Days Of Exposure Research Articles

Kidney toxicology of a novel compound Lithium Bis(trifluoromethanesulfonyl)imide (LiTFSI, ie. HQ-115) used in energy applications: An epigenetic perspective

Exposure to emerging energy-based environmental contaminants such as lithium bis(trifluoromethanesulfonyl)imide (LiTFSI, trade name HQ-115), poses a significant threat to human health, yet its impact on kidney function and epigenetic regulation remains poorly understood. Here, we investigated the effects of LiTFSI exposure on kidney-related biochemical indicators, renal injuries, and epigenetic alterations in male CD-1 mice under both 14-day and 30-day exposure durations. Our study revealed that LiTFSI exposure led to changes in kidney-related markers, notably affecting serum bicarbonate levels, while relative kidney weight remained unaffected. Histological analysis revealed tubule dilation, inflammation, and loss of kidney structure in LiTFSI-exposed mice, alongside dysregulated expression of genes associated with inflammation, renal function, and uric acid metabolism. Epigenetic analysis further identified widespread DNA methylation changes in the two exposure regimes. Functional analysis revealed that differentially methylated regions are implicated in cell apoptosis and cancer-related pathways and are enriched with development-related transcription factor binding motifs, suggesting a potential mechanism of action underlying exposure induced kidney damage. These findings underscore the intricate interplay between environmental exposures, epigenetic modulation, and kidney health, emphasizing the need for additional research to unravel precise mechanisms and develop targeted interventions to mitigate the adverse effects of LiTFSI and exposure of similar clean energy compounds on human health.

Long-chain perfluoroalkylether carboxylic acids PFO5DoA and PFO4DA alter glucose, bile acid, and thyroid hormone homeostasis in fetal rats from 5-day maternal oral exposure

Chemical monitoring studies in North Carolina, USA and Shandong, China have reported detections of perfluoroalkylether carboxylic acids of increasing chain length with ether bonds between each fluorinated carbon. Despite detection there is limited hazard data available to inform risk assessment. Here, we exposed pregnant Sprague-Dawley rats to two of these compounds, perfluoro-3,5,7,9-butaoxadecanoic acid (PFO4DA) and perfluoro-3,5,7,9,11-pentaoxadodecanoic acid (PFO5DoA), from gestation days 18-22 across a series of doses (0.3 - 62.5 mg/kg/d) via oral gavage. PFO5DoA was acutely toxic to rat dams and fetuses at the top two doses (30 and 62.5 mg/kg), while PFO4DA did not cause acute toxicity at any doses tested. PFO5DoA significantly increased maternal liver weight (≥3 mg/kg; 28% increase at 10 mg/kg) while PFO4DA did not affect maternal liver weight up to 62.5 mg/kg. PFO4DA and PFO5DoA both significantly reduced serum total thyroxine in maternal (≥10 mg/kg for both) and fetal (≥1 mg/kg) rats. Both compounds significantly reduced fetal liver glycogen concentrations, increased fetal serum total bile acids, and altered expression levels of multiple genes associated with glucose metabolism in the fetal liver. Serum concentrations of PFO5DoA were higher than PFO4DA in both rat dams and fetuses at equivalent maternal oral doses indicating greater accumulation. Dose response modelling of several fetal endpoints as a function of serum molar concentration indicates PFO5DoA was ∼3-4-fold more potent than PFO4DA. PFO5DoA and PFO4DA produced maternal and fetal toxicity from short-term oral maternal exposure indicating need for additional toxicity data to evaluate potential human health risks.

