Safety Threshold Research Articles

Research on pollution identification and safety thresholds based on the olfactory effect on a halogenated hydrocarbon contaminated site

To effectively address odor control issues at sites contaminated with halogenated hydrocarbons, it is essential to establish an odor risk prediction system for evaluating potential risks that may impact future planning. This research focuses on a representative halogenated hydrocarbon-contaminated site, examining the spatial and temporal distribution characteristics of key pollutants in soil gas. By analyzing odor contribution rates, the study identifies significant odorants in soil gas, which enables the derivation of both probabilistic and deterministic safety thresholds for soil and groundwater based on olfactory effects. The findings indicate that 1,1-dichloroethylene, vinyl chloride, chloroform, and 1,1-dichloroethane are prevalent throughout the contaminated site, displaying elevated concentration levels and substantially influencing the overall contamination extent. These substances are highlighted as critical pollutants requiring attention. Correlation analysis (P < 0.05) reveals a strong relationship between the concentrations of vinyl chloride, 1,1-dichloroethane, and chloroform with groundwater depth and air temperature. Additionally, the analysis of odor activity values (OAV) identified 1,1-dichloroethene, 1,4-dichlorobenzene, chlorobenzene, chloroform, and vinyl chloride as key olfactory factors at the site. The corresponding probabilistic safety thresholds are 0.68, 1.65, 0.50, 7.87, and 3.72 mg kg−1 for soil, and 9.29, 3.46, and 1.09, 69.55, and 47.01 mg L−1 for groundwater, respectively. Among them, the odor risks of chlorobenzene and 1,1-dichloroethylene warrant more attention than soil contamination risks; regarding 1,4-dichlorobenzene, it is recommended to concurrently consider odor risks during human health risk assessment; as for vinyl chloride and chloroform, their odor risks can be largely eliminated based on human health-oriented pollution management.

Study on train safety control of high-speed railway bridge under the action of near-fault earthquake

In order to study the effect of the velocity pulse on the dynamic response of the train-bridge system of the high-speed railway simple supported beam bridge, the velocity pulse is simulated by the trigonometric function method and superimposed with the far-field earthquake without pulse to synthesize the pulse with different pulse types, pulse periods and pulse peaks. A 10×\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\ imes$$\\end{document}32m typical high-speed railway simple supported beam bridge is considered an case illustrating study. Then, the dynamic response of train-track-bridge coupling system is calculated by train-track-bridge seismic analysis software TTBSAS. Afterwards, the influence of pulse near-field earthquakes parameters and vertical components on dynamic response of train-bridge system and the safety of the train on the bridge are discussed in detail.The new derailment evaluation index is adopted to evaluate driving safety under earthquakes. The train safety control of simply supported beam bridge under the action of near-field earthquake is studied. The results show that the impact of pulse ground motion on the dynamic response of the train-track-bridge coupling system is significantly higher than that of no-pulse ground motion, especially the impact on the bridge and rail subsystem is more significant than that of train subsystem. Under the excitation of ground motion intensity of 0.05g∼\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\sim$$\\end{document}0.15g, the safe speed threshold of pulse near-field ground motion is smaller than that of far-field ground motion. When the ground motion intensity is 0.20g∼\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\sim$$\\end{document}0.30g, the safe speed threshold of pulse near-field ground motion and far field ground motion is 200km/h. So, the pulse near-field earthquake poses a greater threat to the safety of the train on the bridge than the far-field earthquake. Therefore, the influence of pulse near-field earthquakes should be considered in the seismic design. The research results of this paper can provide theoretitcal support for the design of a high-speed railway bridge in the near-field area.

