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1.
Water Res ; 258: 121804, 2024 May 19.
Artículo en Inglés | MEDLINE | ID: mdl-38781621

RESUMEN

It has recently been discovered that HFPO-TA (a processing aid in the production of fluoropolymers) has high levels of bioaccumulation and biotoxicity. Hydrated electrons (eaq-) have been proposed to be potent nucleophiles that may decompose PFAS. Unlike previous studies in which the generation of eaq- was often restricted to anaerobic or highly alkaline environments, in this study, we applied the UV/SO32-/I- process under mild conditions of neutrality, low source chemical demand, and open-air, which achieved effective degradation (81.92 %, 0.834 h-1) and defluorination (48.99 %, 0.312 h-1) of HFPO-TA. With I- as the primary source of eaq-, SO32- acting as an I- regenerator and oxidizing substances scavenger, UV/SO32-/I- outperformed others under mild circumstances. The eaq- were identified as the main active species by quenching experiments and electron paramagnetic resonance (EPR). During degradation, the first site attacked by eaq- was the ether bond (C6-O7), followed by the generation of HFPO-DA, TFA, acetic and formic acid. Degradation studies of other HFPOs have shown that the defluorination of HFPOs was accompanied by a clear chain-length correlation. At last, toxicological experiments confirmed the safety of the process. This study updated our understanding of the degradation of newly PFASs and the application of eaq- mediated photoreductive approaches under mild conditions.

2.
Environ Sci Technol ; 58(18): 7826-7837, 2024 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-38653213

RESUMEN

The interaction effects between the main components (proteins (P), carbohydrates (C), and lipids (L)) of protein-rich biomass during microwave-assisted pyrolysis were investigated in depth with an exploration of individual pyrolysis and copyrolysis (PC, PL, and CL) of model compounds. The average heating rate of P was higher than those of C and L, and the interactions in all copyrolysis groups reduced the max instant heating rate. The synergistic extent (S) of PC and PL for bio-oil yield was 16.78 and 18.24%, respectively, indicating that the interactions promoted the production of bio-oil. Besides, all of the copyrolysis groups exhibited a synergistic effect on biochar production (S = 19.43-28.24%), while inhibiting the gas generation, with S ranging from -20.17 to -6.09%. Regarding the gaseous products, apart from H2, P, C, and L primarily generated CO2, CO, and CH4, respectively. Regarding bio-oil composition, the interactions occurring within PC, PL, and CL exhibited a significantly synergistic effect (S = 47.81-412.96%) on the formation of N-heterocyclics/amides, amides/nitriles, and acids/esters, respectively. Finally, the favorable applicability of the proposed interaction effects was verified with microalgae. This study offers valuable insights for understanding the microwave-assisted pyrolysis of protein-rich biomass, laying the groundwork for further research and process optimization.


Asunto(s)
Biomasa , Microondas , Pirólisis , Proteínas/química , Lípidos/química , Carbón Orgánico/química , Carbohidratos/química , Biocombustibles
3.
Adv Mater ; : e2400894, 2024 Apr 18.
Artículo en Inglés | MEDLINE | ID: mdl-38636448

RESUMEN

Peritoneal metastasis (PM) is considered one of the most dreaded forms of cancer metastases for both patients and physicians. Aggressive cytoreductive surgery (CRS) is the primary treatment for peritoneal metastasis. Unfortunately, this intensive treatment frequently causes clinical complications, such as postoperative recurrence, metastasis, and adhesion formation. Emerging evidence suggests that neutrophil extracellular traps (NETs) released by inflammatory neutrophils contribute to these complications. Effective NET-targeting strategies thus show considerable potential in counteracting these complications but remain challenging. Here, one type of sulfoxide-containing homopolymer, PMeSEA, with potent fouling-resistant and NET-inhibiting capabilities, is synthesized and screened. Hydrating sulfoxide groups endow PMeSEA with superior nonfouling ability, significantly inhibiting protein/cell adhesion. Besides, the polysulfoxides can be selectively oxidized by ClO- which is required to stabilize the NETs rather than H2O2, and ClO- scavenging effectively inhibits NETs formation without disturbing redox homeostasis in tumor cells and quiescent neutrophils. As a result, PMeSEA potently prevents postoperative adhesions, significantly suppresses peritoneal metastasis, and shows synergetic antitumor activity with chemotherapeutic 5-Fluorouracil. Moreover, coupling CRS with PMeSEA potently inhibits CRS-induced tumor metastatic relapse and postoperative adhesions. Notably, PMeSEA exhibits low in vivo acute and subacute toxicities, implying significant potential for clinical postoperative adjuvant treatment.