Novel insights into the mechanisms of bioaccumulation and tissue-specific distribution of hexafluoropropylene oxide homologues, novel PFOA alternatives, in zebrafish (Danio rerio)

Hexafluoropropylene oxide trimer acid (HFPO-TA) and hexafluoropropylene oxide tetramer acid (HFPO-TeA) are two novel alternatives of perfluorooctanoic acid (PFOA). However, their toxicokinetics and accumulation mechanisms in fish are still unknown. This study provides the first line of in vivo uptake and depuration kinetic, bioaccumulation mechanism and tissue-specific distribution for HFPO-TA and HFPO-TeA, upon a 28-day water exposure and a 14-day depuration in zebrafish (Danio rerio). HFPO-TeA and HFPO-TA could quickly accumulate in zebrafish, and the highest concentrations of HFPO-TeA (15.4 ± 1.6 nmol/g ww), HFPO-TA (4.95 ± 0.19 nmol/g ww) and PFOA (0.47 ± 0.03 nmol/g ww) were consistently present in the blood, which was followed by liver, kidney, intestine, gill, gonad and brain, while the lowest were observed in the muscle (1.01 ± 0.11, 0.16 ± 0.02, and 0.01 ± 0.001 nmol/g ww, respectively), indicating both higher accumulation potentials of both HFPO homologs than their predecessor PFOA. The tissue protein content, rather than lipid content, played an enhancing role in the enrichment of three target chemicals, exhibiting a significant positive correlation (r = 0.735, p = 0.038 for HFPO-TeA; r = 0.770, p = 0.026 for HFPO-TA and r = 0.942, p = 0.001 for PFOA) between the tissue bioconcentration factor (BCF) and the protein contents in corresponding tissues. This phenomenon was validated by the equilibrium dialysis experiment, molecular docking analysis and molecular dynamics simulation, which consistently indicated that the binding affinities of serum and liver proteins were greatest with HFPO-TeA, followed by HFPO-TA and least with PFOA. These results suggested that the binding of the target chemicals to specific proteins determined their tissue-specific accumulation potentials. Nontarget screening by high resolution mass spectrometry (HRMS) did not identify suspicious degradation products for HFPO-TA, implying the strong persistence of HFPO-TA in fish.

Ferroptosis involvement in the neurotoxicity of flunitrazepam in zebrafish

The occurrence of psychoactive drugs such as benzodiazepines (BZDs) has been frequently observed in water environments, however, there is still limited understanding regarding their potential impact on neurological health and underlying mechanisms. This study evaluates the neurotoxicity of the typical BZD drug flunitrazepam (FLZ, 0.2 and 5 μg/L) in zebrafish embryos and adults, and investigates the relationship between ferroptosis and FLZ-induced neurotoxicity. The results indicate that acute exposure to FLZ significantly inhibits zebrafish embryo hatching and promotes death, induces larval deformities, and leads to abnormal neurobehavioral responses in larvae, likely due to ferroptosis induction. Results from a 30-day subacute exposure to FLZ show that it decreases motor function and induces cognitive impairment in adult zebrafish. Immunofluorescence of brain tissues revealed a reduction in neurons in the telencephalon and an increase in microglia in the mesencephalon of the zebrafish exposed to FLZ. The ultrastructure of brain mitochondria showed serious damage. Besides, FLZ exposure increased iron levels, reduced GSH/GSSG and increased LPO in brain tissue, which is related to the abnormal expression of genes associated with ferroptosis. In the rescue experiments with co-exposure to deferoxamine (DFO), the motor-related parameters and biochemical indexes related to ferroptosis were restored, suggesting that FLZ can induce ferroptosis. The molecular docking results indicated that FLZ had a higher affinity with transferrin. This study elucidates the close relationship between ferroptosis and FLZ-induced neurotoxicity, which is significant for understanding the physiological damage caused by psychoactive substances and assessing environmental risks.

Microplastics originated from Plasmix-based materials caused biochemical and behavioral adverse effects on Daphnia magna

