Infective Endocarditis Secondary to Needle Embolization to the Heart: A Case Report.

This case report explores the rare occurrence of a needle embolism in the heart among individuals with intravenous drug use (IVDU). The intricate symptomatology, ranging from overt chest pain to asymptomatic cases, poses diagnostic challenges and may lead to underrecognition. Healthcare professionals must navigate varied presentations, emphasizing the need for a nuanced diagnostic approach.

A Rare Case of a Failed AngioVac Procedure Used to Debride Tricuspid Vegetation Complicated by Ogilvie Syndrome.

Ogilvie syndrome is a rare disorder characterized by dilatation of part or all of the colon and rectum without intrinsic or extrinsic mechanical obstruction. Its etiology is likely multifactorial with high mortality if left untreated. Here, we report for the first time a case of Ogilvie syndrome secondary to the AngioVac procedure.

Emergency Department Visits for Acute Gastrointestinal Illness After a Major Water Pipe Break in 2010.

Background: When a water pipe breaks, contaminants can enter the drinking water system and cause waterborne illnesses such as acute gastrointestinal illness. In May 2010, a major water pipe broke near Boston, MA, and a boil water order was issued to nearly two million residents.

Methods: Using a case-crossover study design, we examined the association between the water pipe break and subsequent emergency department visits for acute gastrointestinal illness.

Disinfection Byproducts Bind Human Estrogen Receptor-α.

Disinfection byproducts are formed during most drinking water treatment and presently number >800, some of which are implicated in human health outcomes including bladder cancer and infertility, with unknown mechanisms of action. In particular, it is not yet understood whether these compounds can disrupt the estrogen-signaling pathway through binding to the human estrogen receptor (ER). In the present study, 21 disinfection byproducts, selected for their predicted involvement in endocrine-related diseases and their structural diversity, were individually evaluated for their binding affinity to the human ER and in silico, and then a subset of these chemicals was studied in binary mixtures with the known weak estrogen, 4-n-nonylphenol.

Identification of endocrine active disinfection by-products (DBPs) that bind to the androgen receptor.

The formation of disinfection by-products (DBPs) in drinking water occurs when chemical disinfectants such as chlorine and chloramine react with natural organic matter and anthropogenic pollutants. Some DBPs have been linked to bladder cancer and infertility; however, the underlying mechanism of action is unknown. One possibility is disruption of the endocrine system, with DBPs binding to the androgen receptor and subsequently altering gene expression.

Kinetics and mechanisms of nitrate and ammonium formation during ozonation of dissolved organic nitrogen.

Dissolved organic nitrogen (DON) is an emerging concern in oxidative water treatment because it exerts oxidant demand and may form nitrogenous oxidation/disinfection by-products. In this study, we investigated the reactions of ozone with DON with a special emphasis on the formation of nitrate (NO) and ammonium (NH). In batch ozonation experiments, the formation of NO and NH was investigated for natural organic matter standards, surface water, and wastewater effluent samples.

Asymmetric flow field flow fractionation with light scattering detection - an orthogonal sensitivity analysis.

Asymmetric flow field flow fractionation (AF) has several instrumental factors that may have a direct effect on separation performance. A sensitivity analysis was applied to ascertain the relative importance of AF primary instrument factor settings for the separation of a complex environmental sample. The analysis evaluated the impact of instrumental factors namely, cross flow, ramp time, focus flow, injection volume, and run buffer concentration on the multi-angle light scattering measurement of natural organic matter (NOM) molar mass (MM).

Biodegradability of DBP precursors after drinking water ozonation.

Ozonation is known to generate biodegradable organic matter, which is typically reduced by biological filtration to avoid bacterial regrowth in distribution systems. Post-chlorination generates halogenated disinfection byproducts (DBPs) but little is known about the biodegradability of their precursors. This study determined the effect of ozonation and biofiltration conditions, specifically ozone exposure and empty bed contact time (EBCT), on the control of DBP formation potentials in drinking water.

Towards reducing DBP formation potential of drinking water by favouring direct ozone over hydroxyl radical reactions during ozonation.

When ozonation is employed in advanced water treatment plants to produce drinking water, dissolved organic matter reacts with ozone (O3) and/or hydroxyl radicals (OH) affecting disinfection byproduct (DBP) formation with subsequently used chlorine-based disinfectants. This study presents the effects of varying exposures of O3 and •OH on DBP concentrations and their associated toxicity generated after subsequent chlorination. DBP formation potential tests and in vitro bioassays were conducted after batch ozonation experiments of coagulated surface water with and without addition of tertiary butanol (t-BuOH, 10 mM) and hydrogen peroxide (H2O2, 1 mg/mg O3), and at different pH (6-8) and transferred ozone doses (0-1 mg/mg TOC).

