Advancements in electrochemical biosensing of cardiovascular disease biomarkers.

Cardiovascular diseases (CVDs) stand as a predominant global health concern, introducing vast socioeconomic challenges. In addressing this pressing dilemma, enhanced diagnostic modalities have become paramount, positioning electrochemical biosensing as an instrumental innovation. This comprehensive review navigates the multifaceted terrain of CVDs, elucidating their defining characteristics, clinical manifestations, therapeutic avenues, and intrinsic risk factors. Notable emphasis is placed on pivotal diagnostic tools, spotlighting cardiac biomarkers distinguished by their unmatched clinical precision in terms of relevance, sensitivity, and specificity. Highlighting the broader repercussions of CVDs, there emerges an accentuated need for refined diagnostic strategies. Such an exploration segues into a profound analysis of electrochemical biosensing, encapsulating its foundational principles, diverse classifications, and integral components, notably recognition molecules and transducers. Contemporary advancements in biosensing technologies are brought to the fore, emphasizing pioneering electrode architectures, cutting-edge signal amplification processes, and the synergistic integration of biosensors with microfluidic platforms. At the core of this discourse is the demonstrated proficiency of biosensors in detecting cardiovascular anomalies, underpinned by empirical case studies, systematic evaluations, and clinical insights. As the narrative unfolds, it addresses an array of inherent challenges, spanning intricate technicalities, real-world applicability constraints, and regulatory considerations, finally, by casting an anticipatory gaze upon the future of electrochemical biosensing, heralding a new era of diagnostic tools primed to revolutionize cardiovascular healthcare.

Advanced Nanomaterial-Based Biosensors for N-Terminal Pro-Brain Natriuretic Peptide Biomarker Detection: Progress and Future Challenges in Cardiovascular Disease Diagnostics.

Cardiovascular diseases (CVDs) represent a significant challenge in global health, demanding advancements in diagnostic modalities. This review delineates the progressive and restrictive facets of nanomaterial-based biosensors in the context of detecting N-terminal pro-B-type natriuretic peptide (NT-proBNP), an indispensable biomarker for CVD prognosis. It scrutinizes the escalation in diagnostic sensitivity and specificity attributable to the incorporation of novel nanomaterials such as graphene derivatives, quantum dots, and metallic nanoparticles, and how these enhancements contribute to reducing detection thresholds and augmenting diagnostic fidelity in heart failure (HF). Despite these technological strides, the review articulates pivotal challenges impeding the clinical translation of these biosensors, including the attainment of clinical-grade sensitivity, the substantial costs associated with synthesizing and functionalizing nanomaterials, and their pragmatic deployment across varied healthcare settings. The necessity for intensified research into the synthesis and functionalization of nanomaterials, strategies to economize production, and amelioration of biosensor durability and ease of use is accentuated. Regulatory hurdles in clinical integration are also contemplated. In summation, the review accentuates the transformative potential of nanomaterial-based biosensors in HF diagnostics and emphasizes critical avenues of research requisite to surmount current impediments and harness the full spectrum of these avant-garde diagnostic instruments.

Unlocking Catalytic Potential: Exploring the Impact of Thermal Treatment on Enhanced Electrocatalysis of Nanomaterials.

In the evolving field of electrocatalysis, thermal treatment of nano-electrocatalysts has become an essential strategy for performance enhancement. This review systematically investigates the impact of various thermal treatments on the catalytic potential of nano-electrocatalysts. The focus encompasses an in-depth analysis of the changes induced in structural, morphological, and compositional properties, as well as alterations in electro-active surface area, surface chemistry, and crystal defects. By providing a comprehensive comparison of commonly used thermal techniques, such as annealing, calcination, sintering, pyrolysis, hydrothermal, and solvothermal methods, this review serves as a scientific guide for selecting the right thermal technique and favorable temperature to tailor the nano-electrocatalysts for optimal electrocatalysis. The resultant modifications in catalytic activity are explored across key electrochemical reactions such as electrochemical (bio)sensing, catalytic degradation, oxygen reduction reaction, hydrogen evolution reaction, overall water splitting, fuel cells, and carbon dioxide reduction reaction. Through a detailed examination of the underlying mechanisms and synergistic effects, this review contributes to a fundamental understanding of the role of thermal treatments in enhancing electrocatalytic properties. The insights provided offer a roadmap for future research aimed at optimizing the electrocatalytic performance of nanomaterials, fostering the development of next-generation sensors and energy conversion technologies.

