High Potential Risk Research Articles

Strain As An Indicator For Stress Fractures In Racehorses

Abstract The horse racing industry, despite its financial significance, grapples with significant welfare issues, particularly stress fractures in racehorses. Third metacarpal (MC3) bone fractures, constituting about one-third of all limb fractures, severely impact horse health and performance. The frequent occurrence of condylar fractures in the MC3, often resulting in bone comminution, poses high risks-sometimes necessitating euthanasia, and complicates the management and recovery processes for the rest. Comprehensive methods for quantitatively determining fracture risks in horses are lacking, with strain measurements on the MC3 during racing conditions showing promise as an indicator of high loads and potential fracture risks. This study investigated the mechanical properties of MC3 under high compressive loads. Six MC3 bones from euthanized horses were instrumented with strain gauge rosettes at four key locations: Lateral Condyle (CondL), Medial Condyle (CondM), Dorsal DistoLateral (DisL) and Dorsal DistoMedial (DisM). Each bone underwent a pre-loading phase and five cycles of 12kN sinusoidal loading to replicate galloping forces. Strain patterns were observed before and after introducing an artificial slot in the lateral condylar groove to simulate a fatigue crack. A strong correlation was found between load and minimum principal strain in both intact and fatigue crack-induced (FCI) bones, with R-squared values over 0.99. Post-FCI, 83% of bones exhibited an increase in the minimum principal strain-load response slope, indicating uniform changes in material behavior. Additionally, a rise in post-FCI y-intercept values across MC3 locations indicated higher initial strain and possible changes in bone properties.

State-of-the-Art Review of Continuum Mechanics-Based Modelling of Soil Surface Erosion

AbstractSoil surface erosion can shape the morphography of rivers and estuaries in the natural environment and induce high potential risks to structures in engineering. Numerical simulations based on continuum mechanics theory can provide reliable assessments of the evolution of surface erosion from the perspective of a large-scale view. However, current studies on continuum mechanics-based modelling are still limited. This paper comprehensively reviews such numerical simulations of soil surface erosion. This review begins by discussing the fundamental physical mechanisms of surface erosion. Subsequently, it explores the basic physics-based conservation equations controlling soils and fluids in surface erosion. Then, the empirical formulae depicting the different stages of surface erosion are presented. Building on these mathematical foundations, this paper reviews various numerical methods for surface erosion modelling from a continuum mechanics perspective. Finally, this paper discusses the advantages and limitations of the numerical methods. This work can provide researchers convenience for using numerical models on surface erosion simulations.

A novel all-solid-waste binder prepared by salt-alkali synergistic activation system constructed from phosphogypsum, soda residue and calcium carbide slag

Conventional alkali-activated slag materials apply strong industrial alkalis with high cost and potential corrosion risk. Alternatively, this study utilized industrial solid waste phosphogypsum, soda residue, and calcium carbide slag to construct a salt-alkali synergistic activated system. A new salt-alkali synergistic activation effect was formed by the SO42- introduced by PG together with the Cl- and OH- provided by SR and CS, which promoted the hydration reaction. AFt, Friedel's salt, C-(A)-S-H, and other hydration products were generated and congregated, and a new all-solid-waste binder was created with 3d/28d strengths of 17.9/43.9 MPa, meeting the P·O 42.5 cement strength standard requirements. By conducting compressive strength and drying shrinkage tests on mortar and paste specimens with varying ratios, and employing XRD, TG-DTG, FTIR, and SEM-EDS analyses, the mechanical attributes of the binder were systematically assessed, and its hydration process was elucidated.

