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1.
Int J Phytoremediation ; 26(10): 1626-1642, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38644591

RESUMO

Drought is a threat to food security and agricultural sustainability in arid and semi-arid countries. Using wasted silica nanoparticles could minimize water scarcity. A controlled study investigated wheat plant physiological and morphological growth under tap-water irrigation (80-100, 60-80, and 40-60% field capacity). The benefits of S1: 0%, S2: 5%, and S3: 10% nanoparticle silica soil additions were studied. Our research reveals that water stress damages the physiological and functional growth of wheat plants. Plant height decreased by 8.9%, grain yield by 5.4%, and biological yield by 19.2%. These effects were observed when plants were irrigated to 40-60% field capacity vs. control. In plants under substantial water stress (40-60% of field capacity), chlorophyll a (8.04 mg g-1), b (1.5 mg g-1), total chlorophyll (9.55 mg g-1), carotenoids (2.44 mg g-1), and relative water content (54%), Electrolyte leakage (59%), total soluble sugar (1.79 mg g-1 fw), and proline (80.3 mol g-1) were highest. Plants cultivated with silica nanoparticles exhibit better morphological and physiological growth than controls. The largest effect came from maximum silica nanoparticle loading. Silica nanoparticles may increase drought-stressed plant growth and production.


This study investigates the impact of silica nanoparticles on the development of wheat plants experiencing water stress. Silica nanoparticles are essential for stimulating biochemical defenses against water stress, although research is limited. In stressed wheat plants, silica nanoparticles as a soil supplement increased biological and grain yield. Wheat grown under drought conditions will benefit from this study.


Assuntos
Nanopartículas , Dióxido de Silício , Triticum , Triticum/crescimento & desenvolvimento , Triticum/fisiologia , Biodegradação Ambiental , Desidratação , Resíduos , Clorofila/metabolismo , Irrigação Agrícola
2.
J Hazard Mater ; 470: 134245, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38603910

RESUMO

This study delved into the physiological and molecular mechanisms underlying the mitigation of cadmium (Cd) stress in the model medicinal plant Salvia miltiorrhiza through the application of ZnO quantum dots (ZnO QDs, 3.84 nm). A pot experiment was conducted, wherein S. miltiorrhiza was subjected to Cd stress for six weeks with foliar application of 100 mg/L ZnO QDs. Physiological analyses demonstrated that compared to Cd stress alone, ZnO QDs improved biomass, reduced Cd accumulation, increased the content of photosynthetic pigments (chlorophyll and carotenoids), and enhanced the levels of essential nutrient elements (Ca, Mn, and Cu) under Cd stress. Furthermore, ZnO QDs significantly lowered Cd-induced reactive oxygen species (ROS) content, including H2O2, O2-, and MDA, while enhancing the activity of antioxidant enzymes (SOD, POD, APX, and GSH-PX). Additionally, ZnO QDs promoted the biosynthesis of primary and secondary metabolites, such as total protein, soluble sugars, terpenoids, and phenols, thereby mitigating Cd stress in S. miltiorrhiza. At the molecular level, ZnO QDs were found to activate the expression of stress signal transduction-related genes, subsequently regulating the expression of downstream target genes associated with metal transport, cell wall synthesis, and secondary metabolite synthesis via transcription factors. This activation mechanism contributed to enhancing Cd tolerance in S. miltiorrhiza. In summary, these findings shed light on the mechanisms underlying the mitigation of Cd stress by ZnO QDs, offering a potential nanomaterial-based strategy for enhancing Cd tolerance in medicinal plants.


Assuntos
Cádmio , Pontos Quânticos , Espécies Reativas de Oxigênio , Salvia miltiorrhiza , Óxido de Zinco , Pontos Quânticos/química , Óxido de Zinco/química , Óxido de Zinco/toxicidade , Salvia miltiorrhiza/efeitos dos fármacos , Salvia miltiorrhiza/metabolismo , Cádmio/toxicidade , Espécies Reativas de Oxigênio/metabolismo , Estresse Fisiológico/efeitos dos fármacos , Antioxidantes/metabolismo , Regulação da Expressão Gênica de Plantas/efeitos dos fármacos
3.
Water Res ; 254: 121372, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38430761