Study of urinary mercapturic acids as biomarkers of human acrylonitrile exposure.

Exposure to the vinyl monomer acrylonitrile (AN) is primarily occupational. AN is also found in cigarette smoke. AN can be detoxified to form N-acetyl-S-(2-cyanoethyl)-cysteine (CEMA) or activated to 2-cyanoethylene oxide (CEO) and detoxified to form N-acetyl-S-(1-cyano-2-hydroxyethyl)-cysteine (CHEMA) and N-acetyl-S-(2-hydroxyethyl)-cysteine (HEMA). These urinary mercapturic acids (MAs) are considered to be potential biomarkers of AN exposure. This study assessed personal AN exposure, urinary MAs (CEMA, CHEMA, and HEMA), and cotinine (a biomarker of cigarette smoke) in 80 AN-exposed and 23 non-exposed factory workers from urine samples provided before and after work shifts. Unambiguous linear correlations were observed between levels of urinary CEMA and CHEMA with personal AN exposures, indicating their potential as chemically-specific biomarkers for AN exposures. AN exposure was the dominant factor in MA formation for AN-exposed workers, whereas urinary cotinine used as a biomarker showed that cigarette smoke exposure was the primary factor for non-exposed workers. The CHEMA/CEMA and (CHEMA+HEMA)/CEMA ratios in this human study differ from those in similar studies of AN-treated rats and mice in literature, suggesting a possible dose- and species-dependent effect in AN metabolic activation and detoxification.

Effects of fuel injection system and exhaust gas catalytic treatments on PAH emissions from motorcycles.

The motorcycles are unignorable near-ground pollutant emission sources that increase the human exposure in the dense area. However, the information of the polycyclic aromatic hydrocarbons (PAHs) emissions under different scenarios of engine and emission control for motorcycle is limited. This study focused on the PAH emissions from two fuel-injection types of motorcycles, including the premixed fuel-injection (PFi) with carburetor and electronic fuel-injection (EFi). Specifically, the effects of throttle opening (TO), secondary air system (SAS), oxygen sensor (OS), oxidation catalytic converter (OCC), and three-way catalytic converter (TWC) on PAH emissions are investigated. Results show that the PAH emission concentrations increase 227-727%, 351-492%, and 155-408% by the increasing TO ratio, unworking SAS, and OS units in both motorcycles. For the PFi engine, the OCC unit is found to be more effective in PAH control (31-89%) than the SAS system (72-80%), especially under low TO operation. For the EFi engine which dominates the motorcycle market recently, the oxygen sensor for more accurate combustion control shows a better PAH reduction (36-76%) than TWC system (21-66%). The ultra-fine particulate phase PAHs, which is hardly removed by catalyst, needs to be further considered. Moreover, the total PAH emission level of the EFi engine is still about ten times higher than that of the PFi. By the annual emission calculation for three densely populated countries, the recent evolution significantly reduces the annual hydrocarbon (HC), carbon monoxide (CO), and nitrogen oxide (NOx) emissions but have unignorable PAH emissions. These emissions continuously affect the human health in the near-ground urban air and need to be considered in the next generation of motorcycle design.

Particulate PCDD/F size distribution and potential deposition in respiratory system from a hazardous waste thermal treatment process.

