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1.
J Robot Surg ; 18(1): 155, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38564052

RESUMO

Given the rise in robotic surgery, and parallel movement towards net zero carbon, sustainable healthcare systems, it is important that the environmental impact of robotic approaches is minimised. The majority of greenhouse gas emissions associated with robotic surgery have previously been associated with single-use items. Whilst switching from single-use products to hybrid equivalents (predominantly reusable, with a small single-use component) has previously been found to reduce the environmental impact of a range of products used for laparoscopic surgery, the generalisability of this to robotic surgery has not previously been demonstrated. In this life cycle assessment, use of hybrid 5 mm ports compatible with emerging robotic systems (143 g CO2e) was found to reduce the carbon footprint by 83% compared with using single-use equivalents (816 g CO2e), accompanied by reductions in fifteen out of eighteen midpoint environmental impact categories. For endpoint categories, there was an 81% reduction in impact on human health and species loss, and 82% reductions in resource depletion associated with using hybrid robotic 5 mm ports. Whilst the carbon footprint of 5 mm hybrid ports compatible with emerging robotic equipment was 70% higher than previous estimates of ports appropriate for conventional laparoscopic approaches, the six-fold reductions seen with hybrids in this analysis point to the generalisability of the finding that reusable or hybrid products have a lower carbon footprint when compared with single-use equivalents. Surgeons, procurement teams, and policy makers should encourage innovation towards clinically safe and effective robotic instruments with maximal reusable components.


Assuntos
Procedimentos Cirúrgicos Robóticos , Robótica , Cirurgiões , Humanos , Procedimentos Cirúrgicos Robóticos/métodos , Movimento , Meio Ambiente
2.
Environ Sci Technol ; 58(13): 5784-5795, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38507561

RESUMO

The dietary preferences of the elderly population exhibit distinct variations from the overall averages in most countries, gaining increasing significance due to aging demographics worldwide. These dietary preferences play a crucial role in shaping global food systems, which will result in changed environmental impacts in the future such as greenhouse gas (GHG) emissions. We present a quantitative evaluation of the influence of population aging on the changes in GHG emissions from global food systems. To achieve this, we developed regional dietary coefficients (DCs) of the elderly based on the Global Dietary Database (GDD). We then reconciled the GDD with the dataset from the Food and Agriculture Organization of the United Nations (FAO) to calculate the food GHG emissions of the average population in each of the countries. By applying the DCs, we estimated the national food GHG emissions and obtained the variations between the emissions from aged and average populations. We employed a modified version of the regional integrated model of climate and the economy model (RICE) to forecast the emission trends in different countries based on FAO and GDD data. This integrated approach allowed us to evaluate the dynamic relationships among aging demographics, food consumption patterns, and economic developments within regions. Our results indicate that the annual aging-embodied global food GHG emissions will reach 288 million tonnes of CO2 equivalent (Mt CO2e) by 2100. This estimation is crucial for policymakers, entrepreneurs, and researchers as it provides insights into a potential future environmental challenge and emphasizes the importance of sustainable food production and consumption strategies to GHG emission mitigations associated with aging dietary patterns.


Assuntos
Gases de Efeito Estufa , Idoso , Humanos , Efeito Estufa , Meio Ambiente , Agricultura , Envelhecimento
3.
PLoS One ; 19(3): e0292758, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38512823

RESUMO

This study is a comprehensive assessment of the waste management system in Besisahar municipality. Information and some data have been collected from the municipality of Besisahar, followed by interviews with municipal officials responsible for waste management, stakeholders, waste workers, and residents. A total of 230 households, 20 schools, 10 government and private offices, 10 financial institutions, 60 commercial hotels, restaurants, and shops, and 20 medical shops and healthcare institutions, were selected in this study by random sampling. An extensive field study was conducted within all municipal wards and at dump sites. The results indicated that 42.14% of solid waste was collected through door-to-door collection services, 5.87% was mismanaged in open public places, 11.21% was used as compost manure, and the rest was discarded on riverbanks, dug up, and burned. A large component of the characterization of household waste consisted of organic waste (68.03%), followed by paper/paper products (8.13%), agricultural waste (5.5%), plastic (5.21%), construction (3.81%), textile (2.72%), metals (0.54%), glass (1.01%), rubber (0.10%), electronic (0.05%), pharmaceutical (0.1%) and others (4.78%) in the Besishahar municipality. Solid waste generation was found to be at 197.604 g/capita/day, as revealed by cluster sampling in 230 households. Around 4.285 tons-solid waste/day were generated in urban areas, while 16.13 tons-solid waste/day was estimated for the whole municipality. An important correlation between the parameters of solid waste was found by statistical analysis. Currently, solid waste is dumped on riverbanks, open fields, and springs, creating environmental and health hazards. The findings of this study will be useful to Besisahar municipality and its stakeholders in forming policies that facilitate waste management practices in this region and promote sustainable waste management systems.


