Assessment of sealing efficacy, radiopacity, and surface topography of a bioinspired polymer for perforation repair.

Background: Root perforation repair presents a significant challenge in dentistry due to inherent limitations of existing materials. This study explored the potential of a novel polydopamine-based composite as a root repair material by evaluating its sealing efficacy, radiopacity, and surface topography. Methods: Confocal microscopy assessed sealing ability, comparing the polydopamine-based composite to the gold standard, mineral trioxide aggregate (MTA). Radiopacity was evaluated using the aluminium step wedge technique conforming to ISO standards. Surface roughness analysis utilized atomic force microscopy (AFM), while field emission scanning electron microscopy (FESEM) visualized morphology. Results: The polydopamine-based composite exhibited significantly superior sealing efficacy compared to MTA (P < 0.001). Radiopacity reached 3 mm aluminium equivalent, exceeding minimum clinical requirements. AFM analysis revealed a smooth surface topography, and FESEM confirmed successful composite synthesis. Conclusion: This study demonstrates promising properties of the polydopamine-based composite for root perforation repair, including superior sealing efficacy, clinically relevant radiopacity, and smooth surface topography. Further investigation is warranted to assess its clinical viability and potential translation to endodontic practice.

Cost-effectiveness of sodium zirconium cyclosilicate for advanced chronic kidney patients in Singapore.

INTRODUCTION: Hyperkalaemia (HK) is prevalent among patients with chronic kidney disease (CKD) and chronic heart failure, especially if they are treated with renin-angiotensin-aldosterone system inhibitors (RAASi). This study evaluated the cost-effectiveness of a newly developed anti-HK therapy, sodium zirconium cyclosilicate (SZC), to the current standard of care for treating HK in advanced CKD patients from the Singapore health system perspective. METHODS: We adapted a global microsimulation model to simulate individual patients' potassium level trajectories with baseline potassium ≥5.5 mmol/L, CKD progression, changes in treatment, and other fatal and non-fatal events. Effectiveness data was derived from ZS-004 and ZS-005 trials. Model parameters were localised using CKD patients' administrative and medical records at the Singapore General Hospital Department of Renal Medicine. We estimated the lifetime cost and quality-adjusted life years (QALYs) of each HK treatment, and the incremental cost-effectiveness ratio of SZC. RESULTS: SZC demonstrated cost-effectiveness with an incremental cost-effectiveness ratsio of SGD 45 068 per QALY over a lifetime horizon, below the willingness-to-pay threshold of SGD 90 000 per QALY. Notably, SZC proved most cost-effective for patients with less severe CKD who were concurrently using RAASi. Sensitivity analyses confirmed the robustness of the findings, accounting for alternative parameter values and statistical uncertainty. CONCLUSION: This study establishes the cost-effectiveness of SZC as a treatment for HK, highlighting its potential to mitigate the risk of hyperkalaemia and optimise RAASi therapy. These findings emphasise the value of integrating SZC into the Singapore health system for improved patient outcomes and resource allocation.

Radionuclides distribution and radiation hazards assessment of black sand separation plant's minerals: a case study.

This study assessed the radioactivity levels and associated risks in the black sand-separated products obtained from the black sand separation plant in Delta, Egypt. A total of sixteen samples were taken from hot spots during and after the separation process. These include water samples and other samples that represent monazite, rutile, zircon, granite, ilmenite, and silica products. The hot spots included the area where the ore was stored. The activity concentrations of 232 T h , 226 R a , and 40 K were determined in these samples using a p-type HPGe detector. Based on gamma spectrometric analysis, samples of rutile, zircon, and monazite had the highest amounts of radioactivity because they contained the highest NORM's activity concentrations. In addition, it indicated that the radiological hazard indices of the collected samples were higher than the average world limits for sand texture. These findings suggest that the black sand separation process reveals potential risks to human health and the environment, and therefore, appropriate measures need to be taken to mitigate these risks, especially for the safety of the workers on-site. Reducing the risk associated with those sites should be controlled by implementing the recommendations declared for the series of International Basic Safety Standards of the International Atomic Energy Agency (GSR) Part 3, as affirmed in Document No. 103 of 2007 by the International Commission on Radiological Protection (ICRP) as will be presented in the paper body.