Profiling and health risk assessment of trace metal contents in bovine tissues: A case study in Gondar City, Ethiopia

This study aimed to determine six trace metal (Cu, Mn, Zn, Cd, Cr, and Pb) concentrations in three bovine tissues (kidney, liver and muscle) from Gondar City abattoir, Ethiopia, and assess associated health risks. Samples were digested with HNO3/HClO4, and metal concentrations were analyzed by Inductively Coupled Plasma Optical Emission Spectroscopy. Zn exhibited the highest concentration in muscle (52.1 mg/kg), whereas Cd was below the LOD (0.6 µg/kg) in all muscle samples. The levels of Cd, Cr, and Mn in liver and kidney tissues, as well as Zn in muscle, exceeded FAO/WHO safety thresholds. Principal component analysis revealed distinct metal accumulation patterns among the tissues where liver is the target organ for accumulation of Pb, Mn and Cu, while kidney appears to be the organ of preference for Cd and Cr accumulation. Zn had the highest chronic daily intake for both children and adults, followed by Cu. Hazard index values for both age groups were below one, indicating no non-carcinogenic risks. However, the incremental lifetime cancer risks and cumulative carcinogenic risks of Cr exceeded the tolerable limit for adults and children, indicating a high cancer likelihood from this trace metal. In contrast, the incremental lifetime cancer risks of Pb for both adults and children were within acceptable limits. In conclusion, cumulative carcinogenic risk values indicate that consuming muscle tissue poses health risks for both adults and children, highlighting the need for stricter cattle feed regulations in the study area to safeguard public health.

Vitamin D and Muscle Status in Inflammatory and Autoimmune Rheumatic Diseases: An Update.

Background and Objectives: Vitamin D is a secosteroid hormone essential for calcium homeostasis and skeletal health, but established evidence highlights its significant roles also in muscle health and in the modulation of immune response. This review aims to explore the impact of impaired vitamin D status on outcomes of muscle function and involvement in inflammatory and autoimmune rheumatic diseases damaging the skeletal muscle efficiency both with direct immune-mediated mechanisms and indirect processes such as sarcopenia. Methods: A comprehensive literature search was conducted on PubMed and Medline using Medical Subject Headings (MeSH) terms: "vitamin D, muscle, rheumatic diseases." Additionally, conference abstracts from The European Alliance of Associations for Rheumatology (EULAR) and the American College of Rheumatology (ACR) (2020-2023) were reviewed, and reference lists of included papers were scanned. The review emphasizes the evidence published in the last five years, while also incorporating significant studies from earlier years, structured by the extent of evidence linking vitamin D to muscle health in the most commonly inflammatory and autoimmune rheumatic diseases encountered in clinical practice. Results: Observational studies indicate a high prevalence of vitamin D serum deficiency (mean serum concentrations < 10 ng/mL) or insufficiency (<30 ng/mL) in patients with idiopathic inflammatory myopathies (IIMs) and polymyalgia rheumatica, as well as other autoimmune connective tissue diseases such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) and systemic sclerosis (SSc). Of note, vitamin D insufficiency may be associated with reduced muscle strength (2 studies on RA, 2 in SLE and 1 in SSc), increased pain (1 study on SLE), fatigue (2 studies on SLE), and higher disease activity (3 studies on IIMs and 1 on SLE) although there is much heterogeneity in the quality of evidence and different associations for the different investigated diseases. Therefore, linked to the multilevel biological intervention exerted by vitamin D, several translational and clinical studies suggest that active metabolites of this secosteroid hormone, play a role both in reducing inflammation, but also in enhancing muscle regeneration, intra-cellular metabolism and mitochondrial function, although interventional studies are limited. Conclusions: Altered serum vitamin D status is commonly observed in inflammatory and autoimmune rheumatic diseases and seems to be associated with adverse muscle health outcomes. While maintaining adequate serum vitamin D concentrations may confer muscle-protective effects, further research is needed to confirm these findings and establish optimal supplementation strategies to obtain a safe and efficient serum threshold.

