ABSTRACT
Background: The aggregation of clonal plasma cells causes plasma cell neoplasms, which vary in severity and clinical outcomes. The present research focused on the epidemiological, clinical, immunologic, and cytogenetic characteristics of plasma cell neoplasms. Methods: In this five-year retrospective cross-sectional study, demographic information such as age and sex, calcium elevation, renal insufficiency, anemia, and bone lesion (CRAB) characteristics, as well as laboratory data including bone marrow and peripheral blood film results, immunohistochemistry, flow cytometry, and cytogenetic study outcomes were collected at Shiraz University of Medical Sciences, Shiraz, Iran. The collected data were analyzed using SPSS Statistics software (version 20.0). Descriptive statistics were reported as numbers, percentages, and mean±SD. Results: 417 newly diagnosed plasma cell neoplasm patients were confirmed by bone marrow or other tissue biopsy tests. 279 patients were men (66.9%). The most prevalent age group was 60-64 years old (18.46%). Plasma cell myeloma (PCM) affected 355 (85.13%) patients, while monoclonal gammopathy of undetermined significance (MGUS) affected 6 (1.43%) patients. Solitary plasmacytoma was seen in 56 (13.42%) patients. At the time of diagnosis, 119 (33.52%) of 355 PCM patients were asymptomatic, whereas 236 (66.47%) patients had at least one CRAB symptom, 55 (15.49%) had two or more, and 14 (3.94%) had three or more. There were 7 (1.97%) cases of amyloidosis. Cytogenetic abnormalities were found in 51.28% (40/78) of the patients. Twenty-one individuals (52.5%) were hyperdiploid with multiple trisomy, while 19 (47.50%) were not. Conclusion: When diagnosed, Iranian PCM patients might have more advanced disease. PCM was more prevalent in young adults, and hyperdiploid was the most common cytogenetic finding in this investigation.
Subject(s)
Multiple Myeloma , Neoplasms, Plasma Cell , Plasmacytoma , Male , Young Adult , Humans , Middle Aged , Female , Multiple Myeloma/pathology , Iran/epidemiology , Flow Cytometry/methods , Retrospective Studies , Cross-Sectional Studies , Neoplasms, Plasma Cell/diagnosis , Neoplasms, Plasma Cell/epidemiology , Aneuploidy , Cytogenetic Analysis , DemographyABSTRACT
The outbreak of the novel COVID-19 has dominated the world stage, and its consequences, both direct and indirect, are expected to prove to be even more pervasive over time. The COVID-19 pandemic has struck the renewable energy manufacturing facilities, supply chains, and companies and slowed down the transition to the sustainable energy world. The global decline in economy-driven demand could damage the positive trend of green and low-carbon energy progress. Although it is too early to judge how profound the negative effects of the pandemic on the global renewable and sustainable energy systems will be, a significant short-run contraction to the development of renewables is inevitable. Therefore, the energy and climate policies may require to be restructured based on the new circumstances. In this context, several beneficial stimuluses should be offered by the governments to persuade the private sectors and society to invest on renewables. Undoubtedly, intelligent policies could convert the menaces of COVID-19 to the great opportunities for renewables and ultimately the world's sustainable energy scenario could return to its long-term trajectory toward green power generation and utilization over the next few years.
ABSTRACT
UNLABELLED: Palm oil mill effluent (POME) is a by-product of the palm industry and it releases large amounts of greenhouse gases (GHGs). Water systems are also contaminated by POME if it is released into nonstandard ponds or rivers where it endangers the lives of fish and water fowl. In this paper, the environmental bottlenecks faced by palm oil production were investigated by analyzing the data collected from wet extraction palm oil mills (POMs) located in Malaysia. Strategies for reducing pollution and technologies for GHG reduction from the wet extraction POMs were also proposed. Average GHG emissions produced from processing 1 ton of crude palm oil (CPO) was 1100 kg CO2eq. This amount can be reduced to 200 kg CO2eq by capturing biogases. The amount of GHG emissions from open ponds could be decreased from 225 to 25 kg CO2eq/MT CPO by covering the ponds. Installation of biogas capturing system can decrease the average of chemical oxygen demand (COD) to about 17,100 mg/L and stabilizing ponds in the final step could decrease COD to 5220 mg/L. Using a biogas capturing system allows for the reduction of COD by 80% and simultaneously using a biogas capturing system and by stabilizing ponds can mitigate COD by 96%. Other ways to reduce the pollution caused by POME, including the installation of wet scrubber vessels and increasing the performance of biogas recovery and biogas upgrading systems, are studied in this paper. IMPLICATIONS: Around 0.87 m3 POME is produced per 1 ton palm fruit milled. POME consists of around 2% oil, 2-4% suspended solid, 94-96% water. In palm oil mills, more than 90% of GHGs were emitted from POME. From 1 ton crude palm oil, 1100 kg CO2eq GHGs are generated, which can be reduced to 200 kg CO2eq by installation of biogas capturing equipment.