Metagenomics reveals the resistance patterns of electrochemically treated erythromycin fermentation residue.

Erythromycin fermentation residue (EFR) represents a typical hazardous waste produced by the microbial pharmaceutical industry. Although electrolysis is promising for EFR disposal, its microbial threats remain unclear. Herein, metagenomics was coupled with the random forest technique to decipher the antibiotic resistance patterns of electrochemically treated EFR. Results showed that 95.75% of erythromycin could be removed in 2 hr. Electrolysis temporarily influenced EFR microbiota, where the relative abundances of Proteobacteria and Actinobacteria increased, while those of Fusobacteria, Firmicutes, and Bacteroidetes decreased. A total of 505 antibiotic resistance gene (ARG) subtypes encoding resistance to 21 antibiotic types and 150 mobile genetic elements (MGEs), mainly including plasmid (72) and transposase (52) were assembled in EFR. Significant linear regression models were identified among microbial richness, ARG subtypes, and MGE numbers (r2=0.50-0.81, p< 0.001). Physicochemical factors of EFR (Total nitrogen, total organic carbon, protein, and humus) regulated ARG and MGE assembly (%IncMSE value = 5.14-14.85). The core ARG, MGE, and microbe sets (93.08%-99.85%) successfully explained 89.71%-92.92% of total ARG and MGE abundances. Specifically, gene aph(3')-I, transposase tnpA, and Mycolicibacterium were the primary drivers of the resistance dissemination system. This study also proposes efficient resistance mitigation measures, and provides recommendations for future management of antibiotic fermentation residue.

Blending phosphogypsum to mitigate radionuclide leaching for sustainable road base applications.

Production of phosphoric acid generates a calcium sulfate byproduct known as phosphogypsum (PG). PG is not considered a suitable standalone road base material because of concerns such as strength and presence of radionuclides. This paper investigates the latter, specifically the influence of blending PG with common alkaline road base aggregates - limerock (LR) and recycled concrete aggregate (RCA) - on radionuclide leaching. Radionuclide leaching from several PG sources was assessed for gross alpha, gross beta, uranium, and combined radium (226 + 228). Solution pH affected Ra226 mobility, with minimum concentrations exhibited at a pH in the range of 6 to 8. Mobile Ra226 concentrations in RCA blends decreased compared to original PG; Ra226 mobility initially increased at low LR replacements but decreased with increasing mass of LR (50 %-75 %). The data suggest an additional mechanism beyond pH alone impacted Ra226 mobility from the blends, possibly the binding or substitution of radium by elevated concentrations of Ba, Sr, or Ca. Blending with RCA resulted in radionuclide concentrations below respective drinking water thresholds, mitigating leaching concern from PG-RCA road base blends. PG-LR blends can meet regulatory limits when incorporating appropriate PG sources, providing an avenue for PG-amended road base materials. The blending approach reduced Ra226 mobility from PG-amended base, accommodating more PG use, serving as an alternative scenario to end-of-life stacking.

Regulated Medical Waste Reduction in the Dermatology Clinic.

INTRODUCTION: The disposal of regulated medical waste (RMW) in the healthcare setting can be both costly and environmentally harmful. Prior studies have found large amounts of waste disposed of in RMW containers are inappropriately placed. Few studies to date have investigated the efficacy of waste reduction practices in the dermatology setting. METHODS: This study aims to evaluate the effectiveness of a practice-wide intervention in reducing RMW in the outpatient dermatology setting. By performing daily waste audits and two concurrent educational interventions, the amount of RMW produced and percent of appropriately placed RMW will be measured. Further analysis will occur by comparing pre-intervention values to post-intervention values. RESULTS: The percentage of waste properly placed in RMW containers prior to any intervention was 11%. Following both educational interventions, the percentage of waste properly placed in RMW containers increased by 56.1% (CI 43.7-68.5%) and the percentage of total waste produced that was identified and disposed of as RMW decreased by 6.0% (95% CI 1.2-10.8%). CONCLUSION: Our study provides practical data for dermatology providers to make small changes which can result in significant reductions of regulated medical waste, potentially providing benefits to the environment and cost-savings.