4.
Medicine (Baltimore) ; 103(12): e37215, 2024 Mar 22.
Artículo en Inglés | MEDLINE | ID: mdl-38518001

RESUMEN

BACKGROUND: To date, there is no standardized practice for the use of pharmacological sedatives during flexible bronchoscopy, particularly for elderly patients. This exploratory study aimed to assess the efficacy and safety of remimazolam at a single induced dose for deep sedation in elderly patients undergoing diagnostic flexible bronchoscopy (DFB), and compare with midazolam, a commonly used sedative. METHODS: A total of 100 elderly patients (age range 65-80 yr; American Society of Anesthesiologists Physical Status I-III) undergoing DFB were randomly allocated into 2 groups according to the sedatives used for induction: the remimazolam group and the midazolam group. Sedation induction was initiated by an intravenous bolus of remimazolam (0.135 mg/kg) or midazolam (0.045 mg/kg), respectively, both groups were combined with a high-dose of alfentanil (18 µg/kg), and supplemented with high-flow nasal cannula (HFNC) oxygen supply at a flow rate of 45 L/min. If the target depth of sedation was not achieved, propofol would be titrated as a rescue. The primary outcome was the success rate of sedation at a single induced dose to achieve target depth (Ramsay sedation score [RSS] = 4) during induction, intraoperative changes in vital signs, postoperative follow-up situation and incidence of post-bronchoscopy adverse events were evaluated as secondary outcomes. RESULTS: The success rate of sedation in the remimazolam group was significantly higher than that in the midazolam group (65.2% vs 39.6%, P = .013), while the incidence of extra sleep within 6 hours after procedure was lower in the remimazolam group as compared to the midazolam group (10.9% vs 31.3%, P = .016). No statistically significant differences were observed between the 2 groups regarding hemodynamic fluctuations, incidence of hypoxemia, and cough response during the procedure, as well as postoperative recall, willingness to undergo reexamination, and other post-bronchoscopy adverse events. CONCLUSIONS: Bolus administration of remimazolam offers advantages over midazolam for deep sedation in elderly patients undergoing DFB, in terms of a higher success rate of sedation and a lower incidence of extra sleep within 6 hours after procedure, though the safety profiles of both groups were favorable.


Asunto(s)
Sedación Profunda , Propofol , Humanos , Anciano , Anciano de 80 o más Años , Midazolam , Broncoscopía/métodos , Benzodiazepinas , Hipnóticos y Sedantes/uso terapéutico , Método Doble Ciego
5.
J Hazard Mater ; 470: 134166, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38554511

RESUMEN

UV/peracetic acid (PAA) treatment presents a promising approach for antibiotic removal, but its effects on microbial community and proliferation of antibiotic resistance genes (ARGs) during the subsequent bio-treatment remain unclear. Thus, we evaluated the effects of the UV/PAA on tetracycline (TTC) degradation, followed by introduction of the treated wastewater into the bio-treatment system to monitor changes in ARG expression and biodegradability. Results demonstrated effective TTC elimination by the UV/PAA system, with carbon-centered radicals playing a significant role. Crucially, the UV/PAA system not only eliminated antibacterial activity but also inhibited potential ARG host growth, thereby minimizing the emergence and dissemination of ARGs during subsequent bio-treatment. Additionally, the UV/PAA system efficiently removed multi-antibiotic resistant bacteria and ARGs from the bio-treatment effluent, preventing ARGs from being released into the environment. Hence, we propose a multi-barrier strategy for treating antibiotic-containing wastewater, integrating UV/PAA pre-treatment and post-disinfection with bio-treatment. The inhibition of ARGs transmission by the integrated system was verified through actual soil testing, confirming its effectiveness in preventing ARGs dissemination in the surrounding natural ecosystem. Overall, the UV/PAA treatment system offers a promising solution for tackling ARGs challenges by controlling ARGs proliferation at the source and minimizing their release at the end of the treatment process.