Assuntos
Eliminação de Resíduos , Gerenciamento de Resíduos , Humanos , Resíduos Sólidos , Nepal , Gerenciamento de Resíduos/métodos , Cidades , Meio Ambiente , Caquexia , Eliminação de Resíduos/métodos
4.
BMC Ecol Evol ; 24(1): 33, 2024 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-38486161

RESUMO

Mechanical phenotyping of tumors, either at an individual cell level or tumor cell population level is gaining traction as a diagnostic tool. However, the extent of diagnostic and prognostic information that can be gained through these measurements is still unclear. In this work, we focus on the heterogeneity in mechanical properties of cells obtained from a single source such as a tissue or tumor as a potential novel biomarker. We believe that this heterogeneity is a conventionally overlooked source of information in mechanical phenotyping data. We use mechanics-based in-silico models of cell-cell interactions and cell population dynamics within 3D environments to probe how heterogeneity in cell mechanics drives tissue and tumor dynamics. Our simulations show that the initial heterogeneity in the mechanical properties of individual cells and the arrangement of these heterogenous sub-populations within the environment can dictate overall cell population dynamics and cause a shift towards the growth of malignant cell phenotypes within healthy tissue environments. The overall heterogeneity in the cellular mechanotype and their spatial distributions is quantified by a "patchiness" index, which is the ratio of the global to local heterogeneity in cell populations. We observe that there exists a threshold value of the patchiness index beyond which an overall healthy population of cells will show a steady shift towards a more malignant phenotype. Based on these results, we propose that the "patchiness" of a tumor or tissue sample, can be an early indicator for malignant transformation and cancer occurrence in benign tumors or healthy tissues. Additionally, we suggest that tissue patchiness, measured either by biochemical or biophysical markers, can become an important metric in predicting tissue health and disease likelihood just as landscape patchiness is an important metric in ecology.


Assuntos
Neoplasias , Humanos , Neoplasias/diagnóstico , Neoplasias/patologia , Ecologia , Meio Ambiente
5.
Environ Pollut ; 348: 123814, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38499170

RESUMO

In the coastal environment, a large amount of microplastics (MPs) can accumulate in the sediments of seagrass beds. However, the potential impact these pollutants have on seagrasses and associated organisms is currently unknown. In this study, we investigated the differences in MPs abundance and composition (i.e., shape, colour and polymer type) in marine sediments collected at different depths (-5 m, -15 m, -20 m) at two sites characterized by the presence of Posidonia oceanica meadows and at one unvegetated site. In the vegetated sites, sediment samples were collected respectively above and below the upper and lower limits of the meadow (-5 m and -20 m), out of the P. oceanica meadow, and in the central portion of the meadow (-15 m). By focusing on the central part of the meadow, we investigated if the structural features (i.e. shoots density and leaf surface) can affect the amount of MPs retained within the underlying sediment and if these, in turn, can affect the associated benthic communities. Results showed that the number of MPs retained by P. oceanica meadows was higher than that found at the unvegetated site, showing also a different composition. In particular, at vegetated sites, we observed that MPs particles were more abundant within the meadow (at - 15 m), compared to the other depths, on unvegetated sediment, with a dominance of transparent fragments of polypropylene (PP). We observed that MPs entrapment by P. oceanica was accentuated by the higher shoots density, while the seagrass leaf surface did not appear to have any effect. Both the abundance and richness of macrofauna associated with P. oceanica rhizomes appear to be negatively influenced by the MPs abundance in the sediment. Overall, this study increases knowledge of the potential risks of MPs accumulation in important coastal habitats such as the Posidonia oceanica meadows.


