Relative Risk Assessment Research Articles

The risk factors of heart failure in elderly patients with hip fracture: what should we care

BackgroundHeart failure is a common adverse postoperative complication in elderly patients. It is necessary to explore the risk factors of heart after the operation of elderly patients with hip fracture during hospitalization.MethodsPatients with hip fractures admitted to our hospital from January 1, 2019 to December 31 2020 were included, all the patients received internal fixation surgery. The characteristics of patients with and without postoperative heart failure were compared. Multivariate logistic regression analyses were applied to analyze the risk factors of heart failure in elderly patients with hip fracture.ResultsA total of 283 patients with hip fractures were included, the incidence of heart failure was 12.37 %. There were significant differences in the age, hypertension, anemia hypoalbuminemia and duration of surgery between heart failure and no heart failure group(all p < 0.05). There were no significant differences in the gender, BMI, diabetes mellitus, hyperlipidemia, history of heart failure, cognitive dysfunction, type of fracture, preoperative oxygen saturation, white blood cell count, platelet count, red blood cell count, creatinine, alanine aminotransferase, aspartate aminotransferase and estimated blood loss during surgery between heart failure and no heart failure group(all p > 0.05). Logistic regression analyses indicated that age ≥ 70y(OR2.446, 95% CI1.044 ~ 4.149), hypertension(OR2.152, 95% CI1.125 ~ 4.023), anemia(OR3.094, 95% CI1.294 ~ 5.907), hypoalbuminemia(OR2.377, 95% CI1.205 ~ 4.537), duration of surgery ≥ 120 min(OR1.683, 95% CI1.094 ~ 2.782) were the risk factors of heart failure in elderly patients with hip fracture(all p < 0.05).ConclusionsThe incidence of postoperative heart failure in elderly patients with hip fracture is relatively high, which is the result of a combination of high-risk factors. Peri-period risk assessment and prevention of related risks are the keys to a good prognosis for patients.

Modelling presence versus abundance for invasive species risk assessment

AbstractAimInvasive species prevention and management can be guided by comparisons of invasion risk across space and among species. Species distribution models are widely used to assess invasion risk and typically estimate suitability for species presence. However, suitability for presence may not capture patterns of abundance and impact. We asked how models estimating suitability for presence versus suitability for abundance aligned in their implications for risk assessment.LocationWestern United States.MethodsWe developed ensembles of species distribution models for presence and for abundance for four invasive plants. We visualized the distribution of presence and abundance in environmental and geographic space and compared model outputs using criteria relevant for decision‐making: a comparison of risk across management units for each species, and a ranking of risk among species for each management unit.ResultsWe found good overall agreement between models of presence versus abundance in the relative risk across management units and among species. However, the area predicted to be suitable for invasive species presence was often substantially higher than the area predicted to be suitable for abundance, especially within uninvaded management units.Main conclusionsModels of suitability for invasive species presence and abundance yielded similar assessments of relative risk in comparisons across space and species. In addition, we found patterns of presence and abundance in environmental space can guide modelling decisions and model interpretation. Suitability for abundance can improve relative risk assessment when abundance locations occupy a well‐defined subset of the environmental space corresponding to presence. Where abundance locations occur throughout this environmental space, as was particularly striking for Taeniatherum caput‐medusae, suitability for presence may better reflect risk of ongoing population increases and spread. This species is at risk of becoming abundant across a substantial portion of the western United States.

