Mixture Of Phosphate Research Articles

A 3D in vitro model of biphasic calcium phosphate (BCP) scaffold combined with human osteoblasts, osteoclasts, and endothelial cells as a platform to mimic the oral microenvironment for tissue regeneration

ObjectivesThis study aimed to develop an innovative 3D in vitro model based on the biphasic calcium phosphate (BCP) scaffold combined with human osteoblasts (hOBs), osteoclasts (hOCs), and endothelial cells to evaluate its effects on bone and vascular cells behavior. MethodsTo this end, an optimized mixture of hydroxyapatite (HA) and β-tricalcium phosphate (TCP) with a weight ratio of 30/70 was employed to develop a BCP scaffold using the computer-aided design (CAD) approach. The BCP scaffold was combined with primary cultures of hOBs, hOCs and human umbilical vein endothelial cells (HUVECs). ResultsMorphometric analyses using scanning electron microscopy (SEM) and X-ray micro-computed tomography, along with biomechanical testing, revealed that BCP scaffold exhibited a regular 3D structure with large interconnected internal pores (700 µm) and high mechanical strength. In terms of biological behavior, after 14 days of tri-culture with hOBs, hMCs and HUVECs, SEM, immunofluorescence, and histological analyses showed that all cell types were viable and adhered well to the entire surface of the scaffold. Interestingly, SEM and energy-dispersive X-ray spectroscopy analyses also revealed on the BCP scaffold the presence of mineralized matrix crystals of Ca, P, O and C within a tissue-like cell layer produced by the interaction of the three cell types. ConclusionsData confirmed the high performance of the BCP scaffold through biomechanical studies. Notably, for the first time, this study demonstrated the feasibility of combining BCP scaffold with hOBs, hOCs, and HUVEC, which remained viable and maintained their native phenotypes, creating also tissue-like cell layer. Clinical significanceAlthough further investigation is needed, these results underscore the potential to develop a 3D in vitro model that mimics the oral microenvironment, which could be valuable for BTE approaches in vivo studies.

Bioaccumulation and health risks of chromium and cadmium in <em>Basella alba</em> with emphasis on Urea, muriate of potash and triple super phosphate mixtures

Basella alba is a commonly consumed green leafy vegetable in South Asian countries and it is considered as an economical source of essential vitamins and dietary fibers. Urea, muriate of potash (MOP) and triple super phosphate (TSP) mixture is the most commonly used inexpensive fertilizer mixture in the commercial cultivation of B. alba. This study was conducted to assess the effect of using a mixture of Urea-MOP-TSP on the bioaccumulation potential of cadmium (Cd) and chromium (Cr) by the leaves of B. alba. Pots treated with the Urea-MOP-TSP mixture and compost were maintained in a greenhouse with controlled light and temperature settings. The concentrations of Cd and Cr in the root zone soil, roots and leaves of B. alba were analyzed using an Atomic Absorption Spectrophotometer after acid digestion. The health risk of consuming B. alba was evaluated using the daily intake of metals, health risk index and cancer risk index. The results showed that Cd and Cr can bioaccumulate in the leaves of B. alba. The bioaccumulation potential of Cr was higher than that of Cd. Although the daily intake of Cd and Cr from B. alba were below the maximum values stipulated by the WHO, the cancer risk index indicated potential cancer risks based on Cd intake due to consumption of B. alba cultivated using the Urea-MOP-TSP mixture. Furthermore, the health risks associated with the hyper-accumulation of Cd and Cr in the edible parts of B. alba cultivated using compost were significantly less compared to that of the plants treated with the Urea-MOP-TSP mixture. Therefore, if B. alba is cultivated using chemical fertilizer, it is recommended to regularly monitor the concentrations of Cd and Cr in the cultivation soil, chemical fertilizer and in the edible parts of B. alba to prevent the excessive buildup of Cd and Cr along the food chain. In addition, it is recommended to identify the potential microbial assemblages that can be inoculated to the cultivation soil to reduce the bioavailability of Cd and Cr.

Algal EPS modifies the toxicity potential of the mixture of polystyrene nanoplastics (PSNPs) and triphenyl phosphate in freshwater microalgae Chlorella sp.