Deep learning from three-dimensional Lithium-ion battery multiphysics model Part II: Convolutional neural network and long short-term memory integration

Lithium-ion (Li-ion) batteries have emerged as a cornerstone of electric vehicles (EVs), enabling the road transportation towards net zero. The success of electric vehicles largely hinges on the battery performance and safety. It is challenging to test and predict battery performance and safety issues by conventional methods, which are usually time-consuming and expensive, involving significant human and measurement errors. To enable the quick estimation of battery performance and safety, we developed three data-driven machine learning (ML) models, namely a convolutional neural network (CNN), a long short-term memory (LSTM), and a CNN-LSTM to predict battery discharge curves and local maximum temperature (hot spot) under various operating conditions. The developed ML models mitigated data scarcity by employing a three-dimensional multi-physics Li-ion battery model to generate enormous and diverse high-quality data. It was found the CNN-LSTM model outperforms the others and achieved high accuracy of 98.68% to learn discharge curves and battery maximum temperature, owing to the integration of spatial and sequential feature extraction. The battery safety can be improved by comparing the predicted maximum battery temperature against safe temperature threshold. The proposed data development and data-driven ML models are of great potential to provide digital tools for engineering high-performance and safe EVs.

Groundwater health risk assessment and its temporal and spatial evolution based on trapezoidal fuzzy number-Monte Carlo stochastic simulation: A case study in western Jilin province

The United States Environmental Protection Agency (USEPA) Four-step-Method (FSM) is a straightforward and extensively utilized tool for evaluating regional health risks, However, the complex and heterogeneous groundwater environment system causes great uncertainty in the assessment process. Triangular stochastic simulation (TSS) possesses certain advantages in solving uncertainty problems, but its inadequacy with discrete data reveals limitations in this aspect. To solve the above problems, this study proposes to construct trapezoidal fuzzy number-Monte Carlo stochastic simulation (TFN-MCSS) to compensate for the shortcomings of the first two methods. This method adopted trapezoidal fuzzy number (TFN) analysis to comprehensively consider the characteristics of a large dispersion of water quality monitoring data and the uncertainty of the human health risk assessment (HHRA) process. Concurrently, to overcome the subjectivity and uncertainty of artificially determining the interval of TFN in traditional methods, the slope was used to select the most probable interval value (TMPIV) of TFN combined with the α-truncated set technique (α-TST) and MCSS. Based on these, a TFN-MCSS was constructed and applied to groundwater HHRA in western Jilin Province. First, the groundwater chemical characteristic determination and water quality evaluation in western Jilin were performed to identify the main pollution indicators, and the health risk effects of pollutants in groundwater of different aquifers at different time periods on adults and children were evaluated using the TFN-MCSS. The uncertainty and sensitivity were analyzed, and the primary risk control indicators were identified and compared to FSM and TSS. The results reveal that TFN-MCSS was more sensitive to data and could reduce the uncertainty of assessment process. It indicated that over a 10-year period, the health risks associated with unconfined groundwater (UW) and confined water (CW) decreased by greater than 52 %. However, the highest total non-carcinogenic risk index (THI) was 1.3-fold higher than the safety threshold, and this posed a health risk.

Investigating the carcinogenic and non-carcinogenic health hazards of heavy metal ions in Spinacia oleracea grown in agricultural soil treated with biochar and humic acid.

This study addressed the bioaccumulation and human health risk among the consumption of Spinacia oleracea grown in agricultural soil treated with humic acid (189-2310ppm) and biochars (0.00-5.10%.wt). The biochars came from two local feedstocks of rice-husk (RH) and sugar-beet-pulp (SBP) pyrolyzed at temperatures 300 and 600°C. Total concentrations of Cu, Cd, and Ni found in both the soil and biomass/biochar exceeded global safety thresholds. The bioaccumulation levels of HMs in spinach leaves varied, with Fe reaching the highest concentration at 765.27mgkg-1 and Cd having the lowest concentration at 3.31mgkg-1. Overall, the concentrations of Zn, Cd, Pb, and Ni in spinach leaves exceeded the safety threshold limits, so that its consumption is not recommended. The assessment of hazard quotient (HI) for the HMs indicated potential health hazards for humans (HI > 1) from consuming the edible parts of spinach. The biochar application rates of 4.35%wt and 0.00%.wt resulted in the highest (3.69) and lowest (3.15) HI values, respectively. The cumulative carcinogenic risk (TCR) ranged from 0.0085 to 0.0119, exceeding the cancer risk threshold. Introducing 5.10%wt biomass/biochar resulted in a 36% rise in TCR compared to the control. The utilization of humic acid alongside HMs-polluted biochars results in elevated levels of HMs bioaccumulation exceeding the allowable thresholds in crops (with a maximum increase of 49% at 2000ppm humic acid in comparison to 189ppm). Consequently, this raised the HI by 46% and the TCR by 22%. This study demonstrated that the utilization of HMs-polluted biochars could potentially pose supplementary health hazards. Moreover, it is evident that the utilization of HMs-polluted biochars in treating metal-contaminated soil does not effectively stabilize or reduce pollution.

