloid concentration as well as quartz sand grain size. The adsorption and desorption isotherms within all the experimental conditions could be well-fitted by the Freundlich model and the correlation coefficients (R2) are bigger than 0.9. With the increase in pH, the adsorption partition coefficient (Kd) at 241Am(â ¢)-Na-montmorillonite colloid two-phase system and 241Am(â ¢)-Na-montmorillonite colloid-quartz sand three-phase system presents a trend which increases firstly followed by decreasing, due to the changes in the morphology of Am with pH. The Kd of 241Am(â ¢) adsorption on montmorillonite colloid and quartz sand decreases with increasing in ionic strength, which is mainly attributed to the competitive adsorption, surface complexation and the reduction of surface zeta potential. Additionally, the Kd increases with increasing colloid concentrations because of the increase in adsorption sites. When the mean grain diameter changes from 0.45 to 0.3 mm, the adsorption variation trends of 241Am(â ¢) remain basically unchanged. The research results obtained in this work are meaningful and helpful in understanding the migration behaviors of radionuclides in the underground environment.
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Amerício , Bentonita , Coloides , Quartzo , Bentonita/química , Concentração Osmolar , Adsorção , Concentração de Íons de Hidrogênio , Coloides/química , Quartzo/química , Amerício/química , Amerício/análise , Poluentes Radioativos da Água/química , Poluentes Radioativos da Água/análise , Poluentes Radioativos do Solo/análise , Poluentes Radioativos do Solo/química , Modelos Químicos , Tamanho da Partícula , Areia/químicaRESUMO
In the present work, we constructed a serials of novel shaddock peel-derived N-doped carbon quantum dots (NCQDs) coupled with BiOBr composites. The result showed that the as-synthesized BiOBr (BOB) was composed of ultrathin square nanosheets and flower-like structure, and NCQDs were uniformly dispersed on the surface of BiOBr. Furthermore, the BOB@NCQDs-5 with optimal NCQDs content displayed the top-flight photodegradation efficiency with ca. 99% of removal rate within 20 min under visible light and possessed excellent recyclability and photostability after 5 cycles. The reason was attributed to relatively large BET surface area, the narrow energy gap, inhibited recombination of charge carriers and excellent photoelectrochemical performances. Meanwhile, the improved photodegradation mechanism and possible reaction pathways were also elucidated in detail. On this basis, the study opens a novel perspective to obtain a highly efficient photocatalyst for practical environment remediation.
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Pontos Quânticos , Fotólise , Carbono , Catálise , LuzRESUMO
In this study, a column experiment was employed to evaluate the nuclide migration behavior in the surrounding rock medium of a near-surface disposal site in China and to investigate the advection-dispersion behavior of tritium (H-3) and plutonium-238 (Pu-238) in highly weathered argillaceous shale. A reasonable numerical model was selected to fit the experimental breakthrough curves (BTCs) and to obtain the relevant migration parameters. The results show the following: (1) the internal structure of the highly weathered argillaceous shale exhibited heterogeneity, and the nuclide migration BTC showed characteristics of a "curve peak moving forward" and a "tail curve trailing"; (2) compared with other models, the stream tube mode could better fit the BTCs and obtain the average dispersion coefficient
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A large number of radionuclides remain in uranium tailings, and U, 226Ra and 210Pb leach out with water chemistry, causing potential radioactive contamination to the surrounding environment. In this paper, uranium tailings from a uranium tailings pond in southern China were collected at different depths by means of borehole sampling, mixed and homogenised, and analysed for mineral and chemical composition, microscopic morphology, U, 226Ra and 210Pb fugacity, static leaching and dynamic leaching of U, 226Ra and 210Pb in uranium tailings at different pH conditions. The variation of U, 226Ra and 210Pb concentrations in the leachate under different pH conditions with time was obtained, and the leaching mechanism was analysed. The results showed that the uranium tailings were dominated by quartz, plagioclase and other minerals, of which SiO2 and Al2O3 accounted for 65.45% and 13.32% respectively, and U, 226Ra and 210Pb were mainly present in the residue form. The results of the static leaching experiments show that pH mainly influences the leaching of U, 226Ra and 210Pb by changing their chemical forms and the particle properties of the tailings, and that the lower the pH the more favourable the leaching. The results of dynamic leaching experiments during the experimental cycle showed that the leaching concentration and cumulative release of U, 226Ra and 210Pb in the leach solution were greater at lower pH conditions than at higher pH conditions, and the leaching of U, 226Ra and 210Pb at different pH conditions was mainly from the water-soluble and exchangeable states. The present research results are of great significance for the environmental risk management and control of radioactive contamination in existing uranium tailings ponds, and are conducive to ensuring the long-term safety, stability and sustainability of uranium mining sites.