Triphenyl phosphate (TPP) and polystyrene nanoplastics (PSNPs) are prevalent freshwater contaminants obtained mainly from food packaging, textiles and electronics. Algal extracellular polymeric substances (EPS), a part of natural organic matter, may influence these pollutants' behaviour and toxicity. The presence of EPS can enhance the aggregation of TPP-PSNP mixtures, and reduce the bioavailability, and thus the toxicity potential. Understanding the mutual interactions between TPP, PSNPs, and EPS in the aquatic environment is a prerequisite for the environmental risk assessment of these chemicals. The study examines the toxicity effects of various surface-modified PSNPs (1 mg/L of plain, animated, and carboxylated) and TPP (0.05, 0.5, and 5 mg/L) in pristine and combined forms on freshwater microalgae, Chlorella sp., as a model organism. The physical-chemical interactions of algal EPS (10 mg/L) with PSNPs and TPP and their mixtures were studied. The toxicity potential of the PSNPs was estimated by quantifying growth inhibition, oxidative stress, antioxidant activity, and photosynthesis in the cells. TPP toxicity increased in the presence of the PSNPs, however the addition of algal EPS reduced the combined toxic effects. EPS plays a protective role by reducing oxidative stress and enhancing photosynthetic efficiency in the algal cells. The Pearson modeling analysis indicated a positive correlation between growth inhibition, and reactive oxygen species, malondialdehyde production. The cluster heatmap and correlation mapping revealed a strong correlation among the oxidative stress, growth inhibition, and photosynthetic parameters. The study clearly highlights the potential of EPS in mitigating the risk of mixed emerging pollutants in the aquatic environment.

Highly selective extraction of aluminum from chloride and sulfate solutions using a mixture of alkoxycarboxylic acid and tributyl phosphate

Four different solvent extraction systems are compared for aluminum (Al) separation in the presence of alkali metals, alkaline-earth metals, and transition metals. The octoxyacetic acid (OOA acid) is utilized as an Al extraction reagent for the first time, exhibiting high selectivity for Al. The impacts of the concentration of extractants, the equilibrium pH of the aqueous phase, and the concentration of phase modifier were studied systemically. The results indicate that the Al extraction efficiency using OOA/TBP (tributyl phosphate) system could reach 98.9 ± 0.63 % via a single-step solvent extraction process while maintaining negligible extraction for the other metal ions at the pH value of ∼ 4.2. Meanwhile, the separation factors (β) of Al over magnesium, calcium, manganese, cobalt and nickel reach the maximum values (βAl/Mg = 285157, βAl/Ca = 18275, βAl/Mn = 19271, βAl/Co = 10814, βAl/Ni = 5969). Slope analysis and infrared spectroscopic characterization confirm that the extraction of Al by the OOA/TBP system follows the cation exchange mechanism. The OOA/TBP solvent extraction system is promising for the efficient separation of Al, with potential applications in a wide range of practical scenarios.

Preparation and research of high electromagnetic wave transmission type concrete in 5G frequency band

In urban areas with many buildings, the transmission of 5 G signals can be greatly absorbed or reflected, leading to decreased effectiveness of transmission. To address the issues mentioned above, the functional admixture formed by the mixture of nanocrystalline cellulose (NCC) and diammonium hydrogen phosphate (DAP) is added into concrete in this study, the electromagnetic transmission performance (ETP) and mechanical properties of concrete are enhanced simultaneously for the first time, and the electromagnetic transmission coefficient of concrete is doubled. When NCC and DAP are mixed, the electromagnetic transmission coefficient of concrete improved by 117.65 %-124.35 %, among which, when 0.5 wt% DAP and 4 wt% NCC are mixed, the electromagnetic transmission coefficient of concrete is the highest, and some frequency bands are as high as 70 %, meeting the requirements of electromagnetic wave transmitting materials. In addition, the compressive strength of concrete containing 4 wt% NCC and 0.5 wt% DAP increases by 24.3 % compared to concrete containing only 4 wt% NCC.