RESUMO

Watershed water quality modeling is a valuable tool for managing ammonium (NH4+) pollution. However, simulating NH4+ pollution presents unique challenges due to the inherent instability of NH4+ in natural environment. This study modified the widely-used Soil and Water Assessment Tool (SWAT) model to simulate non-point source (NPS) NH4+ processes, specifically incorporating the simulation of land-to-water NH4+ delivery. The Jiulong River Watershed (JRW) is the study area, a coastal watershed in Southeast China with substantial sewage discharge, livestock farming, and fertilizer application. The results demonstrate that the modified model can effectively simulate the NPS NH4+ processes. It is recommended to use multiple sets of observations to calibrate NH4+ simulation to enhance model reliability. Despite constituting a minor proportion (5.6 %), point source inputs significantly contribute to NH4+ load at watershed outlet (32.4∼51.9 %), while NPS inputs contribute 15.3∼17.3 % of NH4+ loads. NH4+ primarily enters water through surface runoff and lateral flow, with negligible leaching. Average NH4+ land-to-water delivery rate is about 2.35 to 2.90 kg N/ha/a. High delivery rates mainly occur at agricultural areas. Notably, proposed NH4+ mitigation measures, including urban sewage treatment enhancement, livestock manure management improvement, and fertilizer application reduction, demonstrate potential to collectively reduce the NH4+ load at watershed outlet by 1/4 to 1/3 and significantly enhance water quality standard compliance frequency. Insights gained from modeling experience in the JRW offer valuable implications for NH4+ modeling and management in regions with similar climates and significant anthropogenic nitrogen inputs.


Assuntos
Compostos de Amônio , Poluentes Químicos da Água , Fertilizantes , Esgotos , Reprodutibilidade dos Testes , Monitoramento Ambiental/métodos , Nitrogênio/análise , Qualidade da Água , China , Rios , Poluentes Químicos da Água/análise , Fósforo/análise
4.
Cureus ; 16(2): e54198, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38496149

RESUMO

Heat therapy, including saunas, jacuzzi, and hot tub bathing, has gained global popularity. However, the escalating incidents of injuries and fatalities associated with hot tub activities are a significant public health concern. This study aims to comprehensively review and analyze the pathophysiological factors contributing to hot tub-related deaths, addressing the need for awareness and mitigation strategies. A comprehensive search of electronic databases, PubMed and Science Direct, was conducted to identify articles relevant to bath-related deaths. Eligible studies were exported to the Rayyan (Qatar Computing Research Institute, Qatar) software for data analysis. The data extracted from the 18 studies were compiled to elucidate the mechanisms underlying hot tub bath-related deaths and to advocate for the adoption of potential mitigation strategies and future directions to prevent such incidents in the future. The review revealed insights into the current trend of fatalities linked to hot tub bathing. A detailed analysis of pathophysiological aspects, encompassing hemodynamics, electrolyte disturbances, serum glucagon alterations, and the impact of alcohol and substance abuse during hot tub use, was conducted. Furthermore, we explored the effects of temperature and conducted a thorough discussion of postmortem evidence analysis concerning deaths related to bathtub usage. Finally, the paper discusses mitigation strategies to prevent fatalities attributed to hot tub bathing. In conclusion, our review highlights growing public health concerns surrounding injuries and fatalities related to hot tub activities. Through an examination of the incidence rates, pathophysiological factors, and proposed mitigation strategies, we provide crucial insights for enhancing safety and addressing the escalating risks associated with hot tub bathing.

5.
Animals (Basel) ; 14(6)2024 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-38540065

RESUMO

The utilisation of seaweeds as feed supplements has been investigated for their potential to mitigate enteric methane emissions from ruminants. Enteric methane emissions are the primary source of direct greenhouse gas emissions in livestock and significantly contribute to anthropogenic methane emissions worldwide. The aim of the present study is to evaluate the nutritional role and the in vitro effect on cumulative gas and methane production of Asparagopsis taxiformis (native species) and Asparagopsis armata (invasive species), two species of red algae from the Azorean Sea, as well as the ability to reduce biogas production when incubated with single pasture (Lolium perenne and Trifollium repens) as substrate. Four levels of concentrations marine algae were used (1.25%, 2.25%, 5%, and 10% DM) and added to the substrate to evaluate ruminal fermentation using the in vitro gas production technique. The total amount of gas and methane produced by the treatment incubation was recorded during 72 h of incubation. The results indicate that both algae species under investigation contain relatively high levels of protein (22.69% and 24.23%, respectively, for Asparagopsis taxiformis and Asparagopsis armata) and significant amounts of minerals, namely magnesium (1.15% DM), sodium (8.6% DM), and iron (2851 ppm). Concerning in vitro ruminal fermentation, it was observed that A. taxiformis can reduce enteric methane production by approximately 86%, during the first 24 h when 5% is added. In the same period and at the same concentration, A. armata reduced methane production by 34%. Thus, it can be concluded that Asparagopsis species from the Azorean Sea have high potential as a protein and mineral supplement, in addition to enabling a reduction in methane production from rumen fermentation.