Utilization of wollastonite, jarosite, and their blends for the sustainable development of concrete paver block mixes containing reclaimed asphalt pavement aggregates.

While several research studies considered the utilization of reclaimed asphalt pavement (RAP) aggregates for asphalt and concrete pavements, very few attempted its possible utilization for precast concrete applications like concrete paver blocks (CPBs). Moreover, few attempts made in the recent past to improve the strength properties of RAP inclusive concrete mixes by incorporating certain supplementary cementitious materials (SCMs) have reported an insignificant or marginal effect. The present study attempts to comprehensively investigate the utilization potential of some locally and abundantly available materials having suitable physicochemical properties to improve the performance of a zero-slump CPB mix containing 50% RAP aggregates. The studied filler materials, namely, wollastonite (naturally occurring calcium metasilicate mineral) and jarosite (hazardous zinc industry waste), were used to replace 5-15% and 10-20% by volume of Portland cement in the 50% RAP CPB mix. Apart from their individual effects, the efficacy of wollastonite-jarosite blends was also investigated. Considering the lack of indoor storage facilities and economic aspects of CPBs, the influence of water spray curing regime on the performance of the RAP CPB mixes was studied and compared to that of continuous water curing regime. Inclusion of the considered fillers was found to statistically and significantly enhance the flexural strength, tensile splitting strength, and abrasion resistance of the 50% RAP CPB mix; however, the compressive strength (in most cases), permeable voids, water absorption, and water permeability properties showed an insignificant improvement. Results of thermogravimetric analysis confirmed the occurrence of pozzolanic reactivity, and microstructure analysis revealed improvements in packing of concrete matrix and ITZ with filler inclusion qualitatively substantiating the improvements in strength and durability characteristics. The toxicity characteristics of heavy metals that may leach from the hazardous jarosite-based RAP CPB mixes were found to be within permissible limits. Based on the performance requirements specified by IS, IRC, and ASTM standards, all the RAP CPB mixes with filler inclusions fulfilled the acceptance criteria for heavy traffic applications, and water spray curing can enact as an alternate method for curing these mixes. However, to avail maximum performance benefits, it is recommended to use 5% wollastonite, 15% jarosite, and a combination of 10% wollastonite and 10% jarosite as a Portland cement substitute to produce sustainable eco-friendly RAP CPB mixes.

Cost-effectiveness analysis of sodium zirconium cyclosilicate for hyperkalemia among patients with chronic kidney disease or heart failure in Kuwait.

INTRODUCTION: Our model was conducted from Kuwaiti payer's perspective to provide evidence on the cost-effectiveness of Sodium zirconium cyclosilicate (SZC) versus patiromer to correct and maintain serum potassium (K+) in combination with renin-angiotensin-aldosterone system inhibitors (RAASis) with different dose titration in patients with chronic kidney disease/heart failure (CKD/HF) with/without renal replacement therapy (RRT). METHODOLOGY: The model was developed as a patient-level, fixed-time increment stochastic simulation to simulate the complexity of disease, including multiple coexisting and competing conditional risks. This model was established to compare SZC versus patiromer as a treatment for hyperkalemia (HK) among adult populations with underlying conditions of advanced CKD stages 3a-5 or HF to correct and maintain serum K + over a lifetime horizon. The clinical outcomes of SZC and patiromer were demonstrated through arm-specific K + trajectories extracted from the HARMONIZE trial and OPAL-HK trial, respectively. The utility data was captured from different studies. Direct medical cost was captured from local data from Kuwaiti hospitals. Sensitivity analyses were conducted to assess the uncertainty in the model. RESULTS: Within different scenarios of CKD/HF, SZC was a cost-saving option, with/without RRT, whether one-off administration or repeated administration, except for one-off treatment administration among the HF cohort, which generated an incremental cost effectiveness ratio of KWD 331/quality adjusted life year (QALY). The incremental QALY of SZC ranged from 0.007 to 0.202. In addition, the savings observed with SZC fall within a range of KWD -60 to KWD -1,235 at serum K+ ≥ 5.1 mmol/L. CONCLUSION: The evidence generated by our model recommends the inclusion of SZC as a treatment option to correct HK and maintain normal serum K + level for CKD/HF patients within the Kuwaiti healthcare system. The costs saved from reducing frequent HK episodes, RAASis discontinuation/down titration, major cardiovascular events, and hospitalization offset the drug acquisition cost of SZC.