Modeling of the effect of gradation and compaction characteristics on the california bearing ratio of granular materials for subbase and landfill liner construction.

The California bearing ratio (CBR) of a granular materials are influence by the soil particle distribution indices such as D10, D30, D50, and D60 and also the compaction properties such as the maximum dry density (MDD) and the optimum moisture content (OMC). For this reason, the particle packing and compactibility of the soil play a big role in the design and construction of subbases and landfills. In this research paper, experimental data entries have been collected reflecting the CBR behavior of granular soil used to construct landfill and subbase. The database was utilized in the ratio of 78-22% to predict the CBR behavior considering the artificial neural network (ANN), the evolutionary polynomial regression (EPR), the genetic programming (GP), Extreme Gradient Boosting (XGBoost), Random Forest (RF) and the response surface methodology (RSM) intelligent learning and symbolic abilities. The relative importance values for each input parameter were carried out, which indicated that the (CBR) value depends mainly on the average particle size (D30, 50 & 60). They showed a combined influence index of 66% of the considered parameters in the model exercise. This further shows the importance and structural influence of the particles within the D50 and D60 range in a granular material consistency in the design and construction purposes. Performance indices were also used to study the ability of the models. The ANN model showed the best performance with accuracy of 88%, then GP, EPR and RF with almost the same accuracies of 85% and lastly the XGBoost with accuracy of 81%. Also, the RSM produced an R2 of 0.9464 with a p-value of less than 0.0001. These values show that the ANN produced the decisive model with the superior performance indices in the forecast of CBR of granular material used as subbase and waste compacted earth liner material. The results further show that optimal performance of the CBR depended on D50 and D60 for the design of subgrade, subbase, and liner purposes and also during the performance monitoring phase of the constructed flexible pavement foundations and compacted earth liners.

Soil degradation around Orji municipal solid waste dump site: a spatial assessment.

The present study assessed the impact of municipal solid waste dump on the degradation of soil around Orji dump site. A total of 15 soil samples were collected for this study. Twelve soil samples were collected around the dump site at 0 m, 10 m, and 20 m distance and three from Imo State University (IMSU) research farm as control. The samples were collected from the east, west, north, and south of the dump site. The samples were subjected to laboratory analyses. The mean results obtained indicate that the values of the dump site soil parameters analyzed ranged from 86.67 to 89.00% (sand), 4.33 to 5.67% (silt), 7.00 to 7.67% (clay), 6.80 to 7.50 (pH), 4.33 to 7.00 dS m-1 electric conductivity (EC), 0.0028 to 0.0045 mg kg-1 (salinity), 2.36 to 3.76% soil organic matter (SOM), 24.13 to 38.93 cmolc kg-1 cation exchange capacity (CEC), 4.50 to 9.57 cmolc kg-1 calcium (Ca), and 1.0 to 2.25 cmolc kg-1 magnesium (Mg). At the control, mean values were 81.24% (sand), 6.39% (silt), 12.45% (clay), 5.69 (pH), 0.47 dS m-1 (EC), 0.0005 mg kg-1 (salinity), 1.99% (SOM), 5.08 cmolc kg-1 (CEC), 2.17 cmolc kg-1 (Ca), and 1.67 cmolc kg-1 (Mg). These values showed substantial enrichment. Correlations indicate that EC, salinity, and CEC majorly determined the availability of most of the parameters analyzed. Soil degradation index (SDI) was used to determine degradation around the dump site. It ranged from 2.546.61% (0 m) to 1573.50% (10 m) and 1.603.73% (20 m). Thus, distance affected the rate of soil degradation in all directions away from the dump site.

Environmental sustainable treatment and disposal technologies for reservoir wastes: a review.