Using light scattering to evaluate the separation of polydisperse nanoparticles.

The analysis of natural and otherwise complex samples is challenging and yields uncertainty about the accuracy and precision of measurements. Here we present a practical tool to assess relative accuracy among separation protocols for techniques using light scattering detection. Due to the highly non-linear relationship between particle size and the intensity of scattered light, a few large particles may obfuscate greater numbers of small particles.

Integrated chemical and toxicological investigation of UV-chlorine/chloramine drinking water treatment.

As the use of alternative drinking water treatment increases, it is important to understand potential public health implications associated with these processes. The objective of this study was to evaluate the formation of disinfection byproducts (DBPs) and cytotoxicity of natural organic matter (NOM) concentrates treated with chlorine, chloramine, and medium pressure ultraviolet (UV) irradiation followed by chlorine or chloramine, with and without nitrate or iodide spiking. The use of concentrated NOM conserved volatile DBPs and allowed for direct analysis of the treated water.

Changes in dissolved organic matter fluorescence and disinfection byproduct formation from UV and subsequent chlorination/chloramination.

Ultraviolet (UV) irradiation is being increasingly used to help drinking water utilities meet finished water quality regulations, but its influence on disinfection byproduct (DBP) precursors and DBP formation is not completely understood. This study investigated the effect of medium pressure (MP) UV combined with chlorination/chloramination on the fluorescent fraction of dissolved organic matter (DOM) isolated from a United States surface water with median total organic carbon content. Parallel factor analysis was used to understand how UV may alter the capacity of DOM to form DBPs of potential human health concern.

Factors affecting the formation of disinfection by-products during chlorination and chloramination of secondary effluent for the production of high quality recycled water.

During the production of high quality recycled water by reverse osmosis membrane filtration secondary effluent must be disinfected to limit biofouling on the membrane surface. Advanced Water Treatment Plants in South East Queensland, Australia use disinfectant contact times ranging from 30 min up to 24 h. Disinfectants such as chlorine and chloramines react with effluent organic matter to generate disinfection by-products (DBPs) which could be potentially hazardous to human health if the water is destined for supplementing public water supplies.

The effect of inorganic precursors on disinfection byproduct formation during UV-chlorine/chloramine drinking water treatment.

Ultraviolet (UV) disinfection is being increasingly used in drinking water treatment. It is important to understand how its application to different types of water may influence finished water quality, particularly as anthropogenic activity continues to impact the quality of source waters. The objective of this study was to evaluate the effect of inorganic precursors on the formation of regulated and unregulated disinfection byproducts (DBPs) during UV irradiation of surface waters when combined with chlorination or chloramination.

The effect of water disinfection by-products on pregnancy outcomes in two southeastern US communities.

Objective: To determine if exposure to disinfection by-products (DBPs) during gestation increases the risk of adverse birth outcomes, specifically term small for gestational age (SGA) birth, preterm birth (PTB), and very PTB (<32 weeks' gestation).

Methods: We used weekly measurements total trihalomethanes (TTHMs), five haloacetic acids (HAA5), and total organic halides (TOX) collected from two distribution systems to evaluate the associations between DBP concentrations and term SGA, PTB, and very PTB using logistic regression.

Results: We found no associations between DBPs and term-SGA.

Occurrence and removal of pharmaceuticals and personal care products (PPCPs) in an advanced wastewater reclamation plant.

The occurrence of nineteen pharmaceutically active compounds and personal care products was followed monthly for 12 months after various stages of treatment in an advanced wastewater reclamation plant in Gwinnett County, GA, U.S.A.

Concentration, chlorination, and chemical analysis of drinking water for disinfection byproduct mixtures health effects research: U.S. EPA's Four Lab Study.

The U.S. Environmental Protection Agency's "Four Lab Study" involved participation of researchers from four national Laboratories and Centers of the Office of Research and Development along with collaborators from the water industry and academia.

Evaluation of on-site wastewater treatment technology to remove estrogens, nonylphenols, and estrogenic activity from wastewater.