Characterization and Assessment of Physical Properties of 3 Single Syringe Hydraulic Cement-based Sealers.

INTRODUCTION: A number of sealers with different chemistries are badged as Bioceramic, implying biological activity, but have dissimilar properties, which has implications on the sealer properties and will affect the quality and outcome of root canal treatment. This study aimed to assess the physical and chemical properties of 3 hydraulic cement-based sealers, namely BC Universal sealer compared with Totalfill BC sealer and AH Plus Bioceramic. METHODS: The microstructure and composition of the sealers were assessed using scanning electron microscopy and energy dispersive spectroscopy after setting. The crystalline phases were assessed by X-ray diffraction analysis and the leachates were tested using inductively coupled plasma. All testing was performed at 0, 7, and 28 days. The physical properties of film thickness, flow, radiopacity, and solubility were evaluated using ISO 6876:2012 standards. RESULTS: All 3 sealers contained calcium, zirconium, and silicon. Totalfill BC had the highest calcium release at 7 and 28 days followed by AH Plus Bioceramic and BC Universal sealer. All 3 sealers adhered to the ISO standard in terms of flow and radiopacity. BC Universal sealer was slightly over the range (>50 µm) for film thickness. All sealers exceeded the solubility range set by ISO 6876:2012. CONCLUSION: Although these hydraulic cement sealers had similar components and delivery, the properties varied significantly. The testing of material properties to confirm the suitability for clinical use is necessary.

Assessment of the biointeractivity of a novel vital pulp therapy agent derived from eggshell biowaste: An in vitro study.

This study aimed to assess the calcium (Ca2+) and hydroxyl (OH-) ion-releasing ability, namely the biointeractivity of eggshell-derived hydroxyapatite (ESDHA) in comparison with mineral trioxide aggregate (MTA) and calcium hydroxide (CH). ESDHA, MTA and CH samples (n = 10; 8 × 1.6 mm) were immersed in 10 mL of deionised water (37°C, pH 6.8). Ca2+ and OH- ion releases were detected in 1, 7 and 21 days. Scanning electron microscopy and Fourier transform infrared spectroscopy analyses were also conducted. IBM SPSS 20.0 was used for statistical analyses. The cumulative Ca2+ ions (56.22 ± 11.28 ppm) were detected as most significant in ESDHA (day 21; p < 0.05). The OH- ion values of the ESDHA group were statistically higher than MTA and CH (days 1 and 7; p < 0.05). ESDHA and CH showed a similar pattern with sharp peaks in Ca2+, oxygen and carbon elements. ESDHA being a sustainable material with a high ion-releasing ability may be a preferable alternative to the commercial vital pulp therapy agents.

Endodontic sealers after exposure to chlorhexidine digluconate: An assessment of physicochemical properties.

OBJECTIVES: Final root canal irrigation should ideally maintain the physicochemical stability of root canal sealers. We seek to assess the effect of contact with 2% chlorhexidine digluconate (CHX) on the physicochemical properties of AH Plus, BioRoot™ RCS, and Pulp Canal Sealer (PCS). METHODS: Mixed sealers were placed in cylindrical teflon molds and allowed to set for 1.5x the manufacturers' setting time. Half of the specimens had their free surface in contact with CHX for the first minute of their setting period. Solubility, radiopacity, surface roughness, microhardness and wettability of the sealers were assessed up to 28 days after setting. Elemental analysis of sealer surfaces and their leachates together with pH measurements were also performed. Appropriate parametric and non-parametric analysis with post hoc tests were performed (p < 0.05). RESULTS: Exposure to CHX had no effect on solubility and radiopacity of all sealers. CHX altered the surface roughness of PCS and BioRoot RCS (p < 0.05). Contact with CHX reduced the microhardness of AH Plus and PCS (p < 0.05). AH Plus was more hydrophilic after CHX contact, whereas PCS became more hydrophobic (p < 0.05). AH Plus and PCS surfaces appeared to adsorb CHX as exhibited by chlorine peaks after contact with CHX. Sealer leachates' alkalinity was not affected. CHX increased elution of silicon and zirconium for BioRoot and zinc for PCS leachates. SIGNIFICANCE: In our study, CHX affected sealers' physicochemical properties to various extents. Further studies are needed to confirm the obtained results by investigating various final irrigation strategies and correlating to biological properties.