Effect of body size and enhanced helmet systems on risk for motorsport drivers

Objective Computational modeling has been shown to be a useful tool for simulating representative motorsport impacts and analyzing data for relative injury risk assessment. Previous studies have used computational modeling to analyze the probability of injury in specific regions of a 50th percentile male driver. However, NASCAR drivers can represent a large range in terms of size and female drivers are becoming increasingly more common in the sport. Additionally, motorsport helmets can be outfitted with external attachments, or enhanced helmet systems (EHS), whose effect is unknown relative to head and neck kinematics. The current study expands on this previous work by incorporating the F05-OS and M95-OS into the motorsport environment in order to determine correlations between metrics and factors such as PDOF, resultant ΔV occupant size, and EHS. Methods A multi-step computational process was used to integrate the Global Human Body Models Consortium family of simplified occupant models into a motorsport environment. This family included the 5th percentile female (F05-OS), 50th percentile male (M50-OS), and 95th percentile male (M95-OS), which provide a representative range for the size and sex of drivers seen in NASCAR’s racing series’. A series of 45 representative impacts, developed from real-world crash data, and set of observed on-track severe impacts were conducted with these models. These impacts were run in triplicate for three helmet configurations: bare helmet, helmet with visor, helmet with visor and camera. This resulted in 450 total simulations. A paired t-test was initially performed as an exploratory analysis to study the effect of helmet configuration on 10 head and neck injury metrics. A mixed-effects model with unstructured covariance matrix was then utilized to correlate the effect between five independent variables (resultant ΔV, body size, helmet configuration, impact quadrant, and steering wheel position) and a selection of 25 metrics. All simulations were conducted in LS-Dyna R. 9.1. Results Risk estimates from the M50-OS with bare helmet were used as reference values to determine the effect of body size and helmet configuration. The paired t-test found significance for helmet configuration in select head-neck metrics, but the relative increase in these metrics was low and not likely to increase injury risk. The mixed-effects model analyzed statistical relationships across multiple types of variables. Within the mixed-effects model, no significance was found between helmet configuration and metrics. The greatest effect was found from resultant ΔV, body size, and impact quadrant. Conclusions Overall, smaller drivers showed statistically significant reductions in injury metrics, while larger drivers showed statistically significant increases. Lateral impacts showed the greatest effect on neck metrics and, on average, showed decreases for head metrics related to linear acceleration and increases for head metrics related to angular velocity. HBM parametric studies such as this may provide an avenue to assist injury detection for motorsport incidents, improve triage effectiveness, and assist in the development of safety standards.

Managing the risk and challenges of COVID-19 on construction sites in Lagos, Nigeria

PurposeThe novel COVID-19 pandemic has increased the risk in construction operations. New systems are, thus, required on construction sites to mitigate the risk and challenges associated with the pandemic. This paper aims to determine construction organisations risk control systems and the challenges of implementing safety measures on construction sites.Design/methodology/approachThe study adopted a qualitative research method. A purposive sampling method was used to select study participants, who were administered open-ended questionnaires designed to gather qualitative data. The contents of the data were analysed, presented and reported based on the objectives of the study.FindingsSome of the construction organisations conducted COVID-19 related risk assessments, whilst a few organisations did not conduct a risk assessment. Inspections to ensure COVID-19 compliance was done by government officials, health organisations and client’s health and safety officers. The construction organisations demonstrated considerable competence in record keeping and some organisations further evolved a follow-up plan for sick workers. The study found that some construction practitioners had misconceptions about the disease, used COVID-19 personal protective equipment incorrectly and lack adequate information about the virus. It is required that construction stakeholders evolve policies and strategies that would promote risk control and foster compliance to COVID-19 safety measures.Originality/valueCOVID-19 is still new, therefore, the body of knowledge is still at the infancy stage. This paper provided insight into the COVID-19 related risk and challenges that may increase the rate of virus infection amongst construction practitioners.

