Emergencies of epistaxis in students caused by environmental pollution have rarely been reported to date. This study aimed to explore the cause of an emergency of epistaxis in elementary students by using a field epid...Emergencies of epistaxis in students caused by environmental pollution have rarely been reported to date. This study aimed to explore the cause of an emergency of epistaxis in elementary students by using a field epidemiological investigation. Twenty-two epistaxis cases from a single school with differences in gender, age, and classroom,were diagnosed within a period of 7 days. The air concentration of chromic acid mist （Cr6~） in the electroplating factory area, new campus, and residential area exceeded the limit of uncontrolled emissions. The emission of HCL and HzSO4was also observed. Formaldehyde levels in the classrooms exceeded the limits of indoor air quality. Abnormal nasal mucosa was significantly more frequent in the case group （93.3%） and control group 1 （of the same school） （66.7%） than in control group 2 （from a mountainous area with no industrial zone） （34.8%; P 〈 0.05 and P 〈 0.01, respectively）. On the basis of the pre-existing local nasal mucosal lesions, excessive chromic acid mist in the school＇s surrounding areas and formaldehyde in the classrooms were considered to have acutely irritated the nasal mucosa, causing epistaxis. Several lessons regarding factory site selection, eradication of chemical emissions, and indoor air quality in newly decorated classrooms, should be learned from this emergency.展开更多
The bacteria and plants were associated to remove diesel oil pollutants from soil.Three efficiently degrading bacteria(named strains Q10,Q14 and Q18,respectively) were isolated.Two plants(alfalfa and Indian mustard) w...The bacteria and plants were associated to remove diesel oil pollutants from soil.Three efficiently degrading bacteria(named strains Q10,Q14 and Q18,respectively) were isolated.Two plants(alfalfa and Indian mustard) were selected to form the association.Biodegradation of diesel oil pollutants in soil was accelerated by bacteria-plants association.The main results are summarized as follows.The plants-bacteria association was more effective in biodegradation of diesel oil pollutants in soil than in respective experiments carried out with plants or bacteria alone.Strain Q18-Indian mustard association resulted in the maximum diesel oil reduction(69.18%).The activities of catalase and polyphenol oxidase in soil were enhanced and microbial populations in soil,especially in rhizosphere,were also stimulated in the treatment of bacteria-plant association.Overall,the soil conditions might be improved by alfalfa or Indian mustard to benefit the growth of bacteria,which resulted in degradation of diesel oil pollutants more effective by the bacteria-plant association.The bacteria-plants association may be a better approach to the removal of diesel oil pollutants from soil.展开更多
BACKGROUND Epithelial-myoepithelial carcinoma (EMC) is a rare, low-grade, malignant tumor that constitutes less than one percent of all salivary gland tumors. To date, only one other case report has described radiatio...BACKGROUND Epithelial-myoepithelial carcinoma (EMC) is a rare, low-grade, malignant tumor that constitutes less than one percent of all salivary gland tumors. To date, only one other case report has described radiation-associated EMC in the English language medical literature.CASE SUMMARY In this report, we describe the case of a 56-year-old male patient who presented with a neck mass diagnosed as EMC of the left submandibular gland approximately 30 years after mantle field radiation and chemotherapy for Hodgkin lymphoma. Treatment included resection, re-resection with nodal dissection, and adjuvant chemoradiotherapy. This patient was also diagnosed with 4 other secondary malignancies, including stage IV diffuse large B cell lymphoma in the abdomen with subsequent brain metastases, low-grade neuroendocrine carcinoma of the lung, Hurthle cell adenoma, and small B cell lymphoma before the patient expired. This case provides important information regarding the pathology, clinical sequelae, and management of a patient diagnosed with radiation-associated EMC amidst four concurrent malignancies.CONCLUSION Further investigation is needed on the efficacy of adjuvant radiotherapy in EMC,especially atypical EMC.展开更多
BACKGROUND In recent years,increasing evidence of second neoplasms associated with gastrointestinal stromal tumors(GIST)has been found.Numerous case reports,mostly retrospective studies and a few reviews,have been pub...BACKGROUND In recent years,increasing evidence of second neoplasms associated with gastrointestinal stromal tumors(GIST)has been found.Numerous case reports,mostly retrospective studies and a few reviews,have been published.To our knowledge,however,no systematic review or meta-analysis of the existing data has been performed so far.AIM To prepare a compilation,as complete as possible,of all reported second tumor entities that have been described in association with GIST and to systematically analyze the published studies with regard to frequency,localization,and types of GIST-associated neoplasms.METHODS The MEDLINE and EBSCO databases were searched for a combination of the keywords GIST/secondary,synchronous,coincident/tumor,neoplasm,and relevant publications were selected by two independent authors.RESULTS Initially,3042 publications were found.After deletion of duplicates,1631 remained,and 130 papers were selected;22 of these were original studies with a minimum of 20 patients,and 108 were case reports.In the 22 selected studies,comprising a total number of 12050 patients,an overall rate of GIST-associated neoplasias of 20%could be calculated.Most second neoplasias were found in the gastrointestinal tract(32%)and in the male and female urogenital tract(30%).The specific risk scores of GISTs associated with other tumors were significantly lower than those without associated neoplasias.CONCLUSION In this first systematic review,we could confirm previously reported findings of a more than coincidental association between GIST and other neoplasias.The question whether there is an underlying causal association will need further investigation.Our data suggest that even GIST with a very low risk of disease progression should prompt screening for second neoplasia and subsequent frequent controls or extended staging.展开更多