Assessment of biomechanical behavior of immature non-vital incisors with various treatment modalities by means of three-dimensional quasi-static finite element analysis.

The objectives of this study were to evaluate the stress distribution and risk of fracture of a non-vital immature maxillary central incisor subjected to various clinical procedures using finite element analysis (FEA). A three-dimensional model of an immature central incisor was developed, from which six main models were designed: untreated immature tooth (C), standard apical plug (AP), resin composite (RC), glass-fibre post (GFP), regeneration procedure (RET), and regeneration with induced root maturation (RRM). Mineral trioxide aggregate (MTA) or Biodentine® were used as an apical or coronal plug. All models simulated masticatory forces in a quasi-static approach with an oblique force of 240 Newton at a 120° to the longitudinal tooth axis. The maximum principal stress, maximum shear stress, risk of fracture, and the strengthening percentage were evaluated. The mean maximum principal stress values were highest in model C [90.3 MPa (SD = 4.4)] and lowest in the GFP models treated with either MTA and Biodentine®; 64.1 (SD = 1.7) and 64.0 (SD = 1.6) MPa, respectively. Regarding the shear stress values, the dentine tooth structure in model C [14.4 MPa (SD = 0.8)] and GFP models [15.4 MPa (SD = 1.1)] reported significantly higher maximum shear stress values compared to other tested models (p < 0.001), while no significant differences were reported between the other models (p > 0.05). No significant differences between MTA and Biodentine® regarding maximum principal stress and maximum shear stress values for each tested model (p > 0.05). A maximum strain value of 4.07E-03 and maximum displacement magnitude of 0.128 mm was recorded in model C. In terms of strengthening percentage, the GFP models were associated with the highest increase (22%). The use of a GFP improved the biomechanical performance and resulted in a lower risk of fracture of a non-vital immature maxillary central incisor in a FEA model.

Influence of iron, phosphate, and silicate on arsenic removal from groundwater using a low-cost ceramic filter.

The ceramic filter amended with iron (Fe) has proven to be a potential low-cost method for arsenic (As) removal from groundwater. The presence of Fe, phosphate (P), and silicate (Si) significantly affects the As removal efficiency of the ceramic filter, which has not been passably investigated. The present research aimed to examine the effect of Fe, P, and (or) Si presence as single or in combination on As (III) removal from synthetics groundwater by a low-cost iron amended ceramic filter (IACF). Laboratory-scale filtration experiments at different compositions of Fe, P, Si, and As (III) were conducted by the IACF fabricated with a ceramic candle and iron netting box. Fe (II) in synthetic groundwater positively impacted As (III) removal. At a concentration of 2 mg/L of Fe (II), the As levels in the effluent decreased to less than the maximum contamination level (MCL) of 50 µg/L. Groundwater P concentration needed less than 3 mg/L or Si concentrations required less than 35 mg/L to effectively reduce As (III) to below the MCL at 5 mg/L of groundwater Fe (II). The cumulative effect of P and Si on As removal was found to be more significant than distinct contributions. The presence of 2 mg/L P and 35 mg/L or higher Si in the groundwater cumulatively reduced the As removal performance from 92% to 63%, and the MCL was not met. The negative impact of P and Si on As (III) removal followed the order of (P + Si) > P > Si. P competed with As for adsorption sites during the process, while Si inhibited the Fe release and floc formation, significantly reducing As removal performance. The study findings can potentially contribute to optimizing IACF as a low-cost method for As removal from groundwater.

Mechanical properties, durability and environmental assessment of low-carbon cementitious composite with natural fibrous wollastonite.