A review of thermal properties of timber and char at elevated temperatures

Timber is one of the most frequently adopted combustible materials in the built environment. The thermal properties are the determining factors for assessing the fire risk in a building. The main thermal properties of timber and their char are reviewed, especially those temperature-dependent and moisture-dependent properties, including kinetic properties, ignition properties, thermal conductivity, specific heat capacity, effective heat of combustion and thermal diffusivity. The study has collected and summarized various thermal properties data and empirical models of hardwood and softwood with different mass percentages in cellulose, hemicellulose and lignin, as temperature increases. The average ignition temperature and effective heat of combustion of softwood are about 12.9% and 9.5% higher than those of hardwood, respectively. From most of the previous models, the thermal conductivity of timber char increases as temperature rises. Cellulose with a high density shows a higher thermal conductivity, but its impacts on the specific heat capacity are limited. Models to predict the main thermal properties of the hardwood, softwood and char are recommended. The collected data, together with those empirical models, can provide useful data resources and tools for the related fire risk assessments.

Reforestation Impacted Soil Heavy Metal Fractionation and Related Risk Assessment in the Karst Area, Southwest China

Human agricultural activities have resulted in widespread land degradation and soil contamination in the karst areas. However, the effects of reforestation after agricultural abandonment on the mobility risks and contamination of heavy metals have been rarely reported. In the present study, six soil profiles were selected from cropland and abandoned cropland with reforestation in the Puding karst regions of Southwest China. The Community Bureau of Reference (BCR) sequential extraction method was used to evaluate the compositions of different chemical fractions of soil heavy metals, including Fe, Mn, Cr, Zn, Ni, and Cd. The total contents of Cr, Ni, Zn, Cd, and Mn in the croplands were significantly higher than those in the abandoned croplands. For all soils, Cr, Ni, Zn, and Fe were mainly concentrated in the residual fractions (&gt;85%), whereas Mn and Cd were mostly observed in the non-residual fractions (&gt;65%). The non-residual fractions of Cd, Cr, Ni, and Zn in the croplands were higher than those in the abandoned croplands. These results indicated that the content and mobility of soil heavy metals decreased after reforestation. The individual contamination factor (ICF) and risk assessment code (RAC) showed that Cd contributed to considerable contamination of karst soils. The global contamination factor (GCF) and potential ecological risk index (RI) suggested low contamination and ecological risk of the investigated heavy metals in the croplands, moreover they can be further reduced after reforestation.

Microbiological Contamination of Ready-to-Eat Algae and Evaluation of Bacillus cereus Behavior by Microbiological Challenge Test

Consumption of seaweeds (forms of algae), often categorized as a superfood, is becoming popular in western countries. Algae can be marketed fresh, but are usually sold dehydrated to ensure longer shelf life. Their consumption, often as ready-to-eat, opens up possible risks for public health because of foodborne pathogens that can contaminate the raw material during harvesting or manipulation. In this study, 14 ready-to-eat foods based on dehydrated algae, representative of the most consumed species, were considered. The microbial content, with a focus on Listeria monocytogenes and Bacillus cereus, was investigated by plate counts, and B. cereus strains were isolated and identified by 16S rRNA gene sequencing. The microbiological quality was heterogeneous among the samples and, in particular, marine bacteria, Listeria spp., B. cereus, and coliforms were detected. To contribute to related risk assessment, the ability of B. cereus to grow during refrigerated storage was evaluated, to our knowledge for the first time, by a microbiological challenge test on two ready-to-eat foods based on Undaria pinnatifida and Palmaria palmata. Despite this study demonstrating the inability of B. cereus to proliferate in seaweed-based food, its presence in dehydrated foodstuffs cannot rule out replication after rehydration before consumption, making it necessary to elucidate the possible risks for consumers.

Effect of dietary vitamins C and E on the risk of Parkinson's disease: A meta-analysis