Dwell time on tableting: dwell time according to force versus geometric dwell time

Dwell time is an important parameter responsible for the material deformation and the mechanical and biopharmaceutical properties of the tablet. Thus, it is widely used for scale-up purposes. The geometric dwell time (GDT) can be assumed based on the shape of the punch head and the diameter and speed of the turret. This research is aimed to compare compaction simulator-recorded dwell time according to force (DTF) and the GDT calculated for the simulated rotary tablet press using the microcrystalline cellulose and calcium phosphate mixtures (CEOLUS™ UF-711 and DI-CAFOS® A60) in different proportions. Tablets were prepared, and DTF was analyzed with a compaction simulator (STYL’One Nano and Alix software) upon simulating a small rotary press at 70 rpm and a compression pressure of 10–50 kN (100–500 MPa). While GDT comprised of 14.4 ms, DTF was compression force and formulation dependent. The differences between the DTF values of the formulations decreased as the compression force increased, which was most pronounced at compression forces of 10 and 15 kN.

Analytical Method Development and Validation for the Simultaneous Estimation of Evinacumab Injection Formulation by RP-HPLC

This paper describes in detail the RP-HPLC method used to evaluate the content of evinacumab (EVC) in combination with evkeeza injections. The mobile phase used in the assay is a mixture of potassium dihydrogen phosphate and methanol in an isocratic ratio of 70:30 (v/v) on a column Shimpac solar C18, 150*4.6, 5μm column. The flow rate was 1.0 ml/min, isocratic. At 226 nm, the quantification and detection of EVC were done concurrently. It was discovered that the response obtained was linear over the concentration range of 75-225 μg/ml, and the estimated RT in minutes for EVC was 4.063. 1.805 μg/ml was the LOD and 6.017 μg/ml was the LOQ. For the EVC assay, precision was 0.3% RSD and accuracy was 100%.

Analysis of the Behavior of Deep Eutectic Solvents upon Addition of Water: Its Effects over a Catalytic Reaction.

This study presents the potential role of deep eutectic solvents (DESs) in a lipase-catalyzed hydrolysis reaction as a co-solvent in an aqueous solution given by a phosphate buffer. Ammonium salts, such as choline chloride, were paired with hydrogen bond donors, such as urea, 1,2,3-propanetriol, and 1,2 propanediol. The hydrolysis of p-nitrophenyl laureate was carried out with the lipase Candida antarctica Lipase B (CALB) as a reaction model to evaluate the solvent effect and tested in different DES/buffer phosphate mixtures at different % w/w. The results showed that two mixtures of different DES at 25 % w/w were the most promising solvents, as this percentage enhanced the activities of CALB, as evidenced by its higher catalytic efficiency (kcatKM). The solvent analysis shows that the enzymatic reaction requires a reaction media rich in water molecules to enable hydrogen-bond formation from the reaction media toward the enzymatic reaction, suggesting a better interaction between the substrate and the enzyme-active site. This interaction could be attributed to high degrees of freedom influencing the enzyme conformation given by the reaction media, suggesting that CALB acquires a more restrictive structure in the presence of DES or the stabilized network given by the hydrogen bond from water molecules in the mixture improves the enzymatic activity, conferring conformational stability by solvent effects. This study offers a promising approach for applications and further perspectives on genuinely green industrial solvents.

Hydroxyapatite Film with Distinctive Roughness for Simulating the Bone Microenvironment and Revealing the Behavior of Metastatic Mammary Cancer.

Breast cancer is a common malignant tumor arising in normal mammary epithelial tissues. Nearly 75% of the patients with advanced mammary cancer develop bone metastases, resulting in secondary tumor growth, osteolytic bone degradation, and poor prognosis. The bone matrix comprises a highly hierarchical architecture and is composed of a nonmineral organic part, a predominantly type-I collagen, and a mineral inorganic part composed of hydroxyapatite (HA) nanocrystals (Ca10(PO4)6(OH)2). Although there has been extensive research indicating that the material properties of bone minerals affect metastatic breast cancer, it remains unclear how the microenvironment of the bone matrix, such as the roughness, which changes as a result of osteolytic bone remodeling, affects this disease. In this study, we created HA coatings in situ on polyelectrolyte multilayers (PEMs) by incubating PEMs in a mixture of phosphate and calcium ions. The HA films with distinctive roughness were successfully collected by controlling the incubation time, which served as the simulated microenvironment of the bone matrix. MDA-MB231 breast cancer cells were cultured on HA films, and an optimal roughness was observed in the adhesion, proliferation, and expression of two cytokines closely related to bone metastasis. This study contributed to the understanding of the effect of the microenvironment of the bone matrix, such as the roughness, on the metastasis behavior of breast cancer.