A series of five on-site wastewater treatment systems were monitored for the removal of steroid estrogens, nonylphenols, and total estrogenic activity through several stages of pretreatment including aerobic and anaerobic sand filters. The objectives of this study were (1) to examine the ability of traditional septic systems and different types of pretreatment add-ons to remove nonylphenols (NPs) and the steroid estrogens estrone (E1), 17beta- estradiol (E2), estriol (E3), and 17alpha- ethinylestradiol (EE2) from the final effluent prior to discharge into the environment and (2) to examine the ability of each system and each stage of treatment within the system to remove total estrogenic activity as measured by a yeast estrogen screen (YES) assay. YES data and instrumental data are compared in the context of analyte recovery and estradiol equivalents.

Meeting report: pharmaceuticals in water-an interdisciplinary approach to a public health challenge.

Background: The presence of pharmaceuticals in aquatic environments and in drinking water has prompted significant public interest regarding potential adverse ecological effects and risks to human health.

Objectives: The Environmental Health Summit held in North Carolina, 10-11 November 2008, explored the issues associated with the presence and relative risk of trace levels of pharmaceuticals in water. More than 150 participants from government organizations and institutions, academia, industry, water utilities, and public interest groups participated in discussions aimed at evaluating the current knowledge on this issue and at identifying research gaps and innovative solution-oriented recommendations.

The impact of co-contaminants and septic system effluent quality on the transport of estrogens and nonylphenols through soil.

The impact that varying qualities of wastewater may have on the movement of steroid estrogens through soils into groundwater is little understood. In this study, the steroid estrogens 17beta-estradiol (E2) and estrone (E1) were followed through batch and column studies to examine the impact that organic wastewater constituents from on-site wastewater treatment systems (i.e.

Modern approaches to the analysis of disinfection by-products in drinking water.

The discovery and study of disinfection by-products (DBPs) of health and regulatory concern in drinking water have often been hampered by the lack of appropriate analytical methods, but, with the new tools and expertise now available to the drinking water industry, there is an opportunity to plug a major gap in our knowledge of the nature and identity of these chemicals. The challenge is that less than half of the halogenated by-products resulting from the chlorination of drinking water have been identified, and even less is known about those produced in waters treated with ozone, chloramines or chlorine dioxide. For the DBPs that have been identified, very little or no occurrence data exist for the unregulated chemicals to document how often a particular DBP is formed and in what quantity.

Integrated disinfection by-products mixtures research: comprehensive characterization of water concentrates prepared from chlorinated and ozonated/postchlorinated drinking water.

This article describes the disinfection by-product (DBP) characterization portion of a series of experiments designed for comprehensive chemical and toxicological evaluation of two drinking-water concentrates containing highly complex mixtures of DBPs. This project, called the Four Lab Study, involved the participation of scientists from four laboratories and centers of the U.S.

Integrated disinfection by-products mixtures research: disinfection of drinking waters by chlorination and ozonation/postchlorination treatment scenarios.

This article describes disinfection of the same source water by two commonly used disinfection treatment scenarios for purposes of subsequent concentration, chemical analysis, and toxicological evaluation. Accompanying articles in this issue of the Journal of Toxicology and Environmental Health describe concentration of these finished waters by reverse osmosis techniques, chemical characterization of the resulting disinfection by-product (DBP) concentrates, in vivo and in vitro toxicological results, and risk assessment methods developed to analyze data from this project. This project, called the "Four Lab Study," involved participation of scientists from four laboratories/centers of the U.

Drinking water disinfection by-product exposure and fetal growth.

Background: Previous studies suggest that elevated exposure to drinking water disinfection by-products (DBPs)--in particular, total trihalomethanes (TTHMs)--may lead to fetal growth restriction. We examined the effects of exposure to TTHMs, haloacetic acids, and total organic halide on the probability of delivering a small-for-gestational-age (SGA) infant and on birth weight at term.

Methods: Women early in pregnancy (< or =12 weeks' gestation) or planning a pregnancy were enrolled in a prospective pregnancy study conducted in 3 US communities from 2000 through 2004.

Drinking water disinfection by-product exposure and duration of gestation.

Background: Recent studies suggest elevated exposure to drinking water disinfection by-products (DBPs) may be associated with decreased risk of preterm birth. We examined this association for exposure to total trihalomethanes (TTHMs), 5 haloacetic acids (HAA5), and total organic halides.

Methods: Analysis included 2039 women in a prospective pregnancy study conducted from 2000 through 2004 in 3 study sites.