A neuroprotective effect of dietary vitamins C and E on Parkinson's disease (PD) has been suggested, however, several human studies have reported controversial results. Therefore, we conducted a meta-analysis on the effect of vitamins C and E on the risk of Parkinson's disease.A comprehensive literature search was conducted using the PubMed, EMBASE, Cochrane Library, and SCOPUS databases for studies published up to January 23, 2021. We included studies that reported (1) intake of vitamins C and E using validated methods; (2) assessment of odds ratio (OR), relative risk (RR), or hazard ratio (HR); and (3) patients with PD identified by a neurologist, hospital records, or death certificates. The Comprehensive Meta-Analysis Software 2 program was used for statistical analyses of the pooled data.A total of 12 studies (four prospective cohort and eight case-control studies) were included in our meta-analysis. No significant risk reduction was observed in the high vitamin C intake group compared to low intake group. On the other hand, the high vitamin E intake group showed a significantly lower risk of development of PD than the low intake group (pooled OR = 0.799. 95% CI = 0.721 to 0.885).We conclude that vitamin E might have a protective effect against PD, while vitamin C does not seem to have such an effect. However, the exact mechanism of the transport and regulation of vitamin E in the CNS remains elusive, and further studies would be necessary in this field.

Cardiovascular toxicity incidence following immune checkpoint inhibitors in randomized clinical trials: A systematic review and meta-analysis.

2636 Background: Immune checkpoint inhibitors (ICIs) are widely used in oncology and may be associated with a variety of immune-related toxicities. Cardiovascular (CV) adverse effects (AEs) are underreported in randomized clinical trials (RCTs), and the real risk associated with ICIs use has yet to be defined. Therefore, we aimed to investigate the incidence and risk of cardiovascular toxicities in patients receiving ICIs, using an up-to-date meta-analysis of prospective RCTs. Methods: We conducted a systematic search of the literature from January 1st, 2010 until July 1st, 2020 to identify RCTs testing ICIs for solid tumors, either in monotherapy or in combination between them. Our initial search yielded a total of 21,249 relevant publications. For CV AEs incidence estimation, we included phase III RCTs testing PD-1, PD-L1, CTLA-4 inhibitors or any combination of these agents. For relative risk (RR) assessment, we included phase II or phase III RCTs testing the same agents and with placebo or best supportive care (BSC) as the comparator. Data were extracted by independent reviewers following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. CV AEs were categorized based on the Common Toxicity Criteria (CTCAE) and stratified by ICIs type. Analyses were conducted using random effects model. Results: After screening and eligibility assessment, a total of 21,118 patients (67 cohorts from 57 trials) were available for this meta-analysis. We categorized the cohorts by ICIs regimen as monotherapy with a PD-1 inhibitor (35 cohorts; 10,241 patients), PD-L1 inhibitor (12 cohorts; 3,755 patients), CTLA-4 inhibitor (11 cohorts; 4,135 patients), and combination therapy (9 cohorts; 2,987 patients). Incidence measures are described in the table. Deaths from any CV cause occurred in 0.20% of the patients (95%CI 0.10%; 0.20%). For RR analysis, we included 12 cohorts from 11 RCTs. Risk of experiencing all grade AEs was numerically higher among patients who received ICIs than placebo or BSC (RR 1.16; 95%CI 0.98; 1.37; p=0.09). When only grade 3-5 CV AEs were considered, ICIs were associated with increased risk (RR 1.36; 95%CI 1.06; 1.73; p= 0.01). Additional analyses were conducted to estimate the RR of individual CV AEs including arrhythmia, cardiac arrest, heart failure, stroke, hypertension, myocardial infarction, myocarditis, pericardial events, and thromboembolic events. None of the analysis identified a significant additional risk. Conclusions: This meta-analysis corroborates the preclinical rationale of worsen CV risk related to ICIs use.[Table: see text]

Risk Assessment during Covid-19 and Learning from Home: Evidence from University Students in Indonesia

COVID-19 pandemic has become an international concern. Policies to prevent the spread of disease, such as learning from home, are applied to university students. The present study examines the risk assessment in relation to physical, mental, and psychosocial condition of Indonesian students toward COVID-19 and learning from home. This study involves 838 Indonesian students. A questionnaire consisting of demographic data and constructs from a comprehensive literature study regarding COVID-19 related issues and learning from home issues was developed. Most Indonesian student respondents have a good knowledge of COVID-19 and have received accurate information from the government. The anxiety level during COVID-19 is mild. In relation to physical condition, most students reported musculoskeletal symptoms in the neck, shoulder, and back areas. The respondents conduct preventive behavior against COVID-19 spread, with lack of physical exercise. In relation to mental and psychosocial condition. In relation to mental and psychosocial condition, respondents report moderate mental workload and proper social support from lecturers and friends. In conclusion, most Indonesian university students have a good knowledge and proper attitudes toward COVID-19 and learning from home, which are important in combating and passing through the pandemic.