Influence of Biphasic Calcium Phosphate Incorporation Into Alginate Matrices

Biphasic calcium phosphate (BCP), containing β-tricalcium phosphate and hydroxyapatite, was synthesized by co-precipitation method to obtain a biomimetic artificial bone-like composite using calcium nitrate tetrahydrate [Ca(NO3)∙4H2O] as calcium precursor and ammonium dihydrogen phosphate (NH4H2PO4) as phosphorous precursor, maintaining Ca/P ratio of 1.67. The synthesized biphasic calcium phosphate mixture was dispersed in a sodium alginate (Alg) matrix dissolved in distilled water and lyophilized. The chemical structure, possible interactions between components and morphology of the obtained powder and scaffolds were studied through Fourier transform infrared (FT- IR) spectroscopy, X-ray diffraction (XRD) thermogravimetric analysis (TGA) and scanning electron microscopy (SEM) in order to observe the interactions between BCP and the polymer. The particle size of the powder was also analyzed using the dynamic light scattering (DLS) analysis. Calcined powder had a particle size of 1.8 �m. In addition to the low crystalline hydroxyapatite (HA), as the main phase in the dried samples, β-tricalcium phosphate (β-TCP) was formed after the thermal treatment of 1000˚C as shown by XRD and FT-IR. The obtained composite material presented a highly porous microstructure with interconnected layers where the BCP particles were well dispersed. The micro-structure of the scaffolds was influenced with the change in pore dimensions and rearrangement of the layers due to the incorporation of the BCP particles and by the treatment of the scaffolds with CaCl2.

Mechanism investigation of food waste compost as a source of passivation agents for inhibiting pyrite oxidation

Pyrite oxidation causes the generation of acid mine drainage (AMD), posing significant challenges in the management of sulfide tailings. Passivation agents such as humic acid have been tested to prevent pyrite oxidation. The potential of using humate rich food waste compost as a source of passivation agents to suppress pyrite oxidation was explored in this study. Batch leaching tests were conducted at room temperature, involved oxidatively leaching a pure pyrite and a pyrite-containing coal refuse sample, respectively, with and without adding the compost at acidic pH. The involved passivation mechanisms were investigated by solution leaching tests and spectroscopic (XPS) and microscopic (SEM) analysis of the pure pyrite sample and its leaching residues. Compared to the control, adding the compost led to the increases in solution pH, removal of the Fe2+/Fe3+ ions from the solutions by adsorption, and remarkable decreases (≥58 %) in sulfur concentration in both samples. Both SEM and XPS analysis indicated that a coating layer was successfully established on pyrite surface after being leached in the presence of the compost. The coating layer comprised a mixture of organic species (e.g., O-CO and N-H/C groups) and phosphate, potentially improving the likelihood of providing antioxidant protection over acidic pH. As a low-cost material, food waste compost can benefit the source control of AMD not only in terms of its surface passivation, but also its intrinsic alkalinity, metal immobilization, and low environmental risk.

Comparative Analysis of Machine Learning Models for Predicting Viscosity in Tri-n-Butyl Phosphate Mixtures Using Experimental Data

Tri-n-butyl phosphate (TBP) is essential in the chemical industry for dissolving and purifying various inorganic acids and metals, especially in hydrometallurgical processes. Recent advancements suggest that machine learning can significantly improve the prediction of TBP mixture viscosities, saving time and resources while minimizing exposure to toxic solvents. This study evaluates the effectiveness of five machine learning algorithms for automating TBP mixture viscosity prediction. Using 511 measurements collected across different compositions and temperatures, the neural network (NN) model proved to be the most accurate, achieving a Mean Squared Error (MSE) of 0.157% and an adjusted R2 (a measure of how well the model predicts the variability of the outcome) of 99.72%. The NN model was particularly effective in predicting the viscosity of TBP + ethylbenzene mixtures, with a minimal deviation margin of 0.049%. These results highlight the transformative potential of machine learning to enhance the efficiency and precision of hydrometallurgical processes involving TBP mixtures, while also reducing operational risks.