Assuntos
Alismatales , Microplásticos , Plásticos , Meio Ambiente , Ecossistema , Alismatales/química , Mar Mediterrâneo
6.
Appl Radiat Isot ; 207: 111265, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38432033

RESUMO

This study involved the assessment of 222Rn concentrations in liquid samples (namely serum and urine) obtained from individuals who were smokers and non-smokers across five distinct age groups in the Najaf Governorate of Iraq. The measurements were conducted using a portable digital Air Things device commonly employed for detecting radon gas in residential environments. This device was placed in a container that is placed in liquid samples, which makes it work to capture the existing radon. The mean value of radon concentrations in serum and urine samples for smokers was 5.64 ± 2.80 Bq/m3 and 3.56 ± 2.31 Bq/m3, respectively. While, the mean value of radon concentrations in serum and urine samples for non-smokers was 2.32 ± 0.67 Bq/m3 and 1.61 ± 1.00 Bq/m3, respectively. By comparing the radon concentrations for serum and urine samples with age and smoking groups, the value of P-Value (p < 0.01) was increased significantly statistically. Also, it is found that a positive and good correlation for radon concentrations between serum and urine. Although the levels of radon were found to be under the globally accepted thresholds, the results of 222Rn in all samples of serum and urine in smokers were higher than in non-smokers. Thus, it may be concluded that cigarette smoking is used as a biomarker of the presence of radon gas.


Assuntos
Poluentes Radioativos do Ar , Poluição do Ar em Ambientes Fechados , Monitoramento de Radiação , Radônio , Humanos , Radônio/análise , Poluição do Ar em Ambientes Fechados/análise , Habitação , Poluentes Radioativos do Ar/análise , Meio Ambiente , Monitoramento de Radiação/métodos
7.
PLoS One ; 19(3): e0297893, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38446769

RESUMO

BACKGROUND: The queen bee phenomenon (QBP) describes the behavioural response that occurs when women achieve success in a male-dominated environment, and in this position of authority, treat their female subordinates more critically. It has been demonstrated in business, academia, the military, and police force. The goal of this study was to determine whether the QBP occurs in surgical specialties. We hypothesized that female surgeons, fellows, and senior surgical residents would be more critical in their assessment of junior female residents than their male counterparts. METHODS: A scenario-based survey was distributed via email to all Canadian surgical programs between February and March 2021. Scenarios were designed to assess either female or male learners. Centers distributed surveys to attending surgeons, surgical fellows, resident physicians, and affiliate surgeons. Respondents average Likert score for female-based and male-based questions were calculated. Subgroup analyses were performed based on gender, age, seniority, and surgical specialty. RESULTS: 716 survey responses were collected, with 387 respondents identifying as male (54%) and 321 identifying as female (45%). 385 attending surgeons (54%), 66 fellows (9%), and 263 residents (37%) responded. The mean Likert scores for female respondents assessing female learners was significantly lower than male learners (p = 0·008, CI = 95%). During subgroup analysis, some specialties demonstrated significant scoring differences. DISCUSSION: The QBP was shown to be present among surgical specialties. Female respondents assessed female learners more critically than their male counterparts. CONCLUSION: These findings highlight the importance of tackling organizational biases to create more equitable educational and work environment in surgery.


Assuntos
Meio Ambiente , Especialidades Cirúrgicas , Feminino , Abelhas , Masculino , Humanos , Animais , Canadá , Escolaridade , Comércio
8.
Enferm. foco (Brasília) ; 15(supl.1): 1-6, mar. 2024.
Artigo em Português | LILACS, BDENF | ID: biblio-1532836

RESUMO

Objetivo: Descrever as práticas dos enfermeiros em nossa sociedade e sob as circunstâncias que podem contribuir para a inclusão das práticas avançadas. Métodos: Estudo descritivo, de abordagem qualitativa e delineamento transversal, sob a perspectiva da teoria do materialismo histórico-dialético de Karl Marx, estruturada pela utilização do instrumento COREQ. Resultados: O campo de atuação do enfermeiro na atenção primária à saúde é diversificado, extrapola os muros do consultório. Muitas vezes o dinamismo das atividades traduz o empenho de obter os melhores resultados por meio de sua assistência. E o materialismo histórico-dialético reflete justamente a busca por uma assistência de qualidade e as mudanças no ambiente laboral, onde a interação de diversos fatores contribuem de forma direta no ambiente laboral e social. Conclusão: Os enfermeiros da atenção primária à saúde brasileira atuam nos mais diversos territórios, desse modo, precisam dinamizar os seus atendimentos para contemplar as necessidades sociais. Perante esses aspectos, as diversidades sociodemográficas brasileiras demonstraram que a escassez de recursos em regiões remotas é um dos fatores que fortalece a inclusão das práticas avançadas de enfermagem na atenção primária à saúde no Brasil. (AU)