Determination of 40 Elements in Powdered Infant Formulas and Related Risk Assessment.

The aim of the study was to analyze all powdered infant formulas authorized and commercialized in Italy at the time of the study to measure the concentrations of 40 elements, and to estimate the infants’ intake of some toxic heavy metals for assessing possible related health risks. For this purpose, an optimized multi-element method was used through inductively coupled plasma mass spectrometry. Be, B, Al, Zr, Nb, Sb, Te, W, V, Cr and As concentrations were <LOD in more than 30% of samples. The levels of the other elements resulted to be very variable (more than 2000 µg g−1 for Ca and K or less than 1 ng g−1 for others). The results were similar to those reported by other European Union (EU) studies, but different from those recovered outside the EU. These differences should be eliminated to guarantee the right to health worldwide. The concentrations of Cd, Mn, Ni, Pb, and Zn in the infant formulas studied were always below the considered limits. However, it is important to check for potentially toxic elements in infant formulas to protect the health of this sensitive population. The data found in this study could be used as benchmark data for future research.

Drug Safety in Translational Paediatric Research: Practical Points to Consider for Paediatric Safety Profiling and Protocol Development: A Scoping Review.

Translational paediatric drug development includes the exchange between basic, clinical and population-based research to improve the health of children. This includes the assessment of treatment related risks and their management. The objectives of this scoping review were to search and summarise the literature for practical guidance on how to establish a paediatric safety specification and its integration into a paediatric protocol. PubMed, Embase, Web of Science, and websites of regulatory authorities and learned societies were searched (up to 31 December 2020). Retrieved citations were screened and full texts reviewed where applicable. A total of 3480 publications were retrieved. No article was identified providing practical guidance. An introduction to the practical aspects of paediatric safety profiling and protocol development is provided by combining health authority and learned society guidelines with the specifics of paediatric research. The paediatric safety specification informs paediatric protocol development by, for example, highlighting the need for a pharmacokinetic study prior to a paediatric trial. It also informs safety related protocol sections such as exclusion criteria, safety monitoring and risk management. In conclusion, safety related protocol sections require an understanding of the paediatric safety specification. Safety data from carefully planned paediatric research provide valuable information for children, parents and healthcare providers.

Variations in the venous supply of the floor of the oral cavity: Assessment of relative hemorrhage risk during surgery.

There is little anatomical evidence about the venous plexus in the floor of the oral cavity, although venous injury can elicit late postoperative bleeding after oral surgery and it is difficult to identify the exact location of such an injury. The aim of this study was to assess the relative risk for venous injury during surgery. We investigated the course patterns of the venous plexus in the floor of the oral cavity and analyzed their relationships to those of the arteries using 23 human cadavers (41 halves) in the anatomy course at Niigata University during 2016-2018. The venous plexus in the floor of the oral cavity comprised the perforating submental vein, the vena comitans of the hypoglossal nerve, the vena comitans of the submandibular duct, the vena comitans of the lingual nerve, the sublingual vein, and the deep lingual vein. Individual variations of this plexus include duplications or absences of some veins. There is a high incidence of a submental branch running above the mylohyoid or perforating submental artery in the sublingual fossa among individuals with the perforating submental vein piercing the mylohyoid muscle, whereas the sublingual artery has a high incidence there when there is no perforating submental vein. The course patterns of arteries in the floor of the oral cavity can be predicted by estimating the course patterns of the submental veins. The course patterns of the submental veins or veins associated with the nerves and submandibular duct need to be carefully considered during surgery.