Physicochemical properties of extraction solvents for the advanced recycling of spent nuclear fuel

A comprehensive understanding of solvent physicochemical properties is essential to developing advanced solvent extraction processes, such as Advanced PUREX (Plutonium Uranium Reduction Extraction) and GANEX (Group Actinide Extraction), that can safely and efficiently recycle spent nuclear fuel. The densities, viscosities and surface tensions of binary mixtures of tributyl phosphate (TBP) (0.92–3.66 M) in n-dodecane and N,N-di (2-ethyl hexyl)isobutyramide (DEHiBA) (0.69–2.78 M) in n-dodecane were measured at atmospheric pressure from 278.15 to 333.15 K. Through these measurements, empirical expressions to predict the density and viscosity at any molar composition of these solvents within the studied temperature range were constructed and shown to be in good correlation with all experimental data across the studied variables. The relationship between temperature and viscosity of pure TBP and DEHiBA can be described by the Arrhenius equation for viscosity in the temperature range studied. Surface tension measurements (air-liquid interface) were obtained for varying extractant concentrations between 278.15 and 333.15 K, which showed that DEHiBA acts as a surfactant when mixed with n-dodecane whilst TBP exhibits a higher surface tension than n-dodecane.

Highly bioactive hydroxyapatite coating made by flame spray technique

This research involves fabrication and characterization of flame sprayed hydroxyapatite (HA) coatings on 316 stainless steel substrates where the desirable structure with high porosity can be obtained. Nano-sized HA powder was synthesized and calcined at 600 °C. The subsequent powder was used as feedstock powder for flame spray technique (FS). In-flight particles of HA were spherical with the range of particle size between 3–37 µm. The average coating thickness was 128 µm and the crystalline phases were a mixture of HA and tricalcium phosphate (TCP). Simulated body fluid (SBF) test showed that HA layer was formed after 7 days. Highly bioactive properties were due to high surface area from rough coating and porous structure, which would be beneficial from the flame spray technique. The coating is promising for applications in biomedical field.

A Comparative Study of Calcium Sulfate Alternatives in Compost Production for White Button Mushroom (Agaricus bisporus)

This study explores various potential substitutes for gypsum in the production of compost for white button mushrooms (Agaricus bisporus). During compost preparation, calcium sulfate (CaSO4) was replaced with calcium carbonate (CaCO3), ammonium sulfate ((NH4)2SO4), and monocalcium phosphate (Ca(H2PO4)2). Complete replacement of gypsum with calcium carbonate led to a significant pH increase during the second phase of composting, adversely affecting mushroom mycelium growth. Compost parameters were observed to be similar in scenarios where calcium sulfate was supplemented with calcium carbonate in 8:2 and 6:4 ratios, both with and without the presence of ammonium sulfate, and in 3:1 and 1:1 mixtures of calcium sulfate and monocalcium phosphate, when compared to traditional gypsum-based processes. All experimental compost mixtures yielded comparable mushroom crops in cultivation trials. Notably, the 8:2 mixture of calcium sulfate and calcium carbonate demonstrated superior performance in cultivation trials relative to the 6:4 mixture. However, supplementing these mixtures with ammonium sulfate resulted in similar crop yields. Monocalcium phosphate also emerged as a promising partial gypsum substitute, showing comparable crop production in both 3:1 and 1:1 ratios to the technological optimum. The exploration of alternative calcium sources like calcium carbonate and monocalcium phosphate reflects the adaptability of the industry in response to resource availability challenges. The potential use of byproducts like ammonium sulfate from the composting process itself offers a cost-effective and environmentally friendly approach to compost formulation, underscoring its worldwide relevance.