Asunto(s)
Antibacterianos , Ácido Peracético , Rayos Ultravioleta , Aguas Residuales , Antibacterianos/farmacología , Antibacterianos/química , Ácido Peracético/farmacología , Tetraciclina/farmacología , Farmacorresistencia Microbiana/genética , Genes Bacterianos/efectos de los fármacos , Purificación del Agua/métodos , Eliminación de Residuos Líquidos/métodos , Contaminantes Químicos del Agua/toxicidad , Bacterias/efectos de los fármacos , Bacterias/genética , Bacterias/efectos de la radiación , Desinfección/métodos , Biodegradación Ambiental
6.
Environ Sci Pollut Res Int ; 31(16): 24547-24558, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38446294

RESUMEN

Sediments are the vital fate of organic compounds, and the recognition of organic compounds in sediments is constructive in providing comprehensive and long-term information. In this study, a three-step nontarget screening (NTS) analysis workflow using comprehensive two-dimensional gas chromatography coupled with time-of-flight mass spectrometry (GC × GC-TOFMS) revealed the extensive existence of organic compounds in the Taipu River sediment. Organic compounds (705) were detected and divided into four structure-related groups or eight use-related classes. In the Taipu River's mainstream, a significant difference was found in the composition profiles of the identified organic compounds among various sites, demonstrating the organic compounds were more abundant in the midstream and downstream than in the upstream. Meanwhile, the hydrodynamic force was recognized as a potential factor influencing organic compounds' occurrence. Based on multiple statistical analyses, the shipping and textile printing industries were considered the significant contributors to the identified organic compounds. Considering the principles of the priority substances and the current status of the substances, two traditional pollutants and ten emerging organic compounds were recognized as the priority organic compounds for the Taipu River. Conclusively, this study established a workflow for NTS analysis of sediment samples and demonstrated the necessity of NTS analysis to evaluate the impact of terrestrial emissions of organic compounds on the aquatic environment.


Asunto(s)
Contaminantes Químicos del Agua , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente/métodos , Sedimentos Geológicos/química , Compuestos Orgánicos/análisis , China
7.
Adv Sci (Weinh) ; 11(12): e2304342, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38229183

RESUMEN

Immunotherapy targeting PD-L1 is still ineffective for a wide variety of tumors with high unpredictability. Deploying combined immunotherapy with alternative targeting is practical to overcome this therapeutic resistance. Here, the deficiency of serine-threonine kinase STK24 is observed in tumor cells causing substantial attenuation of tumor growth in murine syngeneic models, a process relying on cytotoxic CD8+ T and NK cells. Mechanistically, STK24 in tumor cells associates with and directly phosphorylates AKT at Thr21, which promotes AKT activation and subsequent PD-L1 induction. Deletion or inhibition of STK24, by contrast, blocks IFN-γ-mediated PD-L1 expression. Various murine models indicate that in vivo silencing of STK24 can significantly enhance the efficacy of the anti-PD-1 blockade strategy. Elevated STK24 levels are observed in patient specimens in multiple tumor types and inversely correlated with intratumoral infiltration of cytotoxic CD8+ T cells and with patient survival. The study collectively identifies STK24 as a critical modulator of antitumor immunity, which engages in AKT and PD-L1/PD-1 signaling and is a promising target for combined immunotherapy.


Asunto(s)
Antígeno B7-H1 , Linfocitos T CD8-positivos , Humanos , Animales , Ratones , Antígeno B7-H1/metabolismo , Proteínas Proto-Oncogénicas c-akt/metabolismo , Escape del Tumor , Línea Celular Tumoral
8.
J Control Release ; 366: 128-141, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38104775