The process of dredging reservoirs serves the purpose of preserving water storage capacity and ensuring the functionality of navigational channels. Additionally, it has the potential to mitigate the presence of pollutants and chemicals that pose risks to both the environment and human well-being. This review article examines the many ways of disposal and treatment of dredged sediment, as well as the ecological and economic advantages associated with these approaches. Algae and reed-based treatment methods have the potential to effectively and economically remediate and sustainably manage dredged sediments. Landfills and ocean dumping are widely utilized methods for the disposal of excavated materials. However, other approaches such as land reclamation, the use of fill material, and the preservation of wetlands can offer cost-effective solutions while also contributing to environmental conservation. The implementation of sediment cleaning, stabilization, and solidification techniques has the potential to effectively mitigate waste and improve the quality of sediment, hence facilitating its reuse. Algae and reed-based treatment systems have been found to effectively mitigate disposal costs and contribute to environmental enhancement. Additionally, the practice of reusing dredged sediments has been recognized as a valuable strategy in promoting a circular economy.

Epoxy Composites with Post-Production Gray Cast-Iron Powders.

Processing of cast-iron castings by machining is associated with a large amount of post-production waste in the form of cast-iron chips, which constitute up to about 5% of the weight of the entire casting. In the case of serial production, this generates large amounts of post-production waste, constituting a constantly growing scale of environmental problems. The aim of this research was to develop a simple and cheap method of utilizing post-production waste of gray cast-iron chips from the machining process for the production of small structural elements of water supply fittings. The analysis of the state of knowledge indicates that the simplest method of managing waste chips is to use them as a starting material in the process of manufacturing polymer composites. The most frequently chosen material for the matrix of polymer composites reinforced with metal powders is epoxy resin. The epoxy composite was produced by the vacuum-assisted casting method. This paper presents the results of tests of morphological, mechanical, and corrosion properties of epoxy composites filled with grey cast-iron powder with a grain size below 0.075 mm and a mass content in the composite of 65%. The composite cured at 130 °C for 90 min had the best mechanical properties. The sample cured at 130 °C for 90 min was observed to have the optimum effect, with a tensile strength of 28.35 MPa, a flexural strength of 55.4 MPa, and a compressive strength of 53.8 MPa. All tested composites were characterized by very good thermal resistance and, in comparison to gray cast iron, over 2.5 times lower weight and an over three times lower corrosion rate in the tap water environment.

Emission, distribution and formation characteristics of polybrominated dibenzo-p-dioxins and dibenzofurans during co-disposal of hexabromocyclododecane-containing waste in cement kiln.

Hexabromocyclododecane (HBCD)-containing waste was co-disposed in a cement kiln to evaluate its destruction removal efficiency (DRE) and its impact on polybrominated dibenzo-p-dioxins and dibenzofurans (PBDD/Fs) formation. The DRE of HBCD exceeded 99.9999 %. The residual HBCD after disposal was mainly found in kiln head ash and clinker. Stack gas at kiln head and tail exhibited average PBDD/Fs emission levels (sum of 13 2,3,7,8-PBDD/Fs congeners) of 0.36 and 0.42 ng m-3, respectively, with octa-BDD predominating. However, in the kiln tail ash, hexaBDF and hepta-BDF were secondarily generated, leading to an increase in PBDFs concentration. Notably, most HBCD underwent debromination and ring-opening in the calciner, with released bromine absorbed and removed by CaO. Its decomposition products such as polycyclic aromatic hydrocarbons, biphenyls and their derivatives served as carbon sources for PBDD/Fs synthesis. However, co-disposal of HBCD did not significantly raise PBDD/Fs emissions but altered their homolog distribution from PBDDs to PBDFs. Emission factors of HBCD and PBDD/Fs were the highest in the clinker at 6.55 × 102 and 0.55 × 102 µg t-1, respectively. Therefore, attention was needed for the potential secondary release of pollutants during the transportation and utilization of clinker. These findings enhanced understanding of the distribution and formation pathways of PBDD/Fs during cement kiln co-processing, providing insights for their source control.

The effect of low-temperature plasma pretreatment on the biodegradability of polyethylene films.