The implementation of advanced recycling techniques represents a key strategy for mitigating the mismanagement and the environmental impact of plastic waste. A limited array of plastic polymers can be efficiently recycled, while a notable portion of plastic waste remains unrecyclable. In Italy, this residual, heterogeneous fraction is referred to as Plasmix. Because of its complexity and non-homogeneous composition, Plasmix is primarily directed towards low-value applications. However, recent developments in laboratory-scale mechanical recycling have enabled the creation of new plastic materials from Plasmix. Prior to their application, these materials must undergo rigorous eco-safety evaluation. The present study aims to assess the potential toxicity of microplastics (MPs) from Plasmix-based materials on the freshwater crustacean Daphnia magna. Specifically, this study investigated sub-individual and individual effects induced by a 21-day exposure to different concentrations of MPs generated from the grinding of naïve and Additivated Plasmix-based materials (hereafter referred to as Px-MPs and APx-MPs, respectively). Sub-individual endpoints focused on changes in oxidative status, including the modulation of antioxidant and detoxifying enzyme activities, as well as oxidative damage, such as lipid peroxidation. Individual level endpoints included alterations in survival and reproduction. Microscopy analyses confirmed the ingestion of both Px-MPs and APx-MPs by D. magna individuals. An oxidative stress condition raised in organisms exposed to Px-MPs, whereas no effect was observed in individuals exposed to APx-MPs. Although survival was not affected, a significant impairment in reproductive output was detected at the end of exposure to all the concentrations of both MP types. These findings suggest that even low concentrations of Px-MPs and APx-MPs could negatively affect the health status of D. magna, underscoring the need for further research to complete the risk assessment of Plasmix-based materials prior to their use in consumer products.

"Groundbreaking study: Combined effect of marine heatwaves and polyethylene microplastics on Pacific oysters, Crassostrea gigas"

Microplastics (MPs) and rising marine seawater temperatures are one of the major environmental problems threatening the survival of marine organisms and biodiversity. However, interactions between such multiple stressors are virtually unexplored. This study aimed to assess the combined effect of two temperatures and polyethylene MPs on the Pacific oyster Crassostrea gigas, one of the most globalized mollusc species for aquaculture. Our work highlights the potential ecological risk posed by these two factors on marine bivalve molluscs. The experimental design was carried out following a 14-day exposure of oysters to environmental concentrations of polyethylene MPs (0.01 mg.L-1), and to two temperatures (15 °C and 22 °C). Sampling was performed on days 0, 7, and 14. The μ-FTIR analysis was applied to quantify MPs of interest and to check a potential environmental contamination. Tissue samples of digestive glands were collected from the oysters to evaluate the activity of biomarkers including superoxide dismutase, glutathione-s-transferase, malondialdehyde and laccase through protein levels. We note that the combination of MPs and high water temperature (HWT, 22 °C) had a significant impact both on the survival of animals and on stress markers, by modifying lipid peroxidation and immune responses. This original study gave the first innovative results on this topic and provides us with knowledge of the combined effects of MPs pollution and HWT (simulating marine heatwaves situation) on C. gigas. There remains a lack of information on the toxicity and the potential environmental hazard of plastics in the marine environment.

Multi-biomarker assessment of chronic toxicity induced by the chemical warfare agent adamsite in Danio rerio

Several hundred thousand tons of chemical warfare agents (CWAs) were disposed of at sea, leading to environmental contamination. Among the most toxic and persistent CWAs is adamsite; however, the ecotoxicological data on this compound is limited. Presented research focuses on the long-term effects of adamsite on fish. A 28-day exposure study was conducted, evaluating the impact of adamsite on life history parameters (body length, body mass, growth rate), tissue accumulation, and the expression/activity of detoxification-related enzymes in the model fish species, Danio rerio. Results indicate that chronic adamsite exposure significantly reduces body length, weight, and growth rate of fish at trace concentrations (0.20 and 0.25 μg × L−1). Adamsite-related compounds accumulate in fish muscle tissues, increasing by approximately 4 μg per gram (dry weight) for every microgram of adamsite per litre of water during chronic exposure. The mRNA expression and activity of detoxification-related enzymes were elevated in the gills of fish, indicating oxidative stress. This study highlights the severe chronic toxicity of adamsite, which could not be anticipated based on acute toxicity. It underscores the need for comprehensive long-term toxicity assays for CWAs and emphasizes the potential ecological and health risks posed by adamsite, necessitating more stringent risk assessments.