RESUMEN

Tumor-associated macrophages play pivotal roles in tumor progression and metastasis. Macrophage-mediated clearance of apoptotic cells (efferocytosis) supports inflammation resolution, contributing to immune evasion in colorectal cancers. To reverse this immunosuppressive process, we propose a readily translatable RNA therapy to selectively inhibit macrophage-mediated efferocytosis in tumor microenvironment. A clinically approved lipid nanoparticle platform (LNP) is employed to encapsulate siRNA for the phagocytic receptor MerTK (siMerTK), enabling selective MerTK inhibition in the diseased organ. Decreased MerTK expression in tumor-associated macrophages results in apoptotic cell accumulation and immune activation in tumor microenvironment, leading to suppressed tumor growth and better survival in both liver and peritoneal metastasis models of colorectal cancers. siMerTK delivery combined with PD-1 blockade further produces enhanced antimetastatic efficacy with reactivated intratumoral immune milieu. Collectively, LNP-based siMerTK delivery combined with immune checkpoint therapy may present a feasible modality for metastatic colorectal cancer therapy.


Asunto(s)
Neoplasias del Colon , Eferocitosis , Humanos , Tirosina Quinasa c-Mer , Macrófagos , ARN Interferente Pequeño , Microambiente Tumoral
9.
Chemosphere ; 346: 140601, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37918536

RESUMEN

Due to the diversity and variability of harmful ions in polluted water bodies, the selective removal and separation for specific ions is of great significance in water purification and resource processes. Capacitive deionization (CDI), an emerging desalination technology, shows great potential to selectively remove harmful ionic pollutants and further recover valuable ions because of the simple operation and low energy consumption. Researchers have done a lot of work to investigate ion selectivity utilizing CDI, including both theoretical and experimental studies. Nevertheless, in the investigation of selective mechanisms, phenomena where carbon materials exhibit entirely opposite selectivity require further analysis. Furthermore, there is a need to summarize the specific chemical reaction mechanisms, including the formation of hydrogen bonds, complexation reactions, and ligand exchanges, within selective electrodes, which have not been thoroughly examined in detail previously. In order to fill these gaps, in this review, we summarized the recent progress of CDI technologies for ion selective separation, and explored the selective separation mechanism of CDI from three aspects: selective physical adsorption, specific chemical reaction, and the utilization of selective barriers. Additionally, this review analyzes in detail the formation process of chemical bonds and ion conversion pathways when ions interact with electrode materials. Finally, some significant development prospects and challenges were offered for the future selective CDI systems. We believe the review will provide new insights for researchers in the field of ion selective separation.


Asunto(s)
Carbono , Purificación del Agua , Iones/química , Electrodos , Adsorción
10.
Medicine (Baltimore) ; 102(48): e36362, 2023 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-38050299

RESUMEN

RATIONALE: Some laryngeal masses are typically asymptomatic and easily ignored. However, they can be rare causes of unanticipated difficult airway, leading to critical situations such as "cannot ventilate" or "cannot ventilate and cannot intubate" during anesthesia induction. Inappropriate airway management in such scenarios can have catastrophic consequences for an anesthetized patient. Here we report a case of sudden, unanticipated difficult mask ventilation caused by an asymptomatic supraglottic mass during sedative induction, which was quickly and effectively relieved by the Heimlich maneuver and chest compression. PATIENT CONCERNS: We report a rare case of airway crisis occurred during sedative induction in a 63-year-old patient scheduled for a routine flexible bronchoscopy, and no evidence of respiratory difficulty or signs of obstruction was found in preoperative evaluation. DIAGNOSES: A detailed examination of laryngopharyngeal structure under bronchoscopy revealed a supraglottic soft-tissue mass with a size of 1.6 × 0.8 cm covering the membranous part of the glottic area, which was the true cause of difficult mask ventilation in this patient during sedative induction. INTERVENTIONS: As the unanticipated difficult mask ventilation occurred, 2-handed mask ventilation was initiated immediately for 9 attempts but failed. Fortunately, the airway crisis was successfully relieved with 2 Heimlich attempts and 3 chest compressions, and no need for a laryngeal mask airway. OUTCOMES: Once the airway crisis was relieved and the supraglottic mass was confirmed, the patient underwent a second sedative anesthesia and a successful laryngeal mask airway-assisted bronchoscopy, with no post-bronchoscopy adverse events. LESSONS: Asymptomatic supraglottic masses can cause valve-like upper airway obstruction and lead to unanticipated difficult mask ventilation. The Heimlich maneuver and chest compression may be effective in such critical situations and can serve as an emergency intervention.