Cementitious composite is one of the most widely used construction materials around the world, but cement production is accompanied by energy waste and CO2 emission. Wollastonite, a natural fibrous silicate mineral, can be a potential supplementary cementing materials (SCMs) for cementitious composite owing to its similar calcium silicate system, and it has an eco-friendly and convenient production process. Furthermore, its unique fibrous structure can possibly act as reinforcement for the cement matrix. In view of this, this study aimed to investigate the effects of different sizes (the median diameter of 3 µm, 6 µm, 9 µm and 12 µm) and contents (0%, 5%, 10%, 15% and 20% by mass) of wollastonite combined with 5% silica fume on the mechanical strength, durability and microstructure of cementitious composite by compressive test, flexural test, shear test, rapid chloride migration test, sulfate corrosion test, X-ray diffraction(XRD), scanning electron microscope (SEM) and fourier transform infrared spectrometer (FTIR). The results showed that the strength and durability of samples increased and then decreased as wollastonite content increased. An addition of 10% wollastonite into the cement matrix increased compressive strength, flexural strength and shear strength by 6.22%, 29.3% and 18.4%, respectively. However, an addition of 5% wollastonite was found to be more beneficial for improving resistance to chloride and sulfate corrosion. Additionally, samples prepared with 3 µm wollastonite performed better, which can be attributed to the fact that the small size of wollastonite contributed to both the filling effect and the skeletal support and bridging effect of microfibers. The CO2 emissions of cementitious composites decreased as the wollastonite percentage increased. The findings confirm that natural wollastonite as SCMs for cementitious composite has performance enhancement and environmental benefits, however, it is recommended that the wollastonite content should not exceed 15%.

Outcome of Partial Pulpotomy in Immature Permanent Teeth with Symptomatic Irreversible Pulpitis: A Prospective Case Series Assessment.

INTRODUCTION: The aim of this prospective case series was to assess the clinical and radiographic outcome of partial pulpotomy in caries-exposed symptomatic, vital, immature, permanent molars. METHODS: Thirty-four immature molars with deep caries and symptoms of irreversible pulpitis were treated by partial pulpotomy and ProRoot MTA as a capping material. After complete caries removal, the inflamed part of the pulp was removed. Complete hemostasis was achieved using a sterile cotton pellet moist initially with sodium hypochlorite 1.5% and then with sterile saline. ProRoot MTA (Dentsply Sirona, Charlotte, NC) was placed as a capping material onto the remaining pulp tissue. The cavity was sealed using a light-curing resin-modified Ca(OH)2 cavity liner, and patients were referred to a pediatric dentist for permanent restoration. Descriptive statistics and cross tabulations were performed including variables examined before, during, and after the procedure. RESULTS: All examined teeth presented a favorable clinical and radiographic outcome with normal periapical tissues, complete apical closure, and formation of a dentinal bridge beneath the capping material. Signs of partial pulp chamber calcification were only detected in 2 cases. Postoperatively, most patients did not report any pain (23/34, 67.7%), whereas the rest reported minor intensity pain (11/34, 32.3) and the use of analgesic or anti-inflammatory drugs only for 1 day (10/34, 29.4%). CONCLUSIONS: Partial pulpotomy seems to provide a universally successful outcome when managing symptomatic vital immature teeth with no signs of complications and completion of apical closure. It could be a viable treatment of choice in cases of caries-exposed vital immature teeth with symptoms of irreversible pulpitis.

Dental and composite resin discoloration induced by different hydraulic calcium silicate-based cements: two-year in vitro assessment.