Experimental validation of a parenteral permitted daily exposure value for cleaning-induced degradants from recombinant therapeutic proteins with in vitro immunogenicity assays

Multiproduct manufacturing of biotherapeutic proteins generate cleaning-induced protein degradants because of extreme pH and temperature conditions during the cleaning process. Cleaning Acceptance limits are calculated based on the maximum allowable carryover (MAC) assessment of the previously manufactured active pharmaceutical ingredient (API) – or drug product – based on the permitted daily exposure (PDE) of the previously manufactured API into the dose of subsequent product. In this study, we tested a previously determined PDE value for cleaning-induced protein degradants of 650 µg/dose. A bench-scale cleaning method was used to generate cleaning induced degradants from both a half-life extension (HLE) BiTE® molecule and a mAb product. For this investigation degradants of HLE BiTE®-A and mAb-1 were characterized either alone or degradants of HLE BiTE®-A and mAb-1 spiked into mAb-1 at 650 µg. These samples were characterized by endotoxin testing, size exclusion chromatography (SEC), light obscuration by HIAC, and micro-fluidic imaging (MFI). These results suggest that significant degradation of the molecule occurs because of the cleaning procedure, and it is no longer in the intact form or active state. The biological impact was assessed using a cell line assay to assess immune activation, and a human Peripheral Blood Mononuclear Cell (PBMC) assay to assess T cell activation, T cell proliferation, and cytokine release after 20 h and 7 days. Findings from the various in vitro cell-based assays suggest that the presence of 650 µg of carryover of degradants either alone or spiked into the same or a cross-product do not increase immunogenicity risk in cell-based assays – suggesting that the current PDE of 650 µg/dose for cleaning-induced degradant carryover does not have a risk of immunogenicity in patients.

Radiation Safety Awareness Among Non-radiology Staff at Tabuk Hospitals, Saudi Arabia.

Insufficient understanding of radiation safety contributes to heightened exposure vulnerability amongpatients and medical personnel. This study assessed radiation safety awareness among non-radiology staff at Tabuk hospitals, Saudi Arabia. This cross-sectional study included 203 non-radiology staff from the King Salman Armed Forces, King Fahad Specialist, and King Khaled Hospitals in Tabuk City, Saudi Arabia. A self-administered, structured questionnaire was used. Regression analysis was used to detect variables affecting radiation safety awareness. According to Bloom's cut-off categories for knowledge, most non-radiologists at Tabuk hospitals (76%) had low awareness levels. Having a moderate-to-high knowledge level regarding radiation safety was significantly associated with being a physician (p = 0.004), having a longer length of service (p = 0.001), having attended a radiation protection and safety course (p = 0.049), and increased frequency of ordering imaging per day (p < 0.001). Gender had no significant effect on the knowledge level (p = 0.854). Multivariate regression analysis revealed that the daily frequency of ordering images was the only independent significant factor associated with having a moderate-to-high level of knowledge (OR: 6.222, 95% CI: 2.706-14.308, p < 0.001). Non-radiologists in Tabuk hospitals have low awareness of radiation safety. Strong associations were noticed between awareness level and being a physician, having clinical experience, attending a radiation protection and safety course, and increasing the frequency of ordering imaging daily. Training courses about the hazards of radiation and the safety measures could lower the frequency of daily exposure to radiation.

Modifying factors and temporal trends of adverse health effects of short-term exposure to PM2.5 in Canada (2001–2018)