6.
J Hazard Mater ; 469: 133963, 2024 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-38461669

RESUMO

Advancements in research concerning the occurrence of microplastics (MPs) in human blood, sputum, urine, and breast milk samples have piqued the interest of the scientific community, prompting further investigation. MPs present in the placenta, amniotic fluid, and meconium raise concerns about interference with embryonic development, leading to preeclampsia, stillbirth, preterm birth, and spontaneous abortion. The challenges posed by MPs extend beyond pregnancy, affecting the digestive, reproductive, circulatory, immune, and central nervous systems. This has spurred scientists to examine the origins of MPs in distinct environmental layers, including air, water, and soil. These risks continue after birth, as neonates are continuously exposed to MPs through everyday items such as breast milk, cow milk and infant milk powder, as well as plastic-based products like feeding bottles and breast milk storage bags. It is the need of the hour to strike a balance amidst lifestyle changes, alternative choices to traditional plastic products, raising awareness about plastic-related health risks, and fostering collaboration between the scientific community and policymakers. This review aims to provide fresh insights into potential sources of MP pollution, with a specific focus on pregnancy and neonates. It is the first compilation of its kind so far that includes critical studies on recently reported discoveries.


Assuntos
Líquidos Corporais , Nascimento Prematuro , Poluentes Químicos da Água , Recém-Nascido , Feminino , Gravidez , Animais , Bovinos , Lactente , Humanos , Microplásticos , Plásticos , Leite Humano , Monitoramento Ambiental
7.
J Anim Sci Biotechnol ; 15(1): 44, 2024 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-38475886

RESUMO

Staphylococcus aureus (S. aureus) is a common pathogenic bacterium in animal husbandry that can cause diseases such as mastitis, skin infections, arthritis, and other ailments. The formation of biofilms threatens and exacerbates S. aureus infection by allowing the bacteria to adhere to pathological areas and livestock product surfaces, thus triggering animal health crises and safety issues with livestock products. To solve this problem, in this review, we provide a brief overview of the harm caused by S. aureus and its biofilms on livestock and animal byproducts (meat and dairy products). We also describe the ways in which S. aureus spreads in animals and the threats it poses to the livestock industry. The processes and molecular mechanisms involved in biofilm formation are then explained. Finally, we discuss strategies for the removal and eradication of S. aureus and biofilms in animal husbandry, including the use of antimicrobial peptides, plant extracts, nanoparticles, phages, and antibodies. These strategies to reduce the spread of S. aureus in animal husbandry help maintain livestock health and improve productivity to ensure the ecologically sustainable development of animal husbandry and the safety of livestock products.

8.
J Environ Manage ; 354: 120411, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38382438

RESUMO

Anthropogenic eutrophication remains a critical global issue, significantly impacting surface water quality. Numerous regions have implemented beneficial management practices to combat agricultural nonpoint pollution, often evaluating efficacy at the field scale, but not downstream. In this study, we conducted an extensive, 11-year (2010-2020), all-season, weekly monitoring program in a small, shallow, hypereutrophic lake and main tributary located in a cold climate, northern temperate zone, within a predominantly agricultural-forested mesoscale watershed. The monitoring took place before and after the implementation of field-scale agricultural nutrient mitigation measures in the catchment, allowing assessment of changes over time in the downstream tributary and lake. We analyzed long-term trends and temporal change points for nitrogen and phosphorus concentrations, aquatic trophic status, and nutrient stoichiometric ratios. The results revealed significant reductions in nitrogen and phosphorus concentrations, improved lake trophic status from hypereutrophic to eutrophic, and an increase in total nitrogen : total phosphorus ratios following the implementation of field-scale agricultural nutrient mitigation measures. Notably, both the lake and its main tributary exhibited significant temporal change points for these parameters. Our findings offer evidence of a relatively rapid, positive effect of the implementation of field-scale agricultural nutrient mitigation measures contributing to subsequent improvements in downstream water quality.