Geospatial analysis of alarmingly increasing flood vulnerability and disaster risk within the northeast himalaya region of India

Geoenvironmetally the eastern part of the Himalaya region is highly vulnerable to flood and other natural disasters as it consists of fragmented and tectonically active geology and geomorphology, very high monsoon rainfall (>360 cm) and subsequent runoff, rugged hilly terrain with high ranges of elevation and slope, dense drainage density etc. Other hand, the unplanned developmental activities keep going and scaling up this vulnerability and risk to floods and other disasters. Addressing this burning issue, a geospatial technology-based case study of the Kohima district, Nagaland state (India), is presented here. The geospatial "technology-based" analyses employed in the study are thematic GIS mapping of flood hazard, vulnerability and risk controlling factors; and performing overlay operation using the AHP model in GIS software to generate spatio-temporal map layers of flood vulnerability and disaster risk. Results reveal that the region is under a high rate of monsoon climate change (increasing temperature, rainfall, rainy days, rainfall events and flood events with an annual rate of 0.35 %, 1.12 %, 0.36 %, 2.67 % and 4 % respectively), land use degradation (increasing built-up area with 0.60 %, annual rate decreasing forest, shrubs and water bodies with 0.80 % accumulated annual rates respectively) and demographic changes (increasing urban as well and rural population density with 0.53–2.10 % and 0.55–2.14 % respectively). Accumulated impacts of climate change, land use degradation and demographic changes causing an increase in flood hazard, vulnerability and disaster risk. Flood hazard zones and vulnerability zones extending with 0.50 % (4.89 km2) and 0.84 % (8.16 km2) annual rates respectively, subsequently the flood risk zones categorized as a moderate, high and very high potential risk, have been spreading out with a yearly rate of 0.07 % (0.65 km2), 0.13 % (1.31 km2) and 0.03 % (0.33 km2) respectively. It decreases the area under low and very low-risk zones by 0.17 % (1.63 km2) and 0.07 % (0.65 km2) annual rates respectively. Following up on these annual rates, the spatial distribution of flood hazard, vulnerability and risk zones for the next decade (2031–2040) have also been projected, revealing alarming situations, if flood disaster risk reduction (F-DRR) measures were not implemented in timely. It is strongly believed that the proposed study will be very useful for district-level planners and administrators to implement sustainable development planning, for the scientific fraternity to enhance their research work in the field of flood disaster management and for individuals for their safety in terms of life and property.

Identification, characterization, and distribution of novel amidase gene aphA in sphingomonads conferring resistance to amphenicol antibiotics.

Amphenicol antibiotics, such as chloramphenicol (CHL), thiamphenicol (TAP), and florfenicol (Ff), are high-risk emerging pollutants. Their extensive usage in aquaculture, livestock, and poultry farming has led to an increase in bacterial antibiotic resistance and facilitated the spread of resistance genes. Yet, limited research has been conducted on the co-resistance of CHL, TAP, and Ff. Herein, a novel amidase AphA was identified from a pure cultured strain that can concurrently mediate the hydrolytic inactivation of CHL, TAP, and Ff, yielding products p-nitrophenylserinol, thiamphenicol amine (TAP-amine), and florfenicol amine (Ff-amine), respectively. The antibacterial activity of these antibiotic hydrolysates exhibited a significant reduction or complete loss in comparison to the parent compounds. Notably, AphA shared less than 26% amino acid sequence identity with previously reported enzymes and exhibited high conservation within the sphingomonad species. Through enzymatic kinetic analysis, the AphA exhibited markedly superior affinity and catalytic activity toward Ff in comparison to CHL and TAP. Site-directed mutagenesis analysis revealed the indispensability of catalytic triad residues, particularly serine 153 and histidine 277, in forming crucial hydrogen bonds essential for AphA's hydrolytic activity. Comparative genomic analysis showed that aphA genes in some species are closely adjacent to various transposable elements, indicating that there is a high potential risk of horizontal gene transfer (HGT). This study established a hydrolysis resistance mechanism of amphenicol antibiotics in sphingomonads, which offers theoretical guidance and a novel marker gene for assessing the prevalent risk of amphenicol antibiotics in the environment.IMPORTANCEAmphenicol antibiotics are pervasive emerging contaminants that present a substantial threat to ecological systems. Few studies have elucidated resistance genes or mechanisms that can act on CHL, TAP, and Ff simultaneously. The results of this study fill this knowledge gap and identify a novel amidase AphA from the bacterium Sphingobium yanoikuyae B1, which mediates three typical amphenicol antibiotic inactivation, and the molecular mechanism is elucidated. The diverse types of transposable elements were identified in the flanking regions of the aphA gene, indicating the risk of horizontal transfer of this antibiotic resistance genes (ARG). These findings offer new insights into the bacterial resistance to amphenicol antibiotics. The gene reported herein can be utilized as a novel genetic diagnostic marker for monitoring the environmental fate of amphenicol antibiotics, thereby enriching risk assessment efforts within the context of antibiotic resistance.