Objective: To describe the practices of nurses in our society and under circumstances that may contribute to the inclusion of advanced practices. Methods: Descriptive study, with a qualitative approach and cross-sectional design, from the perspective of Karl Marx's dialectical historical materialism theory, structured by using the COREQ instrument. Results: The nurse's field of action in primary health care is diverse, it goes beyond the walls of the office. Often the dynamism of activities translates the effort to obtain the best results through their assistance. And dialectical historical materialism precisely reflects the search for quality care and changes in the work environment, where the interaction of several factors directly contribute to the work and social environment. Conclusion: Brazilian primary health care nurses work in the most diverse territories, therefore, they need to streamline their care to address social needs. In view of these aspects, Brazilian sociodemographic diversity has shown that the scarcity of resources in remote regions is one of the factors that strengthens the inclusion of advanced nursing practices in primary health care in Brazil. (AU)


Objetivo: Describir las prácticas de los enfermeros en nuestra sociedad y en circunstancias que puedan contribuir a la inclusión de prácticas avanzadas. Métodos: Estudio descriptivo, con enfoque cualitativo y diseño transversal, desde la perspectiva de la teoría del materialismo histórico dialéctico de Karl Marx, estructurado mediante el uso del instrumento COREQ. Resultados: El campo de actuación del enfermero en la atención primaria de salud es diverso, va más allá de las paredes del consultorio. Muchas veces el dinamismo de las actividades se traduce en el esfuerzo por obtener los mejores resultados a través de su asistencia. Y el materialismo histórico dialéctico refleja precisamente la búsqueda de cuidados de calidad y cambios en el ambiente laboral, donde la interacción de varios factores contribuyen directamente al ambiente laboral y social. Conclusión: Las enfermeras brasileñas de atención primaria de salud actúan en los más diversos territorios, por lo tanto, necesitan optimizar su atención para atender las necesidades sociales. Frente a estos aspectos, la diversidad sociodemográfica brasileña ha demostrado que la escasez de recursos en regiones remotas es uno de los factores que fortalece la inclusión de prácticas avanzadas de enfermería en la atención primaria de salud en Brasil. (AU)


Assuntos
Enfermeiros , Atenção Primária à Saúde , Enfermagem em Saúde Pública , Meio Ambiente
9.
J Med Internet Res ; 26: e42140, 2024 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-38319701

RESUMO

BACKGROUND: Health care providers worldwide are rapidly adopting electronic medical record (EMR) systems, replacing paper record-keeping systems. Despite numerous benefits to EMRs, the environmental emissions associated with medical record-keeping are unknown. Given the need for urgent climate action, understanding the carbon footprint of EMRs will assist in decarbonizing their adoption and use. OBJECTIVE: We aimed to estimate and compare the environmental emissions associated with paper medical record-keeping and its replacement EMR system at a high-volume eye care facility in southern India. METHODS: We conducted the life cycle assessment methodology per the ISO (International Organization for Standardization) 14040 standard, with primary data supplied by the eye care facility. Data on the paper record-keeping system include the production, use, and disposal of paper and writing utensils in 2016. The EMR system was adopted at this location in 2018. Data on the EMR system include the allocated production and disposal of capital equipment (such as computers and routers); the production, use, and disposal of consumable goods like paper and writing utensils; and the electricity required to run the EMR system. We excluded built infrastructure and cooling loads (eg. buildings and ventilation) from both systems. We used sensitivity analyses to model the effects of practice variation and data uncertainty and Monte Carlo assessments to statistically compare the 2 systems, with and without renewable electricity sources. RESULTS: This location's EMR system was found to emit substantially more greenhouse gases (GHGs) than their paper medical record system (195,000 kg carbon dioxide equivalents [CO2e] per year or 0.361 kg CO2e per patient visit compared with 20,800 kg CO2e per year or 0.037 kg CO2e per patient). However, sensitivity analyses show that the effect of electricity sources is a major factor in determining which record-keeping system emits fewer GHGs. If the study hospital sourced all electricity from renewable sources such as solar or wind power rather than the Indian electric grid, their EMR emissions would drop to 24,900 kg CO2e (0.046 kg CO2e per patient), a level comparable to the paper record-keeping system. Energy-efficient EMR equipment (such as computers and monitors) is the next largest factor impacting emissions, followed by equipment life spans. Multimedia Appendix 1 includes other emissions impact categories. CONCLUSIONS: The climate-changing emissions associated with an EMR system are heavily dependent on the sources of electricity. With a decarbonized electricity source, the EMR system's GHG emissions are on par with paper medical record-keeping, and decarbonized grids would likely have a much broader benefit to society. Though we found that the EMR system produced more emissions than a paper record-keeping system, this study does not account for potential expanded environmental gains from EMRs, including expanding access to care while reducing patient travel and operational efficiencies that can reduce unnecessary or redundant care.