The particulate polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) of various sizes produced from the waste incinerators might have different toxicities, deposition characteristics, and potential health effects in the respiratory system, and their total toxicity equivalent (TEQ) concentration has been strictly regulated in recent years. There is a knowledge gap on the effects of air pollution control devices on particle size distributions (PSDs) of PCDD/Fs and their TEQ deposition. A hazardous waste thermal treatment plant equipped with an advanced scrubber, a cyclone demister, and activated carbon adsorption coupled with a baghouse filtration was investigated in this study. An 8-stage impactor was used to collect the particle distribution of PM10 and bounded PCDD/Fs from the gas stream at four sampling points located before and after each control unit. A "TEQDE" index is defined for the toxicity deposition of PM10-PCDD/F in the respiratory system. The advanced scrubbers significantly reduced the PM10-PCDD/F levels, especially for those with sizes ≥0.6 and ≤ 0.4 µm. Additionally, the cyclone also showed a better performance than the general dry gas treatment but had an efficiency drop with 1.5-4 µm particles. The PM10-PCDD/F loads in the final adsorption-filtration unit were eased and effectively removed the PM10-PCDD/Fs to sizes ≤0.5 or≥1.5 µm. The total TEQDE was 0.00052 ng WHO-TEQ Nm-3 and had a peak level of 0.000157 ng WHO-TEQ Nm-3 at 1.2 µm. PSDs were more sensitive to the PSDs of PM mass at high PM levels but strongly correlated with the PSDs of "PM10-PCDD/Fs/PM10" at low PM10 loads. Consequently, the advanced control system could effectively remove the PM10-PCDD/Fs and might extend the adsorption-filtration lifetime. However, the PM10-PCDD/Fs ≤ 0.4 µm had a higher TEQ deposition rate and should be further considered in emissions and ambient air quality evaluations.

Gastrointestinal discomfort and hypotension in a patient with Reutealis trisperma seeds intoxication: A case report.

RATIONALE: Reutealis trisperma is a plant belonging to the Euphorbiaceae family and Reutealis genus and is often mistaken for a plant of the genus Aleurites. Accidental ingestion of R trisperma seeds is relatively rare in Taiwan than that of Vernicia fordii. Mostly, the clinical course of R trisperma seed poisoning is similar to that of V fordii poisoning. Recent studies have shown that the median lethal dose 50 of R trisperma seeds in mice is approximately 4954 mg/kg. R trisperma seed extract has a significant effect on the autonomic nervous system by causing ptosis and disrupting breathing, and affects the central nervous system by reducing motor activity. PATIENT CONCERNS: A 51-year-old man with underlying gout and hepatitis B picked several seeds of R trisperma, which he misidentified at chestnuts, at an elementary school. He prepared soup by boiling 3 to 4 seeds and consumed it. He experienced abdominal pain, vomiting, and watery diarrhea with hypotension. DIAGNOSIS: R trisperma seeds intoxication. INTERVENTIONS: The patient was given a soft diet, input and output were recorded, and intravenous fluid supplements were administered. OUTCOMES: The patient was discharged after 3 days of hospitalization, once a relatively stable condition was achieved. LESSONS: Human poisoning by accidental consumption of R trisperma seeds is relatively rare in Taiwan. It may cause gastrointestinal symptoms and even hypotension. Patients can recover within 2 to 3 days of receiving proper treatment and intravenous fluid infusion.

Assessment of the emission factors for potentially toxic elements from coal-fired boilers and sintering furnaces in a steel production plant.

The emission factor (EF), the weight of potentially toxic elements (PTEs) per unit energy or weight of sinter produced were evaluated for coal-fired boilers and sintering furnaces integrated in a steel plant. From three coal-fired boilers, 15 samples were taken while 22 samples were taken from four sintering furnaces. Investigations were performed on the EF of lead, cadmium, mercury, arsenic and chromium (VI). The coefficient of variance for the first 3 samples from each PTE was used to decide whether 2 more samples were necessary for the investigation. Three samples were sufficient for Cr (VI), however, 5 samples were required for Pb, Cd, Hg, and As, since the variances in concentrations of the first three samples exceeded 20%. The ranges for the ratio of the laboratory-based EF to the default EF applied by the Environment Protection Administration (EPA Taiwan) for Pb, Cd, Hg, and As for the coal-fired boiler were 0.08-0.013, 0.014-0.017, 0.019-0.033, 0.047-0.066 and for the sintering furnaces were 0.059-0.232, 0.05-0.151, 0.05-0.364, and 0.067-0.824. The ratio for Cr (VI)- was constant at 0.005 for all the coal fired boilers while it ranged from 0.057-0.709 for the sintering furnaces. Whilst source identification, enrichment factors, and spatial distributions for PTEs are often studied, laboratory-based investigations on the EFs for PTEs from industrial plants are rarely performed. This study filled the information gap and compared the obtained EFs with the EPA default values. To avoid overcharging industrial plants equipped with the best available technology for emission control, the EPA should apply field investigations and laboratory-based EFs instead of the default EPA EFs to calculate air pollution fees. Insights from this investigation can be applied to promote the adoption of appropriate air pollution control devices to cut down the emission of PTEs.