GIS-Enhanced Survey of Potential Aedes aegypti and Aedes albopictus Artificial Oviposition Containers Distributed across Communities in Trinidad, West Indies.

Dengue and other arboviruses remain a global threat, and enhanced efforts to control the mosquitoes that transmit them are urgently needed. A survey of potential manmade Aedes aegypti (L.) and Aedes albopictus (Skuse) oviposition containers was performed in four communities near the end of the typical dry season in 2018 in Trinidad, West Indies. The purpose was to conduct individual premise surveys and use GIS mapping to visualize premises within communities that had Aedes-positive containers, as this information could be used for the prioritization of mosquito control efforts in potential high risk areas as the wet season progressed. Accessible premises were surveyed following standard inspection protocols used by the Insect Vector Control Division (IVCD), Ministry of Health (MOH). The results indicated that two of the four locations would be at high risk for arbovirus transmission going into the wet season. The GIS mapping of premises with Aedes-positive containers facilitated the identification of potential hot spots for arbovirus transmission risk within communities that should be prioritized for enhanced monitoring and vector control efforts, emphasizing the need to increase community participation in standard surveys by IVCD.

Single and mixture toxicity of benzophenone-3 and its metabolites on Daphnia magna

Benzophenone-3 (BP-3) is one of the organic ultraviolet (UV) filters widely used in personal care products, resulting in its ubiquitous occurrence in aquatic systems. This study discovered the potential risks of benzophenone-3 and its metabolites (BP-1 and BP-8) in aquatic environments. This study investigated the toxicity of three single BPs and their mixtures' effects on the survival of Daphnia magna. All three BP types were found to have toxic effects on D. magna, with median effective concentration (EC50) values of 22.55 mg/L for BP-1, 1.89 mg/L for BP-3, and 2.36 mg/L for BP-8, after 48 h of exposure. When the three BPs were binary and ternary mixtures, the EC50 values fell within 2.74–32.26 mg/L. Binary and tertiary mixtures of the three BPs indicated no strong synergistic or antagonistic effects. The mixture toxicity predictions using the classical mixture concept of concentration addition and measured toxicity data showed good predictability. The ecological risks of BPs were assessed using the maximum measured environmental concentrations of BPs collected from a river in Taiwan, divided by their respective predicted no-effect concentration (PNEC) values derived from the assessment factor (AF) method. The result showed a low ecological risk for the sum of three BPs. However, BP-3 had the highest potential risk, while BP-1 was the lowest among the three BPs. Therefore, BP-3 should pay attention to long-term environmental monitoring and management. This study provides valuable information for establishing scientifically-based water quality criteria for BPs and evaluating and managing the potential risk of BPs in the aquatic environment.