Toxicity Testing by the Microbial Assay for Risk Assessment (MARA) in Relation to Trace Elements Content in King Bolete (Boletus edulis) Collected in Several Sites of Poland

Boletus edulis (King bolete) is one of the most consumed wild mushrooms on a global scale, but this is particularly the case in Poland. Several studies have reported that mushrooms accumulate many potentially toxic elements (PTEs) such as Hg, Pb, and Cd, which may lead to adverse effects. Therefore, in this preliminary study, an assessment of the potential of a microbial assay for risk assessment (MARA) for ecotoxicological testing of both dried samples of fruiting bodies of King bolete collected from several sites of Poland and water extracts of mushrooms being tested were analyzed. An evaluation of MARA response in Boletus edulis extracts was performed to identify their toxicity and then, using the same samples, instrumental determination of 10 elements (Al, As, Cd, Cr, Cu, Fe, Hg, Ni, Pb, and Zn) was performed. In general, the MARA responses indicated that the samples were only slightly toxic or nontoxic. Similarly, most of the PTEs were not detected in all dried samples of the fruiting bodies of King bolete. However, the analysis of digested samples (total content) proved that the elements’ content in water extracts was markedly lower than in dried fruit bodies. It implies that the MARA test corresponded better to the elements that are well extracted in water. Therefore, the MARA system can be applied for toxic identification if the targeted toxin is highly extracted in water. Further and more detailed research is still needed to develop reliable approach in order to evaluate the ecotoxicity in food-related bio-based raw materials using the MARA assay.

Effect of arsenic-contaminated irrigation water on growth and elemental composition of tomato and cabbage cultivated in three different soils, and related health risk assessment

This study was carried out to determine the effect of arsenic on tomato and cabbage cultivated in sand, sandy silt, and silt soil, and irrigated with water containing arsenic at concentrations 0.05 and 0.2 mg/L. Increasing arsenic in irrigation water did not affect the photosynthetic machinery. The chlorophyll content index increased in case of all soils and was dependent on the soil nitrogen, phosphorous, and plant biomass. Arsenic concentrations of 0.05 and 0.2 mg/L did not display any phytotoxic symptoms other than reduction in biomass in some cases. In cabbage, arsenic treatment of 0.2 mg/L increased the overall plant biomass production, while in tomato there was a decrease in aerial part and fruit biomass. The biomass production of both plants treated with different concentrations of arsenic, in the three soils was in the following order: silt > sand > sandy silt. Increase of arsenic in the irrigation water resulted in increase in arsenic concentration in the root and aerial part of both plants, at the same cultivation parameters. But tomato fruits displayed a decrease in arsenic accumulation with higher arsenic treatment. In both plants, the arsenic concentration in the plant parts changed in the following order: root > aerial part > fruit. Cabbage accumulated approximately twenty-fold more arsenic in the edible part (0.10–0.25 mg/kg DW) as compared to tomato (0.006–0.011 mg/kg DW) and displayed a good correlation with soil extractable arsenic. When cabbage was cultivated in three different soils applying the same irrigation water, it accumulated arsenic in the following order: sand > sandy silt > silt (p < 0.001 at 0.05 mg/L and p < 0.01 at 0.2 mg/L arsenic treatment). In tomato, the difference in arsenic accumulation among different soil types was highly significant (p < 0.001) but the accumulation pattern varied with the arsenic treatment applied. Sandy soil with the lowest total soil arsenic (4.32 mg/kg) resulted in the highest arsenic concentration in both plants. Among all soils and plants, the transfer factors and bioaccumulation factors were higher in sandy soil, and in cabbage. The estimated daily intake and hazard quotient values for arsenic were lower than 1 in all cases, implying no non-cancerous health risks at the arsenic concentrations applied in our study. Among nutrients only P showed a slight decline with increasing arsenic concentration while all other elements (Mg, K, Ca, S, Si, Fe, Mn, Cu, Zn) did not display any significant changes.

