Publications by authors named "Lee Linda"

This study evaluated PFAS occurrence in rural well water and surface water relative to land application of biosolids in a tile-drained agriculture-dominated watershed. Spatial data were used to identify potentially vulnerable rural wells based on their proximity to biosolid-permitted land and location with respect to groundwater flow. Water was collected from 103 private wells in Greater Tippecanoe County Indiana and 168 surface water locations within the Region of the Great Bend of the Wabash River watershed.

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Per- and polyfluoroalkyl substances (PFAS) in the environment is a growing concern leading to a focus on PFAS occurrence in biosolids, a byproduct of wastewater treatment processes, often applied to improve soil health. This led to the need for analytical method development for assessing PFAS in biosolids. This study compares three methods for PFAS quantitation, evaluating solvent extraction, clean-up techniques, and final injection solvents.

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Sustainable reuse of biosolids as fertilizers is being threatened by the presence of per- and polyfluoroalkyl substances (PFAS) in our waste stream warranting research on strategies that will minimize PFAS mobility from land-applied biosolids. Here, we evaluated the ability of waste-derived sorbents aluminum chlorohydrate water treatment residuals (ACH-WTRs, 1 wt%) and biosolids-based biochar (1.5 wt%) to reduce mobility of PFAS in columns with 3 wt% biosolids-amended soils with and without sorbent layered on top of soil only and operated under transient unsaturated conditions.

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We evaluated the feasibility and acceptability of frailty screening using handgrip strength with gait speed measures within four primary care-based memory clinics in Ontario. This mixed methods quality improvement initiative examined the reach, effectiveness, adoption, implementation, and maintenance of frailty screening from the perspective of patients ( = 216), care partners ( = 142), and healthcare providers ( = 9). Frailty screening was well-received by patients and care partners and perceived as quick and easy to administer and integrate into assessment processes by healthcare providers at all four memory clinics.

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  • - This systematic review examines the challenges of managing per- and polyfluoroalkyl substances (PFAS) from municipal and industrial waste, highlighting regulatory views, treatment options, and residual management strategies.
  • - It employs a thorough methodology that includes scientific searches and peer-reviewed articles to gather current information on PFAS, reflecting the growing public concern and regulatory scrutiny surrounding these substances.
  • - The review also evaluates new technologies for PFAS removal, innovative destruction methods for waste, and summarizes the changing regulatory landscape in the U.S., aiming to provide essential insights for stakeholders in PFAS management.
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Per- and polyfluoroalkyl substances (PFAS) may interact with peroxisome proliferator activated receptors (PPARs) and alter lipid homeostasis. Using , we investigated the effect of PFAS on (a) lipid homeostasis and whether this correlated to changes in body and hepatic condition; (b) the expression of hepatic genes regulated by PPAR; and (c) the hepatic lipidome. We chronically exposed tadpoles to 0.

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  • * This study aimed to evaluate three models (PRZM5, LEACHM, and HYDRUS-1D) for predicting PFAS distribution in soil at a site in Pennsylvania that has used wastewater effluent for years.
  • * Results showed that while PRZM5 struggled to accurately predict PFOS behavior, LEACHM and HYDRUS-1D effectively captured PFAS retention, highlighting the importance of modeling both unsaturated flow and adsorption at the air-water interface for long-term predictions.
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  • Older adults with dementia on multiple medications are at a higher risk for using potentially inappropriate medications (PIM), which can result in serious health issues.
  • A systematic review analyzed 11 studies with over 4,500 participants, finding that approximately 38% of these older adults were using PIMs, with certain medications like anticholinergics and benzodiazepines being the most common culprits.
  • The study noted significant variability in PIM prevalence based on the definition used and location, indicating the need for standardized criteria in future research.
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The fate of per- and polyfluoroalkyl substances (PFAS) was evaluated at a site where municipal biosolids have been applied annually for 38 years as a waste management strategy. Soil cores (1.8 m in 30-cm sections), groundwater from four wells, and biosolids applied in 2022 were analyzed for PFAS (54 targeted, 17 semi-quantified) using liquid chromatography high resolution mass spectrometry including suspect screening.