Fabrication and mechanical performance investigation of jute/glass fiber hybridized polymer composites: Effect of stacking sequences

The green, biodegradable, and cost-effective properties of natural fiber-reinforced polymer composite materials have attracted significant interest when compared to synthetic polymer composites. Jute is a naturally occurring bast fiber that is inexpensive, durable, and often utilized. In contrast, glass is a composite material that is frequently used in various applications, despite its high cost and potential environmental risks. Owing to jute's superior mechanical properties, there is a great deal of potential for combining it with glass, which would lower the amount of glass used and the composite's overall cost. This study employed bleached jute fabric and non-woven glass fabric to develop neat jute, neat glass, and hybrid composites by using different stacking sequences. The composites were fabricated utilizing a thermoset polymer matrix by following the hand layup process. Subsequently, an investigation was carried out to examine the mechanical, physical, thermal, and morphological properties of these composites. Out of the developed samples, the neat jute presents the least tensile and bending strength at 31.35 MPa and 41.138 MPa respectively, whereas the neat glass composite demonstrates exceptional tensile and bending strengths at 132.03 MPa and 184.86 MPa respectively. In the case of hybrid samples, they exhibited mechanical capabilities that fell between neat jute and neat glass, which was attributed to the combination of glass with jute fabric and the placement of glass as the outer layer. Apart from that, we observed that the moisture take-up% and thermal conductivity of hybrids composite were within 4–4.3% and 0.28–0.32 Wm−1 K-1 respectively. Moreover, thermogravimetric analysis and morphological behavior were also assessed. However, this study suggested that jute and nonwoven glass fabric with different stacking sequences may be combined to create a reinforced hybrid composite that may have potential use in furniture, interior design, and inner sections of cars.

Health and Environmental Risk Assessment of Heavy Metals Contamination from Medical Wastes Ash of Baghdad Hospitals

Abstract One of the complex problems that many countries suffer from is how to deal with medical waste because of its harmful and devastating effects on humans and the environment. Hospitals around the world use and consume many different products. These products are composed of various materials, and many of them contain heavy metals in their production and manufacturing, which are ultimately emitted into the environment, posing a major danger and risk to human health. This work focused on assessing the contamination levels of medical waste ash after the incineration process. Ash samples were collected from major hospitals in the capital, Baghdad. The health risks resulting from heavy metal pollution were calculated. Medical waste ash was collected at different times from three major hospitals within the capital, Baghdad, and tested for contamination with heavy metals. To measure the bottom ash samples, X-ray spectroscopy (XRF) technology was used to determine heavy metal concentrations. The results showed the presence of more than twenty elements in the ash of medical waste, including the heavy metals found in Baghdad hospitals. Work was done on eight of these heavy metals due to their high concentrations. These selected elements are considered highly toxic and dangerous if exposed to them, including zinc (Zn), lead (Pb), arsenic (As), cobalt (Co), and copper. (Cu), nickel (Ni), chromium (Cr), and mercury (Hg). To evaluate the health risks of this pollution. All of these elements are a major problem if exposed to them. The amount of contamination was calculated using the contamination factor (CF). The results showed that the percentage of As, Cd, Hg, Zn, Pb, and Cu was very high. Meanwhile, the concentrations of Co and Ni were moderate values in medical waste ash. Adult health risks were calculated using the non-cancer health risk ratio (HL). The calculated values show values higher than the safe level in Imam Ali Central Hospital, indicating a potential high health risk. Meanwhile, other hospitals (Sheikh Zayed and Dhari Al Fayyad) recorded risk values below the safe level, indicating no health risks. The health risk assessment indicated that there are three main routes of human exposure: “ingestion, inhalation, and skin contact.” The cancer risk index (Risk) was also calculated. The values obtained were within the acceptable range. An analysis of the metal pollution index was also conducted, and it was found that heavy metals pose a non-cancerous risk. But the harmful effects of pollution from ash disposal have been particularly serious because they may contain high concentrations of heavy metals.