Family-based tests of association between a genetic marker and a disease constitute a common design to dissect the genetic architecture of complex traits. The FBAT software is one of the most popular tools to perform ...Family-based tests of association between a genetic marker and a disease constitute a common design to dissect the genetic architecture of complex traits. The FBAT software is one of the most popular tools to perform such studies. However, researchers are also often interested in the genetic contribution to a more specific manifestation of the phenotype (e.g. severe vs. non-severe form) known as a secondary outcome. Here, what we demonstrate is the limited power of the classical formulation of the FBAT statistic to detect the effect of genetic variants that influence a secondary outcome, in particular when these variants also impact on the onset of the disease, the primary outcome. We prove that this loss of power is driven by an implicit hypothesis, and we propose a derivation of the original FBAT statistic, free from this implicit hypothesis. Finally, we demonstrate analytically that our new statistic is robust and more powerful than FBAT for the detection of association between a genetic variant and a secondary outcome.展开更多
The biopharmaceutical industry contributes substantially to volatile organic compounds(VOCs)emissions,causing growing concerns and social developmental conflicts.This study conducted an on-site investigation of the pr...The biopharmaceutical industry contributes substantially to volatile organic compounds(VOCs)emissions,causing growing concerns and social developmental conflicts.This study conducted an on-site investigation of the process-based emission of VOCs from three biopharmaceutical enterprises.In the workshops of the three enterprises,26 VOCs were detected,which could be sorted into 4 classes:hydrocarbons,aromatic hydrocarbons,oxygen-containing compounds,and nitrogen-containing compounds.Ketones were the main components of waste gases,accounting for 44.13%-77.85%of the overall VOCs.Process-based source profiles were compiled for each process unit,with the fermentation and extraction units of tiamulin fumarate being the main source of VOC emissions.Dimethyl heptanone,vinyl acetate,diethylamine,propylene glycol methyl ether(PGME),and benzene were screened as priority pollutants through a fuzzy comprehensive evaluation system.Ground level concentration simulation results of the Gauss plume diffusion model demonstrated that the diffusivity of VOCs in the atmosphere was relatively high,indicating potential non-carcinogenic and carcinogenic risks 1.5-2 km downwind.Furthermore,the process-based formation potentials of ozone and secondary organic aerosols(SOAs)were determined and indicated that N-methyl-2-pyrrolidone,dimethyl heptanone,and PGME should be preferentially controlled to reduce the ozone formation potential,whereas the control of benzene and chlorobenzene should be prioritized to reduce the generation of SOAs.Our results provide a basis for understanding the characteristics of VOC emission by biopharmaceutical industries and their diffusion,potentially allowing the development of measures to reduce health risks and secondary pollution.展开更多
Secondary air pollutants,originating from gaseous pollutants and primary particulate matter emitted by natural sources and human activities,undergo complex atmospheric chemical reactions and multiphase processes.Secon...Secondary air pollutants,originating from gaseous pollutants and primary particulate matter emitted by natural sources and human activities,undergo complex atmospheric chemical reactions and multiphase processes.Secondary gaseous pollutants represented by ozone and secondary particulate matter,including sulfates,nitrates,ammonium salts,and secondary organic aerosols,are formed in the atmosphere,affecting air quality and human health.This paper summarizes the formation pathways and mechanisms of important atmospheric secondary pollutants.Meanwhile,different secondary pollutants’toxicological effects and corresponding health risks are evaluated.Studies have shown that secondary pollutants are generally more toxic than primary ones.However,due to their diverse source and complex generation mechanism,the study of the toxicological effects of secondary pollutants is still in its early stages.Therefore,this paper first introduces the formation mechanism of secondary gaseous pollutants and focuses mainly on ozone’s toxicological effects.In terms of particulate matter,secondary inorganic and organic particulate matters are summarized separately,then the contribution and toxicological effects of secondary components formed from primary carbonaceous aerosols are discussed.Finally,secondary pollutants generated in the indoor environment are briefly introduced.Overall,a comprehensive review of secondary air pollutants may shed light on the future toxicological and health effects research of secondary air pollutants.展开更多
基金This work was supported by the National Key R&D Program of China[grant number 2022YFC370110]the National Natural Science Foundation of China[grant numbers 42077194,42061134008,and 42377098]+1 种基金the Shanghai International Science and Technology Partnership Project[grant number 21230780200]the Shanghai General Project[grant number 23ZR1406100].