Fabrication, mechanical, finite element and In vitro evaluation of 3D printed polylactide/biphasic calcium phosphate composite blends

Polylactic acid (PLA) reinforced with biphasic calcium phosphate mixtures were extruded as filaments and subsequently 3D printed into definite shapes in accordance with the ASTM standards. The optimum combination of PLA and BCP to attain a stable 3D printed component has been respectively determined as 80 and 20 wt %. BCP inclusions in the range of 2.5 and 5 wt % in PLA led to a respective upsurge ∼11 % in tensile strength and ∼15 % upsurge in compressive strength than pure PLA. While excess BCP additions led to a decline in the material strength. Further, representative volume element models were developed using the properties of BCP and PLA to build ASTM models for performing Finite element analysis (FEA) under both static and dynamic loading conditions. FEA results specified good uniformity with the experimental mechanical data. In vitro tests ensured the biocompatibility of 3D printed PLA-BCP composites.

On the role of vanadium in the structure and properties of calcium-bismuth-sodium oxyapatite

This study explores the possibility of obtaining solid solutions with the composition Ca8BiNa(PO4)6-x(VO4)xO (0 < x ≤ 6) and investigating their physicochemical and medicobiological properties. Using solid-state synthesis method, only the composition Ca8BiNa(PO4)5·5(VO4)0·5O was obtained, while for other values of x, mixtures of apatite and secondary phases or mixtures of various vanadates and phosphates without the target apatite structure were obtained. The study considers the dimensional crystal chemical factors influencing the possibility of forming solid solutions in a wide range of compositions. The crystal structure of Ca8BiNa(PO4)5·5(VO4)0·5O was refined by the Rietveld method (a = 9.45154(37) Å, c = 6.93659(28) Å, V = 536.638(47) Å3, R-Bragg = 3.718 %) and confirmed by group analysis of the IR spectrum. Standard MTT test showed that this substance is not cytotoxic at dilutions of 1:2 and higher. No bactericidal activity against S. aureus and E. coli cultures was observed.

Phosphate-mediated degradation of organic pollutants in water with peroxymonosulfate revisited: Radical or non-radical oxidation?

Whilst it is generally recognized that phosphate enables to promote the removal of some organic pollutants with peroxymonosulfate (PMS) oxidation, however, there is an ongoing debate as to whether free radicals are involved. By integrating different methodologies, here we provide new insights into the reaction mechanism of the binary mixture of phosphates (i.e., NaH2PO4, Na2HPO3, and NaH2PO2) with peroxymonosulfate (PMS) or hydrogen peroxide (H2O2). Enhanced degradation of organic pollutants and observation of 5,5-dimethyl-1-pyrroline-N-oxide (DMPO) adducts (i.e. DMPOOH and 5,5-dimethyl-2-oxopyrroline-1-oxyl (DMPOX)) with electron paramagnetic resonance (EPR) in most phosphates/PMS system seemly support a radical-dominant mechanism. However, fluorescence probe experiments confirm that no significant amount of hydroxyl radicals (•OH) are produced in such reaction systems. PMS in the phosphate solutions (without any organics) remains relatively stable, but is only consumed while organic substrates are present, which is distinct from a typical radical-dominant Co2+/PMS system where PMS is continuously decomposed. Through density functional theory (DFT) calculation, the energy barriers of the phosphates/PMS reaction processes are greatly decreased when non-radical mechanism dominates. Complementary evidence suggests that the reactive intermediates of PMS-phosphate complex, rather than the free radicals, are capable of oxidizing electron-rich substrates such as DMPO and organic pollutants. Taking the case of phosphate/PMS system as an example, this study demonstrates the necessity of acquisition of lines of evidence for resolving paradoxes in identifying EPR adducts.

Effectiveness of Acupotomy Combined with Epidural Steroid Injection for Lumbosacral Radiculopathy: A Randomized Controlled Pragmatic Pilot Study.