Using machine learning modeling to identify childhood abuse victims on the basis of personality inventory responses

Trauma is very common and associated with significant co-morbidity world-wide, particularly PTSD and frequently other mental health disorders. However, it can be challenging to identify victims of abuse as self-reports can be difficult to elicit due to emotional distress. Better confirmation of a history of significant mistreatment can assist significantly in treatment planning. We evaluate an alternate approach based on machine-learning techniques applied to personality inventory data (Minnesota Personality Inventory, Adolescent Version; MMPI-A) obtained concurrently to examine convergence with reports of past trauma exposure. The Childhood Trauma Questionnaire (CTQ) was administered to 733 child and adolescent inpatients. Statistical and information-theory measures showed that each type of abuse – sexual, physical, and emotional – had a unique “fingerprint” of MMPI-A profiles. In contrast to our previous findings in terms of specific correlations with IQ, individuals positive for Sexual abuse had the fewest MMPI-A elevations, followed by Physical abuse, while those reporting Emotional abuse had the greatest number of elevations. We developed an initial classifier Machine Learning (ML) model for predicting a history of abuse that demonstrates equivalent sensitivity compared to other widely used screening measures. In addition, we show via PCA and cluster analysis that the different levels of severity of emotional abuse present with unique mixtures of personality trait characteristics. Thus, this type of ML mediated analysis could permit at-scale detection of those at potential high risk of a history of abuse by use of real-time information, using a variety of nontransparent data sources.

Design of Blockchain and Strategic Financing Service under the Platform Economy

The capital constrains and uncertainties in supply disruptions faced by small and medium-sized suppliers pose critical challenges for the development of e-commerce platforms. In response, platforms have begun offering direct financing (PDF) to their suppliers alongside traditional bank credit financing (BCF). Within the private (consortium) blockchain, the platform and the supplier (and the bank) achieve consensus on financial smart contract, enabling the execution of flexible contracts tailored to suppliers’ risk profile. We develop a game-theoretic model to examine the terms of smart contracts in different blockchains and further investigate the platform's optimal blockchain design. We find that PDF serves to safeguard the platform's commission income from high-interest BCF. Our analysis reveals that PDF is more likely to be provided to a risky supplier within the consortium blockchain, contrasting with outcomes observed within the private blockchain. As a result, the platform and the supplier could reach win-win, or win-lose outcomes within the private blockchain; while within the consortium blockchain, they tend to result in win-win or lose-win outcomes. Such incentive conflict could potentially hinder blockchain adoption. Our findings further provide the managerial insights guiding the platform's blockchain design: adopting consortium blockchain under moderate market potential and low or high supplier's risk, and adopting private blockchain otherwise. Furthermore, we consider the supplier's endogenous effort on reducing risk, and numerically demonstrate that blockchain may encourage or discourage the supplier's effort. Our research complements previous studies by investigating the interaction between the PDF provision and blockchain structures under uncertain supply disruption risk.

Intestinal microbiota and high-risk antibiotic resistance genes in wild birds with varied ecological traits: Insights from opportunistic direct sampling in Tianjin, China

Within One Health framework, the dissemination of antibiotic resistance genes (ARGs) and pathogenic bacteria by wild birds has attracted increasing attention. In this study, gut samples of wild birds opportunistically collected in Tianjin, China, situated along the East Asian-Australasian Flyway, were used to ascertain the realistic distribution of bacteria and ARGs in their intestinal tracts. These birds have different dietary habits (herbivore, carnivore, and omnivore) and residency statuses (resident and migratory birds). Using 16S rRNA gene sequencing and qPCR, we analyzed microbial communities and the abundance of high-risk ARGs and mobile genetic elements (MGEs). Birds with distinct ecological traits exhibited significant variations in gut bacterial composition, yet similar microbial diversity. Shigella sp. emerged as the core intestinal pathogen, with a mean relative abundance 2.57 to 1466 times higher than that of other pathogenic bacteria, and its concentration correlated with the host's trophic level as indicated by the δ15N values. The distribution of ARGs and MGEs also varied with bird ecological traits. All 10 targeted high-risk ARGs were detected in carnivores or passage migrants, while migratory birds carried significantly greater abundance of intI1 than residents (p < 0.05). The potential of migratory birds to harbor and disseminate pathogenic bacteria and ARGs cannot be ignored. Network analysis revealed blaTEM-1 presence in multiple core microorganisms, positively associated with Clostridioides difficile, emphasizing its risk potential. Positive dfrA12-intI1 correlation across trophic levels suggests potential for intI1-mediated transmission. Our study underscores the high potential risk posed by wild birds in carrying ARGs and pathogenic microorganisms, emphasizing the importance of further research and surveillance in this field.