Reduction of atmospheric fine particle level by restricting the idling vehicles around a sensitive area.

Atmospheric particles are a major problem that could lead to harmful effects on human health, especially in densely populated urban areas. Chiayi is a typical city with very high population and traffic density, as well as being located at the downwind side of several pollution sources. Multiple contributors for PM2.5 (particulate matter with an aerodynamic diameter ≥2.5 µm) and ultrafine particles cause complicated air quality problems. This study focused on the inhibition of local emission sources by restricting the idling vehicles around a school area and evaluating the changes in surrounding atmospheric PM conditions. Two stationary sites were monitored, including a background site on the upwind side of the school and a campus site inside the school, to monitor the exposure level, before and after the idling prohibition. In the base condition, the PM2.5 mass concentrations were found to increase 15% from the background, whereas the nitrate (NO3-) content had a significant increase at the campus site. The anthropogenic metal contents in PM2.5 were higher at the campus site than the background site. Mobile emissions were found to be the most likely contributor to the school hot spot area by chemical mass balance modeling (CMB8.2). On the other hand, the PM2.5 in the school campus fell to only 2% after idling vehicle control, when the mobile source contribution reduced from 42.8% to 36.7%. The mobile monitoring also showed significant reductions in atmospheric PM2.5, PM0.1, polycyclic aromatic hydrocarbons (PAHs), and black carbon (BC) levels by 16.5%, 33.3%, 48.0%, and 11.5%, respectively. Consequently, the restriction of local idling emission was proven to significantly reduce PM and harmful pollutants in the hot spots around the school environment. IMPLICATIONS: The emission of idling vehicles strongly affects the levels of particles and relative pollutants in near-ground air around a school area. The PM2.5 mass concentration at a campus site increased from the background site by 15%, whereas NO3- and anthropogenic metals also significantly increased. Meanwhile, the PM2.5 contribution from mobile source in the campus increased 6.6% from the upwind site. An idling prohibition took place and showed impressive results. Reductions of PM2.5, ionic component, and non-natural metal contents were found after the idling prohibition. The mobile monitoring also pointed out a significant improvement with the spatial analysis of PM2.5, PM0.1, PAH, and black carbon concentrations. These findings are very useful to effectively improve the local air quality of a densely city during the rush hour.

Persistent organic pollutants in the Antarctic coastal environment and their bioaccumulation in penguins.

Persistent organic pollutants (POPs), including polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs), polychlorinated biphenyls (PCBs), polybrominated dibenzo-p-dioxins and dibenzofurans (PBDD/Fs), polybrominated biphenyls (PBBs), and polybrominated diphenyl ethers (PBDEs), have been identified in penguins, lichens, soils, and ornithogenic soils in the Antarctic coastal environment in this study. To the best of our knowledge, no previous study has reported PBDD/F and PBB data from Antarctica. The POP mass contents in penguins were in the following order: PCBs >> PBDEs >> PCDD/Fs; PCBs were the dominant pollutants (6310-144,000 pg/g-lipid), with World Health Organization toxic equivalency values being 2-14 times higher than those of PCDD/Fs. Long-range atmospheric transport is the most primary route by which POPs travel to Antarctica; however, local sources, such as research activities and penguin colonies, also influence POP distribution in the local Antarctic environment. In penguins, the biomagnification factor (BMF) of PCBs was 61.3-3760, considerably higher than that for other POPs. According to BMF data in Adélie penguins, hydrophobic PBDE congeners were more biomagnified at log Kow > 6, and levels decreased at log Kow > 7.5 because larger molecular sizes inhibited transfer across cell membranes.