With the increasing focus on environmental friendliness and sustainable development, extensive research has been conducted on the biodegradation of plastics. The non-hydrolyzable, highly hydrophobic, and high-molecular-weight properties of polyethylene (PE) pose challenges for cell interaction and biodegradation of PE substrates. To overcome these obstacles, PE films were treated with low-temperature plasma before biodegradation. The morphology, surface chemistry, molecular weight, and weight loss of PE films after plasma treatment and biodegradation were studied. The plasma treatment decreased the surface water contact angle, formed C-O and C = O groups, and decreased the molecular weight of PE films. With the increased pretreatment time, the biodegradation efficiency rose to 2.6% from 0.63% after 20 days of incubation. The mechanism was proposed that the surface oxygen-containing groups formed by plasma treatment can facilitate the bio-accessibility and be further decomposed and utilised by the microbes. This study provided an effective and rapid pretreatment strategy for improving biodegradation of PE.

Unraveling drivers of per- and polyfluoroalkyl substances (PFASs) occurrence and removal in leachate: Insights from disposal methods, geo-climate, and biodegradation.

Leachate is a substantial reservoir of per- and polyfluoroalkyl substances (PFASs) within the environment. However, comprehensive information on the occurrence and fate of PFASs in leachate, particularly in semi-arid and moderate-elevation regions where PFASs may aggregate, is lacking. Here, 13 legacy PFASs were investigated in leachate from landfills and an incineration plant in such area. PFASs concentrations ranged from 6063 to 43,161 ng·L-1 in raw leachate, influenced by leachate origin, climate, wastewater disposal, and especially bacterial communities. Bacteroidetes and Firmicutes were enriched in raw leachate, while Proteobacteria dominated during leachate treatment processes, possibly due to PFASs selection pressure. In addition, top 20 biomarkers indicated the potential of these bacterial indicators for PFASs detection. Tracing analysis also suggested that PFASs in groundwater may have originated from leachate and effluent from wastewater treatment plants. PFASs levels in groundwater showed a significant correlation with the presence of Brevundimonas, Leptothrix, Malikia, and Sphaerotilus. The pathogenic bacterium Brevundimonas suggested potential human health risks, while Leptothrix, Malikia, and Sphaerotilus may serve as indicators of groundwater contamination. This study is believed to provide insights into how to prevent and control PFASs-related environmental pollution.

Pharmacist-led interventions in addressing improper disposal practices of unused and expired household medication: A systematic review.

Background: Improper household medication disposal practices are a source of significant threat to environmental safety and public health. Pharmacists play a crucial role in mitigating these risks by educating the public about proper medication disposal. Evidence regarding the effectiveness of efforts conducted by health professionals to reduce the risks associated with improper disposal practices is still lacking. Therefore, this study aimed to systematically review pharmacist-led interventions in addressing unused and expired household medication disposal. Method: A comprehensive literature search was conducted using PubMed, Scopus, and Google Scholar databases to identify studies evaluating pharmacist-led interventions and the effectiveness in improving household medication disposal practices until January 2024 with no constraints on publication year. Two reviewers independently performed the study selection process, data extraction, and outcomes assessment. Subsequently, the entire collected data were extracted and synthesized using qualitative and quantitative methods. Results: The results showed that two among the total 83 studies retrieved during the search process met the inclusion criteria. The identified pharmacist-led interventions included the provision of an at-home medication disposal kit and an informational handout on proper disposal. However, these interventions showed no significant effects in improving household medication disposal practices, and all studies reported a low engagement rate with interventions. Conclusion: The systematic review identified limited literature on pharmacist-led interventions for unused and expired household medication disposal practices, with no observed significant effects. Active patient and pharmacist engagement were required to enhance the effectiveness of interventions. Furthermore, the included limited studies suggested the need for the development of more pharmacist-led interventions to facilitate the role of pharmacist in educating the public on proper household medication disposal.

Prognostic Value of Estimated Glucose Disposal Rate and Systemic Immune-Inflammation Index in Non-Diabetic Patients Undergoing PCI for Chronic Total Occlusion.