Background and Objectives: This pilot study aimed to evaluate the clinical effectiveness, cost-effectiveness, and safety of acupotomy combined with epidural steroid injection (ESI) in lumbosacral radiculopathy and examine its feasibility for the main study. Materials and Methods: This randomized, controlled, two-arm, parallel, assessor-blinded, pragmatic study included 50 patients with severe lumbosacral radiculopathy who had insufficient improvement after an ESI. Patients were randomized (1:1 ratio) into a combined treatment (acupotomy + ESI, experimental) and an ESI single treatment (control) group. Both groups underwent a total of two ESIs once every 2 weeks; the experimental group received eight additional acupotomy treatments twice a week for 4 weeks. Types of ESI included interlaminar, transforaminal, and caudal approaches. Drugs used in ESI comprised a 5-10 mL mixture of dexamethasone sodium phosphate (2.5 mg), mepivacaine (0.3%), and hyaluronidase (1500 IU). The primary outcome was the difference in changes from baseline in the Oswestry Disability Index (ODI) scores between the groups at weeks 4 and 8. The incremental cost-utility ratio (ICUR) was calculated to evaluate the cost-effectiveness between the groups. Adverse events (AEs) were assessed at all visits. Results: Mean ODI scores for the experimental and control groups were -9.44 (95% confidence interval [CI]: -12.71, -6.17) and -2.16 (95% CI: -5.01, 0.69) at week 4, and -9.04 (95% CI: -12.09, -5.99) and -4.76 (95% CI: -7.68, -1.84) at week 8, respectively. The difference in ODI score changes was significant between the groups at week 4 (p = 0.0021). The ICUR of the experimental group versus the control group was as economical as 18,267,754 won/quality-adjusted life years. No serious AEs were observed. Conclusions: These results demonstrate the potential clinical effectiveness and cost-effectiveness of acupotomy combined with ESI for lumbosacral radiculopathy and its feasibility for a full-scale study. Larger, long-term follow-up clinical trials are needed to confirm these findings.

Trends in flame retardant levels in upholstered furniture and children's consumer products after regulatory action in California

In 2013, California revised its upholstered furniture flammability standard TB 117–2013 to improve fire safety without the need for flame retardant (FR) chemicals. Subsequent legislation (SB 1019) required disclosure of FR content. In 2020 California expanded restriction on FR chemicals to include juvenile products and upholstered furniture (AB 2998). To monitor trends in FR use, and assess the effectiveness of the new regulations, we analyzed 346 samples from upholstered furniture (n = 270) and children's consumer products (n = 76), collected pre- and post-regulatory intervention for added FR chemicals (i.e., ∑FR > 1000 mg/kg). Upholstered furniture samples, collected from products before enactment of the new regulations, had a median FR concentration of 41,600 mg/kg (range: 1360–92,900 mg/kg), with 100% of the foam samples and 13.7% of the textile samples containing ∑FR > 1000 mg/kg. Firemaster formulations (FM 550 and FM 600), a mixture of triphenyl phosphate (TPHP), 2-ethylhexyl-2,3,4,5-tetrabromobenzoate (EH-TBB), bis(2-ethylhexyl)-3,4,5,6-tetrabromophthalate (BEH-TEBP) and a mixture of isopropyl- or tert-butyl-triphenyl phosphates (ITPs or TBPPs), were the most frequently detected FR (34%), followed by tris(1,3-dichloroisopropyl) phosphate (TDCIPP; 25%), TPHP with a mixture of polybrominated diphenyl ethers (BDE-47, 99, 100, 153 and 154; 20%) and tris(2-chloroethyl) phosphate (TCEP; 11%). Upholstered furniture components collected after enactment of the new legislation had a median FR concentration of 2600 mg/kg (range: 1160–49,800 mg/kg, outlier sample 282,200 mg/kg), with 11.9% of the foam samples and no textile samples containing ∑FR > 1000 mg/kg. Of these samples, tris(1-chloro-2-propyl) phosphate (TCIPP) was the most frequently detected FR (55%), followed by TDCIPP (30%) and Firemaster (FM 550, 15%). No PBDEs were detected in the post-regulatory intervention products. Our initial work on children's products showed 15% of the samples contained ∑FR > 1000 mg/kg. In our post- AB 2998 work, no regulated children's product components failed compliance (i.e., ∑FR > 1000 mg/kg).The data confirm successful adoption of the new regulations with most samples in compliance, demonstrating the efficacy of regulatory intervention. Given these results, environmental FR exposure is expected to decrease as older FR treated consumer products are replaced with FR free products.