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Monitoramento de Radiação , Poluentes Radioativos do Solo , Urânio , Urânio/análise , Chumbo/análise , Dióxido de Silício/análise , Poluentes Radioativos do Solo/análise , Minerais/análise , Concentração de Íons de Hidrogênio , ÁguaRESUMO
Objective: To explore the efficacy, safety, and clinical value of 6-TG versus 6-MP when treating childhood acute lymphoblastic leukemia (ALL). Methods: The study period was from January 2017 to June 2021. The subjects of this study were 100 children with ALL who were treated in our hospital. According to different intervention methods, the children who received 6-MP maintenance therapy were selected as the control group, with a total of 57 cases. Children with TG maintenance therapy were included in the research group, a total of 43 cases. The ICNS recurrence rate, non-ICNS recurrence rate, first remission mortality rate, secondary malignant tumor, and other indicators were compared. Results: First of all, we compared the effective rate: complete remission (CR), partial remission, and nonremission in the study group, and the effective rate was 87.5%. In the control group, there were CR, partial remission, and no remission, and the effective rate was 65.5%. The effective rate of the study group was higher, and the difference between groups was statistically significant (P < 0.05). There were 55 cases of failure in the study group, with an incidence of 21.91%. There were 42 cases of total failure events in the control group, the incidence rate was 18.02%, and there exhibited no remarkable difference (P > 0.05). In the study group, 6 cases died in the first remission, with a fatality rate of 2.39%, while there exhibited no death in the control group. The mortality in the first remission period in the study group was lower (P < 0.05). The overall recurrence rate of the study group was 5.57%, while that of the control group was 11.15%. The overall recurrence rate of the study group was lower, and the difference between groups was statistically significant (P < 0.05). The recurrence rate of ICNS was 2.14% in the study group and 2.98% in the control group, and there exhibited no remarkable difference (P > 0.05). The non-ICNS recurrence rate was 3.43% in the study group and 7.17% in the control group. There exhibited no remarkable difference (P > 0.05). The incidence of secondary malignant tumor events was 0.85% in the study group and 1.59% in the control group. There exhibited no remarkable difference (P > 0.05). The incidence of hepatic vein occlusive disease was 7.29% in the study group and 2.39% in the control group. The incidence of hepatic vein occlusive disease in the study group was higher, and the difference between groups was statistically significant (P < 0.05). Finally, we compared the incidence of adverse reactions. In the study group, there were 12 cases of oral mucosal damage, 7 cases of liver function damage, 6 cases of infection, 10 cases of myelosuppression, 9 cases of gastrointestinal reaction, and 4 cases of skin damage; the incidence rate was 23.17%. In the control group, there were 12 cases of oral mucosal damage, 7 cases of liver function damage, 6 cases of infection, 10 cases of myelosuppression, 9 cases of gastrointestinal reaction, and 4 cases of skin damage, with an incidence of 19.12%. There exhibited no remarkable difference in the incidence of adverse reactions (P > 0.05). Conclusion: 6-TG maintenance therapy in children with ALL can enhance the overall effective rate, can reduce the first remission mortality and the total recurrence rate, and will not increase the overall incidence of adverse reactions, but the incidence of reversible or irreversible hepatic veno-occlusive disease is remarkably increased, which has a certain clinical value. Background: Treatment-related hepatotoxicity and myelosuppression remain formidable challenges for clinicians. Pharmacokinetic studies found that 6-TG has a more direct intracellular activation pathway, shorter cytotoxic time, and stronger potency than 6-MP. Therefore, this study investigated the efficacy, safety, and clinical value of 6-TG and 6-MP in the treatment of children with ALL.
