Multisystemic Beryllium Disease: An Exceptional Case Revealed by a Urinary Tract Granulomatosis.

Chronic beryllium disease (CBD), or berylliosis, is an interstitial lung disease caused by the chronic inhalation of finely particulate beryllium, frequently mistaken for sarcoidosis. It is rarely associated with skin nodular lesions, asymptomatic granulomatous hepatitis or calcium nephrolithiasis. To date, it has never been reported as a diffused multi-organ granulomatous disease. A 60-year-old Pakistani man, a former excavation worker with ancient history of suspected sarcoidosis, underwent a left nephroureterectomy for suspected papillary kidney carcinoma. The histopathological analysis showed a benign non-necrotic granulomatous infiltration of the renal pelvis and ureter. Six months later, he suffered from two consecutive episodes of acute kidney failure. Bladder biopsies found similar noncaseous granulomatosis and kidney biopsies showed interstitial nephritis. Known for suspected asthma, sleep apnea, and usual interstitial pneumonia, the patient would regularly consult for episodes of pyrexia, chills, nocturnal coughing, and wheezing. As kidney function gradually worsened, he ultimately started hemodialysis and was transferred to our facility. A positive blood beryllium lymphocyte proliferation test confirmed the diagnosis of CBD. This original report is the first description of multi-organ berylliosis with diffused urothelial granulomatosis and pseudo-tumor. The patient's pulmonary disease is minimal compared with renal and urinary tract involvement, eventually responsible for end-stage kidney disease. Berylliosis usually responds to glucocorticoids. This case report highlights the importance of evoking the diagnosis of CBD in the presence of any granulomatosis, even extra-thoracic, especially if associated with pulmonary symptoms, however atypical.

Leaching behavior and kinetics of beryllium in beryllium-containing sludge (BCS).

Beryllium-containing sludge (BCS) is a byproduct of the physicochemical treatment of beryllium smelting wastewater. The pollutant element beryllium within BCS is highly unstable and extremely toxic, characterized by its small ionic radius and low charge density, resulting in a high risk of leaching and migration. This study is the first to investigate the leaching behavior, influencing mechanisms, and kinetic processes of beryllium in BCS under various environmental conditions. The results indicate that, under national standard conditions, beryllium exhibits a rapid leaching phase within the first 5 h, which then stabilizes after 10 h, with the total leached content significantly exceeding the leaching toxicity identification standards. Under mildly acidic (pH ≤ 5) or highly alkaline (pH = 14) conditions, beryllium demonstrates pronounced leaching and migration behaviors. Notably, in acidic conditions, the leaching rate exceeds 80% within 5 h. Combining the treatment process of beryllium-containing wastewater with analytical methods such as SEM, XPS, ToF-SIMS, and FTIR, it is revealed that due to the heterogeneous nature of BCS, the particle aggregates dissociate over time under acidic conditions. The particle surfaces become increasingly rough, leading to dissolution and the emergence of more reactive sites, resulting in a high proportion of beryllium leaching. Under these conditions, the gradual reaction of Be(OH)2 in BCS to form soluble Be2+ and its hydrolytic complexes is identified as the primary mechanism for extensive beryllium migration. The process encounters minimal diffusion resistance and is classified as reaction-controlled. In acidic conditions with pH = 4, the leaching rate of beryllium significantly increases with rising temperature. The leaching kinetics equation is [(1-x)-0.44]=e(18.26-53050RT)·t, with an apparent activation energy of 53.05 kJ mol-1.

Variation analysis of atmospheric 7Be activity concentrations with respect to precipitation.

Beryllium-7 activity concentrations in the atmosphere and precipitation were continuously measured every day between April 2011 and December 2015 in Dazaifu, western Japan. The measured data were quantitatively analyzed to determine the precipitation-induced variation in 7Be activity concentrations. The average concentrations on nonprecipitation and precipitation days were 5.5 and 3.8 mBq/m3, respectively. This difference of 31% (1.7 mBq/m3) on average, was attributable to the washout effect, which was more significant in the summer. Regarding the association between 7Be activity concentration and precipitation, the concentration remained at a similar level for the small precipitation amount of <5.0 mm/day and showed a decreasing trend (but was insignificant) for the precipitation of 5.0-10.0 mm/day. A significant decrease in the concentration was observed for ≥10 mm/day. Furthermore, when precipitation occurred on two successive days, the 7Be activity concentrations on the second day significantly decreased regardless of precipitation.

mtDNA amplifies beryllium sulfate-induced inflammatory responses via the cGAS-STING pathway in 16HBE cells.

Beryllium sulfate (BeSO4) can cause inflammation through the mechanism, which has not been elucidated. Mitochondrial DNA (mtDNA) is a key contributor of inflammation. With mitochondrial damage, released mtDNA can bind to specific receptors (e.g., cGAS) and then activate related pathway to promote inflammatory responses. To investigate the mechanism of mtDNA in BeSO4-induced inflammatory response in 16HBE cells, we established the BeSO4-induced 16HBE cell inflammation model and the ethidium bromide (EB)-induced ρ016HBE cell model to detect the mtDNA content, oxidative stress-related markers, mitochondrial membrane potential, the expression of the cGAS-STING pathway, and inflammation-related factors. Our results showed that BeSO4 caused oxidative stress, decline of mitochondrial membrane potential, and the release of mtDNA into the cytoplasm of 16HBE cells. In addition, BeSO4 induced inflammation in 16HBE cells by activating the cGAS-STING pathway. Furthermore, mtDNA deletion inhibited the expression of cGAS-STING pathway, IL-10, TNF-α, and IFN-ß. This study revealed a novel mechanism of BeSO4-induced inflammation in 16HBE cells, which contributes to the understanding of the molecular mechanism of beryllium and its compounds-induced toxicity.

Biochar and silicon relegate the adversities of beryllium stress in pepper by modulating methylglyoxal detoxification and antioxidant defense mechanism.

Industrial activities have escalated beryllium (Be) release in environment which negatively affect plant growth and human health. This investigation describes Be-induced stress in pepper and its palliation by application of pineapple fruit peel biochar (BC) and potassium silicate (Si). The treatment of Be reduced seedling length, biomass, and physiological attributes and enhanced electrolyte leakage, hydrogen peroxide (H2O2), superoxide (O2•-) level in pepper plants; however, these oxidative stress markers were reduced with combined treatment (Be + BC + Si). Application of BC and Si also lowered Be cumulation in roots and shoots of pepper. Under combined treatment, superoxide dismutase (SOD), catalase (CAT), ascorbate peroxidase (APX), and glutathione reductase (GR) activities exhibited significant enhancement 19, 7.6, 22.8, and 48%, respectively, in Be-stressed pepper. The Be + BC + Si increased peroxidase (POD), glutathione S-transferase (GPX), and glutathione peroxidase (GST) activities 121, 55, and 53%, respectively, as compared to Be-treated pepper. Methylglyoxal level was reduced in pepper with rise in glyoxalase I and II enzymes. Thus, combined application of SS and BC effectively protects pepper against oxidative stress induced by Be by increasing both antioxidant defense and glyoxalase systems. Hence, pineapple fruit peel biochar along with potassium silicate can be used for enhancing crop productivity under Be-contaminated soil.

Effect of IRSL-BLSL-TSL reading modes combination on thermoluminescence (TL) response of BeO dosimeter.

The ultimate goal of this work is the study of the effect of luminescence stimulations and signals reading modes combinations on the thermoluminescence intensity and glow curve behaviour for the same X-ray irradiation dose. Three interesting stimulating and reading modes are considered, namely, infrared stimulated luminescence (IRSL), blue light-emitting diode stimulated luminescence (BLSL) and thermally stimulated luminescence (TSL). The studied stimulation and reading modes combination protocols are (Protocol 1) IRSL-TSL, (Protocol 2) IRSL-BLSL-TSL and (Protocol 3) BLSL-IRSL-TSL. Experiments are performed on beryllium oxide (BeO) dosimeter. Results demonstrate well that the combination of reading modes have direct impact on the TL signal in terms of intensity and glow curve shape. It was also found that when reading modes are correctly combined, particularly when IRSL is applied first, then BLSL and TL, it is possible to collect two or more exploitable signals of different stimulation types for the same irradiation that can be used for different purposes and final applications.

[Determination of 24 elements migration in Yixing clay pottery by inductively coupled plasma mass spectrometry].

OBJECTIVE: To establish an analytical method for determining the migration of 24 elements in Yixing clay pottery in 4% acetic acid simulated solution by inductively coupled plasma mass spectrometry. METHODS: Four types of Yixing clay pottery, including Yixing clay teapot, Yixing clay kettle, Yixing clay pot, and Yixing clay electric stew pot, were immersed in 4% acetic acid as a food simulant for testing. The migration amount of 24 elements in the migration solution was determined using inductively coupled plasma mass spectrometry. RESULTS: Lithium, magnesium, aluminum, iron, and barium elements with a mass concentration of 1000 µg/L; Lead, cadmium, total arsenic, chromium, nickel, copper, vanadium, manganese, antimony, tin, zinc, cobalt, molybdenum, silver, beryllium, thallium, titanium, and strontium elements within 100 µg/L there was a linear relationship within, the r value was between 0.998 739 and 0.999 989. Total mercury at 5.0 µg/L, there was a linear relationship within, the r value of 0.995 056. The detection limit of the elements measured by this method was between 0.5 and 45.0 µg/L, the recovery rate was 80.6%-108.9%, and the relative standard deviation was 1.0%-4.8%(n=6). A total of 32 samples of four types of Yixing clay pottery sold on the market, including teapots, boiling kettles, casseroles, and electric stewing pots, were tested. It was found that the migration of 16 elements, including beryllium, titanium, chromium, nickel, cobalt, zinc, silver, cadmium, antimony, total mercury, thallium, tin, copper, total arsenic, molybdenum, and lead, were lower than the quantitative limit. The element with the highest migration volume teapot was aluminum, magnesium, and barium; The kettle was aluminum and magnesium; Casserole was aluminum, magnesium, and lithium; The electric stew pot was aluminum. CONCLUSION: This method is easy to operate and has high accuracy, providing an effective and feasible detection method for the determination and evaluation of element migration in Yixing clay pottery.

Comparison of 755-nm picosecond alexandrite laser versus 1064-nm Q-switched Nd:YAG laser for melasma: A randomized, split-face controlled, 2-year follow-up study.

OBJECTIVES: Pulsed laser treatment of melasma has shown some promising results. To compare the effectiveness and safety of 755-nm picosecond alexandrite laser (PSAL) fitted with diffractive lens array (DLA) versus 1064-nm Q-switched neodynimum:yttrium aluminum garnet laser (QSNYL) for the treatment of melasma. METHODS: We conducted a randomized, split face controlled, 2-year follow-up study. Each face was divided into two parts, each side receiving three treatments with either PSAL or QSNYL at 1 month intervals. Modified Melasma Area Severity Index scores (mMASI), pain scores, patient satisfaction and adverse events were recorded. In vivo reflectance confocal microscopy (RCM) images were acquired. RESULTS: Twenty subjects were enrolled and three dropped out. At 6 months, mMASI scores were significantly lower than baseline for QSNYL sides (p = 0.022), with no statistically significant difference between PSAL sides before and after treatment, PSAL sides versus QSNYL sides, or patient satisfaction scores. QSNYL treatment was associated with less pain (p = 0.014). No serious adverse events were reported. In the PSAL sides RCM showed a large number of dendritic melanocytes infiltrated in the dermis at 2 weeks and 4 weeks after treatment. Ten patients (58.82%) reported recurrence or exacerbation at 2-year follow-up with no statistically significant difference between the two lasers. CONCLUSIONS: QSNYL demonstrated short term clinical efficacy for melasma, but did not provide any additional benefit compared to PSAL with DLA. QSNYL was associated with less pain. There was a high recurrence rate at 2-year follow-up. RCM allowed the detection of cellular changes in melasma lesions.

Mortality Among Individuals Diagnosed With Chronic Beryllium Disease and Beryllium Sensitization.

OBJECTIVE: The aim of the study is to investigate the cause of death among individuals diagnosed with chronic beryllium disease (CBD) or beryllium sensitization (BeS). METHODS: Vital status, cause of death, and standardized mortality ratios for the underlying cause of death were determined for a cohort of 354 individuals with CBD and 290 individuals with BeS. RESULTS: Among 216 deceased individuals, 153 had CBD and 63 had BeS. Nonmalignant respiratory deaths and other causes of death were significantly increased among those with CBD. No cause of death was significantly increased for BeS. Mortality from lung cancer was not increased. CONCLUSIONS: Individuals with CBD had an overall increased mortality risk due to increased respiratory mortality regardless of their duration of exposure to beryllium. Individuals with BeS did not have increased respiratory mortality. No increased risk of lung cancer was seen among this cohort.

Application of MLP neural network to predict X-ray spectrum from tube voltage, filter material, and filter thickness used in medical imaging systems.

The X-ray energy spectrum is crucial for image quality and dosage assessment in mammography, radiography, fluoroscopy, and CT which are frequently used for the diagnosis of many diseases including but not limited to patients with cardiovascular and cerebrovascular diseases. X-ray tubes have an electron filament (cathode), a tungsten/rubidium target (anode) oriented at an angle, and a metal filter (aluminum, beryllium, etc.) that may be placed in front of an exit window. When cathode electrons meet the anode, they generate X-rays with varied energies, creating a spectrum from zero to the electrons' greatest energy. In general, the energy spectrum of X-rays depends on the electron beam's energy (tube voltage), target angle, material, filter thickness, etc. Thus, each imaging system's X-ray energy spectrum is unique to its tubes. The primary goal of the current study is to develop a clever method for quickly estimating the X-ray energy spectrum for a variety of tube voltages, filter materials, and filter thickness using a small number of unique spectra. In this investigation, two distinct filters made of beryllium and aluminum with thicknesses of 0.4, 0.8, 1.2, 1.6, and 2 mm were employed to obtain certain limited X-ray spectra for tube voltages of 20, 30, 40, 50, 60, 80, 100, 130, and 150 kV. The three inputs of 150 Multilayer Perceptron (MLP) neural networks were tube voltage, filter type, and filter thickness to forecast the X-ray spectra point by point. After training, the MLP neural networks could predict the X-ray spectra for tubes with voltages between 20 and 150 kV and two distinct filters made of aluminum and beryllium with thicknesses between 0 and 2 mm. The presented methodology can be used as a suitable, fast, accurate and reliable alternative method for predicting X-ray spectrum in medical applications. Although a technique was put out in this work for a particular system that was the subject of Monte Carlo simulations, it may be applied to any genuine system.

Dual-wavelength long-pulsed 755-nm alexandrite/1,064-nm Nd:YAG laser versus Nd:YAG alone for treatment of palmoplantar verruca.

We compared the effectiveness and safety of the long-pulsed neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser alone and combined with a 755-nm alexandrite laser for treating palmoplantar warts. We divided patients into two groups to receive up to four monthly treatments with Nd:YAG alone (single-wavelength) or combined with the alexandrite laser (dual-wavelength). We assessed treatment responses (according to clearance rate), vascular/hyperkeratosis grades, and patient satisfaction and pain ratings. The differences in treatment response (p = .348), patient satisfaction (p = .560), and pain ratings (p = .728) between the groups were not significant. The single- and dual-wavelength treatment options were equally effective in treating recalcitrant palmoplantar warts.

Elevated CO2 differentially attenuates beryllium-induced oxidative stress in oat and alfalfa.

Elevated CO2 (eCO2 ) is one of the climate changes that may benefit plant growth under emerging soil contaminants such as heavy metals. In this regard, the morpho-physiological mechanisms underlying the mitigating impact of eCO2 on beryllium (Be) phytotoxicity are poorly known. Hence, we investigated eCO2 and Be interactive effects on the growth and metabolism of two species from different groups: cereal (oat) and legume (alfalfa). Be stress significantly reduced the growth and photosynthetic attributes in both species, but alfalfa was more susceptible to Be toxicity. Be stress induced reactive oxygen species (ROS) accumulation by increasing photorespiration, subsequently resulting in increased lipid and protein oxidation. However, the growth inhibition and oxidative stress induced by Be stress were mitigated by eCO2 . This could be explained, at least partially, by the increase in organic acids (e.g., citric acid) released into the soil, which subsequently reduced Be uptake. Additionally, eCO2 reduced cellular oxidative damage by reducing photorespiration, which was more significant in alfalfa plants. Furthermore, eCO2 improved the redox status and detoxification processes, including phytochelatins, total glutathione and metallothioneins levels, and glutathione-S-transferase activity in both species, but to a greater extend in alfalfa. In this context, eCO2 also stimulated anthocyanin biosynthesis by accumulating its precursors (phenylalanine, coumaric acid, cinnamic acid, and naringenin) and key biosynthetic enzymes (phenylalanine ammonia-lyase, cinnamate hydroxylase, and coumarate:CoA ligase) mainly in alfalfa plants. Overall, this study explored the mechanistic approach by which eCO2 alleviates the harmful effects of Be. Alfalfa was more sensitive to Be stress than oats; however, the alleviating impact of eCO2 on Be stress was more pronounced in alfalfa.

Removal of Unwanted Hair: Efficacy and Safety of 755-nm Alexandrite Laser Equipped with a 30 mm Spot Handpiece.

Background: Alexandrite 755 nm laser has been currently recognized one of the gold standards for the permanent hair removal business because of its sufficient tissue penetration and higher affinity for melanin compared with Nd:YAG, making the treatment more incisive and effective. Objective: In this study, we evaluated an Alexandrite 755 nm laser with a 30-mm spot for a new and fast hair removal treatment. Methods: Patients of both genders, with skin Fitzpatrick's types, ranging from II to III, were asked to avoid any epilation techniques 4 weeks before the laser hair removal session. Participants underwent a minimum of three to a maximum of eight sessions of treatment, every 6 weeks. Six months after the last treatment, the final evaluation was completed. The treated body areas included arms, legs, axillae, and trunk. The subjects used a numeric scale with a range of 0 to 10 (0: no pain, 10: unbearable), to indicate the associated pain level experienced. By comparing the percentage of terminal hairs before and after laser treatment, hair reduction was determined. Results: The patients reported only slight post-treatment erythema that disappeared after a few hours and only two patients showed persistent erythema lasting a few weeks. The pain was found to be 4.9 ± 0.9 after single pass emission. Conclusions: The 755 nm laser with the new handpiece has proven to be an ideal wavelength for hair removal, allowing efficient, safe, and faster treatments to be performed for the patient.

Atmospheric depositional fluxes of 210Pb in bulk precipitation at the Adriatic coast, Croatia.

The atmospheric bulk depositional fluxes of 210Pb were measured at a station on the Adriatic coast, Croatia over 4 years period from March 2017 to December 2020. The monthly depositional fluxes followed oceanic deposition patterns with a lower flux between 0.0735 and 16.9 Bq m-2 month-1. The volume-weighted activities were 0.000514 and 1.35 Bq L-1 and decreased with increasing precipitation. A clear seasonal trend was observed with higher depositional flux in autumn and minimum value in the winter season. The average annual bulk depositional flux and volume-weighted activities of 210Pb were 73.8 Bq m-2 y-1 and 0.119 Bq L-1 respectively. The precipitation normalized enrichment factor (α) indicates higher depositional fluxes of 210Pb during summer and spring than desired value according to the amount of precipitation. We found that the 210Pb depositional fluxes in the coastal stations are lower due to 210Pb-depleted oceanic air masses and increase with the amount of precipitation.

Proposing an intelligent technique based on radial basis function neural network to forecast the energy spectrum of diagnostic X-ray imaging systems.

In digital subtraction angiography (digital subtraction total cerebral angiography), cardiac and macrovascular cardiography, anorectal radiology, fluoroscopy, and computed tomography (CT), a prior knowledge to X-ray energy spectrum is crucial for assessing the image quality and also calculating patient X-ray dosage. The present investigation's main objective is to propose an intelligent technique for faster calculating X-ray energy spectrum of medical imaging systems with different exposure settings of tube voltage, filter material, and thickness based on limited specific spectra. In this study, Monte Carlo N Particle (MCNP) simulation code was initially used to generate some limited X-ray spectra for tube voltages of 20, 30, 40, 50, 80, 100, 130, and 150 kV for two different filters of beryllium and aluminum with thicknesses of 0. 4, 0.8, 1.2, 1.6 and 2 mm. Tube voltage, type, and thickness of filter were used as the 3 inputs of 150 Radial Basis Function Neural Network (RBFNN) to forecast point by point of the X-ray spectrum. After training, the RBFNNs could forecast most of the X-ray spectra for tube voltages in the range of 20-150 kV and two various filters of aluminum and beryllium with thicknesses in the range of 0-2 mm.

Neoplasia de pulmón en trabajadores expuestos al berilio y/o sus compuestos: revisión sistemática / Lung Neoplasm in Workers Exposed to Beryllium and/or its Compounds: Systematic Review

Introducción: El berilio es un metal que por sus propiedades físico-químicas es utilizado en la industria para la fabricación de diferentes productos comerciales y de alta tecnología. La exposición laboral al berilio se relaciona con la aparición de neoplasia de pulmón, siendo esta enfermedad la primera causa de muerte por cáncer a nivel mundial.Objetivos: Revisar la literatura científica existente en relación con la exposición laboral al berilio y/o sus compues-tos y la neoplasia de pulmón.Método: Revisión sistemática de la literatura científica recogida en las bases de datos bibliográficas MEDLINE (vía PubMed), EMBASE, Web Of Science, Scopus, Cochrane Library, Índice Bibliográfico Español en Ciencias de la Salud (IBECS), Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS) y Medicina en Español (MEDES). Los términos utilizados como descriptores fueron: “Occupational Exposure”, “Occupational Diseases”, “Beryllium” y “Lung Neoplasms”. La búsqueda se completó con otros términos en texto libre y no se emplearon filtros (límites). La determinación de la calidad de los artículos seleccionados se llevó a cabo empleando la guía STROBE.Resultados: Se recuperaron 180 referencias, de las que se seleccionaron a texto completo 11 artículos tras aplicar los criterios de inclusión y exclusión. En estos estudios se describe la asociación entre exposición laboral al berilio y el desarrollo de neoplasia de pulmón.Conclusiones: Existe una asociación entre la exposición laboral al berilio y/o sus compuestos y la neoplasia de pulmón. Considerando el bajo número de estudios publicados y sus limitaciones, sería necesario realizar nuevos estudios que se adapten a las condiciones de la industria actual del berilio, teniendo en cuenta la solubilidad de sus compuestos, así como la identificación de sectores industriales y colectivos de trabajadores expuestos al mismo que aún no hayan sido estudiados (AU)

Introduction: Beryllium is an element that, due to its physical and chemical characteristics, is used in the manufac-turing of different commercial products and the high-tech industry. Laboral exposure to beryllium is associated with higher incidence of lung cancer, being this disease the leading cause of cancer death worldwide.Objectives: To review the existing scientific literature on the occurrence of occupational exposure to beryllium and/or its compounds and lung cancer.Method: Systematic review of the scientific literature collected in the bibliographic databases MEDLINE (via PubMed), EMBASE, Web Of Science, Scopus, Cochrane Library, Spanish Bibliographic Index in Health Sciences (IBECS), Latin American and Caribbean Literature in Health Sciences (LILACS) and Medicine in Spanish (MEDES). The terms used as descriptors were: “Occupational Exposure”, “Occupational Diseases”, “Beryllium” and “Lung Neo-plasms”. The search was completed with other terms in free text and no filters (limits) were used. The determination of the quality of the selected articles was carried out using the STROBE guide.Results: 180 references were retrieved, of which 11 articles could be obtained in full text after applying the inclusion and exclusion criteria. These studies describe the association between occupational exposure to beryllium and the development of lung cancer.Conclusions: There is an association between exposure to beryllium and/or its compounds and the development of lung cancer. However, considering the low number of published studies and their limitations, further studies should be carried out, which may be adapted to the current circumstances of the beryllium industry, taking into account the solubility of the beryllium compounds and the identification of industries and populations of workers exposed to beryllium that have not yet been studied (AU)