基金sponsored by Zhejiang Provincial Program for the Cultivation of High-Level Innovative Health Talentsin part supported by the Natural Science Foundation of China(81472961)the Co-constructed Projects by the National Health and Family Planning Commission of China,and the Health Bureau of Zhejiang Province(No.WSK2014-2-004)
文摘Emergencies of epistaxis in students caused by environmental pollution have rarely been reported to date. This study aimed to explore the cause of an emergency of epistaxis in elementary students by using a field epidemiological investigation. Twenty-two epistaxis cases from a single school with differences in gender, age, and classroom,were diagnosed within a period of 7 days. The air concentration of chromic acid mist （Cr6~） in the electroplating factory area, new campus, and residential area exceeded the limit of uncontrolled emissions. The emission of HCL and HzSO4was also observed. Formaldehyde levels in the classrooms exceeded the limits of indoor air quality. Abnormal nasal mucosa was significantly more frequent in the case group （93.3%） and control group 1 （of the same school） （66.7%） than in control group 2 （from a mountainous area with no industrial zone） （34.8%; P 〈 0.05 and P 〈 0.01, respectively）. On the basis of the pre-existing local nasal mucosal lesions, excessive chromic acid mist in the school＇s surrounding areas and formaldehyde in the classrooms were considered to have acutely irritated the nasal mucosa, causing epistaxis. Several lessons regarding factory site selection, eradication of chemical emissions, and indoor air quality in newly decorated classrooms, should be learned from this emergency.
基金supported by the Natural Science Foundation of China (NSFC) (No. 40603017)the National Key Scientific and Technological Project of China (No. 2008ZX07207-007)
文摘The bacteria and plants were associated to remove diesel oil pollutants from soil.Three efficiently degrading bacteria(named strains Q10,Q14 and Q18,respectively) were isolated.Two plants(alfalfa and Indian mustard) were selected to form the association.Biodegradation of diesel oil pollutants in soil was accelerated by bacteria-plants association.The main results are summarized as follows.The plants-bacteria association was more effective in biodegradation of diesel oil pollutants in soil than in respective experiments carried out with plants or bacteria alone.Strain Q18-Indian mustard association resulted in the maximum diesel oil reduction(69.18%).The activities of catalase and polyphenol oxidase in soil were enhanced and microbial populations in soil,especially in rhizosphere,were also stimulated in the treatment of bacteria-plant association.Overall,the soil conditions might be improved by alfalfa or Indian mustard to benefit the growth of bacteria,which resulted in degradation of diesel oil pollutants more effective by the bacteria-plant association.The bacteria-plants association may be a better approach to the removal of diesel oil pollutants from soil.
基金Supported by the National Institutes of Health grant,No.5K12CA090625-18(to Austin N Kirschner)from the Vanderbilt Clinical Oncology Research Career Development ProgramNCI/NIH Cancer Center Support Grant,No.5P30 CA68485-19the Vanderbilt Mouse Metabolic Phenotyping Center Grant No.2U24 DK059637-16
文摘BACKGROUND Epithelial-myoepithelial carcinoma (EMC) is a rare, low-grade, malignant tumor that constitutes less than one percent of all salivary gland tumors. To date, only one other case report has described radiation-associated EMC in the English language medical literature.CASE SUMMARY In this report, we describe the case of a 56-year-old male patient who presented with a neck mass diagnosed as EMC of the left submandibular gland approximately 30 years after mantle field radiation and chemotherapy for Hodgkin lymphoma. Treatment included resection, re-resection with nodal dissection, and adjuvant chemoradiotherapy. This patient was also diagnosed with 4 other secondary malignancies, including stage IV diffuse large B cell lymphoma in the abdomen with subsequent brain metastases, low-grade neuroendocrine carcinoma of the lung, Hurthle cell adenoma, and small B cell lymphoma before the patient expired. This case provides important information regarding the pathology, clinical sequelae, and management of a patient diagnosed with radiation-associated EMC amidst four concurrent malignancies.CONCLUSION Further investigation is needed on the efficacy of adjuvant radiotherapy in EMC,especially atypical EMC.