Improved Simplified Engineering Fault Displacement Hazard Evaluation Method for On-Fault Sites

The safety of high-potential risk facilities concerned with fault displacement hazards is a complex technical issue, especially if the fault is revealed beneath the facility during the operation. Applying simple conservative engineering hazard evaluation methods is rational if an urgent decision should be made to continue operation or implement protective measures. Engineering methods are being published for strike-slip on-fault sites and structures. Their crucial point is to estimate the probability of the rupture at the site intersection and consider the displacement distribution over the rupture length relative to the site’s on-fault location. It is shown in the paper that strict geometrical relations between the site location, length and initial point of the rupture determine whether the principal fault displacement intersects the site. The paper considers these geometrical parameters as independent random variables and applies a screening of ruptures contributing to the hazard. Magnitude- and on-fault coordinate-dependent empirical relations have been analysed and selected to evaluate the site displacements. The procedure resulted in realistic but conservative hazard curves for different on-fault site locations using data from the Paks site in Hungary. The results were compared to those obtained by the conservative engineering method for the same site and some published analyses.

Geneticand phenotypic characterization of a novel ST45-K43 carbapenem-resistant Klebsiella pneumoniae strain causing bloodstream infection: a potential clinical threat.

Klebsiella pneumoniae is a common pathogen of nosocomial infection, which can cause pneumonia, urinary tract infection, cystitis, and bloodstream infections (BSIs). Here, we genetically characterize a novel carbapenem-resistant K. pneumoniae (CRKP) strain recovered from the blood of a 44-year-old male patient with severe acute necrotizing pancreatitis and septic shock in China. The strain is a ST45 K. pneumoniae with a novel serotype of K43, named 18SHX166. The susceptibility testing results showed that 18SHX166 was resistant to cephalosporin and carbapenems but still susceptible to ceftazidime-avibactam, quinolones, colistin, and amikacin. Genomic sequencing revealed that 18SHX166 contains three plasmids, namely pSHX166-Hv, pSHX166-KPC, and pSHX166-3. pSHX166-Hv harbored the iucABCD operon, encoding the siderophore of aerobactin. pSHX166-KPC harbored blaKPC-2 gene and possessed complete conjugative regions. The conjugation experiment verified pSHX166-KPC as a self-transmissible plasmid mediating the dissemination of antibiotic resistance, with a conjugation rate of 2.21 × 10-5. Additionally, the growth curve showed that 18SHX166 demonstrates a higher growth rate than the control strains. The characteristics of 18SHX166 indicate a potential high risk of clinical transmission.IMPORTANCEST45-K43 carbapenem-resistant Klebsiella pneumoniae isolate, 18SHX166, carries a carbapenem resistance plasmid and virulence plasmid. It has the characteristics of multidrug resistance, high transmissibility, and a fast growth rate, which could pose a threat to the control of antimicrobial resistance and clinical transmission, causing a severe challenge to public health.

Impact of anthropogenic activities on atmospheric chlorinated paraffins in Ghana using polyurethane foam disk - passive air sampler