Few long-term studies assess the discoloration induced by hydraulic calcium silicate-based cement on dental structures. In addition, as far as we know, no long-term study has assessed the discoloration induced by these cement on composite resin. This in vitro study aimed to assess, during a period of two years, the discoloration potential of different hydraulic calcium silicate-based cements (hCSCs) on the enamel/dentin structure and composite resin restoration. A total of 40 enamel/dentin discs were obtained from bovine incisors, and 40 composite resin discs (10 mm in diameter × 2 mm thick) were fabricated. A 0.8 mm-deep cavity was made in the center of each disc and filled with the following hCSCs (n=10): Original MTA (Angelus); MTA Repair HP (Angelus); NeoMTA Plus (Avalon); and Biodentine (Septodont). An initial color measurement was performed (T0 - baseline). After 7, 15, 30, 45, 90, 300 days, and two years, new color measurements were performed to determine the color (ΔE00), lightness (ΔL'), chroma (ΔC'), hue differences (ΔH'), and whiteness index (WID). For enamel/dentin, the ΔE00 was significant among groups and periods (p<0.05). NeoMTA Plus had the greatest ΔE00. The NeoMTA Plus group had the greatest ΔE00 after two years for composite resin. Significant reduction in lightness was observed for all groups after two years (p<0.05). The most significant WID values were observed after 30 days for Biodentine (enamel/dentin) and MTA Repair HP groups (composite resin) (p<0.05). The hCSCs changed the colorimetric behavior of both substrates, leading to greater darkening over time. The Bi2O3 in the Original MTA seems relevant in the short periods of color change assessment.

Life Cycle Assessment of Coastal Enhanced Weathering for Carbon Dioxide Removal from Air.

Coastal enhanced weathering (CEW) is a carbon dioxide removal (CDR) approach whereby crushed silicate minerals are spread in coastal zones to be naturally weathered by waves and tidal currents, releasing alkalinity and removing atmospheric carbon dioxide (CO2). Olivine has been proposed as a candidate mineral due to its abundance and high CO2 uptake potential. A life cycle assessment (LCA) of silt-sized (10 µm) olivine revealed that CEW's life-cycle carbon emissions and total environmental footprint, i.e., carbon and environmental penalty, amount to around 51 kg CO2eq and 3.2 Ecopoint (Pt) units per tonne of captured atmospheric CO2, respectively, and these will be recaptured within a few months. Smaller particle sizes dissolve and uptake atmospheric CO2 even faster; however, their high carbon and environmental footprints (e.g., 223 kg CO2eq and 10.6 Pt tCO2-1, respectively, for 1 µm olivine), engineering challenges in comminution and transportation, and possible environmental stresses (e.g., airborne and/or silt pollution) might restrict their applicability. Alternatively, larger particle sizes exhibit lower footprints (e.g., 14.2 kg CO2eq tCO2-1 and 1.6 Pt tCO2-1, respectively, for 1000 µm olivine) and could be incorporated in coastal zone management schemes, thus possibly crediting CEW with avoided emissions. However, they dissolve much slower, requiring 5 and 37 years before the 1000 µm olivine becomes carbon and environmental net negative, respectively. The differences between the carbon and environmental penalties highlight the need for using multi-issue life cycle impact assessment methods rather than focusing on carbon balances alone. When CEW's full environmental profile was considered, it was identified that fossil fuel-dependent electricity for olivine comminution is the main environmental hotspot, followed by nickel releases, which may have a large impact on marine ecotoxicity. Results were also sensitive to transportation means and distance. Renewable energy and low-nickel olivine can minimize CEW's carbon and environmental profile.

Efficient bio-cementation between silicate tailings and biogenic calcium carbonate: Nano-scale structure and mechanism of the interface.

Biogenic calcium carbonate (bio-CaCO3) cementing tailings is an efficient technology to immobilize heavy metals in waste tailings. However, the underlying mechanism of interface cementation has not yet been clearly established, which limits the technological development. In this study, we used advanced techniques, including atomic force microscopy-based Lorentz contact resonance (AFM-LCR) spectroscopy, AFM-based nanoscale infrared (AFM-IR) spectroscopy, and solid-state nuclear magnetic resonance (ssNMR) spectroscopy, to reveal the structural, mechanical, and chemical properties of the interface on the nanoscale. Ureolytic bacteria produced bio-CaCO3 to fill in pore space and to bind cement tailings particles, which prevented the formation of leachate containing heavy metals. After cementation, a strong 40-300 nm thin interface was formed between the taillings and bio-CaCO3 particles. Unlike chemically synthesized CaCO3, bio-CaCO3 is strongly negatively charged, which gives it better adhesion ability. Fourier transform infrared (FTIR), AFM-IR, and 29Si ssNMR spectra indicated that the Si-OH and Si-O-Si groups on the silicate surface were converted to deprotonated silanol groups (≡Si-O-) at a high pH and they formed strong chemical bonds of Si-O-Ca on the interface through a Ca ion bridge. In addition, hydrogen bonding with Si-OH also played a role at the cementation interface. These findings provide the nano-scale interfacial structure and mechanism of bio-CaCO3 cementing silicate tailings and accelerate the development of tailings disposal technology.