Assuntos
Lagos , Qualidade da Água , Monitoramento Ambiental , Nutrientes , Fósforo/análise , Nitrogênio/análise , Eutrofização , China
9.
J Intern Med ; 295(5): 695-706, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38420693

RESUMO

The emergence of the planetary health approach was highlighted by the report of The Rockefeller Foundation-Lancet Commission on Planetary Health in 2015 and changed how we comprehend human well-being. The report advocates integrating the health of other living beings and Earth's natural systems as intrinsic components of human health. Drawing on over three decades of experience in respiratory epidemiology and environmental health, this article outlines how my perspective on human health underwent a transformative shift upon reading the abovementioned report. The planetary health approach offers a lens through which human health issues and potential solutions can be understood within the context of the Anthropocene. It addresses the pressing existential challenges arising from humanity's transgression of planetary limits. Embracing the planetary health paradigm within the field of health sciences can catalyze transformative changes essential for cultivating a sustainable and equitable future.


Assuntos
Saúde Ambiental , Medicina , Humanos , Planeta Terra , Previsões
10.
Environ Sci Technol ; 58(10): 4627-4636, 2024 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-38417148

RESUMO

Socioeconomic factors and mitigation potentials are essential drivers of the dynamics of nutrient emissions, yet these drivers are rarely examined at broad spatiotemporal scales. Here, we combine material flow analysis and geospatial analysis to examine the past and future changes of nitrogen and phosphorus emissions in China. Results show that anthropogenic nitrogen and phosphorus emissions increased by 17% and 32% during 2000-2019, respectively. Meanwhile, many regions witnessed decreasing nitrogen emissions but rising phosphorus discharged to waterbody, leading to a 20% decrease in the nitrogen/phosphorus ratio. In addition to many prominent factors like fertilizer use, the increasing impervious land area around cities is a notable factor driving the emissions, indicating the urgency to limit building expansion, especially in North China Plain and other less-developed regions. Improving land-use efficiency and consuming behaviors could reduce nitrogen and phosphorus emissions by 65-77% in 2030, but the nitrogen/phosphorus ratio will increase unintendedly due to larger reduction potentials for phosphorus, which may deteriorate the aquatic ecosystem. We highlight that nitrogen and phosphorus emissions should be reduced with coordinated but differentiated measures by prioritizing nitrogen reduction through cropland and food-system management.


Assuntos
Nitrogênio , Fósforo , Nitrogênio/análise , Fósforo/análise , Ecossistema , Agricultura , Alimentos , China
11.
Microbiol Spectr ; 12(3): e0245623, 2024 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-38319116

RESUMO

It is essential to identify suitable supplements that enhance cell growth, viability, and functional development in cell culture systems. The use of fetal bovine serum (FBS) has been common, but it has limitations, such as batch-to-batch variability, ethical concerns, and risks of environmental contamination. In this study, we explore the potential of Rhodobacter sphaeroides extract, derived from a probiotic photosynthetic bacterium, as an alternative supplement. Our results demonstrate that the extract from R. sphaeroides significantly improves various aspects of cell behavior compared to serum-free conditions. It enhances cell growth and viability to a greater extent than FBS supplementation. Additionally, the extract alleviates oxidative stress by reducing intracellular levels of reactive oxygen species and stimulates lysosomal activity, contributing to cellular processes. The presence of abundant amino acids, glycine and arginine, in the extract may play a role in promoting cell growth. These findings emphasize the potential of R. sphaeroides extract as a valuable supplement for cell culture, offering advantages over the use of FBS.IMPORTANCEThe choice of supplements for cell culture is crucial in biomedical research, but the widely used fetal bovine serum (FBS) has limitations in terms of variability, ethics, and environmental risks. This study explores the potential of an extract from Rhodobacter sphaeroides, a probiotic bacterium, as an alternative supplement. The findings reveal that the R. sphaeroides extract surpasses FBS in enhancing cell growth, viability, and functionality. It also mitigates oxidative stress and stimulates lysosomal activity, critical for cellular health. The extract's abundance of glycine and arginine, amino acids with known growth-promoting effects, further highlights its potential. By providing a viable substitute for FBS, the R. sphaeroides extract addresses the need for consistent, ethical, and environmentally friendly cell culture supplements. This research paves the way for sustainable and reliable cell culture systems, revolutionizing biomedical research and applications in drug development and regenerative medicine.


