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1.
J Hazard Mater ; 480: 135943, 2024 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-39332255

RESUMO

The feasibility of soil washing for remediating PFAS-contaminated clay soil using various water-organic solvents was systematically investigated based on the combination of batch and column tests. Batch tests using 22 types of solvents highlighted that 0 % (water) and 5 % solvents could effectively extract PFCAs (≤ C9), while long-chain PFCAs (≥ C10) and PFSAs required 80 % solvents for optimal extraction, with efficiency in the order of EtOH ≤ MeOH < Acetonitrile (ACN), suggesting a strong correlation with carbon chain lengths and functional head groups. Column tests with six selected washing solutions indicated rapid desorption of PFOA and PFOS initially, peaking at liquid-to-solid (L/S) ratios of 3-4 for 0 % and 5 % solutions, and at an L/S ratio of 1 for 80 % solutions. To remediate 1 kg-dry soil to meet the legislatively permissible levels for groundwater in Japan (PFOA + PFOS < 50 ng/L), 11 L of 0 % solution (water) or 5 L of 80 % ACN are required for washing out PFOA, while 62 L of 0 % solution (water) or 53 L of 80 % ACN for PFOS. Future research should address the treatment of PFAS-rich wastewater generated from washing PFAS-contaminated soils and the impacts of washing solutions on soil.

2.
Int Heart J ; 65(5): 833-840, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39343589

RESUMO

The optimal therapeutic approach to facilitate reverse remodeling is desired in patients with systolic heart failure following acute coronary syndrome (ACS). The association between heart rate (HR) and reverse remodeling in this cohort has remained elusive.Patients with left ventricular ejection fraction (LVEF) < 50% who received echocardiography assessments following ACS were retrospectively included. Theoretically ideal HR was calculated using a previously established formula: 93 - 0.13 × (deceleration time [msec]). Impacts of HR on echocardiographic left ventricular (LV) reverse remodeling during the 2-year observational period were compared between 2 groups stratified by the HR difference between theoretically ideal and actual values: optimal HR group (HR difference ≤ 10 bpm) versus sub-optimal HR group (HR difference > 10 bpm).A total of 27 patients (median 72 years old, 23 males) were included. There were no significant differences in the baseline characteristics including maximum serum creatinine kinase level and the dose of beta-blocker between the 2 groups. LV ejection fraction increased significantly only in the optimal HR group at follow-up (from 42% to 54%; P = 0.001). The optimal HR group exhibited a more pronounced decrease in LV end-diastolic diameter (from 57 to 52 mm) compared to the sub-optimal HR group (from 58 to 56 mm).Optimal HR, which was calculated using a previously proposed formula, was associated with more substantial post-infarct LV reverse remodeling. The implications of aggressive HR modulation targeting theoretically ideal HR among those with systolic heart failure following ACS are the focus of our investigation here.


Assuntos
Síndrome Coronariana Aguda , Insuficiência Cardíaca Sistólica , Frequência Cardíaca , Volume Sistólico , Remodelação Ventricular , Humanos , Masculino , Remodelação Ventricular/fisiologia , Feminino , Síndrome Coronariana Aguda/fisiopatologia , Síndrome Coronariana Aguda/complicações , Insuficiência Cardíaca Sistólica/fisiopatologia , Insuficiência Cardíaca Sistólica/complicações , Idoso , Estudos Retrospectivos , Frequência Cardíaca/fisiologia , Volume Sistólico/fisiologia , Pessoa de Meia-Idade , Ecocardiografia , Função Ventricular Esquerda/fisiologia , Idoso de 80 Anos ou mais
3.
Artigo em Inglês | MEDLINE | ID: mdl-39221511