Considerable evidence has been accumulated on serious acute health outcomes associated with short-term exposure to ambient fine particulate matter (PM2.5). Modifying factors of those associations, however, have been less explored and need further analyses. In this national study, we investigated whether short-term effects of PM2.5 are modified according to region, cause of mortality/hospitalization, season, age, and sex. PM2.5-related adverse health effects were estimated by an ecological time-series study, covering about 80 % of the Canadian population for 18 years (2001–2018). We estimated city-specific associations using daily averages of PM2.5 and temperature, and daily counts of hospitalizations and mortality (non-accidental all-cause, circulatory, and respiratory). National and regional associations were then estimated with a 2-stage model. We considered potential modifying factors of PM2.5-related adverse health effects, and examined linear trends in the annual associations. Nationally, PM2.5 exposure was associated with both hospitalizations and mortality, and there was evidence of differences by the modifying factors. Of the various causes, circulatory mortality and respiratory hospitalization were more attributable to PM2.5 exposure. We found regional differences for both all-cause hospitalization and all-cause mortality, and seasonal differences for respiratory hospitalization (warm season) and circulatory hospitalization (cold season). Circulatory mortality risk was significant for seniors and females. All-cause hospitalizations appeared to gradually decrease over time, but annual all-cause mortality remained constant at 0.6 % of the population. Adverse health effects of PM2.5 exposures may depend on not only PM2.5 concentration, but also other factors (region, cause, season, age, sex). National estimates for the baseline (age ≥ 1 year, both sexes) risk cannot be interpreted without consideration of the differences by modifying factors. Study findings can be used by seniors, women, and those who have pre-existing health conditions to make informed decisions regarding their health risks from daily exposure to ambient PM2.5.

Critical windows for exposure to chemical composition of ambient particulate matter and human semen quality decline

BackgroundCritical windows for exposure to chemical components of particulate matter (PM <2.5 μm in diameter [PM2.5]) associated with the human semen quality decline remain unclear. ObjectivesTo address this gap, we developed a new analytical framework by integrating a Linear Mixed Model (LMM) with subject- and center-specific intercepts and a Distributed Lag Model (DLM) to fully account for correlations between finely vulnerable exposure windows based on complete profile of the spermatogenesis cycle. MethodsWe constructed a multicenter cohort involving 33,234 sperm donors with 78,952 semen samples covering 6 representative regions across China from 2014 to 2020 to investigate the week-scale critical windows for the exposure. Daily exposure to PM2.5 chemical components of donors was derived from grid data based on 1-km spatial resolution surface measurements. ResultsDecreased sperm count was significantly associated with NO3− and SO42− at 9–10 weeks (e.g., β: -0.05 %, 95%CI: [−0.10 %, −0.00 %] at the 9th week) and 0–2 weeks (e.g., β: -0.66 %, 95%CI: [−1.24 %, −0.07 %] at the 1st week), respectively. Critical windows of progressive motility decline were 0–10 weeks for BC (e.g., β: -0.07 %, 95%CI: [−0.11 %, −0.03 %] at the 5th week), Cl− at 1–4 weeks (e.g., β: -2.21 %, 95%CI: [−3.77 %, −0.66 %] at the 2nd week), 0–6 weeks and 9–10 weeks for NO3− (e.g., β: -0.05 %, 95%CI: [−0.09 %, −0.01 %] at the 4th week), 1–3 weeks and the 8th week for NH4+ (e.g., β: -0.06 %, 95%CI: [−0.11 %, −0.01 %] at the 2nd week). Total motility is significantly negatively associated with BC at entire windows, Cl− at 0–3 weeks, the 5th week and 9–10 weeks. ConclusionsThere are week-scale vulnerable windows of exposure to PM2.5 chemical components for human semen quality. This highlights the need for more targeted pollution control strategies addressing PM2.5 and its chemical components.

Corrosion resistance and long-term antibacterial performance of ZnO-Al2O3 nanocomposite coatings on aluminum alloy

Anodic aluminum oxide-zinc (AAO-Zn) coatings were prepared on aluminum (Al) alloy substrates through anodization and nZnO deposition. Further heat treatment at various temperature is applied to the composite coatings. Among the samples, AZ-250 sample showed lower corrosion current density (1.127 × 10−8 A/cm2) and higher charge-transfer resistance (4.65 × 105 Ω cm2) compared to the AZ-150 and AZ-350 samples. At 250 °C, a greater incorporation of nZnO into the AAO layer facilitated the fusion of ZnO with aluminum oxide, resulting in a denser and more protective coating. The antibacterial research revealed AZ-250 sample achieved a 100 % reduction of S. aureus and 97.9 % of E. coli within 2 h. Even after 40 days of air exposure, the AZ-250 sample maintained high antibacterial effectiveness due to ZnO attachment and sustained Zn2⁺ release from the nanoporous AAO structure. This nanocomposite is suitable for applications in heat exchangers, medical instrument casings, and transport structure.