Assuntos
Rhodobacter sphaeroides , Rhodobacter sphaeroides/metabolismo , Soroalbumina Bovina/metabolismo , Técnicas de Cultura de Células/métodos , Suplementos Nutricionais , Aminoácidos/metabolismo , Arginina/metabolismo , Glicina/metabolismo
12.
Disaster Med Public Health Prep ; 17: e567, 2024 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-38163991

RESUMO

OBJECTIVE: In 2022, Pakistan witnessed unprecedented flooding, submerging one-third of the country under-water, ruining millions of houses, taking lives, afflicted injuries, and displacing scores of people. Our study documents not only the public health problems that have arisen due to this natural calamity but also the state of health systems' response. METHODS: We conducted a qualitative study asking key questions around prevalent health problems, health-care seeking, government's response, resource mobilization, and roadmap for the future. We purposively selected 16 key frontline health workers for in-depth interviews. RESULTS: Waterborne and infectious diseases were rampant posing huge public health challenges. Disaster mitigation efforts and relief operations were delayed and not at scale to cover the entire affected population. Moreover, a weak economy, poverty, and insufficient livelihoods compounded the tribulations of floods. Issues of leadership and governance at state level resulted in disorganized efforts and response. CONCLUSIONS: Pakistan is famous for its philanthropy; however, lack of transparency and accountability, the actual benefits seldom reach the beneficiaries. Such climatic disasters necessitate a more holistic approach and a greater responsiveness of the health system. In addition to health services, the state must respond to financial, social, and infrastructural needs of the people suffering from the calamity.


Assuntos
Desastres , Inundações , Humanos , Saúde Pública , Paquistão , Acessibilidade aos Serviços de Saúde
13.
Environ Pollut ; 344: 123300, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38199483

RESUMO

Seed nano-priming can be used as an advanced technology for enhancing seed germination, plant growth, and crop productivity; however, the potential role of seed nano-priming in ameliorative cadmium (Cd) bio-toxicity under Cd stress has not yet been sufficiently investigated. Therefore, in this study we investigated the beneficial impacts of seed priming with low (L) and high (H) concentrations of nanoparticles including nSiO2 (50/100 mg L-1), nTiO2 (20/60 mg L-1), nZnO (50/100 mg L-1), nFe3O4 (100/200 mg L-1), nCuO (50/100 mg L-1), and nCeO2 (50/100 mg L-1) on lettuce growth and antioxidant enzyme activities aiming to assess their efficacy for enhancing plant growth and reducing Cd phytotoxicity. The results showed a significant increase in plant growth, biomass production, antioxidant enzyme activities, and photosynthetic efficiency in lettuce treated with nano-primed nSiH + Cd (100 mg L-1), nTiH + Cd (60 mg L-1), and nZnL + Cd (50 mg L-1) under Cd stress. Moreover, nano-priming effectively reduced the accumulation of reactive oxygen species (ROS) and malondialdehyde (MDA) in lettuce shoots. Interestingly, nano-primed nSiH + Cd, nTiH + Cd, and nZnL + Cd demonstrated efficient reduction of Cd uptake, less translocation factor of Cd with high tolerance index, ultimately reducing toxicity by stabilizing the root morphology and superior accumulation of critical nutrients (K, Mg, Ca, Fe, and Zn). Thus, this study provides the first evidence of alleviating Cd toxicity in lettuce by using multiple nanoparticles via priming strategy. The findings highlight the potential of nanoparticles (Si, Zn, and Ti) as stress mitigation agents for improved crop growth and yield in Cd contaminated areas, thereby offering a promising and advanced approach for remediation of Cd contaminated environments.