Asunto(s)
Maniobra de Heimlich , Máscaras Laríngeas , Humanos , Persona de Mediana Edad , Intubación Intratraqueal , Máscaras Laríngeas/efectos adversos , Anestesia General , Hipnóticos y Sedantes
11.
Artículo en Inglés | MEDLINE | ID: mdl-38015404

RESUMEN

The ever-increasing concern for energy shortages and greenhouse effect has triggered the development of sustainable green technologies. Microalgae have received more attention due to the characteristics of biofuel production and CO2 fixation. From the perspective of autotrophic growth, the optimization of light quality has the potential to promote biomass production and bio-component accumulation in microalgae at low cost. In this study, bibliometric analysis was used to describe the basic features, identify the hotspots, and predict future trends of the research related to the light quality on microalgae cultivation. In addition, a mini-review referring to regulation methods of light quality was provided to optimize the framework of research. Results demonstrated that China has the greatest interest in this area. The destination of most research was to obtain biofuels and high-value-added products. Both blue and red lights were identified as the crucial spectrums for microalgae cultivation. However, sunlight is the most affordable light resource, which could not be fully utilized by microalgae through the photosynthetic process. Hence, some regulation approaches (e.g., dyes, plasmonic scattering, and carbon-based quantum dots) are proposed to increase the proportion of beneficial spectrum for enhancement of photosynthetic efficiency. In summary, this review introduces state-of-the-art research and provides theoretical guidance for light quality optimization in microalgae cultivation to obtain more benefits.

12.
Environ Sci Technol ; 57(40): 15099-15111, 2023 10 10.
Artículo en Inglés | MEDLINE | ID: mdl-37751481

RESUMEN

It remains unknown whether plastic-biodegrading macroinvertebrates generate microplastics (MPs) and nanoplastics (NPs) during the biodegradation of plastics. In this study, we utilized highly sensitive particle analyzers and pyrolyzer-gas chromatography mass spectrometry (Py-GCMS) to investigate the possibility of generating MPs and NPs in frass during the biodegradation of polystyrene (PS) and low-density polyethylene (LDPE) foams by mealworms (Tenebrio molitor larvae). We also developed a digestive biofragmentation model to predict and unveil the fragmentation process of ingested plastics. The mealworms removed 77.3% of ingested PS and 71.1% of ingested PE over a 6-week test period. Biodegradation of both polymers was verified by the increase in the δ13C signature of residual plastics, changes in molecular weights, and the formation of new oxidative functional groups. MPs accumulated in the frass due to biofragmentation, with residual PS and PE exhibiting the maximum percentage by number at 2.75 and 7.27 µm, respectively. Nevertheless, NPs were not detected using a laser light scattering sizer with a detection limit of 10 nm and Py-GCMS analysis. The digestive biofragmentation model predicted that the ingested PS and PE were progressively size-reduced and rapidly biodegraded, indicating the shorter half-life the smaller plastic particles have. This study allayed concerns regarding the accumulation of NPs by plastic-degrading mealworms and provided critical insights into the factors controlling MP and NP generation during macroinvertebrate-mediated plastic biodegradation.


Asunto(s)
Poliestirenos , Tenebrio , Animales , Polietileno , Tenebrio/metabolismo , Plásticos , Larva/metabolismo , Biodegradación Ambiental , Microplásticos
13.
Nat Biotechnol ; 2023 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-37749267

RESUMEN

Increasing evidence implicates the tumor microbiota as a factor that can influence cancer progression. In patients with colorectal cancer (CRC), we found that pre-resection antibiotics targeting anaerobic bacteria substantially improved disease-free survival by 25.5%. For mouse studies, we designed an antibiotic silver-tinidazole complex encapsulated in liposomes (LipoAgTNZ) to eliminate tumor-associated bacteria in the primary tumor and liver metastases without causing gut microbiome dysbiosis. Mouse CRC models colonized by tumor-promoting bacteria (Fusobacterium nucleatum spp.) or probiotics (Escherichia coli Nissle spp.) responded to LipoAgTNZ therapy, which enabled more than 70% long-term survival in two F. nucleatum-infected CRC models. The antibiotic treatment generated microbial neoantigens that elicited anti-tumor CD8+ T cells. Heterologous and homologous bacterial epitopes contributed to the immunogenicity, priming T cells to recognize both infected and uninfected tumors. Our strategy targets tumor-associated bacteria to elicit anti-tumoral immunity, paving the way for microbiome-immunotherapy interventions.

14.
Water Res ; 245: 120642, 2023 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-37774539

RESUMEN

Phosphorus (P) recovery from human manure (HM) is critical for food production security. For the first time, a one-step hydrothermal carbonation (HTC) treatment of HM was proposed in this study for the targeted high-bioavailable P recovery from P-rich hydrochars (PHCs) for direct soil application. Furthermore, the mechanism for the transformation of P speciation in the derived PHCs was also studied at the molecular level. A high portion of P (80.1∼89.3%) was retained in the solid phase after HTC treatment (120∼240°C) due to high metal contents. The decomposition of organophosphorus (OP) into high-bioavailable orthophosphate (Ortho-P) was accelerated when the HTC temperature was increased, reaching ∼97.1% at 210°C. In addition, due to the high content of Ca (40.45±2.37 g/kg) in HM, the HTC process promoted the conversion of low-bioavailable non-apatite inorganic (NAIP) into high-bioavailable apatite inorganic P (AP). In pot experiments with pea seedling growth, the application of newly obtained PHCs significantly promoted plant growth, including average wet/dry weight and plant height. Producing 1 ton of PHCs (210°C) with the same effective P content as agricultural-type calcium superphosphate could result in a net return of $58.69. More importantly, this pathway for P recovery is predicted to meet ∼38% of the current agricultural demand.

15.
Chemosphere ; 344: 140300, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37777089

RESUMEN

Surface electron transport and transfer of catalysts have important consequences for persulfate (PS) activation in PS system. In this paper, an electron-rich Cu-beta zeolites catalyst was synthesized utilizing a straightforward solid-state ion exchange technique to efficiently degrade sulfadiazine. The X-ray diffraction (XRD) and fourier transform infrared spectroscopy (FTIR) results revealed that Cu element substitutes Al element and enters the beta molecular sieve framework smoothly. Furthermore, the X-ray photoelectron spectroscopy (XPS) measurements demonstrated that the Cu-beta catalyst is primarily Cu0. Cu-beta zeolites catalyst can exhibit excellent catalytic activity to degrade sulfadiazine with the oxidant of PS. The optimal sulfadiazine removal performance was explored by adjusting reaction parameters, including sulfadiazine concentration, catalyst dosage, oxidant dosage, and solution pH. The sulfadiazine removal efficiency in the Cu-beta zeolites/PS system could reach 90.5% at the optimal reaction condition ([PS]0 = 0.5 g/L, [Cu-beta zeolites]0 = 1.0 g/L, pH = 7.0) with 50 mg/L of sulfadiazine. Meanwhile, The degradation efficiency was less affected by anionic interference (Cl-, SO4-, HCO3-). The surface electron transport and transfer of the Cu-beta zeolites catalyst were significant causes for the remarkable degradation performance. According to electron paramagnetic resonance (EPR) and quenching studies, the Cu-beta zeolites/PS system was mostly dominated by SO4•- in the degradation of sulfadiazine. Furthermore, two possible pathways for sulfadiazine degradation were proposed according to the analysis of intermediate products detected by the liquid chromatography-mass spectrometry (LC-MS).


Asunto(s)
Contaminantes Químicos del Agua , Zeolitas , Sulfadiazina , Oxidación-Reducción , Electrones , Oxidantes , Contaminantes Químicos del Agua/análisis
16.
Medicine (Baltimore) ; 102(37): e35227, 2023 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-37713863

RESUMEN

RATIONALE: One of the catastrophic complications of surgical hysteroscopy is venous gas embolism (VGE), and this event could cause morbidity and in serious cases may even lead to death. However, in cases of VGE accompanied by refractory hypokalemia is rare and can significantly increase the difficulty of treatment and resuscitation. Here, we successfully treated a patient with fatal VGE during surgical hysteroscopy, accompanied by difficult resuscitation with refractory hypokalemia. PATIENT CONCERNS: We report a rare case of sudden cardiac arrest due to VGE during surgical hysteroscopy, followed by difficult resuscitation with refractory hypokalemia. DIAGNOSIS: VGE was diagnosed by a sudden decrease in EtCO2, a loud mill wheel murmur in the thoracic area, and a small number of air bubbles evacuated from the internal jugular catheter. And refractory hypokalemia was diagnosed by serum potassium levels dropping frequently to as low as 2.0 mmol/L within 36 hours of resuscitation after cardiac arrest. INTERVENTIONS: Our vigilant anesthesiologist noticed the early sign of VGE with a sudden drop in EtCO2, and as the cardiac arrest occurred, interventional maneuvers were implemented quickly including termination of the surgical procedure, adjustment of the patient's position, cardiac resuscitation, continuous chest compression, and correction of electrolyte disturbances, particularly refractory hypokalemia during the early stage of resuscitation. OUTCOMES: The patient regained consciousness 4 days after the cardiac arrest and was discharged 1 month later without any neurological deficits. LESSONS: As a relatively simple procedure, surgical hysteroscopy may have catastrophic complications. This case demonstrates the full course of fatal gas embolism and difficult resuscitation during hysteroscopic surgery, and emphasizes the importance of early detection, prompt intervention, and timely correction of electrolyte disturbances, such as refractory hypokalemia.


Asunto(s)
Embolia Aérea , Paro Cardíaco , Hipopotasemia , Desequilibrio Hidroelectrolítico , Humanos , Femenino , Embarazo , Hipopotasemia/etiología , Histeroscopía/efectos adversos , Embolia Aérea/etiología , Embolia Aérea/terapia , Paro Cardíaco/etiología , Paro Cardíaco/terapia , Electrólitos
17.
J Environ Manage ; 345: 118818, 2023 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-37633102

RESUMEN

It is widely understood that microplastics (MPs) can induce various biological stresses in macroinvertebrates that are incapable of biodegrading plastics. However, the biodegradation and physiological responses of plastic-degrading macroinvertebrates toward MPs of different degradability levels remain unexplored. In this study, Tenebrio molitor larvae (mealworms) were selected as a model of plastics-degrading macroinvertebrate, and were tested against three common plastics of different degradability rankings: polyvinyl chloride (PVC), polystyrene (PS), and polylactic acid (PLA) MPs (size <300 µm). These three MPs were biodegraded with the rate sequence of PLA > PS > PVC, resulting in a reversed order of negative physiological responses (body weight loss, decreased survival, and biomass depletion) of mealworms. Simultaneously, the levels of reactive oxygen species (ROS), antioxidant enzyme activities, and lipid peroxidation were uniformly increased as polymer degradability decreased and intermediate toxicity increased. PVC MPs exhibited higher toxicity than the other two polymers. The oxidative stresses were effectively alleviated by supplementing co-diet bran. The T. molitor larvae fed with PLA plus bran showed sustainable growth without an increase in oxidative stress. The results provide new insights into the biotoxicity of MPs on macroinvertebrates and offer comprehensive information on the physiological stress responses of plastic-degrading macroinvertebrates during the biodegradation of plastics with different degradability levels.


Asunto(s)
Poliestirenos , Tenebrio , Animales , Poliestirenos/toxicidad , Larva/metabolismo , Tenebrio/metabolismo , Plásticos , Microplásticos/toxicidad , Microplásticos/metabolismo , Cloruro de Polivinilo , Poliésteres/metabolismo , Antioxidantes/metabolismo
18.
J Environ Manage ; 344: 118691, 2023 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-37536239

RESUMEN

Incineration is a promising disposal method for sewage sludge (SS), enriching more than 90% of phosphorus (P) in the influent into the powdered product, sewage sludge ash (SSA), which is convenient for further P recovery. Due to insufficient bioavailable P and enriched heavy metals (HMs) in SSA, it is limited to be used directly as fertilizer. Hence, this paper provides an overview of P transformation in SS incineration, characterization of SSA components, and wet-chemical and thermochemical processes for P recovery with a comprehensive technical, economic, and environmental assessment. P extraction and purification is an important technical step to achieve P recovery from SSA, where the key to all technologies is how to achieve efficient separation of P and HMs at a low economic and environmental cost. It can be clear seen from the review that the economics of P recovery from SSA are often weak due to many factors. For example, the cost of wet-chemical methods is approximately 5∼6 €/kg P, while the cost of recovering P by thermochemical methods is about 2∼3 €/kg P, which is slightly higher than the current P fertilizer (1 €/kg P). So, for now, legislation is significant for promoting P recovery from SSA. In this regard, the relevant experience in Europe is worth learning from countries that have not yet carried out P recovery from SSA, and to develop appropriate policies and legislation according to their own national conditions.


Asunto(s)
Metales Pesados , Fósforo , Fósforo/análisis , Aguas del Alcantarillado/química , Fertilizantes , Incineración , Europa (Continente) , Metales Pesados/química
19.
Sci Total Environ ; 902: 166243, 2023 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-37595928

RESUMEN

The hydroxyl radicals (OH) produced from Fe(II) oxidation upon reoxidation of reduced Fe-bearing clay minerals (RFC) have received increased attention and thermal activation was used to enhance Fe(II) oxidation to improve OH production. However, changes in mineral morphology and structure during thermally-activated RFC reoxidation are not yet clear. Herein, the Fe(II) oxidation extent was measured by chemical analysis during the reoxidation of model RFC (reduced nontronite (rNAu-2) at elevated temperatures. Mineralogical variation of rNAu-2 particles was observed by scanning electron microscopy (SEM), Mössbauer spectra, and X-ray photoelectron spectroscopy (XPS). The structural Fe(II) oxidation in rNAu-2 was accelerated with increasing temperature, accompanied by the transformation of structural entities and the dissolution of Fe and Si, while the overall structure of rNAu-2 minerals was relatively intact. The surface microstructure of particles showed the dissolved holes, net-shape flocs, and even large pore channels after Fe(II) oxidation by thermal activation. Moreover, the rearrangement of structural Fe(II) entities, the regeneration of edge Fe(II), and the electron transport from the interior to the edge were enhanced during rNAu-2 reoxidation by thermal activation. The increasing electron transfer at elevated temperatures could possibly be owing to the increasing number of reactive sites by increasing the internal disorder of rNAu-2. This work provides novel insights into the structural and mineralogical changes in promoting electron transfer upon RFC reoxidation.

20.
Water Res ; 242: 120260, 2023 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-37392507

RESUMEN

The occurrence of a viable but nonculturable (VBNC) state in antibiotic-resistant E. coli (AR E. coli) and inefficient degradation of their antibiotic resistance genes (ARGs) may cause potential health risks during disinfection. Peracetic acid (PAA) is an alternative disinfectant for replacing chlorine-based oxidants in wastewater treatment, and the potential of PAA to induce a VBNC state in AR E. coli and to remove the transformation functionality of ARGs were investigated for the first time. Results show that PAA exhibits excellent performance in inactivating AR E. coli (over 7.0-logs) and persistently inhibiting its regeneration. After PAA disinfection, insignificant changes in the ratio of living to dead cells (∼4%) and the level of cell metabolism, indicating that AR E. coli were induced into VBNC states. Unexpectedly, PAA was found to induce AR E. coli into VBNC state by destroying the proteins containing reactive amino acids at thiol, thioether and imidazole groups, rather than the result of membrane damage, oxidative stress, lipid destruction and DNA disruption in the conventional disinfection processes. Moreover, the result of poor reactivity between PAA and plasmid strands and bases confirmed that PAA hardly reduced the abundance of ARGs and damaged the plasmid's integrity. Transformation assays and real environment validation indicated that PAA-treated AR E. coli could release large abundance of naked ARGs with high-efficiency transformation functionality (∼5.4 × 10-4 - ∼8.3 × 10-6) into the environment. This study has significant environmental implications for assessing the transmission of antimicrobial resistance during PAA disinfection.


Asunto(s)
Desinfectantes , Desinfección , Desinfección/métodos , Ácido Peracético/farmacología , Escherichia coli/genética , Antibacterianos/farmacología , Desinfectantes/farmacología , Farmacorresistencia Microbiana
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