Studies on the performance of alkali-activated aluminosilicate geopolymer mortar against exposure to acid, sulfate, and elevated temperature

An alkali-activated aluminosilicate is a group of materials that have the potential to reduce the carbon footprint of the construction industry. Several combinations of materials have been explored for producing alkali-activated aluminosilicate geopolymer mortars, emphasizing the need to understand their resistance to chemical attack and elevated temperatures to ensure long-term durability. The present study prepared fly ash-based alkali-activated aluminosilicate mortar using fly ash (FA) and ground granulated blast furnace slag (GGBS) without heat curing. Properties such as compressive strength and weight loss were evaluated after chemical attack and exposure to high temperatures (200° to 1000°), and compared with PC mortars. The result shows that fly ash and GGBS-based alkali-activated aluminosilicate mortar (AAAM) exhibit better resistance to chemical attack and high temperatures than conventional mortar. Specifically, after 180 days of acid exposure, PCM showed a mass loss of 5.06% and compressive strength loss of 85%, while AAAM had a mass loss of 2.88% and compressive strength loss of 71%. Sulfate exposure led to a mass gain of 55.77% for PCM and 27.35% for AAAM, with compressive strength losses of 55.77% for PCM and 27.35% for AAAM. Elevated temperatures (1000°) resulted in a compressive strength loss of 68% for PCM and 45% for AAAM. To substantiate these results, X-ray diffraction (XRD) and Fourier Transformation Infrared Spectroscopy (FTIR) were used to study the changes in the bonding behavior of C-A-S-H (Calcium-Aluminate-Silicate-Hydrate) and N-A-S-H (Sodium-Aluminate-Silicate-Hydrate) when exposed to chemical attack and elevated temperatures.

Mitochondrial Dysfunction Plays a Relevant Role in Heart Toxicity Caused by MeHg.

The effects of methylmercury (MeHg) on exposed populations are a public health problem. In contrast to widely studied neurological damage, few cardiovascular changes have been described. Our group evaluated the cardiotoxicity of a cumulative dose of 70 mg.kg-1 fractioned over a 14-day exposure period in mice (MeHg70 group). The effects of MeHg on proteins relevant to cardiac mitochondrial function were also investigated. The results obtained showed a reduction in oxygen consumption in the two settings. In cardiac tissue samples in oxygraphy studies, this reduction was related to a lower efficiency of complexes II and V, which belong to the oxidative phosphorylation system. In vivo, mice in the MeHg70 group presented lower oxygen consumption and running tolerance, as shown by ergometric analyses. Cardiac stress was evident in the MeHg70 group, as indicated by a marked increase in the level of the mRNA encoding atrial natriuretic peptide. Electrocardiogram studies revealed a lower heart rate at rest in the animals from the MeHg70 group, as well as prolonged left ventricular depolarisation and repolarisation. Through echocardiographic analysis, reductions in the left ventricular ejection fraction and left ventricular wall thickness of approximately 10% and 20%, respectively, were detected. These results indicate that the oral intake of MeHg can decrease cardiac function and oxidative metabolism. This finding highlights the importance of monitoring MeHg levels in humans and animals in contaminated areas, as well as periodically carrying out cardiac function tests.

Use of cardiac cell cultures from salmonids to measure the cardiotoxic effect of environmental pollutants.

Environmental stressors such as micro- and nanosized plastic particles (MNPs) or crude oil have a detrimental effect on aquatic animals; however, the impact upon the cardiovascular system of fish remains relatively under-researched. This study presents a novel approach for investigating the effect of crude oil and MNPs on the cardiac system of fish. We used salmonid larvae and cardiac cell cultures derived from hearts of salmonid fish and exposed them to environmental stressors. Following exposure to plastic particles or crude oil, the larvae exhibited some variation in contraction rate. In contrast, significant alterations in the contraction rate were observed in all cardiac cell cultures. The greatest differences between the control and treatment groups were observed in cardiac cell cultures derived from older brown trout. Following 7 days of exposure to MNPs or crude oil in Atlantic salmon larval hearts or cardiac cell cultures, there were only minor responses noted in mRNA expression of the selected marker genes. These findings show the use of a novel invitro technique contributing to the existing body of knowledge on the impact of MNPs and crude oil on the cardiovascular system of salmonids and the associated risk.