Assuntos
Pegada de Carbono , Registros Eletrônicos de Saúde , Hospitais Especializados , Registros Médicos , Papel , Clima , Software , Meio Ambiente , Índia , Oftalmologia , Setor de Assistência à Saúde , Mudança Climática
11.
Sci Total Environ ; 921: 171017, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38369145

RESUMO

Abandoned Mine Lands (AMLs) are areas where previous mineral extraction or processing has occurred. Hundreds of thousands of AMLs exist within the United States. Contaminated runoff from AMLs can negatively affect the physiology and ecology of surrounding terrestrial and aquatic habitats and species and can be detrimental to human health. As a response, several U.S. federal and state agencies have launched programs to assess health risks associated with AMLs. In some cases, however, AMLs may be beneficial to specific wildlife taxa. There is a relative paucity of studies investigating the physiological and ecological impacts of AMLs on wildlife. We conducted a systematic review examining published scientific articles that assessed the negative and positive impacts of AMLs across invertebrate and vertebrate taxa. We also offer suggestions on evaluating AMLs to develop effective mitigation strategies that reduce their negative tole on human and wildlife communities. Peer-reviewed publications were screened across WebofScience, PubMed and Google Scholar databases. Abandoned mine lands were generally detrimental to wildlife, with adverse effects ranging from bioaccumulation of heavy metals to decreased ecological fitness. Conversely, AMLs were an overall benefit to imperiled bat populations and could serve as tools for conservation. Studies were unevenly distributed across different wildlife taxa groups, echoing the necessity for additional taxonomically diverse research. We suggest that standardized wildlife survey methods be used to assess how different species utilize AMLs. Federal and state agencies can use these surveys to establish effective remediation plans for individual AML sites and minimize the risks to both wildlife and humans.


Assuntos
Animais Selvagens , Mineração , Animais , Ecossistema , Meio Ambiente , Etoposídeo , Ifosfamida , Estados Unidos
12.
JCO Glob Oncol ; 10: e2300209, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38359373

RESUMO

PURPOSE: We aimed to examine the impact of different conference formats (in-person, virtual, and hybrid) of the ASCO conference on greenhouse gas (GHG) emissions and to recommend sustainable options for future conferences. MATERIALS AND METHODS: This study used data on the number of attendees, their departure locations, and the type of attendance (in-person v virtual) provided by ASCO between 2019 and 2022. The GHG emissions resulting from air and ground travel, remote connectivity, conference space utilization, hotel stays, distributed conference materials, and electricity use were estimated for each year. Emissions were stratified by attendee country of origin, type of attendance, and year. Simulations were conducted to evaluate how changes in conference size, location, and format impact emissions, as well as estimate the resulting mitigations from adopting the proposed changes. RESULTS: The highest estimated GHG emissions, calculated in carbon dioxide equivalents (CO2e), were associated with the 2019 in-person conference (37,251 metric tons of CO2e). Although international attendees had the largest contribution to emissions in all years (>50%), location optimization models, which selected conference locations that most minimized GHG emissions, yielded only minimal reductions (approximately 3%). Simulations examining changes to the conference format, location, and attendance percentage suggested that hub-and-spoke, where multiple conference locations are selected by global region, or hybrid models, with both in-person and virtual components, are likely to cause the largest drops in emissions (up to 86%). CONCLUSION: Using historical conference data, this study identifies key aspects that can be modified to reduce emissions and consequently promote more sustainable and equitable conference attendance. Hybrid conferences may be the best solution to maintain the networking opportunities provided by conferences while balancing out their environmental footprint.