BACKGROUND AND OBJECTIVES: Chronic total occlusion (CTO) is a complex lesion of coronary artery disease (CAD) with a detection rate of approximately 25% on coronary angiography. CTO patients generally experience poor quality of life and prognosis. This study aims to evaluate the association between the estimated glucose disposal rate (eGDR), a surrogate marker for insulin resistance (IR), and the prognosis of CTO PCI patients, as well as to investigate the potential role of the systemic immune-inflammation index (SII) in this process. METHODS: We retrospectively included 1482 non-diabetic patients who underwent successful CTO PCI at Anzhen Hospital between January 2018 and December 2021. The primary endpoint was major adverse cardiovascular events (MACEs). Clinical characteristics, biochemical markers, and interventional records were collected, and the eGDR and SII were calculated. Cox regression, restricted cubic splines (RCSs), receiver operating characteristic (ROC) analysis, and Kaplan-Meier curves were used to assess associations. RESULTS: MACEs occurred in 158 patients (10.67%). Patients with MACEs had lower eGDR and higher SII levels. A high eGDR significantly reduced MACE risk (Q4 vs. Q1: HR 0.06, 95% CI 0.03-0.12), while a high SII increased it (Q4 vs. Q1: HR 3.32, 95% CI 1.78-6.33). The combination of low eGDRs and high SIIs predicted the highest MACE risk (HR 4.36, 95% CI 2.71-6.01). The SII partially mediated the relationship between eGDR and MACEs. CONCLUSIONS: A low eGDR and high SII are significant predictors of poor prognosis in non-diabetic CTO PCI patients. Combining the eGDR and the SII provides a comprehensive assessment for better predicting cardiovascular outcomes.

Spatial analysis to identify unauthorized municipal solid waste disposal sites in rural areas of southern Mexico.

The management of solid waste in rural areas of developing countries faces significant challenges due to economic constraints and irregular human settlements. These factors often lead to the creation of unauthorized disposal sites, which pose risks to human health, ecosystems and the economy. Remote sensing and geographic information system techniques provide a means to understand the complex issues associated with inadequate municipal solid waste (MSW) disposal. This study aimed to identify unauthorized disposal sites in the rural areas of southern Quintana Roo, Mexico, by examining land surface temperature (LST) and vegetation indices as potential indicators of unauthorized final disposal sites (FDSs). The findings reveal that 13% of the study areas have a high, moderate or low probability of hosting unauthorized disposal sites. Additionally, 3 authorized final disposal sites (FDSs) were confirmed, and 20 unauthorized sites were identified. LST and the normalized difference vegetation index were effective in detecting unauthorized sites, as these areas exhibited higher temperatures and less vigorous vegetation compared to adjacent areas. The results provide valuable insights into the issues associated with inadequate waste disposal in rural areas and offer information that can help optimize MSW management and mitigate its environmental and health impacts.

Estimated glucose disposal rate for predicting cardiovascular events and mortality in patients with non-diabetic chronic kidney disease: a prospective cohort study.