Association between antibiotics use and the risk of rheumatoid arthritis: a retrospective cohort study in South Korea.

Certain studies propose that antibiotic use may influence rheumatoid arthritis (RA) incidence, but the clear association between antibiotics and RA remains unclear. Therefore, this study aimed to examine the relationship between antibiotics and RA risk to provide additional epidemiological evidence. This population-based retrospective cohort study was conducted with adults aged 40 years or older using the Korean National Health Insurance Service (NHIS) database. Antibiotic exposure was measured from 2003 to 2007. Study participants were followed up from January 1, 2008, to December 31, 2019. Multivariable Cox hazard regression was utilized to evaluate adjusted hazard ratios (aHRs) and 95% confidence intervals (CIs) for the risk of RA according to accumulative days of antibiotic use and the number of antibiotic classes used, respectively. During 3,395 590 person-years of follow-up, 29 274 cases of RA were identified. Participants who used antibiotics for 91 or more days had a higher risk of RA (aHR, 1.79; 95% CI, 1.67-1.92) than antibiotic non-users. Additionally, individuals who used four or more kinds of antibiotic classes had a higher risk of RA (aHR, 1.61; 95% CI, 1.51-1.71) than those who did not prescribe antibiotics. The risk of RA was positively associated with both higher cumulative days of antibiotic exposure and a larger number of drug classes. These trends were maintained in sensitivity analyses, including variations in antibiotic exposure periods. Our findings suggest a possible association between the long-term use of antibiotics and RA incidence. Further studies are necessary for a clearer understanding of this association.

Accelerated carbonation of alkali-activated vibro-compacted pervious concrete paving blocks

This study explores the use of an accelerated carbonation curing method to enhance the performance of non-structural precast alkali-activated fly ash pervious concrete paving blocks. Using a predefined production process, pervious paving blocks measuring 200 mm × 100 mm × 60 mm were manufactured and subjected to a 3-stage curing process. The blocks were produced with a dry consistence to allow for vibrocompaction, closely mirroring the manufacturing techniques used in the precast industry and enabling immediate demoulding. Initially, all blocks underwent thermal curing at 70 °C for 24 hours, followed by storage in a climatic chamber (20 ± 3 °C, 65 ± 10 % relative humidity) for 7–14 days. Finally, they were exposed to a carbonation chamber with 5 % CO2 at 23 ± 2 °C, and 60 ± 10 % RH for up to 7 days. Blocks cured without carbonation served as control specimens. All blocks were tested following the European standard EN 1338, which governs the conformity of conventional concrete pavement blocks. Additional properties such as water permeability and water stability were also assessed. The results demonstrated that the accelerated carbonation curing significantly improved the performance of the blocks. Increases of 30 % and 60 % in compressive and splitting tensile strengths, respectively, were reported for the 7-day CO2-cured blocks when compared to their control counterparts. The 7-day carbon-cured blocks showed significantly improved abrasion resistance, with mass loss due to abrasion decreasing from 8.2 % to 5.6 % with 7 days of CO2 exposure. Additionally, microstructural enhancements were observed for the carbonated specimens, positively impacting their overall performance and making them compliant with the standard for practical paving block applications. However, further research is recommended to explore automation in the production process to ensure consistent results and facilitate future standardisation and certification of these blocks.

Trajectories of daily antipsychotic use and weight gain in people hospitalized for the first episode of psychosis.