Chlorinated paraffins (CPs) are a global concern due to their high production, ubiquity in the environment and potential toxicity. In Ghana, there is a significant research gap on the concentration and sources of CPs in the air, as well as insufficient regular monitoring programs to track CP levels over time. This study utilized polyurethane foam-based passive air samplers (PUF-PAS) to examine the concentrations, sources and potential human health risks of CPs in the atmosphere surrounding e-waste sites, urban areas, commercial areas and control/background areas in Ghana. The medium-chain CPs (MCCPs) dominated with an average concentration of 26.0 ± 40.1 ng/m3 and ranged from 1.78 to 240 ng/m3. Short-chain CPs (SCCPs) ranged from 0.05 to 15.2 ng/m3 and had an average concentration of 3.48 ± 3.99 ng/m3. The very short-chain CPs (C9-CPs), had an average concentration of 0.544 ± 0.524 ng/m3 and ranged from 0.091 to 2.14 ng/m3. MCCPs exceeded SCCPs by a factor of 7.5 and C9-CPs by a factor of 48. C14Cl8 was the dominant congener in MCCPs and C10Cl7 was also the dominant congener in SCCPs. E-waste was the main contributor to SCCPs and MCCPs (>30 %) in Ghana. The assessed non-cancer risks associated with CP exposure were within acceptable ranges. For cancer risk, MCCPs indicated high potential health risk but C9-CPs and SCCPs showed low risk. To the best of our knowledge, this is the first study on CPs in Ghana's atmosphere, and e-waste was identified as the country's main source of CPs. This study will help regulatory bodies create policies and procedures to control the use and disposal of chlorinated paraffins.

Analyzing the Selective Stock Price Index Using Fractionally Integrated and Heteroskedastic Models

Stock market indices are important tools to measure and compare stock market performance. The Selective Stock Price (SSP) index reflects fluctuations in a set value of financial instruments of Santiago de Chile’s stock exchange. Stock indices also reflect volatility linked to high uncertainty or potential investment risk. However, economic shocks are altering volatility. Evidence of long memory in SSP time series also exists, which implies long-term persistence. In this paper, we studied the volatility of SSP time series from January 2010 to September 2023 using fractionally heteroskedastic models. We considered the Autoregressive Fractionally Integrated Moving Average (ARFIMA) process with Generalized Autoregressive Conditional Heteroskedasticity (GARCH) innovations—the ARFIMA-GARCH model—for SSP log returns, and the fractionally integrated GARCH, or FIGARCH model, was compared with a classical GARCH one. The results show that the ARFIMA-GARCH model performs best in terms of volatility fit and predictive quality. This model allows us to obtain a better understanding of the observed volatility and its behavior, which contributes to more effective investment risk management in the stock market. Moreover, the proposed model detects the influence volatility increments of the SSP index linked to external factors that impact the economic outlook, such as China’s economic slowdown in 2012 and the subprime crisis in 2008.

Echocardiographic assessment of right ventricular function and right ventriculoarterial coupling in tricuspid regurgitation.

Echocardiographic evaluation of the cardiopulmonary unit is difficult in case of tricuspid regurgitation (TR) and combined echocardiographic parameters could be useful. This study aimed to assess the variation of simple and combined echocardiographic parameters analysing the cardiopulmonary unit according to the severity of TR. TR was graded according to Hahn's classification in 179 patients. Classical morphological, function and load parameters analysing right ventricle were assessed. Combined parameters of function and load; morphology and load; and morphology-load-function index were calculated. We used ROC curve analysis to analyze the diagnostic value of echocardiographic parameters to predict potential high or low surgical risk of mortality according to TRISCORE in 82 patients. Simple parameters were significatively different among groups with a nonlinear progression between the 5 levels of severity of TR. Combined parameters were also significatively different among groups. Among them, myomechanical index (MMI = RV-RA mean pressure gradient x RVFWS/indexed RAED area × 10-2) and morphology-load-function index (MLF = RVED length/area x TR TVI x RVFWS) had a linear progression between the 5 groups and had the best predictive value for TRISCORE high and low risk. Combined parameters are relevant to evaluate cardiopulmonary unit in patients with various degrees of TR, especially when combining morphology, function, and load parameters, and are potentially interesting in their prognostic assessment, as shown by the good predictive value for TRISCORE risk.