Safety Evaluation for Fabricated Small Box Girder Bridges Based on Fuzzy Analytic Hierarchy Process and Monitoring Data.

During the operation of fabricated small box girder bridges, which face safety issues such as structural degradation and failure, there is an urgent need to propose a safety evaluation method to cope with the possible risks. This article quantitatively evaluates the safety state of a fabricated small box girder bridge in Wuhan City based on Fuzzy Analytic Hierarchy Process (FAHP) and structural health monitoring (SHM) data. Firstly, the FAHP model is established, and stress, deformation, and temperature are selected as evaluation factors. The safety thresholds of stress and deformation are determined by combining the industry specifications and the historical statistical patterns of the massive SHM data. The temperature field of the bridge is simulated and analyzed by combining ANSYS, HYPERMESH, and TAITHREM, and the most unfavorable temperature gradient is determined as a threshold for the safety evaluation. Finally, the scores of indexes of the bridge are determined based on the measured SHM data, which in turn provides a quantitative description of the safety state. The results show that the thresholds determined by the joint industry specifications and the massive SHM data are reasonable; the temperature field simulation model established in this article is consistent with the measured results, and can accurately determine the temperature gradient of the bridge. The safety evaluation result from the FAHP model is the same as the field test results, which verifies the effectiveness and applicability of the proposed method to actual bridge projects.

An In Vivo Assessment of a Novel Temperature Control Flexible Ureteroscope System for Monitoring and Controlling Intrarenal Temperature During Flexible Ureteroscopy

ObjectiveTo evaluate the efficacy of a novel temperature control flexible ureteroscope system in the precise monitoring and control of intrarenal temperature during ureteroscopy. MethodsWe developed a novel temperature control flexible ureteroscope system (PT-Scope), including a temperature-monitoring ureteroscope and a irrigation-suction platform for temperature regulation. A porcine thermometry model was established to observe temperature changes under varying holmium laser powers (10, 20, 30W) and irrigation rates (0, 20, 50 ml/min), utilizing PCN thermometry and PT-Scope measurements, with subsequent evaluation of temperature variations at different distances from the laser fiber tip. A porcine kidney stone model was established while porcine were randomly assigned to two groups: In the temperature control group, PT-Scope was connected to the irrigation-suction platform with temperature regulation, while in the non-temperature control group without temperature regulation. Comparative analysis was performed to evaluate differences in intrarenal temperature between the two groups. ResultsAcross various laser powers and irrigation rates, the temperature measurement capability of the PT-Scope was precise, demonstrating consistency with PCN temperature measurements. The temperature obtained from the PT-Scope reflect the temperature approximately 0.05 cm away from the fiber tip, whereas temperatures close to fiber tip were significantly higher. The peak temperature of the temperature control group vs non-temperature control group were 31.70±2.609℃and 44.37±3.318℃, respectively (p<0.01). The mean temperature of the temperature control group vs non-temperature control group was 27.40±2.107℃ vs 35.9±1.921℃(p <0.01). ConclusionPT-Scope has demonstrated the capability to precisely monitor and control intrarenal temperature within a safe threshold.

Hepatotoxicity of oral exposure to 2-methyl-4-nitroaniline: toxicity prediction and in vivo evaluation

2-Methyl-4-nitroaniline (MNA), an intermediate in the synthesis of azo dyes, is widely distributed in various environmental media and organisms. Although there is speculation regarding MNA’s potential to be hepatotoxic, the underlying mechanisms of its hepatotoxicity and its definitive diagnostic process remain largely unexplored. In this research. In the present study, we initially predicted the toxicity and possible toxic effect pathways of MNA using ProTox-II, and found that MNA binds to the PPARγ receptor (binding energy －6.118 kcal/mol) with a potential PPARγ agonist effect. Subsequently, in vivo exposure evaluation was conducted on Wistar rats to assess the impact of MNA after a 90-day exposure period, by detecting serum biochemical indexes, hematological indexes, urinary indexes, inflammatory factors, liver histopathological observations and liver tissue PPARγ mRNA expression. The results showed that MNA causes liver function abnormalities, liver histopathological changes and inflammatory response, along with a pronounced increase in PPARγ mRNA levels. This study suggests that the hepatotoxic mechanism of MNA may be related to its possible upregulation of PPARγ expression, increased liver dysfunction and inflammatory responses. Based on these results, the benchmark dose lower limit (BMDL) of 1.503 mg/kg for male Wistar rats was also established, providing a vital benchmark for determining the safety threshold of MNA. Our data highlight the hepatotoxic mechanism of MNA and contribute to a better understanding of its potential etiological diagnosis.

Evolution in coeliac disease diagnosis and management.

The traditional gut-centric view of coeliac disease is evolving as immune and genetic insights underscore the central importance of a systemic, T cell immune response to gluten in disease pathogenesis. As the field increasingly recognize the limitations of small intestinal histology as the diagnostic standard, data supporting the accuracy of an immune (serologic) diagnosis of coeliac disease - well demonstrated in children - are growing for adults. Novel biomarkers such as interleukin-2 that identify the gluten-specific T cell demonstrate high sensitivity and specificity for coeliac disease and offer the potential for a diagnostic approach that avoids the need for gluten challenge. Asymptomatic disease and manifestations outside the gut pose considerable challenges for diagnosis using a case-finding strategy and enthusiasm for population screening is growing. The gluten-free diet remains a highly restrictive treatment and there is a paucity of controlled data to inform a safe gluten intake threshold. Ongoing symptoms and enteropathy are common and require systematic evaluation. Slowly-responsive disease is prevalent in the older patient diagnosed with coeliac disease, and super-sensitivity to gluten is an emerging concept that may explain many cases of nonresponsive disease. While there is great interest in developing novel therapies for coeliac disease, no drug has yet been registered. Efficacy studies are generally assessing drugs in patients with treated coeliac disease who undergo gluten challenge or in patients with nonresponsive disease; however, substantial questions remain around specific endpoints relevant for patients, clinicians and regulatory agencies and optimal trial design. Novel immune tools are providing informative readouts for clinical trials and are now shaping their design.

Qualitative and quantitative water investigation of Erin-Ijesha (Olumirin) Waterfall, Erin-Ijesha, Nigeria

This study focused on the assessment of water quality in Erin-Ijesha (Olumirin) Waterfall, a prominent natural attraction in southwestern Nigeria. The physiochemical parameters, heavy metal concentrations, and bacteriological characteristics were examined in the upstream, midstream, and downstream sections, to ensure the resource quality and safety from harm. The results revealed notable variations in water quality. The pH, Total Dissolved Solids, Electrical Conductivity, and Temperature were highest in the midstream while Total Hardness, Alkalinity, salinity, Chloride, sulphate, Phosphate, Nitrate, Calcium, and Magnesium were highest in the downstream section. The physicochemical parameters were within the acceptable limits of World Health Organization (WHO), United States Environmental Protection Agency (USEPA), and the Standard Organization of Nigeria (SON) standards, except the pH, temperature, and Total Hardness were higher than the acceptable limits of 6.5–8.5, <25 °C or >50 °C and 50 mg/L in all the sections. Iron was above the WHO, USEPA, and SON permissible limits of 3.0 mg/L in all the sections of the river while there was no indication of copper, lead, and cadmium. Bacterial contamination, particularly the presence of E. coli, exceeded recommended safety thresholds. The Total Bacterial Count (TBC) exceeded safety limits by 0.1 million cfu/mL in the downstream. The mean of the parameters was higher in some instances, and sometimes lower than the values in the various sections of the river. A significant relationship existed between most physical, chemical, and bacteriological parameters at p < 0.01. The appraisal of water quality in Olumirin Waterfalls emphasizes the need for proactive measures to ensure water safety, preserve ecosystems, and promote responsible water resource management.

Cost-benefit analysis for SHM systems based on minimum detectable parameter change

Value of information (VoI) analysis can be used to assess the benefit of monitoring the health of infrastructure such as bridges and waterway locks. Such information supports decision-making processes, guiding operators towards the best actions for the infrastructure. In recent studies, VoI analysis is integrated with the modeling of the temporal evolution of structural conditions, so that the value of Structural Health Monitoring (VoSHM) can be assessed over the life cycle of the infrastructure. However, none of these studies considers the ability of the measurement system to detect small changes and its impact on the assessment of the VoI. This paper presents an approach to VoI assessment based on the concept of minimum change detectability and Bayesian linear filters. By exploiting a feature of the Kalman filter whereby posterior covariance is independent of observations, it is possible to predict the minimum shift in the mean value of a structural parameter for which its posterior density function would exceed a user-defined safety threshold. By constructing the decision tree and considering the cost of monitoring and maintenance, the value of detecting smaller changes can be estimated, which is the value of early change detection and performing preventive maintenance. As a proof of concept, this approach is applied to assess the VoSHM for a navigation lock built with precast reinforced concrete elements, where the steel bars in the chamber are damaged by fatigue and corrosion. The VoSHM is compared with the VoI associated to other Non Destructive Tests. The paper then discusses the implications of applying Bayesian linear filters in SHM for parameter change detection, the main one being the development of refined scales for structural condition assessment before any data from the changed state is available. Ultimately, the VoSHM is the benefit brought by adopting these refined scales in maintenance management.

Spatial distribution of physicochemical parameters and drinking and irrigation water quality indices in the Jhelum River, Pakistan.

Sustainable management of river systems is a serious concern, requiring vigilant monitoring of water contamination levels that could potentially threaten the ecological community. This study focused on the evaluation of water quality in the Jhelum River (JR), Azad Jammu and Kashmir, and northern Punjab, Pakistan. To achieve this, 60 water samples were collected from various points within the JR Basin (JRB) and subjected to a comprehensive analysis of their physicochemical parameters. The study findings indicated that the concentrations of physicochemical parameters in the JRB water remained within safety thresholds for both drinking and irrigation water, as established by the World Health Organization and Pakistan Environmental Protection Agency. These physicochemical parameters refer to various chemical and physical characteristics of the water that can have implications for both human health (drinking water) and agricultural practices (irrigation water). The spatial variations throughout the river course distinguished between the upstream, midstream, and downstream sections. Specifically, the downstream section exhibited significantly higher values for physicochemical parameters and a broader range, highlighting a substantial decline in its quality. Significant disparities in mean values and ranges were evident, particularly in the case of nitrates and total dissolved solids, when the downstream section was compared with its upstream and midstream counterparts. These variations indicated a deteriorating downstream water quality profile, which is likely attributable to a combination of geological and anthropogenic influences. Despite the observed deterioration in the downstream water quality, this study underscores that the JRB within the upper Indus Basin remains safe and suitable for domestic and agricultural purposes. The JRB was evaluated for various irrigation water quality indices. The principal component analysis conducted in this study revealed distinct covariance patterns among water quality variables, with the first five components explaining approximately 79% of the total variance. Recommending the continued utilization of the JRB for irrigation, we advocate for the preservation and enhancement of water quality in the downstream regions.

Assessing the Role of Transvaginal Sonography in Post-menopausal Bleeding: A Less Invasive Approach to Identify Endometrial Carcinoma.

Background Post-menopausal bleeding (PMB) is a very common complaint seen in current practice. Endometrial carcinoma (EC) commonly presents with PMB. Endometrial biopsy is the tool for definitive diagnosis, but it is invasive. Transvaginal sonography (TVS) is a non-invasive tool that can help us in the initial evaluation of such patients. Methods A prospective observational study was conducted on 76 women with PMB. TVS and histopathological study, along with basic evaluation and investigations, were performed on all participants, followed by necessary treatment and follow-up. Data collected were studied and statistically analyzed. Results A maximum of 27.63% (n=21) of patients had endometrial atrophy causing their PMB. Proliferative endometrium was observed in 21.06% (n=16) of cases, 13.15% (n=10) of women had secretory endometrium, 23.68% (n=18) had simple endometrial hyperplasia, 3.94% (n=3) had complex endometrial hyperplasia without atypia, and another 3.94% (n=3)had complex endometrial hyperplasia with atypia. Further classifying, women with benign hyperplasia included 27.63% (n=21) and those with atypical hyperplasia included 3.94% (n=3). Out of the 5.26% (n=4) patients diagnosed with EC on histopathology, TVS identified carcinoma in75% (n=3) cases. This indicates that the sensitivity and specificity of TVS in detecting EC are 75% and 100%, respectively. The positive predictive value (PPV) is 100%, the negative predictive value (NPV) is 98.63%, and the accuracy is 98.68%. Conclusion If the cut-off for endometrial thickness is set at 4 mm, then TVS proves to be an effective and reliable tool for screening and diagnosing EC. It can thus serve as a safe threshold to screen patients with PMB using TVS.

Dilute concentrations of maritime fuel can modify sediment reworking activity of high-latitude marine invertebrates.

Multiple expressions of climate change, in particular warming-induced reductions in the type, extent and thickness of sea ice, are opening access and providing new viable development opportunities in high-latitude regions. Coastal margins are facing these challenges, but the vulnerability of species and ecosystems to the effects of fuel contamination associated with increased maritime traffic is largely unknown. Here, we show that low concentrations of the water-accommodated fraction of marine fuel oil, representative of a dilute fuel oil spill, can alter functionally important aspects of the behaviour of sediment-dwelling invertebrates. We find that the response to contamination is species specific, but that the range in response among individuals is modified by increasing fuel concentrations. Our study provides evidence that species responses to novel and/or unprecedented levels of anthropogenic activity associated with the opening up of high-latitude regions can have substantive ecological effects, even when human impacts are at, or below, commonly accepted safe thresholds. These secondary responses are often overlooked in broad-scale environmental assessments and marine planning yet, critically, they may act as an early warning signal for impending and more pronounced ecological transitions.

Macroscopic, histological, and microbiological characterization of broiler tibiotarsal joints

To begin to develop a safe and efficient system for broiler condemnation the tibiotarsal joints of 180 carcasses from a commercial slaughterhouse were graded visually from 0 to 5 based on their size and color. Microbiological counts and histological scored were compared with this visual assessment. Avian reovirus (12.7%), Escherichia coli (28.3%), Staphylococcus aureus (18.3%), and Streptococcus spp. (12.7%) but not Mycoplasma spp. was cultured from the joints evaluated. Except for group 5, the bacterial and viral numbers were within the acceptable thresholds for food safety. The control group bacterial count was not statistically different from the other grades. The observed histological lesions were not correlated with the presence of bacteria suggesting a sterile inflammatory process which does not present a risk to public health.

Redesigned Electrodes for Improved Intraoperative Nerve Conduction Studies during the Treatment of Peripheral Nerve Injuries.