Preliminary Health Risk Assessment in Relation to Some Trace Elements in Ogunpa River, South-Western Nigeria

Ogunpa River receives municipal and industrial waste discharge from its catchments and these have depleted the quality of the water. Hence, this research examines the preliminary environmental impacts and health implications of some trace elements in the water using Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) laboratory technique. Average values of Al, Ba, Fe, Mn, Ni and Pb are above the recommended limits of WHO. The CF showed that the trace elements varied from considerable contamination factor to very high contamination factor and the degree of contamination varied from 1023 to 11640. The hazard quotient computed for the adults is generally less than unity except Pb that has average value of 1.27. In children, the computed hazard quotient on the average ranges from 0.000572 to 4.04. Al, As, Ba, Cr, Cu, Ni, Zn and Cd have their average values less than unity respectively, while Fe, Mn and Pb has their average values greater than one. The Hazard Index (HI) in adults and children are greater than one. Carcinogenic risk assessment was computed for Cr, Pb and Cd which was greater than 10-6 in children and adult. Only Cd in adult was less than the prescribed limit of 10-6. Effort should be made to checkmate indiscriminate dumping of refuse and sewages into the water body as these could serve as pollutants to other adjourning rivers and main water bodies. In conclusion, the water is not fit for domestic, agricultural and probably industrial uses because of its health implications on consumption

Crisis Concept Re-loaded?—The Recently Described Suicide-Specific Syndromes May Help to Better Understand Suicidal Behavior and Assess Imminent Suicide Risk More Effectively

Background: Despite of the decreasing suicide rates in many countries, suicide is still a major public health concern worldwide. Traditional suicide risk factors have limited clinical predictive value, as they provide little reliable information on the acute psychological processes leading to suicide.Aims: The aim of this analysis is to describe and compare the recently introduced two suicide-specific syndromes [Acute Suicidal Affective Disturbance (ASAD) and Suicidal Crisis Syndrome (SCS)] with the classic psychological features of pre-suicidal crisis and also to assess the clinical utility of the new suicide prediction scales in contrast to classical risk factors.Method: Conceptual analysis.Results: Suicide-specific syndromes are not novel in terms of symptomatology or dynamics of symptom onset, but in their use of well-defined diagnostic criteria. In addition to symptomatic classification, they also provide an opportunity to objectively measure the current pre-suicidal emotional and mental state by validated tools.Limitations: Future studies need to be completed to prove the reliability and predictive validity of suicide-specific diagnostic categories and the related suicide risk assessment tools.Conclusion: Clinical use of suicide-specific syndromes is suggested. This transdiagnostic approach not only enables a more accurate and objective assessment of imminent suicide risk, but also facilitates research in neuroscience, which represent a major step forward in managing and complex understanding of suicidal behavior.

Effect of hydrogeological conditions on groundwater nitrate pollution and human health risk assessment of nitrate in Jiaokou Irrigation District

Nitrate pollution in groundwater and related human health risk assessment are crucial to ensure groundwater quality safety. In this study, the grey water footprint (GWF), DRASTIC model, and human health risk assessment (HHRA) model were used to investigate the status of nitrate pollution, analyze the effect of hydrogeological conditions on groundwater nitrate pollution, and evaluate the human health risk of nitrate in the Jiaokou Irrigation District, China. The results show that the maximum and average NO3− concentrations in the Jiaokou Irrigation District were 895 and 170.73 mg/L and the over-standard rate (>20 mg/L) was over 80% (82.09%). High NO3− concentration was mainly distributed in the cultivated land. The GWF results indicate that the wastewater absorption was insufficient to bear actual pollution in this region, requiring freshwater between 0.1 × 108 m3 and 105.8 × 108 m3 to dilute the nitrate to a safe concentration. The aquifers with high vulnerability levels were observed in the central and eastern parts, which are mainly related to depth to water table (D), net recharge (R), soil media (S), impact of vadose zone (I), and hydraulic conductivity (C). High NO3− pollution in an area is generally caused by high aquifer vulnerability. Additionally, the human health risk assessment shows that the health risks for pregnant women and breastfeeding women were higher than the health risks for children in the 10–16 years age group and > 16 years of age. This research provides a basis for policy-makers to take appropriate measures for protecting groundwater from nitrate pollution.