Rapid detection and risk assessment of soil contamination at lead smelting site based on machine learning

A general prediction model for seven heavy metals was established using the heavy metal contents of 207 soil samples measured by a portable X-ray fluorescence spectrometer (XRF) and six environmental factors as model correction coefficients. The eXtreme Gradient Boosting (XGBoost) model was used to fit the relationship between the content of heavy metals and environment characteristics to evaluate the soil ecological risk of the smelting site. The results demonstrated that the generalized prediction model developed for Pb, Cd, and As was highly accurate with fitted coefficients (R2) values of 0.911, 0.950, and 0.835, respectively. Topsoil presented the highest ecological risk, and there existed high potential ecological risk at some positions with different depths due to high mobility of Cd. Generally, the application of machine learning significantly increased the accuracy of pXRF measurements, and identified key environmental factors. The adapted potential ecological risk assessment emphasized the need to focus on Pb, Cd, and As in future site remediation efforts.

A Coronary-Friendly Device Mitigating Risk of Coronary Obstruction in Transcatheter Aortic Valve Replacement.

Transcatheter aortic valve replacement (TAVR) induced coronary artery obstruction (CAO) is a rare but devastating complication. Current preventive strategies need additional procedures and may be associated with adverse events. This study aimed to evaluate the early safety and efficacy of stand-alone TAVR using the J-Valve (Jianshi JieCheng Medical Technology Co. Ltd, Shanghai, China) in patients at potential high risk for CAO. CAO was defined as coronary ostia obstruction requiring intervention. Patients at potential high risk for CAO were identified retrospectively from 673 consecutive patients who underwent TAVR from January 2015 to July 2021 at Zhongshan Hospital, Fudan University. Procedural results and early outcomes were evaluated according to Valve Academic Research Consortium-3 definitions. A total of 20 consecutive patients (age 72 ± 9 years; 85% female;) were included. The Society of Thoracic Surgeons-Predicted Risk of Mortality was 5% (interquartile range, 4 to 10%). All patients (100%) had at least 2 classical risk factors for CAO by pre-procedural computed tomography analysis, and 90% patients had native aortic valve diseases. TAVR was successful in 95% of cases, with only 1 patient requiring second device implantation. Early safety at 30 days was achieved in all cases without death. All patients were free from CAO, stroke or emergency reintervention. Post-procedural mean aortic valve gradient was 7 (interquartile range, 4, 12) mmHg, and none/trace or mild aortic regurgitation was present in all patients. Stand-alone TAVR using the J-Valve may mitigate the risk of TAVR-induced CAO.

Distribution, flux, and risk assessment of microplastics at the Anzali Wetland, Iran, and its tributaries.

Microplastic pollution has raised significant concerns among scientific communities and society in recent years due to its increase and lesser-known effects on the environment. To improve the knowledge of microplastic pollution in freshwater, we investigated microplastics in Anzali Wetland, a Ramsar site in northern Iran, as well as its nine main entering rivers. The extracted microplastics were characterized via visual identification, SEM-EDX, and μ-Raman methods. Microplastics (size range: 50-5000 μm) were found in all water and sediment samples with concentration of fibrous particles as well as polypropylene and polyethylene polymers. The mean concentration of microplastics in bottom sediment and surface water samples of the wetland was 301 ± 222 particles∙kg-1 d.w. and 235 ± 115 particles∙m-3 (0.23 particles∙L-1), respectively. The microplastic concentration in the central and eastern parts of the wetland was higher than in other areas; however, the mean concentrations revealed homogeneity across the wetland area. Water properties (dissolved oxygen, pH, temperature, electrical conductivity, and salinity in water) did not affect the concentration of microplastic particles, though correlational analysis revealed a strong positive association between microplastic quantity and turbidity. There was a significant positive relationship between microplastic concentration and the percentage of clay in sediment samples. The quantity of microplastics in river water was higher than in wetland water, but the difference between the results was not significant. However, the quantity of microplastics in the river's littoral sediment was higher than in the bottom sediment of the wetland where the difference between the results was significant. Microplastic ecological risk assessment showed high potential ecological risk. The findings underscore the importance of effective management strategies and the implementation of policies to mitigate the negative impact of MP pollution on ecosystems and human health.