BACKGROUND: Evidence suggests that insulin resistance (IR) is an autonomous risk factor for cardiovascular disease (CVD). Nevertheless, the association between estimated glucose disposal rate (eGDR), a novel indicator of IR, and incident CVD and mortality in chronic kidney disease (CKD) patients without diabetes remains uncertain. METHODS: The study included 19,906 participants from the UK Biobank who had an estimated glomerular filtration rate (eGFR) < 60 ml/min/1.73m2 or a urinary albumin-to-creatinine ratio (UACR) ≥ 30 mg/g and no history of CVD and diabetes. Individuals were divided into three categories based on tertiles of eGDR. The outcome was a composite CVD (coronary heart disease (CHD) and stroke) and mortality (all-cause, non-accidental, and cardiovascular mortality). Furthermore, a cohort of 1,600 individuals from the US National Health and Nutrition Examination Survey (NHANES) was applied to validate the association between eGDR and mortality. The Cox proportional hazards regression models were used to examine the association between eGDR and event outcomes. RESULTS: During a follow-up of around 12 years, 2,860 CVD, 2,249 CHD, 783 stroke, 2,431 all-cause, 2,326 non-accidental and 492 cardiovascular deaths were recorded from UK Biobank. Higher eGDR level was not only associated with lower risk of CVD (hazard ratio [HR] 0.641, 95% confidence interval [CI] 0.559-0.734), CHD (HR 0.607, 95% CI 0.520-0.709), stroke (HR 0.748, 95% CI 0.579-0.966), but also related to reduced risk of all-cause (HR 0.803, 95% CI 0.698-0.923), non-accidental (HR 0.787, 95% CI 0.682-0.908), and cardiovascular mortality (HR 0.592, 95% CI 0.423-0.829). Validation analyses from NHANES yielded consistent relationship on mortality. CONCLUSIONS: In these two large cohorts of CKD patients without DM, a higher eGDR level was associated with a decreased risk of CVD and mortality.

Biomedical Waste Management Knowledge among Dental Students and Private Dental Practitioners of Alkharj, Saudi Arabia.

Introduction: Improper handling of biomedical waste causes health hazards. Dental practitioners and students as health care professionals should know about biomedical waste management from its generation to disposal. This will prevent associated risk and cross-infection. Objectives: To assess the awareness, attitude, and practice of dental students and dental practitioners at Alkharj, Saudi Arabia. Methodology: Total of 100 dental students from a teaching institute and 100 private dental practitioners participated in the study. A closed-ended questionnaire was used containing 20 questions related to awareness, attitude, and practice of biomedical waste. Participation was voluntary. Results: 98% of dental practitioners and 95% of dental students are aware that biomedical waste causes health hazards. 25% of dental students and 36% of dental practitioners are aware of guidelines laid by the government of Saudi Arabia for BMW. On average, 74% of dental students and 87% of dental practitioners correctly answered practice-related questions. Conclusion: The knowledge hof dental practitioners about biomedical waste management in the Alkharj region is good compared to dental students. Dental students must be given training related to handling and management of biomedical waste.

Evolution of the Black solider fly larvae gut antibiotic resistome during kitchen waste disposal.

Kitchen waste (KW) is an important reservoir of antibiotic resistance genes (ARGs). Black solider fly larvae (BSFL) are extensively employed in KW disposal, closely linking to their robust gut microbes. However, antibiotic resistome in BSFL gut during the KW disposal processes and the mechanism remain unclear. In the present study, the antibiotic resistome in BSFL gut within the 12 days KW disposal processes were investigated. Results showed that, ARGs abundance initially increased and subsequently decreased, the five most prevalent core ARG classes were tetracycline, aminoglycoside, cephalosporin, lincosamide and multidrug. A total of 7 MGE types were observed and the horizontal gene transfer (HGT) of ARGs was predominantly mediated by plasmids. Host microbes were mainly categorized into Proteobacteria (98.12 %) and their assemblies were mainly classified into the deterministic processes. To elucidate the driving mechanisms, the mantel test and the structural equation model (SEM) were developed. Results indicated that microbial functions (0.912, p < 0.0001) and microbial community (1.014, p = 0.036), consistently showed very significant relationships with the patterns of ARGs, which presented higher direct effects than indirect effects. Overall, this study makes an initial contribution to a more deepgoing comprehension of the gut antibiotic resistome of BSFL during KW disposal.

Plastic Surgery Waste Management: Going Green, Makes Green?

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/0026 .

Impaired insulin sensitivity measured by estimated glucose disposal rate is associated with decreased myocardial mechano-energetic efficiency in non-diabetic individuals.

BACKGROUND AND AIMS: Impaired myocardial mechano-energetic efficiency (MEE) has been associated with cardiac insulin resistance measured by dynamic positron emission tomography (PET) with 18F-fluorodeoxyglucose (18F-FDG) combined with euglycemic-hyperinsulinemic clamp. Estimate glucose disposal rate (eGDR) index has a good correlation with whole-body insulin sensitivity. It remains unsettled whether eGDR index is a suitable proxy of cardiac insulin sensitivity as well as its association with myocardial MEE. The aims of this study were: 1) to compare eGDR index with HOMA-IR, QUICKI and FIRI indexes for association with myocardial glucose metabolic rate (MrGlu); and 2) to determine the association of eGDR index with myocardial MEE. METHODS: We evaluated MrGlu using PET with 18F-FDG combined with euglycemic-hyperinsulinemic clamp in 50 individuals without history of coronary heart disease. Myocardial MEE per gram of left ventricular mass (MEEi) was measured in 1181 subjects by echocardiography. eGDR (mg kg-1/min) was calculated as: 21.158 - (0.09 × waist circumference in cm) - (3.407 × hypertension, 1 = yes 0 = no) - (0.551 × HbA1c%). RESULTS: eGDR index was more strongly associated with myocardial MrGlu than HOMA-IR, QUICKI, and FIRI indexes (r = -0.662, r = -0.492, r = 0.570, and r = -0.492, respectively). Individuals in the lower tertiles of eGDR exhibited a significant reduction of MEEi as compared to those in the highest tertile (P < 0.001). In a stepwise multivariate linear regression analysis eGDR index was the major determinant of MEEi independently of well-established cardio-metabolic risk factors. CONCLUSIONS: These data suggest that the eGDR index may be a useful marker to identifying individuals at high cardiovascular risk.

Ultra-fast, selective and pseudo-quantitative analysis of 99Tc in nuclear waste for screening purposes.

Controlling radioactivity is essential in various fields, such as the decommissioning of nuclear power plants and nuclear medicine. In some cases, a full characterization of samples is not required; instead, a screening analysis that provides an overall indication of the activity present can be sufficient to determine if a sample is radioactive. This article introduces a new system called PSkits designed specifically for ultra-fast and selective screening detection of 99Tc. PSkits consist of a plastic scintillation layer attached to the bottom of a scintillation vial, coated with aliquat·336® as a selective extractant. In this study, the preparation of PSkits was optimized by adjusting the proportions of crosslinker, porogen, and the type of vial used. The analysis method was developed, and the selectivity against common interferences was tested by optimizing the rinsing media. Finally, PSkits were validated by analysing simulated nuclear waste samples and urine spiked samples, achieving satisfactory results with quantification errors below 50 %, demonstrating their effectiveness for the intended purpose.

Association between estimated glucose disposal rate and cardiovascular mortality across the spectrum of glucose tolerance in the US population.

AIMS: To determine if estimated glucose disposal rate (eGDR) can predict cardiovascular disease mortality risk at different levels of glycaemic tolerance. MATERIALS AND METHODS: The eGDR levels of 11 656 individuals aged 45-79 years from the National Health and Nutrition Examination Survey cycles 1999 to 2010 were analysed. Associations between eGDR levels and all-cause and cardiovascular mortality were examined using Cox proportional hazards and Fine and Gray models, respectively. RESULTS: After a median follow-up of 12.8 years, a total of 2852 participants died, with 777 of those deaths attributed to cardiovascular causes. When comparing participants with eGDR values of ≤4 mg/kg/min to those with eGDR values falling within the ranges of 4-6, 6-8 and >8 mg/kg/min, it was found that the latter groups exhibited lower hazard ratios for both all-cause mortality (0.61 [0.52-0.72], 0.61 [0.52-0.72] and 0.46 [0.39-0.55]) and cardiovascular mortality (0.44 [0.33-0.57], 0.45 [0.34-0.59] and 0.30 [0.23-0.40]). A U-shaped relationship between eGDR and all-cause mortality was observed, with an inflection point at an eGDR of 9.54 mg/kg/min. CONCLUSIONS: In the general population, the association between reduced eGDR and all-cause and cardiovascular mortality was independently significant, contributing to the identification of individuals at high risk for different levels of glucose tolerances.