文摘BACKGROUND In recent years,increasing evidence of second neoplasms associated with gastrointestinal stromal tumors(GIST)has been found.Numerous case reports,mostly retrospective studies and a few reviews,have been published.To our knowledge,however,no systematic review or meta-analysis of the existing data has been performed so far.AIM To prepare a compilation,as complete as possible,of all reported second tumor entities that have been described in association with GIST and to systematically analyze the published studies with regard to frequency,localization,and types of GIST-associated neoplasms.METHODS The MEDLINE and EBSCO databases were searched for a combination of the keywords GIST/secondary,synchronous,coincident/tumor,neoplasm,and relevant publications were selected by two independent authors.RESULTS Initially,3042 publications were found.After deletion of duplicates,1631 remained,and 130 papers were selected;22 of these were original studies with a minimum of 20 patients,and 108 were case reports.In the 22 selected studies,comprising a total number of 12050 patients,an overall rate of GIST-associated neoplasias of 20%could be calculated.Most second neoplasias were found in the gastrointestinal tract(32%)and in the male and female urogenital tract(30%).The specific risk scores of GISTs associated with other tumors were significantly lower than those without associated neoplasias.CONCLUSION In this first systematic review,we could confirm previously reported findings of a more than coincidental association between GIST and other neoplasias.The question whether there is an underlying causal association will need further investigation.Our data suggest that even GIST with a very low risk of disease progression should prompt screening for second neoplasia and subsequent frequent controls or extended staging.
基金supported by the Programme Blanc de l’Agence National de la Recherche.
文摘Family-based tests of association between a genetic marker and a disease constitute a common design to dissect the genetic architecture of complex traits. The FBAT software is one of the most popular tools to perform such studies. However, researchers are also often interested in the genetic contribution to a more specific manifestation of the phenotype (e.g. severe vs. non-severe form) known as a secondary outcome. Here, what we demonstrate is the limited power of the classical formulation of the FBAT statistic to detect the effect of genetic variants that influence a secondary outcome, in particular when these variants also impact on the onset of the disease, the primary outcome. We prove that this loss of power is driven by an implicit hypothesis, and we propose a derivation of the original FBAT statistic, free from this implicit hypothesis. Finally, we demonstrate analytically that our new statistic is robust and more powerful than FBAT for the detection of association between a genetic variant and a secondary outcome.
基金financially supported by the National Natural Science Foundation of China (No.51878650)。
文摘The biopharmaceutical industry contributes substantially to volatile organic compounds(VOCs)emissions,causing growing concerns and social developmental conflicts.This study conducted an on-site investigation of the process-based emission of VOCs from three biopharmaceutical enterprises.In the workshops of the three enterprises,26 VOCs were detected,which could be sorted into 4 classes:hydrocarbons,aromatic hydrocarbons,oxygen-containing compounds,and nitrogen-containing compounds.Ketones were the main components of waste gases,accounting for 44.13%-77.85%of the overall VOCs.Process-based source profiles were compiled for each process unit,with the fermentation and extraction units of tiamulin fumarate being the main source of VOC emissions.Dimethyl heptanone,vinyl acetate,diethylamine,propylene glycol methyl ether(PGME),and benzene were screened as priority pollutants through a fuzzy comprehensive evaluation system.Ground level concentration simulation results of the Gauss plume diffusion model demonstrated that the diffusivity of VOCs in the atmosphere was relatively high,indicating potential non-carcinogenic and carcinogenic risks 1.5-2 km downwind.Furthermore,the process-based formation potentials of ozone and secondary organic aerosols(SOAs)were determined and indicated that N-methyl-2-pyrrolidone,dimethyl heptanone,and PGME should be preferentially controlled to reduce the ozone formation potential,whereas the control of benzene and chlorobenzene should be prioritized to reduce the generation of SOAs.Our results provide a basis for understanding the characteristics of VOC emission by biopharmaceutical industries and their diffusion,potentially allowing the development of measures to reduce health risks and secondary pollution.
基金This work was supported by the National Natural Science Foundation of China(No.92143301).
文摘Secondary air pollutants,originating from gaseous pollutants and primary particulate matter emitted by natural sources and human activities,undergo complex atmospheric chemical reactions and multiphase processes.Secondary gaseous pollutants represented by ozone and secondary particulate matter,including sulfates,nitrates,ammonium salts,and secondary organic aerosols,are formed in the atmosphere,affecting air quality and human health.This paper summarizes the formation pathways and mechanisms of important atmospheric secondary pollutants.Meanwhile,different secondary pollutants’toxicological effects and corresponding health risks are evaluated.Studies have shown that secondary pollutants are generally more toxic than primary ones.However,due to their diverse source and complex generation mechanism,the study of the toxicological effects of secondary pollutants is still in its early stages.Therefore,this paper first introduces the formation mechanism of secondary gaseous pollutants and focuses mainly on ozone’s toxicological effects.In terms of particulate matter,secondary inorganic and organic particulate matters are summarized separately,then the contribution and toxicological effects of secondary components formed from primary carbonaceous aerosols are discussed.Finally,secondary pollutants generated in the indoor environment are briefly introduced.Overall,a comprehensive review of secondary air pollutants may shed light on the future toxicological and health effects research of secondary air pollutants.