Assuntos
Cádmio , Nanopartículas , Cádmio/toxicidade , Antioxidantes/farmacologia , Lactuca , Sementes , Nanopartículas/toxicidade
14.
Am J Obstet Gynecol MFM ; 6(1): 101245, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38061552

RESUMO

BACKGROUND: Risk mitigation for most teratogenic medications relies on risk communication via drug label, and prenatal exposures remain common. Information on the types of and risk factors for prenatal exposures to medications with teratogenic risk can guide strategies to reduce exposure. OBJECTIVE: This study aimed to identify medications with known or potential teratogenic risk commonly used during pregnancy among privately insured persons. STUDY DESIGN: We used the Merative™ MarketScan® Commercial Database to identify pregnancies with live or nonlive (ectopic pregnancies, spontaneous and elective abortions, stillbirths) outcomes among persons aged 12 to 55 years from 2011 to 2018. Start/end dates of medication exposure and pregnancy outcomes were identified via an adapted algorithm based on validation studies. We required continuous health plan enrollment from 90 days before conception until 30 days after the pregnancy end date. Medications with known or potential teratogenic risk were selected from TERIS (Teratogen Information System) and drug monographs based on the level of risk and quality of evidence (138 with known and 60 with potential risk). We defined prenatal exposure on the basis of ≥1 outpatient pharmacy claim or medical encounter for medication administration during target pregnancy periods considering medication risk profiles (eg, risk only in the first trimester or at a certain dose threshold). Sex hormones and hormone analogs, and abortion and postpartum/abortion hemorrhage treatments were not considered as teratogenic medications because of challenges in separating pregnancy-related indications, nor were opioids (because of complex risk-benefit considerations) or antiobesity medications if their only teratogenic mechanism was weight loss. RESULTS: Among all pregnancies, the 10 medications with known teratogenic risk and the highest prenatal exposures were sulfamethoxazole/trimethoprim (1988 per 100,000 pregnancy-years), high-dose fluconazole (1248), topiramate (351), lisinopril (144), warfarin (57), losartan (56), carbamazepine (50), valproate (49), vedolizumab (28 since 2015), and valsartan (25). Prevalence of exposure to sulfamethoxazole/trimethoprim decreased from 2346 to 1453 per 100,000 pregnancy-years from 2011 to 2018, but prevalence of exposure to vedolizumab increased 6-fold since its approval in 2015. Prenatal exposures in the first trimester were higher among nonlive pregnancies than among live-birth pregnancies, with the largest difference observed for warfarin (nonlive 370 vs live birth 78), followed by valproate (258 vs 86) and topiramate (1728 vs 674). Prenatal exposures to medications with potential teratogenic risk were most prevalent for low-dose fluconazole (6495), metoprolol (1325), and atenolol (448). The largest first-trimester exposure differences between nonlive and live-birth pregnancies were observed for lithium (242 vs 89), gabapentin (1639 vs 653), and duloxetine (1914 vs 860). Steady increases in hydralazine and gabapentin exposures were observed during the study years, whereas atenolol exposure decreased (561 to 280). CONCLUSION: Several medications with teratogenic risk for which there are potentially safer alternatives continue to be used during pregnancy. The fluctuating rates of prenatal exposure observed for select teratogenic medications suggest that regular reevaluation of risk mitigation strategies is needed. Future research focusing on understanding the clinical context of medication use is necessary to develop effective strategies for reducing exposures to medications with teratogenic risk during pregnancy.


Assuntos
Efeitos Tardios da Exposição Pré-Natal , Teratogênicos , Gravidez , Feminino , Humanos , Estados Unidos/epidemiologia , Teratogênicos/toxicidade , Ácido Valproico , Topiramato , Efeitos Tardios da Exposição Pré-Natal/induzido quimicamente , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Efeitos Tardios da Exposição Pré-Natal/prevenção & controle , Gabapentina , Varfarina , Atenolol , Fluconazol , Sulfametoxazol , Trimetoprima
15.
BMC Health Serv Res ; 23(1): 1185, 2023 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-37907915

RESUMO

OBJECTIVE: To understand the physician perspective on the barriers and facilitators of implementing nine different opioid risk mitigation strategies (RMS) when prescribing opioid medications. METHODS: We created and dispersed a cross-sectional online survey through the Qualtrics© data collection platform among a nationwide sample of physicians licensed to practice medicine in the United States who have prescribed an opioid medication within the past year. The responses were analyzed using a deductive thematic analysis approach based on the Consolidated Framework for Implementation Research (CFIR) to ensure a holistic approach to identifying the barriers and facilitators for each RMS assessed. In concordance with this method, the themes and codes for the thematic analysis were defined prior to the analysis. The five domains within the CFIR were used as themes and the 39 nested constructs were treated as the codes. Two members of the research team independently coded the transcripts and discussed points of disagreement until consensus was reached. All analyses were conducted in ATLAS.ti© V7. RESULTS: The completion rate for this survey was 85.1% with 273 participant responses eligible for analysis. Intercoder reliability was calculated to be 82%. Deductive thematic analysis yielded 2,077 descriptions of factors affecting implementation of the nine RMS. The most salient code across all RMS was Knowledge and Beliefs about the Intervention, which refers to individuals' attitudes towards and value placed on the intervention. Patient Needs and Resources, a code referring to the extent to which patient needs are known and prioritized by the organization, also emerged as a salient code. The physicians agreed that the patient perspective on the issue is vital to the uptake of each of the RMS. CONCLUSIONS: This deductive thematic analysis identified key points for actionable intervention across the nine RMS assessed and established the importance of patient concordance with physicians when deciding on a course of treatment.


Assuntos
Analgésicos Opioides , Médicos , Humanos , Estados Unidos , Analgésicos Opioides/uso terapêutico , Estudos Transversais , Reprodutibilidade dos Testes , Pesquisa Qualitativa
16.
Nutr Cycl Agroecosyst ; 127(3): 375-392, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38025204

RESUMO

Soil nitrous oxide (N2O) fluxes comprise a significant part of the greenhouse gas emissions of agricultural products but are spatially and temporally variable, due to complex interactions between climate, soil and management variables. This study aimed to identify the main factors that affect N2O emissions under sugarcane, using a multi-site database from field experiments. Greenhouse gas fluxes, soil, climate, and management data were obtained from 13 field trials spanning the 2011-2017 period. We conducted exploratory, descriptive and inferential data analyses in experiments with varying fertiliser and stillage (vinasse) type and rate, and crop residue rates. The most relevant period of high N2O fluxes was the first 46 days after fertiliser application. The results indicate a strong positive correlation of cumulative N2O with nitrogen (N) fertiliser rate, soil fungi community (18S rRNA gene), soil ammonium (NH4+) and nitrate (NO3-); and a moderate negative correlation with amoA genes of ammonia-oxidising archaea (AOA) and soil organic matter content. The regression analysis revealed that easily routinely measured climate and management-related variables explained over 50% of the variation in cumulative N2O emissions, and that additional soil chemical and physical parameters improved the regression fit with an R2 = 0.65. Cross-wavelet analysis indicated significant correlations of N2O fluxes with rainfall and air temperature up to 64 days, associated with temporal lags of 2 to 4 days in some experiments, and presenting a good environmental control over fluxes in general. The nitrogen fertiliser mean emission factors ranged from 0.03 to 1.17% of N applied, with urea and ammonium nitrate plus vinasse producing high emissions, while ammonium sulphate, ammonium nitrate without vinasse, calcium nitrate, and mitigation alternatives (nitrification inhibitors and timing of vinasse application) producing low N2O-EFs. Measurements from multiple sites spanning several cropping seasons were useful for exploring the influence of environmental and management-related variables on soil N2O emissions in sugarcane production, providing support for global warming mitigation strategies, nitrogen management policies, and increased agricultural input efficiency. Supplementary Information: The online version contains supplementary material available at 10.1007/s10705-023-10321-w.

17.
J Environ Manage ; 347: 119098, 2023 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-37776797

RESUMO

The transition to net-zero emissions (NZEs) in developing countries is challenging and requires the immediate adoption of comprehensive climate policy packages, strong collaboration among all sectors and stakeholders, and timely financial and technological assistance for developing economies. This research aims to analyze and evaluate the pathways to realize an NZE scheme at the municipality level. Nakhon Ratchasima (NR) Municipality, Thailand, is selected as the case study for this research. The Global Protocol for Community-Scale GHG Emission Inventories (GPC) is applied as the robust framework to assess the city's GHG emission profile. A mathematical forecasting model and the participatory multicriteria decision-making (MCDM) approach were adopted to support evidence-based local climate action planning based on four different scenarios: the business-as-usual (BAU), nationally determined contribution (NDC), carbon neutrality (CN), and NZE scenarios. The roles of stakeholders at the local community level across all sectors in mitigation actions and investment costs were investigated, and cost-effectiveness was evaluated to understand the economic performance of the adoption and implementation of local climate policy packages. The results indicate that by employing solely conventional technologies, a residential city that is also a hub for trade and land transportation will be unable to achieve its net-zero targets. It is imperative to seek additional low-carbon businesses and decarbonizing technologies that accompany substantial investments. According to the case of NR Municipality, the implementation costs to attain the NZE target by 2050 would range between 974.40 and 4.131.96 million USD. A pivotal driver of the municipal NZE pathway is the successful mobilization private sector investments to propel the transition toward climate-friendly technologies. Cost-effectiveness analysis significantly bolsters the municipality's transitional plan preparation, holistically encompassing economic, social, and environmental considerations. By preparing these aspects together, we ensure a smooth and equitable transition to net zero, avoid conflicts and economic harm and leave no one behind. This approach ensures a harmonious balance between a net-zero future, economic growth, and environmentally friendly living for all.