Arsenic transfer along the soil-sclerotium-stroma chain in Chinese cordyceps and the related health risk assessment.

BackgroundChinese cordyceps (Lepidoptera: Ophiocordyceps sinensis)is a larval-fungus complex. The concentration and distribution of arsenic (As) may vary during the stroma (ST) germination process and between the sclerotium (SC) and the ST. The soil-to-Chinese cordyceps system is an environmental arsenic exposure pathway for humans. We studied the As concentration in the soil, the SC, and the ST of Chinese cordyceps, and performed a risk assessment.MethodsSoil and Chinese cordyceps samples were collected from the Tibetan Plateau in China. The samples were analyzed for the total As concentration and As species determination, which were conducted by inductively coupled plasma mass spectrometry (ICP-MS) and HPLC-ICP-MS, respectively.ResultsThe concentration of total As in the soil was much higher than in SC and ST. The major As species in the soil was inorganic AsV. In SC and ST, organic As was predominant, and the majority of As was an unknown organic form. There are significant differences in the As distribution and composition in soil, SC, and ST. Our risk assessment indicated that chronic daily ingestion was higher than inhalation and dermal exposure in children and adults. The hazard index (HI) of the non-carcinogenic and cancer risks (CR) for human health were HI ≤ 1 and CR < 1 × 10−4, respectively.ConclusionThe Chinese cordyceps possesses highly-efficient detoxifying characteristics and has a significant role in As transformation during its life cycle. We found that the levels of As in soils from the habitat of Chinese cordyceps were higher than the soil background values in China, but the probability for incurring health risks remained within the acceptable levels for humans.

Modeling of Environmental Fate and Effects of Oil Leakages from Abandoned Subsea Wells Using an Environmental Impact Factor Tool.

Potential environmental consequences of oil leakages (i.e., continuous uncontrolled releases at low flow rate over a long period of time) need to be taken into consideration in the ongoing development of plug and abandonment (P&A) activities on the Norwegian continental shelf. Regulations of P&A wells employ a "zero leakage" target; however, environmental risk monitoring strategies for permanent abandonment are not yet in place. Predicting and estimating the consequences of adverse environmental impacts through a modeling approach can play a key role in evaluating and monitoring environmental risk. In this paper, we present a modeling study of the fate and effects of an oil leakage from abandoned wells using a theoretical scenario on the Norwegian continental shelf. Environmental impact factors (EIFs) derived from the Dose related Risk and Effect Assessment Model (DREAM), previously designed to characterize the effects of produced water discharges, were used to assess impacts of leakages from abandoned wells. Exposure assessments for the EIFs were modified to include specific hydrocarbon contributions derived from different sized oil droplets from the leakages. Because DREAM is not generally used for chronic low-rate oil releases, an update of the database with chronic predicted no-effect concentrations, as input data for effects modeling, was conducted. In general, EIFs became stable after simulations of 30 d. The area from the release site and up to a few hundred meters southward had the most locations of high impact. Chronic exposure and effects on organisms potentially occurred as a steady-state effect over a long period. Risks, at which more than 95% of species will be negatively affected, appeared surrounding the release site, indicating a need for mitigation measures. These results show that the EIF tool can be used for risk management and P&A regulation by identifying potentially harmful leakages. Integr Environ Assess Manag 2021;17:626-638. © 2021 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC).