Frequent Misdiagnosis of Scabies as Eczema in China: A Descriptive Study of 23 Cases

Objective

To outline the clinical manifestations observed in patients with scabies misdiagnosed as generalized eczema, analyse the factors contributing to these misdiagnoses and explore potential reasons for the resurgence of scabies.

Patients and Methods

A retrospective analysis was performed to investigate the patients with scabies misdiagnosed as generalized eczema.

Results

We included 23 patients, with twelve (52.17%) being male and eleven (47.83%) female. The illness duration ranged from 0.5 to 7 months. Among all patients, 12 (52.17%) were residents of nursing homes, 5 (21.74%) were staff members of these facilities, 4 (17.39%) were caregivers of long-term hospitalized relatives, 1 (4.35%) was a construction worker, and 1 (4.35%) had a history of tourism. The rash predominantly affected the trunk and extremities, 12 patients (52.17%) are each involved the perineum and fingers webbings. The presentations included erythema, papules, and nodules. The main complaint of all patients was nocturnal itch. Under direct microscopy, 5 patients (21.74%) tested positive for scabies mites, and 3 (13.04%) showed histopathological features consistent with scabies. All patients were initially misdiagnosed with generalized eczema.

Conclusion

Over half of all patients diagnosed with scabies either resided or worked in long-term care facilities. The lack of awareness of scabies among medical staff in long-term care facilities readily led to frequent misdiagnosis. Comprehensive measures should be implemented urgently to strengthen disease management.

Rates of pulmonary vein reconnection at repeat ablation for recurrent atrial fibrillation and its impact on outcomes among females and males

BACKGROUND

Several studies have demonstrated that females have a higher risk of arrhythmia recurrence after pulmonary vein (PV) isolation for atrial fibrillation (AF). There are limited data on sex-based differences in PV reconnection rates at repeat ablation. We aimed to investigate sex-based differences in electrophysiological findings and atrial arrhythmia recurrence after repeat AF ablation METHODS: We conducted a retrospective study of 161 consecutive patients (32% female, age 65 ± 10 years) who underwent repeat AF ablation after index PV isolation between 2010 and 2022. Demographics, procedural characteristics and follow-up data were collected. Recurrent atrial tachycardia (AT)/AF was defined as any atrial arrhythmia ≥30 s in duration.

RESULTS

Compared to males, females tended to be older and had a significantly higher prevalence of prior valve surgery (10 vs. 2%; P = .03). At repeat ablation, PV reconnection was found in 119 (74%) patients. Males were more likely to have PV reconnection at repeat ablation compared to females (81 vs. 59%; P = .004). Excluding repeat PV isolation, there were no significant differences in adjunctive ablation strategies performed at repeat ablation between females and males. During follow-up, there were no significant differences in freedom from AT/AF recurrence between females and males after repeat ablation (63 vs. 59% at 2 years, respectively; P = .48).

CONCLUSIONS

After initial PV isolation, significantly fewer females have evidence of PV reconnection at the time of repeat ablation for recurrent AF. Despite this difference, long-term freedom from AT/AF was similar between females and males after repeat ablation.

Synergistic control potential of flue gas pollutants under Ultra-Low emission standards in waste incineration plants

As the dominant waste disposal process, incineration is regarded as the main incentive for the "not-in-my-backyard" syndrome, and faces an inescapable pressures of ultra-low emissions (ULE). Establishing precise response relationships between emission factors (EFs) and full-process influencing factors can provide guidance for the synergistic mitigation of flue gas pollutants (FGPs). In this work, the multi-dimensional EFs of FGPs were identified by initially integrating FGPs concentration monitoring data of existing 1,226 processing lines in China, technologies applied and operational experience (OE), local economic and political characteristics. Significant regional imbalance performance was observed, which EFs in the coastal regions were 3.55-92.39 % lower than those of the inland areas. NOx, SO2, HCl were identified as critical components requiring further reduction under the ULE standards, with exceedance rates recorded at 73.07 %, 38.90 %, and 56.69 %, respectively. An indicative value of 20 mg/m3 for PM is recommended for the control of heavy metals of Cd + Tl and Sb + As + Pb + Cr + Co + Cu + Mn + Ni based on the correlation coefficients of r = 0.28 (p < 0.001) and r = 0.20 (p = 0.002), respectively. Waste composition and OE were quantified as the main contributors of EFs' disparities by the tree-branching controlled variable approach established in this study. Predictive models for FGPs control process and corresponding EFs were constructed. EFs of nine FGPs in 2030 would decrease by 0.97-65.42 %, due to more complex purification processes employed to meet ULE's limitations, such as the application of five-stage processes growing from 45.60 % to 58.28 %. While regional imbalance in EFs-SO2 and EFs-HCl were extended with increases from 25.83 % to 33.07 % and 9.91 % to 32.32 %, respectively, due to the consistent disparities of OE and growing heterogeneity of control policies. Enhancing interregional empirical exchanges, reducing the regional market monopolies, and formulating technical guidelines would be beneficial to synergize the reduction of FGPs emissions and alleviate regional imbalance.

Melatonin protects oogenesis from hypobaric hypoxia-induced fertility damage in mice

Environmental hypoxia adversely affects reproductive health in humans and animals at high altitudes. Therefore, how to alleviate the follicle development disorder caused by hypoxia exposure and to improve the competence of fertility in plateau non-habituated female animals are important problems to be solved urgently. In this study, a hypobaric hypoxic chamber was used for 4 weeks to simulate hypoxic conditions in female mice, and the effects of hypoxia on follicle development, proliferation and apoptosis of granulosa cells, reactive oxygen species (ROS) levels in MII oocyte and 2-cell rate were evaluated. At the same time, the alleviating effect of melatonin on hypoxic exposure-induced oogenesis damage was evaluated by feeding appropriate amounts of melatonin daily under hypoxia for 4 weeks. The results showed that hypoxia exposure significantly increased the proportion of antral follicles in the ovary, the number of proliferation and apoptosis granulosa cells in the follicle, and the level of ROS in MII oocytes, eventually led to the decline of oocyte quality. However, these defects were alleviated when melatonin was fed under hypoxia conditions. Together, these findings suggest that hypoxia exposure impaired follicular development and reduced oocyte quality, and that melatonin supplementation alleviated the fertility reduction induced by hypoxia exposure.

Mechanical strength changes of combustible municipal solid waste components during their early pyrolysis stage and mechanism analysis

Implementation of municipal solid waste (MSW) source segregation leads to a more convenient recycle of combustible MSW components. Textiles, plastics and papers are commonly available combustible components in MSW. Their shredding is conducive to resources recovery. But these components usually have high tensile strengths and are difficult to shred. To understand their mechanical strength changes in their early pyrolysis stage will help to address this problem. In this study, a universal electronic testing machine was used to determine the breaking strengths of the materials including cotton towel, polyethylene glycol terephthalate (PET), ivory board (IB), kraft paper (KP) and wool scarf in the temperature range of 30-250°C under N2 atmosphere, and the mechanisms of their strength changes were explored. The reaction force field molecular dynamics (ReaxFF-MD) simulation was used to explain the decomposition behaviours of different sugar groups of hemicellulose in cotton and paper and the change of van der Waals energy of wool during their early pyrolysis stages. The results showed that breaking strengths of all the combustible MSW components reduced as the temperature increased. The breaking strength of PET was found to have the highest descent rate with increasing temperature, then the descent rates of wool and cotton came as the second and third, respectively. Compared with cotton, the breaking strengths of KP and IB decreased more slowly. As the temperature increased, the breaking strength of cotton reduced mainly due to the decomposition of the glucuronic acid in hemicellulose, and the reduction was characterized by CO2 release. The breaking strength reduction of PET was caused by its molecular chain being relaxed. The breaking strength reduction of wool was firstly caused by the decrease in the van der Waals energy between its molecules, and then caused by molecular chain breaking. In addition, in order to understand the influence of material size on the breaking strength change during thermal treatment, the breaking strengths of cotton yarn bundles were correlated with their yarn number and temperature. This study lays the foundation for understanding changes in mechanical strengths of combustible MSW components during their early pyrolysis stage.

Numerical simulation of heat transfer properties of large-sized biomass particles during pyrolysis process

During the pyrolysis process of large particles, the conduction between particles cannot be ignored. In the present work, a numerical simulation model for the pyrolysis of biomass particles was established, which takes into account the conduction within the particles. Based on this model, the temperature distribution inside the particle during the pyrolysis process was determined and the effects of particle size, moisture content, and gas velocity on heat transfer characteristics were analyzed. The results showed that the temperatures at different positions of the particles along the inflow direction were quite different, and the maximum temperature difference inside the particles was about 146.7 K for a particle diameter of 10 mm and a velocity of 0.2 m/s. During the pyrolysis process of biomass particles, there were two peaks of Nusselt number. The increase of moisture content prolonged the pyrolysis time. The pyrolysis. time of particles with moisture content of 15 % was about 1.5 times longer than that of dry particles when the particle diameter was 10 mm. Increasing the particle size decreased the difference between the two peaks and increased the time interval between the two peaks. Increasing the gas velocity can improve the heat transfer, but the effect of too high gas velocity on improving the heat transfer is limited. The present study is of great importance for a detailed understanding of the pyrolysis process of biomass particles.

Effects of fermentation chamber temperature on microbes and quality of cigar wrapper tobacco leaves

The natural fermentation of cigar tobacco leaves usually utilizes natural temperature and humidity for fermentation. Cigars produced in China are often fermented in winter, and the low environmental temperatures can lead to slow heating of the tobacco stack, affecting the cigar tobacco leaves quality. This study aimed to determine the minimum chamber temperature required to initiate the process of fermentation for cigar tobacco leaves and to explore the impact of temperature on the microbial community of tobacco leaves. Here, the cigar variety "Dexue 1" were subjected to stacking fermentation under three temperature parameters (20 ℃, 27 ℃, 34 ℃). With an increase in environmental temperature, the temperature inside the stack of cigar leaves increased significantly, the protein, total sugar, starch, and total alkaloid content in fermented tobacco leaves decreased, and the aroma components and amino acid content increased. Microbial richness and community diversity associated with fermented tobacco were highest at chamber temperatures of above 27 ℃. The relative abundance of Chryseobacterium and Rhodococcus was significantly negatively correlated with protein, alkaloids, total sugar, and starch, and positively correlated with amino acids and aroma components. Chryseobacterium and Rhodococcus may be responsible for the degradation of macromolecular substances and the conversion of favorable aromatic substances, thus improving the tobacco leaves quality. This study demonstrated that increasing the fermentation chamber temperature above 27 ℃ was conductive to raising the inner-stack temperature, increased microbial diversity and aromatic quality, reduced the strength and irritation, and extremely enhanced the overall quality of fermented cigar tobacco leaves. KEY POINTS: • The environmental temperature of the fermentation chamber has a significant impact on the quality of tobacco • Temperature > 27 ℃ can initiate the process of cigar tobacco leaves fermentation and increase inner-stack temperature and microbial diversity and abundance • Chryseobacterium and Rhodococcus may be related to the degradation of macromolecular substances and the transformation of aromatic substances, thereby improving the quality of tobacco leaves.

Synergistic effects of multitype carbon doping and oxygen vacancies in TiO2/CNTs composite fabricated via nonthermal plasma for formaldehyde removal

Formaldehyde as one of the typical indoor pollutants has long been concerned as it can pose a threat to human health. TiO2/CNTs composite with oxygen vacancies and multitype carbon doping (C-TiO2/CNTs) was fabricated using nonthermal plasma for the photocatalytic degradation of formaldehyde. The maximum degradation rate of formaldehyde was 93% and 83% via the new catalyst (with 5% CNTs content) under solar and visible light, respectively. The characterization of the catalyst confirmed the in-situ multitype carbon doping and oxygen vacancies: interstitial carbon doping and oxygen vacancies could dramatically reduce the bandgap and contribute to the improved absorption capability of formaldehyde and electrons. Interfacial carbon doping in the form of C-O-Ti bonds provided a migration channel, whereby photogenerated electrons could efficiently transfer from CNTs to TiO2 and then quench the holes left in the VB of TiO2. Therefore, the multitype carbon doping and oxygen vacancies can expand the light response as well as promote the separation of photo-generated electron/hole pairs. EPR results and experiment section indicated that O2·- plays the most significant role in formaldehyde removal due to the reverse transfer of the electrons. This work advances the understanding of photo-degradation of TiO2/CNTs composite and provides a new route for the abatement of formaldehyde.

[Postpartum fatal pulmonary embolism with F5 gene mutation: a case report]

Pulmonary embolism (PE) is one of the leading causes of maternal death. Various clinical and environmental risk factors can cause PE. Here, we reported an uncommon PE case with multiple etiological causes, including caesarean section, overweight, anti-cardiolipin antibody positive, and factor 5 gene mutation. The patient was a 25-year-old woman who developed cardiac asystole and apnea one day after cesarean delivery due to pulmonary embolism. After cardiopulmonary resuscitation and thrombolytic therapy, high doses of epinephrine were still needed to maintain blood pressure and heart rate, so we treated her with venoarterial extracorporeal membrane oxygenation (ECMO) to maintain systemic circulation. She progressively improved and was discharged on oral warfarin treatment. Comprehensive laboratory tests revealed a positive anticardiolipin antibody. Through whole exon gene sequencing, we identified a novel mutation (A2032➝G) in the F5 gene. This mutation was predicted to result in the replacement of lysine with glutamate at position 678, close to one of the APC cleavage sites. P.Lys678Glu was found to be a detrimental mutation by SIFT software and suspected detrimental by Polyphen-2 software. Attention should be paid to the etiological screening of young patients with pulmonary embolism, which is helpful in guiding the anticoagulant scheme and anticoagulant duration, and is of great significance in preventing thrombosis recurrence and complications.

Organic carbon source excites extracellular polymeric substances to boost Fe0-mediated autotrophic denitrification in mixotrophic system

Fe⁰-mediated autotrophic denitrification (ADN) can be suppressed by iron oxide coverage resulting from Fe⁰ corrosion. The mixotrophic denitrification (MDN) coupling Fe⁰-mediated ADN with heterotrophic denitrification (HDN) can circumvent the weakening of Fe⁰-mediated ADN over operation time. But the interaction between HDN and Fe⁰-mediated ADN for nitrogen removal of secondary effluent with deficient bioavailable organics remains unclear. When the influent COD/NO₃^--N ratio increased from 0.0 to 1.8-2.1, the TN removal efficiency was promoted significantly. The increased carbon source did not inhibit ADN, but promoted ADN and HDN synchronously. The formation of extracellular polymeric substances (EPS) was also facilitated concomitantly. Protein (PN) and humic acid (HA) in EPS increased significantly, which capable of accelerating electron transfer of denitrification. Due to that the electron transfer of HDN occurs intracellularly, the EPS with the capacity of accelerating electron transfer had a negligible influence on HDN. But for Fe⁰-mediated ADN, the increased EPS as well as corresponding PN and HA facilitated TN and NO₃^--N removal significantly, while accelerated the electron release originating from Fe⁰ corrosion. The bioorganic-Fe complexes were generated on Fe⁰ surface after used, meaning that the soluble EPS and soluble microbial products (SMP) participated in the electron transfer of Fe⁰-mediated ADN. The coexistence of HDN and ADN denitrifiers demonstrated the synchronous enhancement of HDN and ADN by the external carbon source. From the perspective of EPS and related SMP, the insight of enhancing Fe⁰-mediated ADN by external carbon source is beneficial to implement high-efficiency MDN for organics-deficient secondary wastewater.

Industry relationships among authors of U.S. Clinical Practice Guidelines in cardiology from 2014 to 2020

Clinical practice guidelines and Scientific statements are influential publications that define the standard of care for many diseases. However, little is known about industry payments and financial conflict-of-interest among authors of such publications in cardiology. We identified guidelines published between 2014 and 2020 by the American Heart Association (AHA) and the American College of Cardiology (ACC) in order to assess the payment status of CPG authors using the Open Payment Program (OPP) database.

Natural Occurrence of Alternaria Toxins in Citrus-Based Products Collected from China in 2021

A total of 181 citrus-based products, including dried fruits, canned fruits, and fruit juices, collected from China and from abroad in 2021 were analyzed for the four Alternaria toxins (ALTs): alternariol (AOH), alternariol monomethyl ether (AME), tentoxin (TEN), and tenuazonic acid (TeA) via ultra-high-performance liquid chromatography-electrospray ionization-tandem mass spectrometry (UPLC-ESI-MS). Although the concentrations of the four ALTs varied by product and geographically, TeA was the predominant toxin followed by AOH, AME, and TEN. Products made in China showed higher levels of ALTs than those made abroad. Maximum levels of TeA, AOH, and AME in analyzed domestic samples were 4.9-fold, 1.3-fold, and 1.2-fold, respectively, higher than those in imported products. Furthermore, 83.4% (151/181) of the analyzed citrus-based products were contaminated with at least two or more ALTs. There were significant positive correlations between AOH and AME, AME and TeA, and TeA and TEN in all analyzed samples. More importantly, the solid and the condensed liquid products had higher concentrations of ALTs than the semi-solid product samples, as well as tangerines, pummelos, and grapefruits compared to the other kinds of citrus-based products. In conclusion, co-contamination with ALTs in commercially available Chinese citrus-based products was universal. Extensive and systematic surveillance of ALTs in citrus-based products, both domestic and imported, is required to obtain more scientific data for the determination of the maximum allowable concentrations of ALTs in China.

Primary Cutaneous Aspergillosis Due to Aspergillus fumigatus in an Immunocompetent Patient with Diabetes Mellitus After Tattooing: A Case Report and Review of Literature

Background

Aspergillosis is an uncommon fungal infection in which primary cutaneous sites are very rare, and most cases occur in patients with immunocompromised status. Although primary cutaneous aspergillosis is usually encountered in immunocompromised patients, it also occurs in immunocompetent individuals.

Case Presentation

We report a case of primary cutaneous aspergillosis in a 46-year-old immunocompetent woman with diabetes mellitus after tattooing. She presented with erythematous papules, papulopustules and a plaque on the right lower limb of more than two years duration which had failed to respond to antihistamine treatment. Histological examination of a skin biopsy sample showed oval spores in the corneous layer, a slightly thickened epidermis, and infiltrating lymphocytes and neutrophils around the blood vessels in the superficial dermis. Aspergillus fumigatus was isolated and identified in cultures. Clinical and biological examinations did not reveal any systemic localization of aspergillosis, ruling out a hypothesis of blood dissemination. Lesions resolved completely after systemic antifungal treatment with itraconazole.

Conclusion

Clinical lesions of primary cutaneous aspergillosis are nonspecific and usually present as a variety of lesions, including macules, papules, nodules, plaques, purpura, blood blisters, and pustules. The nonspecific features and variety of lesions can lead to misdiagnosis and delayed treatment. Direct microscopy, microbiological culture, and histopathological examination are helpful for diagnosing primary cutaneous aspergillosis. Moreover, the physicians should be aware of the possibility of Aspergillus infection in tattooed cases.

MSW pyrolysis volatiles' reforming by incineration fly ash for both pyrolysis products upgrading and fly ash stabilization

The effective disposal of municipal solid wastes (MSW) and its incineration-derived fly ash (IFA), which contains large amounts of heavy metals (HMs) and chlorine (Cl), is an urgent task. In this study, IFA was used to reform MSW pyrolysis volatiles within 500-800 °C. The changes of reformed pyrolysis products, the migration characteristics of HMs and Cl between IFA and pyrolysis products were investigated. The results indicated that the O- and Cl-containing compounds in pyrolysis oil tended to decrease, light hydrocarbons and its calorific value increased accordingly after reforming; more CH₄ and H₂ gases were produced concurrently. The increase in reforming temperature enhanced these trends. The IFA absorbed Cl from volatiles during reforming, which reduced HCl in the gas product. The toxicity equivalent (TEQ) of PCDD/Fs in IFA decreased dramatically from 0.47 μg/kg to 0.0055 μg/kg after reforming at 500 °C, and it decreased with increasing reforming temperature. Some of the HMs' concentrations in the used IFAs increased, but their leaching capacity all decreased significantly at 800 °C except for Cr. The used IFA at 800 °C (IFA-800) corresponded to the lowest HMs leaching concentrations and could meet the landfill requirements; while the used IFA at 500 °C (IFA-500) corresponded to the maximum carbon deposition of 14.63 wt%, providing the energy source for its melting. Therefore 800 °C was recommended for harmless disposal of IFA, and 500 °C was better for a further melting of IFA., The contamination of pyrolysis liquid caused by inorganic Cl-containing compounds at 500 and 800 °C with much lower levels than the original. This study showed the hazardous properties of IFA can be dampened after interacting with MSW pyrolysis volatiles within the tested temperature range, and provided a good chance for the simultaneous disposal of IFA and recovery of high-quality MSW pyrolysis products.

A Novel Photocatalytic Functional Coating Applied to the Degradation of Xylene in Coating Solvents under Solar Irradiation

A novel photocatalytic functional coating was prepared with g-C₃N₄/TiO₂ composites as the photocatalytic active component modified by dielectric barrier discharge (DBD), and it showed an efficient catalytic performance under solar light irradiation. The degradation of xylene released from fluorocarbon coating solvents by the g-C₃N₄/TiO₂ composite coatings was investigated under simulated solar irradiation. The degradation efficiency of the coating mixed with DBD-modified 10%-g-C₃N₄/TiO₂ showed a stable, long-lasting, and significantly higher activity compared to the coatings mixed with the unmodified catalyst. Ninety-eight percent of the xylene released from fluorocarbon coating solvents was successfully removed under solar light irradiation in 2 h. The properties of the catalyst samples before and after modification were evaluated using scanning electron microscopy (SEM), transmission electron microscopy (TEM), Fourier transform infrared spectroscopy (FT-IR), ultraviolet-visible (UV-vis) spectroscopy, X-ray photoelectron spectroscopy (XPS), and other characterization techniques. The results suggested that DBD-modified g-C₃N₄/TiO₂ showed an improved capture ability and utilization efficiency of solar light with reduced band gap and lower complexation rate of electron-hole pairs. The prepared photocatalytic coating offers an environmentally friendly approach to purify the volatile organic compounds (VOCs) released from solvent-based coatings.

Metabolic phenotype analysis of Trichophyton rubrum after laser irradiation

BACKGROUND

Biological phenotypes are important characteristics of microorganisms, and often reflect their genotype and genotype changes. Traditionally, Trichophyton rubrum (T. rubrum) phenotypes were detected using carbon source assimilation tests, during which the types of tested substances are limited. In addition, the operation is complicated, and only one substance can be tested at once. To observe the changes of the metabolic phenotype of T. rubrum after laser irradiation, a high-throughput phenotype microarray system was used to analyze the metabolism of different carbon, nitrogen, phosphorus and sulfur source substrates in a Biolog metabolic phenotyping system.

RESULTS

The strain of T. rubrum used in this study can effectively utilize 33 carbon, 20 nitrogen, 16 phosphorus, and 13 sulfur source substrates prior to laser irradiation. After laser irradiation, the strain was able to utilize 10 carbon, 12 nitrogen, 12 phosphorus, and 8 sulfur source substrates. The degree of utilization was significantly decreased compared with the control. Both groups efficiently utilized saccharides and organic acids as carbon sources as well as some amino acids as nitrogen sources for growth. The number of substrates utilized by T. rubrum after laser irradiation were significantly reduced, especially carbon substrates. Some substrates utilization degree in the laser treated group was higher than control, such as D-glucosamine, L-glutamine, D-2-Phospho-Glyceric Acid, D-glucosamine-6-phosphate, and D-methionine.

CONCLUSION

Laser irradiation of T. rubrum may lead to changes in the metabolic substrate and metabolic pathway, thus weakening the activity of the strain.

Carbon sequestration for high-quality sludge-based carbon preparation via K/Na bi-molten salts pyrolysis

Pyrolysis carbonization of sewage sludge is employed to achieve carbon sequestration and access carbon resources, while the quality of the obtained sludge-based carbon (SBC) is poor due to high ash contents and volatile organic matter. Here, carbonization in KOH/Na₂CO₃ (K/Na) bi-molten salts was developed for SBC preparation, improvement of carbon exploitation from biomass, and to reduce the contents of ash and volatile organic matter. The results showed that the surface area and pore volume of SBC under optimized conditions reached 1631 m² g^-1 and 1.312 cm³ g^-1 at 700 °C, respectively, with a K/Na bi-molten salts/sludge ratio of 2:1 (K:Na = 5:5). Moreover, over fivefold the higher surface area and 43.61% amount of carbon element could be obtained, with a decrease in the mass loss rate for sludge pyrolysis of 25%. The mechanism behind the higher surface area of the SBC was identified and divided into three stages: intense dehydration and dehydrogenation caused by molten salt-enhanced polycondensation of protein and polysaccharide (200-400 °C), strongly reduced carbon-oxygen structure after deoxygenation reactions (400-600 °C), aromatization and cyclization of long-chain fatty acids triggered by deamidation of tar catalyzed by molten salts (600-900 °C). Eventually, 14.63% carbon was sequestered for the high-surface-area SBC prepared by K/Na bi-molten salts system.

Personal GHG emissions accounting and the driving forces decomposition in the past 10 years

Personal greenhouse gas (P_GHG) emissions were crucial for achieving carbon peak and neutrality targets. The accounting methodology and driving forces identification of P_GHG emissions were helpful for the quantification and the reduction of the P_GHG emissions. In this study, the methodology of P_GHG emissions was developed from resource obtaining to waste disposal, and the variations of Shanghainese P_GHG emissions from 2010 to 2020 were evaluated, with the driving forces analysis based on Logarithmic Mean Divisia Index (LMDI) model. It showed that the emissions decreased from 3796.05 (2010) to 3046.87 kg carbon dioxides (CO₂) (2014) and then increased to 3411.35 kg CO₂ (2018). The emissions from consumptions accounted for around 62.1% of the total emissions, and that from waste disposal were around 3.1%, which were neglected in most previous studies. The P_GHG emissions decreased by around 0.53 kg CO₂ (2019) and 405.86 kg CO₂ (2020) compared to 2018 and 2019, respectively, which were mainly affected by the waste forced source separation policy and the COVID-19 pandemic. The income level and consumption GHG intensity were two key factors influencing the contractively of GHG emissions from consumption, with the contributing rate of 169.3% and − 188.1%, respectively. Energy consumption was the main factor contributing to the growth of the direct GHG emissions (296.4%), and the energy GHG emission factor was the main factor in suppressing it (− 92.2%). Green consumption, low carbon lifestyles, green levy programs, and energy structure optimization were suggested to reduce the P_GHG emissions.

● The boundary of P_GHG emissions developed from resource obtaining to waste disposal.

● Shanghainese P_GHG emissions varied from 3004.64 to 3796.05 kgCO₂ in 2010-2020.

● Around 405.86 kg CO₂ decreased with the reduced consumption by COVID-19 lockdown.

● Energy consumption was the main contributor to DP_GHG emissions (296.4%) increase.

● The GHG intensity was the main contributor to IP_GHG emissions reduction (− 188.1%).

Type 2C Protein Phosphatases MoPtc5 and MoPtc7 Are Crucial for Multiple Stress Tolerance, Conidiogenesis and Pathogenesis of Magnaporthe oryzae

Protein kinases and phosphatases catalyze the phosphorylation and dephosphorylation of their protein substrates, respectively, and these are important mechanisms in cellular signal transduction. The rice blast fungus Magnaporthe oryzae possesses 6 protein phosphatases of type 2C class, including MoPtc1, 2, 5, 6, 7 and 8. However, only very little is known about the roles of these phosphatases in filamentous fungi. Here in, we deployed genetics and molecular biology techniques to identify, characterize and establish the roles of MoPtc5 and MoPtc7 in M. oryzae development and pathogenicity. We found that during pathogen-host interaction, MoPTC7 is differentially expressed. Double deletion of MoPTC7 and MoPTC5 suppressed the fungal vegetative growth, altered its cell wall integrity and reduced its virulence. The two genes were found indispensable for stress tolerance in the phytopathogen. We also demonstrated that disruption of any of the two genes highly affected appressorium turgor generation and Mps1 and Osm1 phosphorylation levels. Lastly, we demonstrated that both MoPtc5 and MoPtc7 are localized to mitochondria of different cellular compartments in the blast fungus. Taken together, our study revealed synergistic coordination of M. oryzae development and pathogenesis by the type 2C protein phosphatases.

Growth inhibition of Trichophyton rubrum by laser irradiation: exploring further experimental aspects in an in vitro evaluation study

BACKGROUND

According to the results of the clinical trials, laser therapy is effective for the treatment of onychomycosis, but the in vitro findings are inconsistent among studies. This study aimed to explore the experimental conditions of laser for the inhibition of Trichophyton rubrum growth in vitro. A 1064-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser was used to irradiate colonies using a small (6-mm diameter) or large (13-mm diameter) area, and using 300, 408, or 600 J/cm². The surface temperature of the colony was measured after irradiation and every 2 min. The growth area was calculated until the 7th or 10th day of incubation daily.

RESULTS

For the small area group, at 300 J/cm², the immediate surface temperature was 25.2 ± 0.2°C, but without effect on growth (P = 0.516). At 408 J/cm², the immediate surface temperature was 32.0 ± 0.4°C; growth was inhibited for 7 days (P < 0.001). At 600 J/cm², the immediate surface temperature was 38.1 ± 0.4°C; the growth was completely stopped for at least 10 days (P < 0.001). For the large area group, the temperature patterns were similar to those of the small area group, but the highest temperature was lower than in the small area groups, and no growth inhibition effect was observed (all P > 0.05).

CONCLUSIONS

When the irradiation area is small, a 1064-nm Nd:YAG laser at 408 or 600 J/cm² can be effective in suppressing T. rubrum growth in vitro.

Phyllosphere microbial community of cigar tobacco and its corresponding metabolites

Cigar is made of a typical fermented tobacco where the microbiota inhabits within an alkaline environment. Our current understanding on cigar fermentation is far from thorough. This work employed both high-throughput sequencing and chromatography-mass spectrometric technologies to provide new scientific reference for this specific fermented system. Typical cigar samples from different regions (the Caribbeans, South America, East Asia, and Southeast Asia) were investigated. The results show that Firmicutes, Actinobacteria, Proteobacteria, Ascomycota, and Basidiomycota were the predominant phyla in the cigar samples. Rather than the fungal community, it was the bacterial community structures that played vital roles to differentiate the cigar from different regions: Staphylococcus was the dominant genus in the Americas; Bacillus was the dominant genus in Southeast Asia; while in East Asia, there was no dominant genus. Such differences in community structure then affected the microflora metabolism. The correlation between microbiota and metabolites revealed that Aspergillaceae, Cercospora, and Staphylococcus were significantly correlated with sclareolide; Bacillus were positively associated with isophorone. Alcaligenaceae was significantly and positively correlated with L-nicotine and hexadecanoic acid, methyl ester. GRAPHICAL ABSTRACT.

A novel approach to estimate and control denitrification performance in activated sludge systems with respirogram technology

Respirogram technology has been widely applied for aerobic process, however, the response of respirogram to anoxic denitrification is still unclear. To reveal such response may help to design a new method for the evaluation of the performance of denitrification. The size distribution of flocs measured at different denitrification moments demonstrated a clear expansion of flocs triggered by denitrification, during which higher specific endogenous and quasi-endogenous respiration rates (SOUR_e and SOUR_q) were also observed. Furthermore, SOUR_q increases exponentially with the specific denitrification rate (SDNR), suggesting that there should be a maximum SDNR in conventional activated sludge systems. Based on these findings, an index R_q/t, defined as the ratio of quasi-endogenous (OUR_q) to maximum respiration rate (OUR_t), is proposed to estimate the denitrification capacity that higher R_q/t indicates higher denitrification potential, which can be readily obtained without complex measurement or analysis, and it offers a novel and promising respirogram-based approach for denitrification estimation and control by taking measures to extend anoxic time to maintain its value at a high level within a certain range.

Incineration disposal of organic waste bio-residue via a deep dewatering process using refuse incineration bottom ash: moisture transfer and low calorific value improvement

Bio-residue is a by-product from organic waste anaerobic digestion process with high moisture, high organic matter, low calorific value and poor biological stability, and may be incinerated after deep dewatering. The moisture existence forms of bio-residue were clarified firstly, finding that adsorbed water, capillary water and bound water occupied 75.61%, 23.81% and 0.58%, respectively. Furthermore, refuse incineration bottom ash was used as a typical deep dewatering reagent, when compared with calcium oxide (CaO), refuse incineration fly ash and iron powder-potassium persulfate (Fe(0)-K₂S₂O₈). Results showed that the addition of bottom ash powder could decrease the bio-residue's moisture from 80.0% to 37.9% at the optimal dosage of 2.0%, and corresponding low calorific value reached 10.5 MJ/kg at the 10^th d. It was suggested that ZnCl₂ and ZnSO₄ present in bottom ash powder could react with moisture in bio-residue, forming hydrates of inorganic salt and breaking the polyacrylamide colloid, and lead to the release of adsorbed water in the bio-residue.

Covalent Organic Frameworks with Ionic Liquid-Moieties (ILCOFs): Structures, Synthesis, and CO2 Conversion

CO₂, an acidic gas, is usually emitted from the combustion of fossil fuels and leads to the formation of acid rain and greenhouse effects. CO₂ can be used to produce kinds of value-added chemicals from a viewpoint based on carbon capture, utilization, and storage (CCUS). With the combination of unique structures and properties of ionic liquids (ILs) and covalent organic frameworks (COFs), covalent organic frameworks with ionic liquid-moieties (ILCOFs) have been developed as a kind of novel and efficient sorbent, catalyst, and electrolyte since 2016. In this critical review, we first focus on the structures and synthesis of different kinds of ILCOFs materials, including ILCOFs with IL moieties located on the main linkers, on the nodes, and on the side chains. We then discuss the ILCOFs for CO₂ capture and conversion, including the reduction and cycloaddition of CO₂. Finally, future directions and prospects for ILCOFs are outlined. This review is beneficial for academic researchers in obtaining an overall understanding of ILCOFs and their application of CO₂ conversion. This work will open a door to develop novel ILCOFs materials for the capture, separation, and utilization of other typical acid, basic, or neutral gases such as SO₂, H₂S, NOx, NH₃, and so on.

Environmental impacts and nutrient distribution routes for food waste separated disposal on large-scale anaerobic digestion/ composting plants

Centralized biological treatments, i.e., anaerobic digestion (AD) and in-vessel composting (IVC), were supposed to be the promising processes for the disposal of food waste (FW) after source separation, while the systematic benefits were unclear for FW with high water content, salt and oil and thus influenced the selection by the local decision-makers. In this study, two large-scale working AD and IVC plants were compared for environmental impacts, nutrient recovery and economic benefits. For unit amount of FW, 89.26 kg CO₂-eq was released in IVC mainly due to 47.89 kWh electricity consumption, and 57.02 kg CO₂-eq was produced in AD. With the application of compost and energy recovery, 26.88 and 93.55 kg CO₂-eq savings were obtained in IVC and AD, respectively. NH₃ emissions were the main contributor to acidification (0.35 kg SO₂-eq) in IVC, while AD exerted less impact on acidification (0.09 kg SO₂-eq) and nutrient enrichment (0.25 kg NO₃-eq) attributed to the counteract of energy recovery. 2029 would be the inflection point for global warming potential in AD with more clean energy applied in electricity mix in China. For nutrient recovery, more C (8.3%), N (37.9%) and P (66.7%) could be recovered in compost, while those were discharged via leachate and biogas residue in AD. The cost of IVC was 16 CNY/t (2.40 USD/t) lower than AD. Combing the three key indexes and the sale routes of products, IVC was recommended to be used in areas dominated by agriculture and forestry industries, and AD was more suitable for large cities.

Synergistic effect of microneedle-delivered extracellular matrix compound and radiofrequency on rejuvenation of periorbital wrinkles

Background

A combination of minimally invasive modalities can induce collagen regeneration more quickly and promote the penetration of topical agents, thus promoting skin rejuvenation. In this study, we aimed to investigate the synergistic efficacy of extracellular matrix compound (ECM-C) via microneedle (MN) and radiofrequency (RF) on periorbital wrinkles.

Method

A total of 25 participants with periorbital wrinkles were selected for this study. The left and right side of the periorbital area was randomly given ECM-C via MN or ECM-C via MN combined with RF. MN combined with ECM-C treatment was given 5 times at 2 weeks intervals, whereas RF treatment was given 3 times at 4-week intervals. The following items were assessed: wrinkles by VISIA^® system; biophysical parameters such as skin hydration, transepidermal water loss (TEWL), erythema index, and melanin index by CK multiple probe adapter; and skin elasticity and skin thickness by DermaLab Combo^® photographs were taken at the baseline and 2 weeks after the last treatment. Subjective assessments, such as Crow's Feet Grading Scale (CFGS) and Global Aesthetic International Scale (GAIS), were also recorded.

Result

A total of 25 participants with an average age of 43 years participated in this trial. Periorbital wrinkles on both sides decreased after the treatment, and the side treated with ECM via MN and RF showed better improvement than the other side with ECM-C via MN alone. Skin hydration increased after the treatment on both sides. TEWL, skin erythema, and skin melanin indexes were not changed. Skin elasticity and skin thickness increased more on the side of ECM-C via MN and RF than on the other side of ECM-C via MN alone. The evaluation scores for CFGS improved on either side; however, no difference was found for CFGS and GAIS between intergroup comparisons after the treatment.

Conclusion

The objective assessment of wrinkles, elasticity, and thickness of periorbital skin improved more on the side with ECM-C treatment via MN combined with RF than on the other side of ECM-C treatment via MN only. However, no statistically significant difference was found between the subjective CFGS and GAIS evaluation of the two sides.

A case report of Enterobacter cloacae endocarditis in a patient with a history of cotton fever

Background

Cotton fever is a self-limited, febrile syndrome occurring after the injection of trace amounts of drugs, in particular heroin, extracted from reused cotton filters. It is characterized by non-specific findings, such as fever, tachycardia, and leucocytosis. The leading pathophysiologic explanation suggests it is the result of direct inoculation of the bloodstream with endotoxins from Gram-negative bacilli of the genus Enterobacter, known to colonize all parts of the cotton plant. Only one prior case report has suggested cotton fever as a potential risk factor of infective endocarditis (IE).

Case summary

We describe a case of a 57-year-old patient with a history of intravenous heroin use complicated by self-reported episodes of cotton fever. His presentation was notable for Enterobacter cloacae IE with bilateral septic pulmonary emboli. Transthoracic echocardiography findings included new tricuspid regurgitation and two mobile echodensities on the right atrial implantable cardioverter defibrillator (ICD) lead. Despite broad antibiotic coverage and extraction of the ICD leads, the patient passed away from septic shock.

Discussion

The present case report is only the second published report of endocarditis in a patient with a history of cotton fever. In both cases, bacteria of the Enterobacter genus were isolated in patients’ blood cultures. This evidence supports the endotoxin theory as the leading pathophysiologic explanation for cotton fever and suggests cotton fever as a risk factor for Gram-negative IE. In the inpatient setting it informs proper antibiotic coverage, whereas in the outpatient setting it supports harm reduction interventions in the form of sterile cotton balls.

Effects of Selenium Supplementation on the Ion Homeostasis in the Reproductive Organs and Eggs of Laying Hens Fed With the Diet Contaminated With Cadmium, Lead, Mercury, and Chromium

The objective of this study was to explore the toxic effects of different heavy metals in combination with their deposition and ion homeostasis in the reproductive organs and eggs of laying hens, as well as the alleviating action of selenized yeast. A total of 160 Lohmann pink-shell laying hens (63-week-old) were randomly allocated into four treatments with 10 replicates of four hens each. The four dietary treatments were the corn-soybean meal basal dietary (control; CON); the CON dietary supplemented with 0.4 mg/kg selenium from selenized yeast (Se); the CON dietary supplemented with 5 mg/kg Cd + 50 mg/kg Pb +3 mg/kg Hg + 5 mg/kg Cr (HEM), and the HEM dietary supplemented with 0.4 mg/kg selenium from selenized yeast (HEM+Se). The dietary HEM significantly increased Cd, Pb, and Hg deposition in the egg yolk and ovary, and Cd and Hg deposition in the oviduct and in the follicular wall (p < 0.05). The HEM elevated Fe concentration in the egg yolk, ovary, and oviduct (p < 0.05). The HEM decreased Mn concentration in the egg yolk, Fe, Mn, and Zn concentrations in the egg white, Cu concentration in the ovary, Mg concentration in the oviduct, as well as Ca, Cu, Zn, and Mg concentrations in the follicular walls (p < 0.05). Dietary Se addition elevated Se concentration in the egg yolk, oviduct, and follicular walls and Mg concentration (p < 0.05) in the oviduct, whereas it reduced Fe concentration in the oviduct compared with the HEM-treated hens. Some positive or negative correlations among these elements were observed. Canonical Correlation Analysis showed that the concentrations of Pb and Hg in the egg yolk were positively correlated with those in the ovary. The concentration of Cd in the egg white was positively correlated with that in the oviduct. In summary, dietary Cd, Pb, Hg, and Cr in combination caused ion loss and deposition of HEM in reproductive organs of laying hens. Dietary Se addition at 0.4 mg/kg from selenized yeast alleviated the negative effects of HEM on Fe and Mg ion disorder in the oviduct and follicle wall of hens.

Molecular transformation and composition flow of dissolved organic matter in four typical concentrated leachates from the multi-stage membrane system

Concentrated leachate (CL), characterized with high content salts and compositional complexity of dissolved organic matter (DOM), is difficult to degrade. Understanding the CL from molecular insight level is the requirement for further disposal based on their components. Here, typical CL samples were collected from the multi-stage membrane separation process in a large-scale leachate plant, including nanofiltration (NF), primary ultrafiltration (PUF), secondary nanofiltration (SNF), and reverse osmosis (RO). More than 95% of DOM was removed from raw CL, of which about 3/4 flowed into PUFCL and 1/5 flowed into SNFCL. DOM with macro-molecular weight (>500 Da, 30.46%) and highly unsaturated compounds (double-bond equivalents >15) were detected in PUFCL. Nearly half of DOM was CHO-only compounds (42.04%) in SNFCL. PUFCL was abundant in heteroatom species with higher-order oxygen (O ≥ 10), which was coincident with the trend of humic substance distribution (humic substance >1/2). Based on these properties results, advanced oxidation processes, such as ozonation, might be the right process for SNFCL rich in heteroatom species with low-order oxygen (O < 10). Abundant disulfides (S₂O_2-6 classes, 20.19%) and monovalent salts existed in ROCL, which should be removed from the system. These findings might provide basic information for the treatment of CLs from different membranes.

High-Throughput Screening Using a Synchronized Pulsed Self-aspiration Vacuum Electrospray Ionization Miniature Mass Spectrometer

With the advantages of rapid analysis, high sensitivity, and multicomponent identification, mass spectrometry (MS) is recognized as an appealing choice for high-throughput screening (HTS) analysis. Aiming at the small size, simple operation, and adequate performance, the development of miniature mass spectrometers has made great progress over the last 2 decades. Besides the essential analytical performance, simple operation and HTS capability are two other crucial features desired in miniature MS instruments. In this paper, an induced self-aspiration vacuum electrospray ionization source (ISA-VESI) was developed and coupled to a miniature ion trap mass spectrometer. A special timing sequence was designed to synchronize all the operation steps in each measurement, including dual-pulse sample injection, multipulse gas injection, MS analysis, and the movement of the homemade HTS platform used as the sampler. Then, the automatic high-throughput analysis of multiple samples can be accomplished with close coordination among the sample delivery, the sample introduction and ionization, and the ion trap operation. The measurement time of each ISA-VESI-MS analysis was about 7 s, with a sample consumption of less than 100 nL.

Abstract 316: Hydroxytyrosol, An Olive Oil Phenol, Reduces Ex Vivo Thrombin-induced Platelet Activation

Background and Aims: Olive oil consumption is associated with lower cardiovascular disease (CVD) risk. We recently demonstrated that frequent olive oil consumption was inversely associated with thrombin-induced platelet activation ex vivo . While various olive oil phenolic compounds, notably hydroxytyrosol, have been shown to reduce human platelet aggregation ex vivo , little is known about how olive oil affects platelet activation, a key mediator of atherothrombosis. Therefore, we sought to investigate whether hydroxytyrosol exposure affects platelet activation.

Methods and Results: Ten healthy, non-smoking men and women (25.0±1.6 years) with normal body mass index (BMI 22.2±3.3 kg/m 2 ) were recruited for ex vivo platelet studies. Individuals on antiplatelet or anticoagulation medications or medications known to influence lipid levels were excluded. Subjects attended a single visit at NYU Langone where platelet-rich plasma (PRP) was isolated and incubated with three different concentrations of hydroxytyrosol or ethanol vehicle for 60 minutes at room temperature. PRP was then incubated with bovine thrombin for 5 minutes followed by anti-CD62P for 15 minutes in the dark. Platelet activation was determined by platelet surface expression of P-selectin, assessed via flow cytometry. E x vivo exposure to hydroxytyrosol inhibited thrombin-induced platelet P-selectin expression in a dose-dependent manner (Figure).

Conclusions: We demonstrate that hydroxytyrosol exposure reduces thrombin-induced platelet P-selectin expression in a dose-response fashion. The dose response seen in this ex vivo platelet activation study is consistent with our clinical observation that more frequent olive oil intake was associated with reduced ex vivo thrombin-induced P-selectin expression. This laboratory study suggests a putative mechanism underlying our clinical observation as well as the established inverse association of olive oil consumption with CVD.

Variations of nitrogen-metabolizing enzyme activity and microbial community under typical loading conditions in full-scale leachate anoxic/aerobic system

Influent loading determines the performance of leachate treatment plant (LTP) facing the dynamic conditions, but enzyme expression in microbial community is unclear. Here, six nitrogen-metabolizing enzymes were detected during nitrification failures (NF), high loading (HL), low loading (LL), and low carbon/nitrogen (LCN) in a 500 m³/d LTP. Nitrogen removal in LL was 15 ± 5% higher than that in HL. The activity of hydroxylamine oxidoreductase decreased by 90% as the influent total nitrogen increased from 2450 mg/L to 3100 mg/L, which might be a critical enzyme causing the nitrification failure. Denitrifying enzyme abated by 1.3% as the carbon/nitrogen dropped by 1% in LCN. With the influent chemical oxygen demand decreased from 22000 mg/L to 12000 mg/L, the relative abundance of norank_f_Saprospiraceae dropped from 33.66% to 11.94%, and finally disappeared, which seems to be an indicator of the high load operation. These findings provide the basis for improving the efficiency of LTPs.

The effect of sludge retention time (SRT) on the Nitrifier typical kinetics at ambient temperature under the low ammonia density

Sludge retention time (SRT) regulation is one of the essential management techniques for refined control of the main-sidestream treatment process under the low ammonia density. It is indispensable to understand the effect of SRTs changes on the Nitrifier kinetics to obtain the functional separation of the Nitrifier and the refined control of the nitrification process. In this study, Nitrifier was cultured with conditions of 35 ± 0.5 °C, pH 7.5 ± 0.2, DO 5.0 ± 0.5 mg-O/L, and SRTs were controlled for 40 d, 20 d, 10 d, and 5 d. The net growth rate (μ_m), decay rate (b), specific growth rate (μ), the yield of the Nitrifier (Y_A), temperature parameter (T_A), and inhibition coefficient (K_I) have been measured and extended with the SRT decreases. Instead, the half-saturation coefficient (K_S) decreased. In addition, the limited value of pH inhibition occurs (pH_UL), and the pH of keeping 5% maximum reaction rate (pH_LL) was in a relatively stable state. The trade of kinetics may be induced by the change of species structure of Nitrifier. The Nitrosomonas proportion was increased, and the Nitrospira was contrary with the SRT decreasing. It is a match for the functional separation of Nitrifier when SRTs was 20 d at ambient temperature under the low ammonia density. The kinetics of ammonia-oxidizing organisms (AOO) and nitrite-oxidizing organisms (NOO) in Nitrifier under different SRT conditions should be measured respectively to the refined control of the partial nitrification process in future study.

Next-generation sequencing identification and multiplex RT-PCR detection for viruses infecting cigar and flue-cured tobacco

BACKGROUND

Early, precise and simultaneous identification of plant viruses is of great significance for preventing virus spread and reducing losses in agricultural yields.

METHODS AND RESULTS

In this study, the identification of plant viruses from symptomatic samples collected from a cigar tobacco planting area in Deyang and a flue-cured tobacco planting area in Luzhou city, Sichuan Province, China, was conducted by deep sequencing of small RNAs (sRNAs) through an Illumina sequencing platform, and plant virus-specific contigs were generated based on virus-derived siRNA sequences. Additionally, sequence alignment and phylogenetic analysis were performed to determine the species or strains of these viruses. A total of 27930450, 21537662 and 28194021 clean reads were generated from three pooled samples, with a total of 105 contigs mapped to the closest plant viruses with lengths ranging from 34 ~ 1720 nt. The results indicated that the major viruses were potato virus Y, Chilli veinal mottle virus, tobacco vein banding mosaic virus, tobacco mosaic virus and cucumber mosaic virus. Subsequently, a fast and sensitive multiplex reverse transcription polymerase chain reaction assay was developed for the simultaneous detection of the most frequent RNA viruses infecting cigar and flue-cured tobacco in Sichuan.

CONCLUSIONS

These results provide a theoretical basis and convenient methods for the rapid detection and control of viruses in cigar- and flue-cured tobacco.

Sewage denitrification performance and sludge properties variation with the addition of liquid from perishable organic anaerobic fermentation

The organics in the classified wet waste were deficiently utilized while sewage denitrification requires abundant carbon sources. Herein, the fermentation of perishable organic waste (POW) and the denitrification process with obtained liquid were investigated. The most volatile fatty acids (VFAs) production was realized with the fermentation liquid of food waste (FL-FW). Increasing substrate tended to lower the proportion of VFAs and acetic acid in FL-FW. Under the optimum conditions of FL-FW carbon source, carbon to nitrogen ratio 7, and temperature 30 ℃, the removal efficiency of nitrate nitrogen reached 99.23% within 4 h. The sludge settleability and microbial activity were significantly enhanced, contributing to the actual sewage a promotional removal of organics (95.84%) and nitrogen (70.31%) with the supplementation of FL-FW. High addition ratio would cause more degradation of refractory organics, which confirmed the feasibility of using FL-FW as a cost-efficient carbon source for the denitrification.

More frequent olive oil intake is associated with reduced platelet activation in obesity

BACKGROUND AND AIMS

Obesity is an independent risk factor for atherosclerotic cardiovascular disease (CVD), and platelet hyperactivation in obesity may contribute to this association. Olive oil consumption is associated with lower cardiovascular disease (CVD) risk in the general population. However, little is known for individuals with obesity. We investigated whether olive oil intake is associated with platelet activation in obesity.

METHODS AND RESULTS

We assessed platelet activation (surface P-selectin expression) with and without thrombin exposure and diet composition in 63 patients with severe obesity. Among 63 subjects with obesity, the mean age was 32.2 ± 8.0 years and BMI 44.1 ± 8.5 kg/m². Olive oil intake was stratified into <1 time/week (n = 21), 1-3 times/week (n = 18), ≥4 times/week (n = 24). Strata did not differ by age, BMI or platelet count. Unstimulated P-selectin expression did not differ by olive oil consumption. Subjects with more frequent olive oil intake exhibited lower P-selectin expression on submaximal thrombin exposure.

CONCLUSIONS

More frequent olive oil intake is associated with reduced thrombin-induced platelet activation in obesity.

Treatment of fresh leachate by microaeration pretreatment combined with IC-AO2 process: Performance and mechanistic insight

Fresh leachate is commonly featured with high concentrations of degradable organic matters, which can impede the performance of traditional biological treatment, especially the anaerobic reactor. Aiming at improving the biological treatment process of fresh leachate, this study creatively proposed a microaerobic-IC-AO² (MAICAO²) process and compared it with traditional biological process, then optimized the operating conditions. Meanwhile, this work investigated the transformation rules and molecular compositions of dissolved organic matters (DOM) during MAICAO² process, particularly the hazardous DOM (antibiotics). The innovative MAICAO² process can effectively remove 99% chemical oxygen demand (COD), 91% total nitrogen (TN) and 91% ammonia (NH₄⁺-N) during the operation time, and the removal efficiencies of COD, TN and NH₄⁺-N in MAICAO² process increased approximately 2%, 14% and 13% compared to ICAOAO process. Electrospray ionization Fourier transform ion cyclotron resonance mass spectrometry (ESI FT-ICR MS) confirmed that microaeration could ensure over 53% small molecular organic acids degrade before the subsequent anaerobic reaction so the system could resist the high concentration organic matters stress and improve the denitrification efficiency. Further analysis showed that different categories of antibiotics (including 6 sulfonamides, 4 tetracyclines, 2 macrolides, 4 quinolones and 2 chloramphenicols) could be effectively removed by MAICAO² process with the total removal efficiency of 50%. This work proposed a new scenario for fresh leachate treatment by proposing the importance of the microaeration pretreatment during the biological treatment process.

Species, fractions, and characterization of phosphorus in sewage sludge: A critical review from the perspective of recovery

Phosphorus recovery from municipal sewage sludge is a promising way to alleviate the shortage of phosphorus resources. However, the recovery efficiency and cost depend greatly on phosphorus species and fractions in different sewage sludges, i.e., waste activated sludge and chemically enhanced primary sludge. In this review, the phosphorous (sub-)species and fractions in waste activated sludge and chemically enhanced primary sludge are systematically overviewed and compared. The factors affecting phosphorus fractions, including wastewater treatment process, as well as sludge treatment methods and conditions are summarized and discussed; it is found that phosphorus removal method and sludge treatment process are the dominant factors. The characterization methods of phosphorus species and fractions in sewage sludge are reviewed; non-destructive extraction of poly-P and microscopic IP characterization need more attention. Anaerobic fermentation is the preferable solution to achieve advanced phosphorus release both from waste activated sludge and chemically enhanced primary sludge, because it can make phosphorus species and fractions more suitable for recovery. A post low strength acid extraction after anaerobic fermentation is recommended to facilitate phosphorous release and improve the total recovery rate.

A novel additional carbon source derived from rotten fruits: Application for the denitrification from mature landfill leachate and evaluation the economic benefits

Rotten fruits could be used as an available resource due to the high organic content and low pollution introduction. In this study, four kinds of rotten fruits including banana, apple, pear and grape, were utilized as additional carbon source to improve the nitrogen removal from mature landfill leachate. With the optimal condition of carbon-nitrogen ratio 6.5 and operation time 2 d, the rotten banana group had a higher denitrification rate of 11.78 mg/(gVSS·h) than that of other groups, corresponding the 99.55% of nitrate nitrogen (NO3--N), 99.36% of total nitrogen and 94.60% of organics removal. High carbon-nitrogen ratio would contribute to more degradation of organic and humus matters, and the low cost of 0.65 €/kgNO3--N was obtained. Biodiversity analysis indicated that denitrificans and organic-degrading bacterial were enriched after the addition of rotten banana. Overall, the novel carbon source of rotten banana was a cost-efficient choice for the denitrification.

Risk factors for intracerebral hemorrhage in patients with COVID-19

Intracerebral hemorrhage (ICH) can be a devastating complication of coronavirus disease (COVID-19). We aimed to assess risk factors associated with ICH in this population. We performed a retrospective cohort study of adult patients admitted to NYU Langone Health system between March 1 and April 27 2020 with a positive nasopharyngeal swab polymerase chain reaction test result and presence of primary nontraumatic intracranial hemorrhage or hemorrhagic conversion of ischemic stroke on neuroimaging. Patients with intracranial procedures, malignancy, or vascular malformation were excluded. We used regression models to estimate odds ratios and 95% confidence intervals (OR, 95% CI) of the association between ICH and covariates. We also used regression models to determine association between ICH and mortality. Among 3824 patients admitted with COVID-19, 755 patients had neuroimaging and 416 patients were identified after exclusion criteria were applied. The mean (standard deviation) age was 69.3 (16.2), 35.8% were women, and 34.9% were on therapeutic anticoagulation. ICH occurred in 33 (7.9%) patients. Older age, non-Caucasian race, respiratory failure requiring mechanical ventilation, and therapeutic anticoagulation were associated with ICH on univariate analysis (p < 0.01 for each variable). In adjusted regression models, anticoagulation use was associated with a five-fold increased risk of ICH (OR 5.26, 95% CI 2.33-12.24, p < 0.001). ICH was associated with increased mortality (adjusted OR 2.6, 95 % CI 1.2-5.9). Anticoagulation use is associated with increased risk of ICH in patients with COVID-19. Further investigation is required to elucidate underlying mechanisms and prevention strategies in this population.

Salinity enhances high optically active L-lactate production from co-fermentation of food waste and waste activated sludge: Unveiling the response of microbial community shift and functional profiling

Lactic acid (LA), a versatile platform molecule, can be fermented from organic wastes, such as food waste and waste activated sludge. In this study, an efficient approach using salt, a component of food waste as an additive, was proposed to increase LA production. The LA productivity was increased at 10 g NaCl/L and optical pure L-lactate was obtained at 30 g NaCl/L. The enhancement of LA was in accordance with the increased solubilization and the critical hydrolase activities under saline conditions. Moreover, high salinity (30-50 g NaCl/L) changed the common conversion of LA to volatile fatty acids. In addition, the key LA bacteria genera (Bacillus, Enterococcus, Lactobacillus) were selectively enriched under saline conditions. Strong correlations between salinity and functional genes for L-LA production were also observed. This study provides a practical way for the enrichment of L-LA with high optical activity from organic wastes.

Chimeric Tobamoviruses With Coat Protein Exchanges Modulate Symptom Expression and Defence Responses in Nicotiana tabacum

In the pathogen infection and host defence equilibrium, plant viruses have evolved to efficiently replicate their genomes, to resist the attack from host defence responses and to avoid causing severe negative effect on growth and metabolism of the hosts. In this study, we generated chimeric tobacco mosaic virus (TMV) variants, in which the coat protein (CP) sequences were substituted with that of cucumber green mottle mosaic virus (CGMMV) or pepper mild mottle virus (PMMoV) to address the role of these in virus infection and host symptomology. The results showed that the chimeric viruses (TMV-CGCP or TMV-PMCP) induce stunting and necrotic symptoms in tobacco plants. We analyzed the transcriptomic changes in tobacco plants after infection of TMV and its chimeras using a high-throughput RNA sequencing approach and found that infection of the chimeric TMV induced significant up-regulation of host defence responsive genes together with salicylic (SA) or abscisic acid (ABA) responsive genes, but down-regulation of auxin (Aux) responsive genes. We further confirmed the increase in the levels of SA and ABA, together with the reduced levels of Aux after infection of chimeric TMV in tobacco plants. These data suggest novel roles of tobamovirus CP in induction of host symptoms and defence responses.

A validated, real-time prediction model for favorable outcomes in hospitalized COVID-19 patients

The COVID-19 pandemic has challenged front-line clinical decision-making, leading to numerous published prognostic tools. However, few models have been prospectively validated and none report implementation in practice. Here, we use 3345 retrospective and 474 prospective hospitalizations to develop and validate a parsimonious model to identify patients with favorable outcomes within 96 h of a prediction, based on real-time lab values, vital signs, and oxygen support variables. In retrospective and prospective validation, the model achieves high average precision (88.6% 95% CI: [88.4-88.7] and 90.8% [90.8-90.8]) and discrimination (95.1% [95.1-95.2] and 86.8% [86.8-86.9]) respectively. We implemented and integrated the model into the EHR, achieving a positive predictive value of 93.3% with 41% sensitivity. Preliminary results suggest clinicians are adopting these scores into their clinical workflows.

Lipoprotein insulin resistance score in nondiabetic patients with obesity after bariatric surgery

BACKGROUND

Lipoprotein insulin resistance (LPIR) score is a composite biomarker representative of atherogenic dyslipidemia characteristic of early insulin resistance. It is elevated in obesity and may provide information not captured in glycosylated hemoglobin and homeostatic model assessment for insulin resistance. While bariatric surgery reduces diabetes incidence and resolves metabolic syndrome, the effect of bariatric surgery on LPIR is untested.

OBJECTIVES

We sought to assess the effects of Roux-en-Y gastric bypass and sleeve gastrectomy on LPIR in nondiabetic women with obesity.

SETTING

Nonsmoking, nondiabetic, premenopausal Hispanic women, age ≥18 years, undergoing Roux-en-Y gastric bypass or sleeve gastrectomy at Bellevue Hospital were recruited for a prospective observational study.

METHODS

Anthropometric measures and blood sampling were performed preoperatively and at 6 and 12 months postoperatively. LPIR was measured by nuclear magnetic resonance spectroscopy.

RESULTS

Among 53 women (Roux-en-Y gastric bypass, n = 22; sleeve gastrectomy, n = 31), mean age was 32 ± 7 years and body mass index 44.1 ± 6.4 kg/m2. LPIR was reduced by 35 ± 4% and 46 ± 4% at 6 and 12 months after surgery, respectively, with no difference by procedure. Twenty-seven of 53 patients met International Diabetes Federation criteria for metabolic syndrome preoperatively and had concomitant higher homeostatic model assessment for insulin resistance, glycosylated hemoglobin, nonhigh-density lipoprotein-cholesterol and LPIR. Twenty-five of 27 patients experienced resolution of metabolic syndrome postoperatively. Concordantly, the preoperative differences in homeostatic model assessment for insulin resistance, glycosylated hemoglobin, and nonhigh-density lipoprotein-cholesterol between those with and without metabolic syndrome resolved at 6 and 12 months. In contrast, patients with metabolic syndrome preoperatively exhibited greater LPIR scores at 6 and 12 months postoperatively.

CONCLUSION

This is the first study to demonstrate improvement in insulin resistance, as measured by LPIR, after bariatric surgery with no difference by procedure. This measure, but not traditional markers, was persistently higher in patients with a preoperative metabolic syndrome diagnosis, despite resolution of the condition.