We need to better understand the risk factors and predictors of medication-related weight gain to improve metabolic health of individuals with schizophrenia. This study explores how trajectories of antipsychotic medication (AP) use impact body weight early in the course of schizophrenia. We recruited 92 participants with first-episode psychosis (FEP, n=92) during their first psychiatric hospitalization. We prospectively collected weight, body mass index (BMI), metabolic markers, and exact daily medication exposure during 6-week hospitalization. We quantified the trajectory of AP medication changes and AP polypharmacy using a novel approach based on meta-analytical ranking of medications and tested it as a predictor of weight gain together with traditional risk factors. Most people started treatment with risperidone (n=57), followed by olanzapine (n=29). Then, 48% of individuals remained on their first prescribed medication, while 33% of people remained on monotherapy. Almost half of the individuals (39/92) experienced escalation of medications, mostly switch to AP polypharmacy (90%). Only baseline BMI was a predictor of BMI change. Individuals in the top tercile of weight gain, compared to those in the bottom tercile, showed lower follow-up symptoms, a trend for longer prehospitalization antipsychotic treatment, and greater exposure to metabolically problematic medications. Early in the course of illness, during inpatient treatment, baseline BMI is the strongest and earliest predictor of weight gain on APs and is a better predictor than type of medication, polypharmacy, or medication switches. Baseline BMI predicted weight change over a period of weeks, when other traditional predictors demonstrated a much smaller effect.

Sulfate resistance of alkali-activated flyash-slag-lime concrete: comparative study of drying-wetting cycles and conventional exposure

Abstract Sulphate resistance of concrete is a crucial parameter for design of offshore structures. Of late alkali-activated materials are been given due consideration for infrastructure projects. In this context, the present study aims to assess the sulphate resistance of Alkali-Activated Concrete (AAC) with ternary blend of flyash-Ground Granulated Blast furnace Slag (GGBS) and limestone as the principal binder. The first phase of the study includes the optimization of ternary AAC mix with the inclusion of limestone as a potential binder to popularly used flyash slag blends. The inclusion of 5% limestone powder into the binder matrix is found to have beneficial effect on the mechanical properties of the ternary blended AAC. Further, an increase in the limestone powder content is not found to influence mechanical properties positively. The AAC mix with 5% limestone of total binder content was therefore selected for further evaluation of sulphate resistance. The sulfate resistance is evaluated under the alkaline media by subjecting AAC specimens to constant immersion and alternative drying and wetting cycles. The mechanical characteristics and mass reduction of the exposed samples were tested and compared with the conventional Ordinary Portland Cement (OPC) specimens. Evaluations were conducted over periods of 30, 45, 120, and 365 days of exposure. Scanning Electron Microscopy (SEM), and Energy Dispersion Spectroscopy (EDS) were also used to determine the surface morphology and mineral composition of samples after 365 days of exposure periods. The Flyash-Slag-Lime AAC exhibits denser morphology in comparison to OPC-based concrete, which in turn offers enhanced sulphate resistance.

Interlayer substitution enables air-stable and long-life O3-type cathode for sodium-ion batteries

The O3-type oxides (NaNi0.4Fe0.2Mn0.4O2 (NFM)) have been considered as the most commercially cathode material for high-energy-density sodium-ion batteries owing to their low price, good safety performance, and high energy density. However, their further development is seriously limited due to the complex phase transition, sluggish kinetics of Na+, and intrinsic air instability. Herein, an interlayer substituted NFM (IS-NFM) is constructed by a simple solid-state method with the introduction of alkaline-earth metal. The interlayer substitution will lead to the increase of oxygen content in the internal lattice, which will effectively suppress the irreversible phase transition during cycling and exposure to the air. In addition, the interlayer substitution effectively activated the charge compensation, leading to the mobilized cationic redox process and boosted de-/sodiated kinetic. Consequently, IS-NFM exhibits excellent capacity retention of 83.44 % at 1 C after 200 cycles and remarkable stability even at high voltage. After 15 days of exposure to the air, IS-NFM also delivers superior capacity retention (86.53 %, compared with 0.1 C) and cycling performance (82.70 % at 1 C after 200 cycles). Undoubtedly, the interlayer substitution strategy will expand a novel avenue for constructing air-stable and long-life O3-type oxides for commercial application.