Sustainable green conversion of coal gangue waste into cost-effective porous multimetallic silicate adsorbent enables superefficient removal of Cd(II) and dye.

Converting solid wastes into new materials for wastewater decontamination is a feasible "one stone, three birds" strategy to achieve sustainable value-added utilization of resources and minimize waste emissions, but significant challenges remain. In response to this, we proposed an efficient "mineral gene reconstruction" method to synchronously transform coal gangue (CG) into a green porous silicate adsorbent without using any harmful chemicals (i.e., surfactants, organic solvents). The one of the synthesized adsorbents with a high specific surface area (582.28 m2/g) and multimetallic active centres shows outstanding adsorption performance (adsorption capacities: 168.92 mg/g for Cd(II), 234.19 mg/g for methylene blue (MB); removal rate: 99.04% for Cd(II) and 99.9% for MB). The adsorbent can also reach a high removal rate of 99.05%∼99.46% and 89.23%∼99.32% for MB and Cd(II) in real water samples (i.e., Yangtze River, Yellow River, seawater and tap water), respectively. After 5 adsorption-desorption cycles, the adsorption efficiency remained above 90%. The adsorbents mainly adsorbed Cd(II) by electrostatic attraction, surface complexation and partial ion exchange and MB by electrostatic and hydrogen bonding interactions. This study provides a sustainable and promising platform for developing a new-generation cost-efficient adsorbent from waste for clean water production.

Shift of major driver for chemical weathering from the natural control to human dominance since 1980s in the Taihu watershed, China.

Anthropogenic acidification has become a concerned problem in the Taihu region; however, how it affected the regional weathering rate, especially at the different sub-watershed levels has hardly been studied. To reveal the impact of human activities on watershed weathering and water chemistry in Taihu sub-watersheds, historical water chemistry data (1950s-1970s) and recent water samples (2018-2021) of the local river systems, as well as sediment samples of Taihu lake were collected and analyzed, and a linear addition mass balance method was used to determine the weathering rate at the sub-watershed level. The results indicated that, compared with 60 years ago, the current weathering rate of carbonates and silicates in the Taoge water system (TG) was the highest, reaching 67.2 and 11.4 t·km-2·a-1, increasing by 4.1 and 2.7-folds, respectively; and meanwhile the carbonate and silicate weathering rates increased by 3.1 and 4.9-folds in the Nanhe water system (NH), and 5.2 and 3.4-folds in the Tiaoxi water system (TX), respectively. The increasing rate was significantly correlated to the atmospheric SO2 concentration in different sub-watersheds and was affected by the sub-watershed lithology, e.g., TX had a higher increase rate of silicate weathering due to the wider distribution of silicates in this sub-watershed than the other two. The sediment evidence of Na/K and Ca/Al on the profile in different lake parts, which was influenced by different influx river systems, confirmed that the overall intensity of watershed weathering was higher in TG than in the TX sub-watershed and was higher in the recent decade than 50-60 years ago. The accelerated weathering rate was found to present a definite consistency with the social and economic development in the watershed. Combined analyses of the accelerated weathering rate in the watershed and sedimentation evidence indicated that the major driving force for the watershed weathering has shifted from carbonic acid under the natural condition to human-induced sulfuric acid since 1980s.

Assessment of bone quality of apical periodontitis treated with MTA plug and regenerative endodontic techniques.