RESUMO

Mechanical degradation (erosion) of plastics in the marine environment has been reported in many literature studies but without quantitative information. This type of degradation is crucial as it accounts for most of the initial microplastic products, in marine environments (e.g., rivers and oceans). Here, we quantify the erosion of plastics by water-borne sediments under typical perpendicular water velocities and sand loads of turbid rivers and coastal oceans. Polypropylene (PP) shows the highest response to water-borne erosion, with a surface degradation rate of 5160 µm per year (4.44 mg per mm2 per year), compared with high-density polyethylene (HDPE) with a degradation rate of 1874 µm per year (1.79 mg per mm2 per year), resulting in the formation of microplastics (MPs). The rate of formation of such microplastic particles (>10 µm), as characterised by a laser direct infrared (LDIR) chemical imaging system, amounts to 669 particles per mm2 per year for PP and 187 particles per mm2 per year for HDPE, exhibiting average particle sizes of 60 µm and 23 µm in the same order. Furthermore, surface microscopy provided valuable insights into the dominant erosion mechanisms, revealing three distinct zones and the surface features reveal the brittle erosion behaviours. These results will enable a better assessment of degradation and lifetime prediction of plastics in turbid rivers and coastal oceans, allowing precise estimation of the rate of formation of MPs.

4.
Int J Cardiol Heart Vasc ; 53: 101449, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39022741

RESUMO

Background: Percutaneous left atrial appendage closure (LAAC) is an effective therapy to prevent thromboembolic events among patients with atrial fibrillation (AF). However, since the left atrial appendage (LAA) contributes to left atrial volume and serves as a buffer for increasing left atrial pressure, this procedure may impair left atrium (LA) compliance, enlarge LA, and deteriorate diastolic function. In this study, we sought to investigate the change in left atrial volume index (LAVI) following LAAC and its effect on prognosis. Methods and Results: We analyzed 225 patients from the OCEAN-LAAC registry, an ongoing, multicenter Japanese study. Comparing LAVI measurements at baseline and 6 months after LAAC, no significant increase was observed (55.0 [44.0, 70.0] ml/m2 vs. 55.0 [42.0, 75.6] ml/m2; P = 0.31). However, some patients underwent LAVI increase. Particularly, a smaller LAVI (odds ratio [OR]: 0.98 [95 % confidence interval (CI): 0.97-0.996]) and elevated tricuspid regurgitation pressure (TRPG) at baseline (OR: 1.04 [95 % CI: 1.00 - 1.08]) were significantly related to the increase in LAVI at 6-month follow-up. In addition, a 5 ml/m2 increase in LAVI was significantly associated with subsequent heart failure hospitalization (HFH) (hazard ratio: 3.37 [95 % CI: 1.18-9.65]). This association, however, was not observed in patients with lower baseline LAVI (≤55 ml/m2) but was only seen in those with a baseline LAVI over 55 ml/m2. Conclusion: Our study demonstrated an increase in LAVI after LAAC was related to smaller LAVI or elevated TRPG at baseline. The LAVI increase was significantly associated with subsequent HFH.

5.
J Environ Manage ; 363: 121438, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38861885

RESUMO

The ubiquitous nature and environmental impacts of microplastic particles and fibers demand effective solutions to remove such micropollutants from sizable point sources, including wastewater treatment plants and road runoff facilities. While advanced methods, e.g., microfiltration and ultrafiltration, have shown high removal efficiencies of small-sized microplastics (<150 µm), the low flux encountered in these systems implies high operation costs and makes them less effective in high-capacity wastewater facilities. The issue presents new opportunities for developing cheap high-flux membrane systems, deployable in low-to high-income economies, to remove small-sized microplastic and nanoplastics in wastewater. Here, we report on developing an ultra-high flux gravity-driven fabric membrane system, assessed through a laboratory-scale filtration and large-scale performance in an actual wastewater treatment plant (WWTP). The method followed a carefully designed water sampling, pre-treatment protocol, and analytical measurements involving Fourier transform infrared (FTIR) spectroscopy and laser direct infrared (LDIR) imaging. The result shows that the ultra-high flux (permeance = 550,000 L/m2h⋅bar) fabric membrane system can effectively remove small-sized microplastics (10-300 µm) in the secondary effluent of an actual WWTP at high efficiency greater than 96 %. The pilot system demonstrated a continuous treatment capacity of 300,000 L/day through a 1 m2 surface area disc, with steady removal rates of microplastics. These findings demonstrate the practical, cheap, and sustainable removal of small-sized microplastics in wastewater treatment plants, and their potential value for other large-scale point sources, e.g., stormwater treatment facilities.