Traumatic peripheral nerve injuries (PNI), present with symptoms ranging from pain to loss of motor and sensory function. Difficulties in intraoperative visual assessment of nerve functional status necessitate intraoperative nerve conduction studies (INCSs) by neurosurgeons and neurologists to determine the presence of functioning axons in the zone of a PNI. This process, also referred to as nerve "inching", uses a set of stimulating and recording electrode hooks to lift the injured nerve from the surrounding surgical field and to determine whether an electrical stimulus can travel through the zone of injury. However, confounding electrical signal artifacts can arise from the current workflow and electrode design, particularly from the mandatory lifting of the nerve, complicating the definitive assessment of nerve function and neurosurgical treatment decision-making. The objective of this study is to describe the design process and verification testing of our group's newly designed stimulating and recording electrodes that do not require the lifting or displacement of the injured nerve during INCSs. Ergonomic in vivo analysis of the device within a porcine model demonstrated successful intraoperative manipulation of the device, while quantitative nerve action potential (NAP) signal analysis with an ex vivo simulated "inching" procedure on healthy non-human primate nerve tissue demonstrated excellent reproducible recorded NAP fidelity and the absence of NAP signal artifacts at all points of recording. Lastly, electrode pullout force testing determined maximum forces of 0.43 N, 1.57 N, and 3.61 N required to remove the device from 2 mm, 5 mm, and 1 cm nerve models, respectively, which are well within established thresholds for nerve safety. These results suggest that these new electrodes can safely and successfully perform accurate PNI assessment without the presence of artifacts, with the potential to improve the INCS standard of care while remaining compatible with currently used neurosurgical technology, infrastructure, and clinical workflows.

Enhanced dye degradation using plasma bubbles for the sustainable environmental remediation

This study proposes a novel and eco-friendly approach for wastewater treatment using plasma jet technology under bubble condition. This method allows for the controlled production of highly reactive hydroxyl radicals (OH•) while minimizing unwanted interactions with nitrogen in the air. The presence of bubbles in liquid significantly boosts the diffusion of OH• within the wastewater, leading to a two-fold increase in degradation rate compared to normal condition. The effectiveness of the treatment was confirmed through ultraviolet-visible spectroscopy, which showed a significant decrease in rhodamine B and methyl orange absorbance peaks. Raman spectroscopy further revealed structural changes in both pollutants, indicating successful degradation. Additionally, plasma characteristics like power, electron temperature, and density were monitored to gain deeper insights into the underlying mechanism. Importantly, the process minimizes the formation of harmful secondary pollutants such as ozone and nitrogen oxides. These pollutants were found under concentration of 0.14 mg m−3 which is below established safety thresholds, adhering to World Health Organization guidelines. This research demonstrates that plasma jet treatment in bubble condition not only enhances the degradation efficiency of pollutants in wastewater but also minimizes the formation of harmful byproducts. This represents a significant breakthrough in developing sustainable wastewater treatment technologies.

Low Nirmatrelvir and Ritonavir Exposure through Breastmilk: Analyzing Milk Concentrations and Infant Risk.

This research study investigates the intricate relationship among COVID-19, maternal and infant health, and breastfeeding practices, with a specific focus on assessing the transfer of nirmatrelvir and ritonavir into human milk. Our aim is to provide critical insights to those managing COVID-19 treatment in lactating individuals. The InfantRisk Center Human Milk Biorepository contained human milk and corresponding health information for eight mother-infant dyads exposed to standard doses of maternal nirmatrelvir with ritonavir (300 mg nirmatrelvir and 100 mg ritonavir taken orally twice daily for 5 days). The primary outcomes measured were drug levels in milk using liquid chromatography-mass spectrometry and reporting the tolerance of the breastfed infant. Nirmatrelvir with ritonavir was measurable in all participants at a mean concentration of 33.48 ng/mL (ritonavir) and 729 ng/mL (nirmatrelvir). The estimated infant dose via milk was 0.0024 mg/kg/12 h (ritonavir) and 0.054 mg/kg/12 h (nirmatrelvir). The estimated relative infant dose was 0.19% (ritonavir) and 1.43% (nirmatrelvir) well under the standard 10% safety threshold. Among the eight infants exposed in this study, there were no reported adverse events. Nirmatrelvir with ritonavir is the recommended treatment for ambulatory COVID-19 patients with mild-to-moderate COVID-19 infection at high risk for progression to severe disease. Although its use is recommended in lactating women, there are no previous studies on the transfer of nirmatrelvir into human milk. The study findings endorse the current approach of nirmatrelvir/ritonavir use in lactating women and encourage healthcare providers to consider prescribing this treatment irrespective of lactation status when indicated.