Fractal analysis (FA) is a quantitative, objective and non-invasive method that facilitates the characterisation of the tissue architecture. This study aims to compare the periapical healing at 1-year follow-up by evaluating newly generated trabecular bone with FA after Mineral trioxide aggregate (MTA) plug and regenerative endodontic treatment (RET). A total of 55 asymptomatic teeth with a single-canal, open apex and periapical lesion, treated with MTA plug or RET, were evaluated retrospectively. After considering the inclusion/exclusion criteria, FA was conducted on 30 periapical images using the box-counting method. In both groups, a significant decrease was observed in the periapical lesion size at 1-year follow-up (p < 0.01). However, there was no significant difference between the MTA plug and RET (p > 0.01). Significantly higher fractal dimension values were detected at 1-year follow-up in both MTA plug and RET cases (p < 0.01). However, the difference was not significant between the groups (p > 0.01). Both procedures seem to improve periapical healing with a new resistant bone of similar density and complexity.

Cost effectiveness of sodium zirconium cyclosilicate for the treatment of hyperkalaemia in patients with CKD in Norway and Sweden.

BACKGROUND: Hyperkalaemia is common in patients with chronic kidney disease (CKD) and is associated with a range of adverse outcomes. Historically, options for management of chronic hyperkalaemia in the outpatient setting have been limited. Novel oral potassium binders provide a safe, effective therapy for maintenance of normokalaemia in patients with CKD, but despite being approved for reimbursement in many countries, prescription data indicate uptake has been slower than anticipated. This analysis aimed to demonstrate the value to patients and the healthcare system of the potassium binder sodium zirconium cyclosilicate (SZC) for treatment of hyperkalaemia in patients with CKD in Norway and Sweden. METHODS: A published simulation model reflecting the natural history of CKD was adapted to the Norwegian and Swedish settings and used to predict long-term health economic outcomes of treating hyperkalaemia with SZC versus usual care. RESULTS: SZC was highly cost effective compared to usual care in Norway and Sweden, with incremental cost-effectiveness ratios of €14,838/QALY in Norway and €14,352/QALY in Sweden, over a lifetime horizon. The acquisition cost of SZC was largely offset by cost savings associated with reductions in hyperkalaemia events and hospitalisations; a modest overall increase in costs was predominantly attributable to costs associated with gains in life years compared with usual care. SZC remained cost effective in all scenarios examined. CONCLUSIONS: SZC was estimated to be cost effective for treating hyperkalaemia. Consequently, improving access to a clinically effective, safe and cost-effective therapy, such as SZC, may result in considerable benefits for CKD patients with hyperkalaemia.

Phytoremediation plants (ramie) and steel smelting wastes for calcium silicate coated-nZVI/biochar production: Environmental risk assessment and efficient As(V) removal mechanisms.

Arsenic is one of the most common and harmful pollutants in environment throughout the world, especially in aqueous solutions. In this study, two kinds of industrial solid wastes (Oxide scale (OS) and Blast furnace slag (BFS)) and one kind of phytoremediation plant waste (Ramie stalk) were used to prepare an environmentally friendly, low-cost, and efficient calcium silicate coated nano zero-valent iron (nZVI)/biochar composite (BOS) for As(V) adsorption. The potential environmental risks of BOS and their effects on removal of arsenic ions from aqueous media were investigated. The adsorption mechanism was explored and discussed based on XRD, SEM-EDS, XPS, etc. The results suggested that the environmental risk and heavy metals toxicity in BOS by co-pyrolysis were significantly reduced compared to the original materials, and no additional contaminant was observed in the subsequent experiments. Simultaneously, the BOS showed excellent As(V) removal capacity (>99%) and regenerative properties. The As(V) removal mechanisms are mainly ascribed to the complexation and co-precipitation between Fe and As, and the hydrogen bond between CO functional group of BOS and As. The mechanism of enhanced nZVI activity for As(V) removal was revealed. A protective layer of Ca2SiO4 was formed on the surface of nZVI during the co-pyrolysis process to prevent the passivation of nZVI. During the reaction process, the Ca2SiO4 covering the nZVI surface would be continuously detached to expose the fresh surface of nZVI, thus providing more redox activity and adsorption sites. This study provides a new way to treat and recycle industrial steel solid wastes and phytoremediation plant wastes, and the produced calcium silicate coated-nZVI/biochar composite is proposed to be a very promising material for practical remediation of As(V)-contaminated water bodies.