Assuntos
Microplásticos , Eliminação de Resíduos Líquidos , Águas Residuárias , Microplásticos/análise , Águas Residuárias/química , Eliminação de Resíduos Líquidos/métodos , Membranas Artificiais , Purificação da Água/métodos , Poluentes Químicos da Água/análise , Filtração , Gravitação
6.
J Environ Manage ; 360: 121123, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38761621

RESUMO

Urban clusters are recognized as hotspots of microplastic pollution, and the associated urban rivers convey microplastics into the global oceans. Despite this knowledge, the relative contributions of various sources to the annual microplastic emissions from urban catchments remain scarcely quantified. Here, we quantified microplastic emissions from a riverine urban catchment in Japan. The total microplastics (size range: 10-5000 µm) released from the catchment amounted to 269.1 tons/annum, of which 78.1% is contributed by surface runoff and other uncontrolled emissions (UCE), and 21.1% emerges from the regulated wastewater (controlled emissions; CE), implying that approximately one-fifth is intercepted and removed by the wastewater treatment plants (WWTPs). This further indicated higher microplastic pollution by unmanaged surface runoff compared to untreated wastewater. In the dry season, WWTPs contributed significantly to the reduction of total microplastic emissions (95%) compared to wet periods (8%). On an annual scale, the treated effluent occupies only 0.1% of the total microplastics released to the river network (212.4 tons/annum), while the remaining portion is dominated by UCE, i.e., primarily surface runoff emissions (98.9%), and trivially by the background microplastic inputs that are potentially derived through atmospheric depositions in dry days (1.0%). It was shown that moderate and heavy rainfall events which occur during 18% of the year (within the context of Japan), leading to 95% of the annual microplastic emissions, are crucial for pollution control of urban rivers. Furthermore, our study demonstrated that surface area-normalized microplastic emissions from an urban catchment (∼0.8 tons/km2/annum) is globally relevant, especially for planning microplastic interventions for developed cities.


Assuntos
Monitoramento Ambiental , Microplásticos , Águas Residuárias , Poluentes Químicos da Água , Águas Residuárias/análise , Águas Residuárias/química , Microplásticos/análise , Poluentes Químicos da Água/análise , Japão , Rios/química
7.
Circ J ; 88(7): 1187-1197, 2024 06 25.
Artigo em Inglês | MEDLINE | ID: mdl-38763735

RESUMO

BACKGROUND: Limited data are available regarding clinical outcomes after percutaneous left atrial appendage closure using WATCHMAN FLX (WM-FLX) and WATCHMAN-2.5 (WM2.5) devices in Asian patients. METHODS AND RESULTS: Data of 1,464 consecutive patients (WM-FLX, n=909; WM2.5, n=555) were extracted from a Japanese multicenter registry, and clinical data were compared between the 2 groups. No in-hospital deaths, periprocedural stroke, or device embolization occurred. Procedural success was significantly higher in the WM-FLX than WM2.5 group (95.8% vs. 91.9%; P=0.002) owing to the lower incidence of periprocedural pericardial effusion (0.55% vs. 1.8%; P=0.021). No significant differences in all-cause death, postprocedural stroke, and device-related thrombus were observed between the 2 groups. However, the cumulative bleeding rate at 1 year was substantially lower in the WM-FLX group (7.8% vs. 16.4%; P<0.001). Landmark analysis of bleeding events highlighted lower bleeding rates in the WM-FLX than WM2.5 group within the first 6 months (6.4% vs. 14.8%; P<0.001), with comparable bleeding rates over the 6- to 12-month period (1.5% vs. 3.2%, respectively; P=0.065). CONCLUSIONS: This study demonstrated higher early safety and lower 1-year bleeding rates in the WM-FLX than WM2.5 group. The lower bleeding events with WM-FLX are likely due to multiple factors other than purely difference in devices, such as postprocedural drug regimen.


Assuntos
Apêndice Atrial , Fibrilação Atrial , Sistema de Registros , Humanos , Idoso , Apêndice Atrial/cirurgia , Masculino , Feminino , Idoso de 80 Anos ou mais , Fibrilação Atrial/cirurgia , Japão , Acidente Vascular Cerebral/etiologia , Acidente Vascular Cerebral/prevenção & controle , Resultado do Tratamento , Pessoa de Meia-Idade , Oclusão do Apêndice Atrial Esquerdo
8.
J Pestic Sci ; 49(1): 52-57, 2024 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-38450088

RESUMO

Flusulfamide inhibits germination of Plasmodiophora brassicae resting spores to suppress clubroot disease, but its mechanism of action on the germination of P. brassicae resting spores remains unclear. In this study, P. brassicae resting spores were treated with flusulfamide and visualized using transmission electron microscopy (TEM). The gene expression of P. brassicae resting spores was analyzed using RT-PCR, followed by immunoblotting analysis. TEM results revealed that flusulfamide suppressed the primary zoosporogenesis of P. brassicae resting spores during the early phase, and RT-PCR results revealed that flusulfamide affected the gene expression during the germination of the resting spores. Immunoblot and RT-qPCR analyses revealed that PbCyp3, an immunophilin (peptidyl-prolyl-isomerase) gene, was highly expressed, resulting in the unusual accumulation of PbCYP3 protein in P. brassicae resting spores immediately after treatment with flusulfamide. This suggests that flusulfamide may cause aberrant folding of proteins involved in primary zoosporogenesis, thereby inhibiting germination.

9.
ESC Heart Fail ; 11(3): 1443-1451, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38356328

RESUMO

AIMS: Remote dielectric sensing (ReDS) represents a contemporary non-invasive technique reliant on electromagnetic energy to quantify pulmonary congestion. Its prognostic significance within the context of heart failure (HF) patients remains elusive. This study aimed to assess the prognostic implications of residual pulmonary congestion, as gauged by the ReDS system, among patients admitted due to congestive HF. METHODS AND RESULTS: We enrolled hospitalized HF patients who underwent ReDS assessments upon admission and discharge in a blinded manner, independent of attending physicians. We evaluated the prognostic impact of the ReDS ratio between admission and discharge on the primary outcome, which encompassed all-cause mortality and HF-related re-hospitalizations. A cohort of 133 patients (median age 78 [72, 84] years, 78 male [59%]) was included. Over a median observation period of 363 days post-index discharge, an escalated ReDS group (ReDS ratio > 100%), determined through statistical calculation, emerged as an independent predictor of the primary outcome, exhibiting an adjusted hazard ratio of 4.37 (95% confidence interval 1.13-16.81, P = 0.032). The cumulative incidence of the primary outcome was notably higher in the increased ReDS group compared with the decreased ReDS group (50.1% vs. 8.5%, P = 0.034). CONCLUSIONS: Elevated ReDS ratios detected during the index hospitalization could serve as a promising prognostic indicator in HF patients admitted for treatment. The clinical ramifications of ReDS-guided HF management warrant validation in subsequent studies.


Assuntos
Insuficiência Cardíaca , Edema Pulmonar , Humanos , Masculino , Feminino , Insuficiência Cardíaca/fisiopatologia , Insuficiência Cardíaca/diagnóstico , Idoso , Prognóstico , Idoso de 80 Anos ou mais , Edema Pulmonar/fisiopatologia , Edema Pulmonar/diagnóstico , Edema Pulmonar/etiologia , Tecnologia de Sensoriamento Remoto/métodos , Tecnologia de Sensoriamento Remoto/instrumentação , Seguimentos , Hospitalização , Estudos Retrospectivos , Taxa de Sobrevida/tendências
10.
J Clin Med ; 13(3)2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38337545

RESUMO

Background: Transcatheter edge-to-edge mitral valve repair (TEER) has emerged as a viable approach to addressing substantial secondary mitral regurgitation. In the contemporary landscape where ultimate heart failure-specific therapies, such as cardiac replacement modalities, are available, prognosticating a high-risk cohort susceptible to early cardiac mortality post-TEER is pivotal for formulating an effective therapeutic regimen. Methods: Our study encompassed individuals with secondary mitral regurgitation and chronic heart failure enlisted in the multi-center (Optimized CathEter vAlvular iNtervention (OCEAN)-Mitral registry. We conducted an assessment of baseline variables associated with cardiac death within one year following TEER. Results: Amongst the 1517 patients (median age: 78 years, 899 males), 101 experienced cardiac mortality during the 1-year observation period after undergoing TEER. Notably, a history of heart failure-related admissions within the preceding year, utilization of intravenous inotropes, and elevated plasma B-type natriuretic peptide levels emerged as independent prognosticators for the primary outcome (p < 0.05 for all). Subsequently, we devised a novel risk-scoring system encompassing these variables, which significantly stratified the cumulative incidence of the 1-year primary outcome (16%, 8%, and 4%, p < 0.001). Conclusions: Our study culminated in the development of a new risk-scoring system aimed at predicting 1-year cardiac mortality post-TEER.

12.
J Clin Med ; 13(2)2024 Jan 06.
Artigo em Inglês | MEDLINE | ID: mdl-38256461

RESUMO

BACKGROUND: Transcatheter atrial septal closures for secundum atrial septal defects (ASD) have demonstrated favorable clinical outcomes. However, the impact of device implantation on the stiffness of the left atrium remains unclear. METHOD: Patients with secundum ASD undergoing transcatheter closure and follow-up right heart catheterization at six months were included. We investigated the relationship between post-procedural (E/e' ratio)/(LAs strain) ratio, an index of left atrial stiffness, and baseline characteristics, including echocardiographic and hemodynamic parameters. RESULTS: Forty patients were included (median 69 (56, 75) years, 12 men, and pulmonary systemic flow ratio 2.27 (1.96, 2.86)). Trans-catheter ASD closure was successfully performed without any major complications, accompanying a significant reduction in right ventricular to left ventricular size ratio from 1.04 (0.87, 1.13) to 0.74 (0.66, 0.86) (p < 0.01). The (E/e' ratio)/(LAs strain) ratio was markedly elevated the day after the procedure and was further increased 6 months later (before: 0.25 (0.17, 0.34), 1 day later: 0.34 (0.27, 0.50), 6 months later: 0.43 (0.27, 0.76), p < 0.01). The groups with higher (E/e' ratio)/(LAs strain) ratios at 6 months had significantly more severe heart failure conditions including lower cardiac output and higher plasma B-type natriuretic peptides. CONCLUSIONS: Patients undergoing transcatheter ASD closure experienced improvement in hemodynamics and clinical symptoms but an elevation in left atrial stiffness post-procedure. The clinical ramifications of this finding, particularly during the longer-term observation period subsequent to ASD closure, warrant further investigation.

13.
Chemosphere ; 351: 141131, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38190942

RESUMO

The environmental degradation of microplastics results in ultrafine particles that may incur severe biological concerns. Despite this, the atmospheric existence of plastics of less than a few microns has barely been investigated due to the particle size limit of conventional analytical methods. This study develops a procedure to quantify and characterize plastic particles (including nanoplastics; less than 1 µm) in the air through fractional sampling, a simple pretreatment method, and pyrolysis-gas chromatography-mass spectrometry (pyr-GC/MS). We targeted 11 major polymers, namely, polyethylene, polypropylene, polystyrene, acrylonitrile-butadiene-styrene resin, styrene-butadiene rubber, polymethylmethacrylate, polycarbonate, polyvinyl chloride, polyethylene terephthalate (PET), polyamide 6, and polyamide 66 (PA66). The average spike and recovery rate of each polymer in the aerosol collected on the roof of a four-story building near a major road in Kyoto, Japan, amounted to 78-130%, with a coefficient of variation of less than 15%. By coupling pyr-GC/MS analysis with fractional sampling of particles within the size range of >11 µm, 11-7.0 µm, 7.0-4.7 µm, 4.7-3.3 µm, 3.3-2.1 µm, 2.1-1.1 µm, 1.1-0.65 µm, 0.65-0.43 µm, it was possible to quantify airborne nano- and microplastics by particle size. Polyethylene, polystyrene, PET, and PA66 were detected in the air, and the total mass concentration of tiny plastic particles (0.43-11 µm) amounted to 1.20 µg/m3. This translates into total particle numbers of 3.05 × 106 particles/m3 (assuming spheres), revealing a substantial number of particles under 1 µm. These results will contribute to future studies to understand the atmospheric behaviors of ultrafine plastic particles and their flow-on effects on the respiratory system.


Assuntos
Plásticos , Poluentes Químicos da Água , Plásticos/análise , Microplásticos/análise , Poliestirenos/análise , Poluentes Químicos da Água/análise , Polietilenos , Monitoramento Ambiental/métodos
14.
Environ Res ; 243: 117882, 2024 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-38070853

RESUMO

Urban rivers represent the major conduits for land-sourced microplastics in the global oceans, yet the real-time dynamics of their emissions in rivers during rainfall (and runoff) events are poorly understood. Herein, we report the results of high-frequency sampling of microplastic particles (MPs) and fibers (MPFs) in the surface water of an urban river in Japan over the course of three rainfall events (i.e., light, moderate, and heavy rainfalls). The event mean concentrations (EMCs) of MPs amounted to 35,000 items/m3, 929,000 items/m3, and 331,000 items/m3; and the corresponding total loads were 0.5 kg, 19.8 kg, and 35.0 kg for light, moderate and heavy rainfalls, respectively. The inter-event total loads of MPs correlate well with the total rainfall, while the concentrations were linked with the number of antecedent dry days. The dynamic trends show that <2000 µm MPs displayed first flush effects during light to moderate rainfall events (>50% mass discharged with the initial 20-40% of flow). Small-sized MPs (10-40 µm) mobilized rapidly at lower rainfall intensities, whereas MPs over 2000 µm discharged immediately after the peak rainfall intensity. Moreover, <70 µm MPs depicted a surge following heavy rainfall events due to turbulent flow conditions reverting the deposited MPs into suspension. Overall, the three events increased the loads by 4-110 folds, and EMCs by 10-350 folds compared to the concentrations during dry weather while portraying a significant impact on 300-1000 µm MPs. The dynamics of MPs were correlated with those of suspended solids in river water, and the characteristics were comparable to the same of road dust sampled in Japan. Although the dynamic trends between MPs and MPFs in river water were comparable, MPFs were relatively less impacted by rain, likely due to the intervention of separate sewer systems in the study area.


Assuntos
Microplásticos , Poluentes Químicos da Água , Plásticos , Rios , Movimentos da Água , Poluentes Químicos da Água/análise , Chuva , Água , Monitoramento Ambiental/métodos
15.
Cardiovasc Interv Ther ; 39(2): 183-190, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38038803

RESUMO

Patients with severe aortic stenosis often experience pulmonary congestion due to incremental afterload. The trajectory of pulmonary fluid volume during transcatheter aortic valve replacement (TAVR) remains uncertain. Remote dielectric sensing (ReDS) is a recently introduced device for non-invasive quantification of lung fluid volume without expert techniques. We evaluated the trajectory of ReDS values during TAVR and its prognostic implications. Patients with severe aortic stenosis who underwent ReDS measurements upon admission and at the index discharge after TAVR between 2021 and 2022 were eligible. They were followed up until August 2023. The primary focus was on the trajectory of ReDS values during TAVR, with secondary consideration given to its impact on the composite of death or all-cause readmission after TAVR. A total of 57 patients were included. Median age was 84 years and 24 were male. ReDS value remained unchanged after TAVR, changing from 27% (IQR 24%, 29%) to 26% (IQR 24%, 30%) (p = 0.65). ReDS value did not decrease in 23 (40%) patients. The presence of coronary artery disease and atrial fibrillation were associated with no decrease in ReDS value. This lack of decrease in ReDS value was linked to death or all-cause readmission after TAVR, with an age-adjusted hazard ratio of 3.40 (95% confidence interval 1.01-11.4, p = 0.048). The degree of lung fluid amount did not decrease in 40% of TAVR candidates during the procedure. The lack of decrease in lung fluid amount was associated with mortality and morbidity after TAVR. The next concern is to establish therapeutic strategy for patients with residual pulmonary congestion after TAVR.


Assuntos
Estenose da Valva Aórtica , Substituição da Valva Aórtica Transcateter , Humanos , Masculino , Idoso de 80 Anos ou mais , Feminino , Substituição da Valva Aórtica Transcateter/métodos , Estenose da Valva Aórtica/complicações , Resultado do Tratamento , Fatores de Risco , Pulmão , Valva Aórtica/cirurgia , Índice de Gravidade de Doença
16.
Environ Monit Assess ; 196(1): 92, 2023 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-38148350

RESUMO

Urban rivers remain the key conduits conveying land-sourced plastics into the ocean. However, detailed information is limited on the concurrent evaluation over a wide array of particle size-specific abundances, characteristics, and distribution patterns of plastics in riverine environments. Therefore, this study provides a comprehensive assessment of plastic pollution in an urban river network in Japan by analyzing mesoplastics (5000-25,000 µm), large microplastics (300-5000 µm), small microplastics (SMPs, 10-300 µm), and microplastic-fibers (MPFs, 10-5000 µm) concurrently, for the first time. Sampling was conducted at seven stations in the Kamo and Katsura Rivers flowing across metropolitan Kyoto City. The analytical procedures involved infrared spectroscopy and fluorescence-staining microscopy. The concentrations of plastics were moderate compared to the global reports and gradually increased along the river flow (3550-15,840 items/m3; 180-13,180 µg/m3), mostly due to urban discharges via non-point sources. The number concentrations increased with decreasing particle size, marking 99.94% of SMPs, including 50% smaller than 40 µm. Conversely, mass concentrations decreased, exhibiting 96% larger than 1000 µm (64% mesoplastics including 20% around 5000 µm), along with 2% SMPs. Polyethylene (PE) and polyvinyl alcohol were distinct among SMPs, with PE indicating higher susceptibility to fragmentation compared to polypropylene and other polymer types. MPF concentrations were homogeneous throughout the watershed (1470-3600 items/m3; 520-1060 µg/m3), with a higher proportion of fibers smaller than 1000 µm (86%), apparently originating from polyethylene terephthalate/nylon/acrylic-like textile fibers. The proportion of MPFs surpassed particles within 100-3000 µm and was considerably high around 300 µm (> 98%). The river network of Kyoto conveys billions of tiny microplastics to the Yodo River, the primary water resource downstream, within a dry day.


Assuntos
Plásticos , Poluentes Químicos da Água , Microplásticos , Água , Japão , Monitoramento Ambiental , Polietileno , Poluentes Químicos da Água/análise
17.
J Clin Med ; 12(24)2023 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-38137728

RESUMO

BACKGROUND: A recently proposed mechanism, the intestinal-cardiovascular relationship, serves as a framework to elucidate the interplay between these two systems. In our investigation, we assessed the prognostic implications of colon wall thickness, a marker correlated with intestinal congestion and dysfunction, in patients diagnosed with severe aortic stenosis undergoing transcatheter aortic valve replacement (TAVR). METHODS: Patients diagnosed with severe aortic stenosis who underwent TAVR at our institution during the period spanning 2015 to 2022 were retrospectively enrolled. As part of the institutional protocol, patients underwent abdominal computed tomography upon admission, preceding TAVR. Our analysis aimed to assess the influence of colon wall thickness on the occurrence of either all-cause mortality or readmission due to heart failure within a two-year period. RESULTS: A total of 345 patients were included. The median age was 85 (82, 88) years, and 99 patients were male. Baseline colon wall thickness was distributed widely, with a median value of 2.2 (2.0, 2.5) mm. Patients with thicker colon walls tended to have lower pulmonary artery pulsatility index values, indicating more impaired right ventricular function and more advanced malnutrition. A thicker colon wall was independently associated with 2-year death or heart failure readmission with a hazard ratio of 2.02 (95% confidence interval 1.01-14.07), adjusted for hemoglobin, age, and plasma B-type natriuretic peptide levels (p = 0.049), and significantly stratified the primary endpoint at a cutoff of 2.7 mm (25% versus 10%, p = 0.005). CONCLUSIONS: Our initial observation revealed that a thicker baseline colon wall correlated with increased rates of mid-term mortality and readmission due to heart failure subsequent to TAVR. Developing a comprehensive understanding of the underlying causality necessitates further in-depth investigations through subsequent studies.

18.
J Bacteriol ; 205(11): e0010123, 2023 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-37930061

RESUMO

IMPORTANCE: Acetobacter pasteurianus, an industrial vinegar-producing strain, is suffered by fermentation stress such as fermentation heat and/or high concentrations of acetic acid. By an experimental evolution approach, we have obtained a stress-tolerant strain, exhibiting significantly increased growth and acetic acid fermentation ability at higher temperatures. In this study, we report that only the three gene mutations of ones accumulated during the adaptation process, ansP, dctD, and glnD, were sufficient to reproduce the increased thermotolerance of A. pasteurianus. These mutations resulted in cell envelope modification, including increased phospholipid and lipopolysaccharide synthesis, increased respiratory activity, and cell size reduction. The phenotypic changes may cooperatively work to make the adapted cell thermotolerant by enhancing cell surface integrity, nutrient or oxygen availability, and energy generation.


Assuntos
Acetobacter , Termotolerância , Ácido Acético/metabolismo , Acetobacter/genética , Acetobacter/metabolismo , Fermentação , Aminoácidos/metabolismo
19.
Int Heart J ; 64(5): 865-869, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37778989

RESUMO

Remote dielectric sensing (ReDS) is a non-invasive, electromagnetic energy-based technology to quantify pulmonary congestion. However, the accuracy of ReDS values in patients with a variety of physiques has not been fully validated.Prospective successive measurements of ReDS values and body mass index (BMI) were performed on admission in consecutive hospitalized patients with cardiovascular diseases. Patients were stratified into 4 groups according to the WHO classification: underweight (BMI < 18.5), normal weight (18.5 ≤ BMI < 24.9), pre-obese (25.0 ≤ BMI < 29.9), and obese (30.0 ≤ BMI). The indexed ReDS value was defined as a ReDS value divided by the modified congestion score index (the severity of pulmonary congestion on chest X-ray). The indexed ReDS values were compared among the 4 stratified groups.A total of 436 patients (76 [69, 82] years old and 254 men) were included. The median indexed ReDS values were 21.3 (19.1, 23.8), 25.7 (21.0, 29.5), 25.7 (20.3, 31.0), and 28.0 (21.1, 34.0) in underweight, normal weight, pre-obese, and obese patients, respectively, highlighting the underweight group had the lowest values (P < 0.001).ReDS values may be underestimated and specific caution should be paid in its interpretation in underweight patients.


Assuntos
Edema Pulmonar , Magreza , Masculino , Humanos , Idoso de 80 Anos ou mais , Índice de Massa Corporal , Estudos Prospectivos , Obesidade/complicações , Pulmão
20.
Sci Total Environ ; 904: 166719, 2023 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-37673242

RESUMO

Engineering and civil developments have relied on synthetic polymers and plastics (including polyethylene, polypropylene, polyamide, etc.) for decades, especially where their durability protects engineering structures against corrosion and other environmental stimuli. Offshore oil and gas infrastructure and renewable energy platforms are typical examples, where these plastics (100,000 s of metric tonnes worldwide) are used primarily as functional material to protect metallic flowlines and subsea equipment against seawater corrosion. Despite this, the current literature on polymers is limited to sea-surface environments, and a model for subsea degradation of plastics is needed. In this review, we collate relevant studies on the degradation of plastics and synthetic polymers in marine environments to gain insight into the fate of these materials when left in subsea conditions. We present a new mathematical model that accounts for various physicochemical changes in the oceanic environment as a function of depth to predict the lifespan of synthetic plastics and the possible formation of plastic debris, e.g., microplastics. We found that the degradation rate of the plastics decreases significantly as a function of water depth and can be estimated quantitatively by the mathematical model that accounts for the effect (and sensitivity) of geographical location, temperature, light intensity, hydrostatic pressure, and marine sediments. For instance, it takes a subsea polyethylene coating about 800 years to degrade on ocean floor (as opposed to <400 years in shallow coastal waters), generating 1000s of particles per g of degradation under certain conditions. Our results demonstrate how suspended sediments in the water column are likely to compensate for the decreasing depth-corrected degradation rates, resulting in surface abrasion and the formation of plastic debris such as microplastics. This review, and the complementing data, will be significant for the environmental impact assessment of plastics in subsea infrastructures. Moreover, as these infrastructures reach the end of their service life, the management of the plastic components becomes of great interest to environmental regulators, industry, and the community, considering the known sizeable impacts of plastics on global biogeochemical cycles.

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