Assuntos
Gases de Efeito Estufa , Humanos , Gases de Efeito Estufa/análise , Viagem , Meio Ambiente , Atenção à Saúde
13.
Anaesthesia ; 79(3): 252-260, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38205585

RESUMO

The dedication of the international anaesthetic community to reducing the environmental impact of healthcare is important and to be celebrated. When this is underpinned by robust science, it has the potential to make a real difference. However, volatile anaesthetic agents have been widely promoted in the medical literature as damaging to the climate, leading to a drive to remove them from clinical practice. This is based on notional 'CO2 -equivalent' values created using the simple emission metric known as the global warming potential. Here, we assert that when proper consideration is given to the science of climate change, volatile anaesthetic gas emissions cannot be simply equated to real carbon dioxide emissions, and that their climate impact is vanishingly small. This paper gives anaesthetists a framework to make informed choices founded on climate science and calls for attention to be refocused on the urgent need to reduce the real carbon dioxide emissions associated with healthcare.


Assuntos
Anestésicos Inalatórios , Mudança Climática , Humanos , Dióxido de Carbono , Aquecimento Global , Meio Ambiente
14.
J Fish Biol ; 104(4): 1165-1179, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38235536

RESUMO

Parasites have deleterious effects on their hosts, often resulting in altered host behavior or increased energy expenditure. When organisms are exposed to suboptimal environments, parasite loading may increase. Microbialite pools along the warm temperate South African coastline have been hypothesized as refugia for Epaulette gobies (Coryogalops sordidus, Gobiidae) when they are outside of their previously known subtropical distribution. The aim of this study was to determine if C. sordidus individuals infected with metacercarial cysts display higher metabolic rates or different swimming behavior compared to noninfected individuals. We measured each goby's swimming performance using a critical station-holding speed (Ucrit) test (n = 60) and visually scored their swimming behavior (n = 52) during these measurements. Also, we measured the metabolic rate of gobies using an intermittent flow respirometer system to determine standard metabolic rate (SMR) and maximum metabolic rate (MMR) from gobies at 21°C before and after swimming trials. Metacercarial load carried by infected gobies seemingly had no impact on the host's energetics (SMR or MMR), swimming ability (as repeated Ucrit tests), or swimming behavior compared to noninfected gobies. Thus, the metacercarial intensity observed in gobies in the current study appeared to have no impact on host swimming performance or behavior. Furthermore, the swimming capacity observed for C. sordidus, in general, suggests that this goby is a poor swimmer compared to other gobiid species.


Assuntos
Perciformes , Natação , Humanos , Animais , Metabolismo Energético , Meio Ambiente
16.
J Hazard Mater ; 465: 133093, 2024 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-38056254

RESUMO

Nuclear facilities continue to be developed to help meet global energy demands while reducing fossil fuel use. However, an incident during the dismantling of these facilities could accidentally release tritiated particles (e.g. stainless steel) into the environment. Herein, we investigated the environmental dosimetry, fate, and impact of tritiated stainless steel (nano)particles (1 mg.L-1 particles and 1 MBq.L-1 tritium) using indoor freshwater aquatic mesocosms to mimic a pond ecosystem. The tritium (bio)distribution and particle fate and (bio)transformation were monitored in the different environmental compartments over 4 weeks using beta counting and chemical analysis. Impacts on picoplanktonic and picobenthic communities, and the benthic freshwater snail, Anisus vortex, were assessed as indicators of environmental health. Following contamination, some tritium (∼16%) desorbed into the water column while the particles rapidly settled onto the sediment. After 4 weeks, the particles and the majority of the tritium (>80%) had accumulated in the sediment, indicating a high exposure of the benthic ecological niche. Indeed, the benthic grazers presented significant behavioral changes despite low steel uptake (<0.01%). These results provide knowledge on the potential environmental impacts of incidental tritiated (nano)particles, which will allow for improved hazard and risk management.


Assuntos
Ecossistema , Aço Inoxidável , Trítio , Água Doce , Meio Ambiente
17.
Laryngoscope ; 134(2): 622-628, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37421241

RESUMO

OBJECTIVES: To quantify and compare the cost and environmental impact of different techniques for adult tonsillectomy surgery, and to identify target areas for impact reduction. METHODS: Fifteen consecutive adult tonsillectomy surgeries were prospectively randomized to one of three tonsillectomy techniques: cold, monopolar electrocautery, or low-temperature radiofrequency ablation (Coblation). Life cycle assessment was used to comprehensively evaluate the environmental impact of study surgeries. Outcomes assessed included multiple measures of environmental impact, including greenhouse gas (GHG) emissions, and cost. Environmental impact measures were analyzed to identify highest-yield areas for improvement, and outcomes were compared between surgical techniques using statistical analysis. RESULTS: GHG emissions for cold, monopolar electrocautery, and Coblation techniques were 157.6, 184.5, and 204.7 kilograms of carbon dioxide equivalents (kgCO2 -eq) per surgery, respectively, with costs totaling $472.51, $619.10, and $715.53 per surgery, respectively. Regardless of surgery technique, anesthesia medications and disposable equipment contributed most to environmental harm. Cold technique demonstrated reduced environmental impact related to disposable surgical equipment in the categories of greenhouse gas emissions, acidification of soil and water, eutrophication of air, ozone depletion, release of carcinogenic, and non-carcinogenic toxic substances, and respiratory pollutant production (p < 0.05 for all comparisons with other techniques). CONCLUSION: Within the boundaries of operating room processes, cold technique minimizes cost and environmental impact of adult tonsillectomy surgery, with statistical significance noted in the impact of disposable surgical equipment. Areas of highest potential for improvement identified include reducing use of disposable equipment and collaboration with the Anesthesiology care team to streamline medication use. LEVEL OF EVIDENCE: 2, randomized trial Laryngoscope, 134:622-628, 2024.


Assuntos
Gases de Efeito Estufa , Tonsilectomia , Humanos , Adulto , Animais , Tonsilectomia/métodos , Meio Ambiente , Custos e Análise de Custo , Estágios do Ciclo de Vida
18.
Environ Res ; 241: 117348, 2024 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-37821064

RESUMO

Attributional life cycle assessment study examines the environmental impact of raw materials, machinery, and unit operations. In the present work, an attributional life cycle assessment (LCA) was employed to assess the environmental and greenhouse gas impacts of a shrimp feed production system. A commercial shrimp feed mill in Tamil Nadu, India, provided inventory data for one-ton shrimp feed (functional unit) for a Cradle-to-Gate evaluation using environmental impact methodologies, specifically Impact 2002+ in SimaPro® (V9.3.0.3) software. The results showed that human health (0.003357 DALY), ecosystem quality (2720.518 PDF × m2 × yr), climate change (2031.696 kg CO2 eq), and resources (71019.42 MJ primary) were the most significantly impacted. The human health category was found to be the most prominent after normalization and weighting (0.47 pt), and strategies were suggested accordingly. The GWP20 and GWP100 measures for long-term climate change were calculated to be 8.7 and 7.33 kg CO2 eq, respectively. Cast iron used in machinery production (GWP 20-15.40%, GWP100-134.5%) and electricity use (GWP 20-6.13%, GWP 100-6.9%) accounted for sizable portions of the burden. Feed production is estimated to contribute 0.2% of global CO2 emissions within the proposed global context. These findings are significant regarding economically and environmentally sustainable shrimp feed production worldwide.


Assuntos
Gases de Efeito Estufa , Humanos , Ecossistema , Dióxido de Carbono/análise , Índia , Meio Ambiente , Aquicultura
19.
Environ Sci Pollut Res Int ; 31(3): 3938-3950, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38095794

RESUMO

Volatile organic compounds (VOCs) concentration, source profiles, O3 and SOA formation, and health risks were investigated in the petrochemical industry in Beijing-Tianjin-Hebei. The results showed that total VOCs concentrations were 547.1-1956.5 µg·m-3, and alkanes were the most abundant group in all processes (31.4%-54.6%), followed by alkenes (20.6%-29.2%) and aromatics (10.1%-25.1%). Moreover, ethylene (11.3%), iso-pentane (7.1%), n-hexane (5.1%), benzene (4.9%) and 2,2-dimethylbutae (4.8%) were identified as the top five species released for the whole petrochemical industry. The coefficient of divergence between the source profiles from different processes was 0.49-0.73, indicating that most source profiles must not be similar. Moreover, because of the different raw materials and technologies used, the source profiles in this study are significantly different from those of other regions. The ozone and secondary organic aerosol formation potentials (OFPs and SOAPs) were evaluated, suggesting that ethylene, propylene, 1-butene, m,p-xylene, and 1,3-butadiene should be preferentially controlled to reduce OFPs. That benzene, toluene, ethylbenzene, m,p-xylene, isopropylbenzene, o-ethyltoluene, and 1,3,5-trimethylbenzene should be priority control compounds for SOAPs. Additionally, the total hazard ratio for non-cancer risk ranged from 0.9 to 7.7, and only living area was unlikely to be related to adverse health effects. Cancer risks associated with organic chemicals, rubber synthesis, oil refining, and wastewater collection and treatment have definite risks, whereas other processes have probable risks. This study provides a scientific basis for VOCs emission control and management and guides human health in the petrochemical industry.


Assuntos
Poluentes Atmosféricos , Ozônio , Compostos Orgânicos Voláteis , Xilenos , Humanos , Pequim , Poluentes Atmosféricos/análise , Compostos Orgânicos Voláteis/análise , Benzeno , Medição de Risco , Etilenos , Meio Ambiente , Monitoramento Ambiental , China , Ozônio/análise
20.
Exp Neurol ; 373: 114648, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38081352

RESUMO

Environmental enrichment (EE) facilitates motor and cognitive recovery after traumatic brain injury (TBI). Historically, EE has been provided immediately and continuously after TBI, but this paradigm does not model the clinic where rehabilitation is typically not initiated until after critical care. Yet, treating TBI early may facilitate recovery. Hence, we sought to provide amantadine (AMT) as a bridge therapy before commencing EE. It was hypothesized that bridging EE with AMT would augment motor and cognitive benefits. Anesthetized adult male rats received a cortical impact (2.8 mm deformation at 4 m/s) or sham surgery and then were housed in standard (STD) conditions where they received intraperitoneal AMT (10 mg/kg or 20 mg/kg) or saline vehicle (VEH; 1 mL/kg) beginning 24 h after surgery and once daily during the 6-day bridge phase or once daily for 19 days for the non-bridge groups (i.e., continuously STD-housed) to compare the effects of acute AMT plus EE vs. chronic AMT alone. Abbreviated EE, which was presented to closer emulate clinical rehabilitation (e.g., 6 h/day), began on day 7 for the AMT bridge and chronic EE groups. Motor (beam-walking) and cognition (acquisition of spatial learning and memory) were assessed on days 7-11 and 14-19, respectively. Cortical lesion volume and hippocampal cell survival were quantified on day 21. EE, whether provided in combination with VEH or AMT, and AMT (20 mg/kg) + STD, benefitted motor and cognition vs. the STD-housed VEH and AMT (10 mg/kg) groups (p < 0.05). The AMT (20 mg/kg) + EE group performed better than the VEH + EE, AMT (10 mg/kg) + EE, and AMT (20 mg/kg) + STD groups in the acquisition of spatial learning (p < 0.05) but did not differ in motor function (p > 0.05). All groups receiving EE exhibited decreased cortical lesion volumes and increased CA3 neuron survival relative to the STD-housed groups (p < 0.05) but did not differ from one another (p > 0.05). The added cognitive benefit achieved by bridging EE with AMT (20 mg/kg) supports the hypothesis that the temporal separation of combinational therapies is more effective after TBI.


Assuntos
Lesões Encefálicas Traumáticas , Desempenho Psicomotor , Ratos , Masculino , Animais , Ratos Sprague-Dawley , Meio Ambiente , Lesões Encefálicas Traumáticas/tratamento farmacológico , Cognição , Amantadina/farmacologia , Amantadina/uso terapêutico , Aprendizagem em Labirinto/fisiologia , Modelos Animais de Doenças
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