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Antineoplásicos , Hepatopatia Veno-Oclusiva , Leucemia-Linfoma Linfoblástico de Células Precursoras , Antineoplásicos/uso terapêutico , Criança , Humanos , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico , Leucemia-Linfoma Linfoblástico de Células Precursoras/patologia , Indução de Remissão , Estudos RetrospectivosRESUMO
Objective: This work is aimed at evaluating the efficacy and safety of general anesthesia (GA) combined with spinal anesthesia (SA) (GA+SA) in elderly patients with chronic obstructive pulmonary disease (COPD). Methods and Material. 50 elderly COPD patients were rolled randomly into a control group (simple GA) and observation group (GA+SA). The differences in operation time, postoperative recovery time (PRT), language expression time (LET), anesthetic dosage (AD), catheter extubation time (CET), respiratory circulation indicators (mean arterial pressure (MAP), heart rate (HR), SaO2, and PaO2), postoperative VRS score, pulmonary function (forced vital capacity (FVC)), forced expiratory volume in 1 s (FEV1)/FVC and forced expiratory flow (FEF 25%~75%), serum inflammatory factors (IL-6, IL-8, and TNF-α), Short Portable Mental Status Questionnaire (SPMSQ) score, and the incidence of respiratory system events were analyzed. Results: The results showed that the PRT, LET, AD, and CET of the observation group were all shorter (P < 0.05). The postoperative MAP, HR, SaO2, and PaO2 levels of patients who received GA+SA were much higher than those who received simple GA (P < 0.05). The postoperative VRS score of the observation group was better than that of the controls (P < 0.05). The postoperative pulmonary function of patients in the observation group was better compared with that in the control group (P < 0.05). The postoperative serum inflammatory factors in the observation group were lower in contrast to the patients who received simple GA (P < 0.05). The postoperative cognitive function SPMSQ score of patients who received GA+SA was lower compared with the score of patients who received simple GA (P < 0.05). However, the probability of respiratory system events in the observation group was lower (P < 0.05). Conclusion: In conclusion, GA+SA could significantly shorten the PRT and improve the recovery quality of elderly COPD patients. It can also reduce the postoperative inflammatory response and strengthen the pulmonary function and cognitive function. It also enhances the analgesic which is beneficial to patients' postoperative recovery. Therefore, GA+SA was a highly effective and safe anesthesia method for elderly patients with COPD, and it was worthy of clinical application.
Assuntos
Anestesia Geral , Doença Pulmonar Obstrutiva Crônica , Idoso , Anestesia Geral/efeitos adversos , Anestesia Geral/métodos , Raquianestesia , Volume Expiratório Forçado , Humanos , Período Pós-Operatório , Doença Pulmonar Obstrutiva Crônica/cirurgiaRESUMO
The particle concentration effect on Kd values of radionuclides has been observed but the underlying mechanism remains controversial. The hope is to use the relationship between particle concentration, adsorption-desorption isotherms and reversibility, in combination with surface component activity of model (SCA model), to solve this issue. 137Cs, 60Co, 90Sr were used as tracers, batch experiments were conducted in freshwater-sediment and seawater-sediment. The experiment of each radionuclide was designed with five different particle concentrations Cp, and for each Cp there were seven different initial concentrations C0. After adsorption experiments, four consecutive desorption experiments were carried out. At the fourth desorption experiment, radionuclide concentrations in the supernatant and sediment were measured. The results showed that adsorption and single desorption data of 137Cs, 60Co, 90Sr might be described by linear isotherms. 137Cs was reversible in the seawater-sediment, so hysteresis angles of the five-particle concentration were approximately 0°, all adsorption and desorption data could be classified into one line. In the remaining systems, besides the adsorption and single desorption isotherms moved upward with the decrease of particle concentration, hysteresis angles and irreversibility also increased, thus, the particle concentration effect was obvious. The reversible and resistant component concentrations calculated by adsorption, single desorption and consecutive desorption isotherm were linear functions of equilibrium concentration Ce1, respectively. Data from adsorption and desorption experiments with particle concentration effect could be classified into the same line using the Freundlich-SCA model. The results of this study indicate that the particle concentration effect is related to reversibility. When adsorption isotherm and single desorption isotherm are both linear, consecutive desorption isotherm, reversible and resistant component concentrations approach linearity too. After the Freundlich-SCA model eliminated the particle concentration effect on adsorption and desorption data, the data can be used to predict the adsorption, single desorption isotherm and Kd value at any particle concentration.