Assuntos
Carbono , Tailândia , Custos e Análise de Custo
18.
Health Equity ; 7(1): 533-542, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37736521

RESUMO

The legacy of racism and structural inequality has taken a heavy toll on the health care system and the health outcomes of patients and members of community catchment areas. To achieve optimal health outcomes for all, health systems will need to enact structural change that is meaningful, measurable, and rooted in evidence. We describe an antiracism campaign organized into three pillars of focus (Leadership/Employees/Culture, Patient Care Equity, and Community Health and Policy Advocacy) and implemented across Mass General Brigham, a large integrated health system in the northeast of the United States. Our study ranges from the foundational to the aspirational and examples of data-driven areas of focus, programs (e.g., staff education, social risk mitigation, and new models of clinical service), and metrics developed for the health care workforce, patients, and surrounding communities are presented.

19.
Compr Rev Food Sci Food Saf ; 22(5): 3951-3983, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37421323

RESUMO

Deoxynivalenol (DON) is one of the main types of B trichothecenes, and it causes health-related issues in humans and animals and imposes considerable challenges to food and feed safety globally each year. This review investigates the global hazards of DON, describes the occurrence of DON in food and feed in different countries, and systematically uncovers the mechanisms of the various toxic effects of DON. For DON pollution, many treatments have been reported on the degradation of DON, and each of the treatments has different degradation efficacies and degrades DON by a distinct mechanism. These treatments include physical, chemical, and biological methods and mitigation strategies. Biodegradation methods include microorganisms, enzymes, and biological antifungal agents, which are of great research significance in food processing because of their high efficiency, low environmental hazards, and drug resistance. And we also reviewed the mechanisms of biodegradation methods of DON, the adsorption and antagonism effects of microorganisms, and the different chemical transformation mechanisms of enzymes. Moreover, nutritional mitigation including common nutrients (amino acids, fatty acids, vitamins, and microelements) and plant extracts was discussed in this review, and the mitigation mechanism of DON toxicity was elaborated from the biochemical point of view. These findings help explore various approaches to achieve the best efficiency and applicability, overcome DON pollution worldwide, ensure the sustainability and safety of food processing, and explore potential therapeutic options with the ability to reduce the deleterious effects of DON in humans and animals.


Assuntos
Contaminação de Alimentos , Tricotecenos , Humanos , Animais , Contaminação de Alimentos/prevenção & controle , Contaminação de Alimentos/análise , Tricotecenos/metabolismo , Manipulação de Alimentos/métodos
20.
J Environ Manage ; 342: 118336, 2023 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-37327732

RESUMO

Understanding the spatial distribution and path tracing of eutrophication caused by nitrogen (N) enrichment in urban freshwater is crucial for whole-process and precise damage effect control. This study constructed a site-specific life cycle impact assessment (LCIA) model, covering the overall cause-effect chain from source emission to endpoint effect, to assess N-induced eutrophication potential at the species damage level. Applied to Guangzhou city, China, marked spatial disparities in eutrophication potential were derived, with higher values in the downtown areas driven by anthropogenic disturbances, such as wastewater discharge. Spatially differentiated measures were provided through eutrophication hotspot identification and driver tracking. This study offers a necessary complement for eutrophication impact category indicators in LCIA methodology and lays a scientific foundation for potential hotpots diagnosis and targeted mitigation policy-making.


Assuntos
Nitrogênio , Água , Nitrogênio/análise , Eutrofização , Água Doce , China , Fósforo/análise , Monitoramento Ambiental
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