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  • PFAS levels in biosolids depend on their source, treatment methods, and conditions at water resource recovery facilities (WRRF), but detailed studies on this are limited.
  • This research analyzed how anaerobic digestion (AD) and a thermal hydrolysis process (THP) influence PFAS concentrations in wastewater solids, observing a mix of different PFAS types with notable shifts in their ratios.
  • Although the THP and AD processes improved solids handling and energy efficiency, they did not significantly reduce the overall PFAS concentrations compared to using AD alone.
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Per- and polyfluoroalkyl substances (PFAS) have emerged as significant environmental contaminants due to their persistence, bioaccumulative properties, and potential adverse impacts on health and ecosystems. Water Resource Recovery Facilities (WRRFs) play a crucial role in the management of PFAS, given their widespread presence in consumer products and subsequent reintroduction into the environment. This study investigated the dynamics of PFAS within the solids stream treatment processing that utilized autothermal thermophilic aerobic digestion (ATAD) followed by a storage nitrification-denitrification reactor (SNDR).

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  • There is a growing concern over the health and environmental risks of PFAS, leading to the development of PFAS-free firefighting foams for military and residential use.
  • A study evaluated the chronic toxicity of seven PFAS-free foams and one PFAS-containing foam on six aquatic species, assessing impacts on growth, development, reproduction, and survival.
  • Results indicated that some PFAS-free foams were as or more toxic than the PFAS-containing foam, highlighting the need for careful selection of these alternatives to reduce environmental harm.
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  • Hair restoration surgery (HRS) is popular but lacks comprehensive reviews of its complications, prompting a study aimed at detailing issues linked to follicular unit extraction (FUE) and follicular unit transplantation (FUT).
  • A review of 43 publications found overall complication rates between 1.2% and 4.7%, with common issues including bleeding, persistent numbness, and infections, as well as donor site complications like scarring and a range of recipient site problems.
  • While serious complications are rare among skilled practitioners, it's crucial for surgeons to discuss potential risks with patients, as even minor issues can have significant psychological impacts.
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Ventilation-perfusion SPECT with or without CT using technetium 99m (Tc)-diethylenetriaminepentaacetic acid (DTPA) has been used to identify patterns typical of cardiopulmonary diseases, such as pulmonary embolism, pneumonia, heart failure, and obstructive lung disease. This case demonstrates the utility of a ventilation scan with SPECT/CT using Tc-DTPA for investigating the cause of a persistent complex pneumothorax in a patient with severe chronic obstructive pulmonary disease who recently underwent endobronchial valve placement. CT-Spectral Imaging (Multienergy), SPECT/CT, Thorax, Lung © RSNA, 2024.

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Introduction: Older adults with dementia who are on multiple medications are more vulnerable to the use of potentially inappropriate medications (PIMs), which can significantly increase the risk of adverse events and drug-related problems. PIMs use is prevalent and varies among older adults with dementia or cognitive impairment (CI) attending memory clinics. However, the prevalence of PIMs, polypharmacy, and hyper-polypharmacy among older adults with dementia or CI who are attending memory clinics is not well understood.

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  • Current echocardiographic risk factors in cardiac amyloidosis (CA) do not differentiate well between its main subtypes, transthyretin cardiomyopathy (TTR) and immunoglobulin light chain cardiomyopathy (AL), which need different approaches for diagnosis and treatment.! -
  • The study analyzed 220 CA patients using various echocardiographic measures to identify predictors of survival, focusing on differences between the AL and TTR subtypes while controlling for factors like age and treatment.! -
  • Findings revealed specific echocardiographic parameters associated with survival: RV function measures were significant for AL, while TTR survival was linked to left ventricular measures, highlighting the need for subtype-specific clinical decision-making.*
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Alopecia, a widespread issue affecting both genders, often manifests as androgenetic alopecia, although a thorough examination is needed to rule out other causes. This chapter focuses on the treatment of androgenetic alopecia. Finasteride and minoxidil, the Food and Drug Administration-approved treatments, offer stability and in some cases improvement in scalp coverage.

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  • Carbon-rich biosolids are used in agriculture, but their PFAS content raises concerns about groundwater contamination and plant uptake.
  • The study examined PFAS leaching from biosolids at an artificially degraded site, with different treatment rates, over two years using advanced quantification methods.
  • Findings revealed that blending biosolids with mulch can reduce PFAS leachate concentrations, especially for longer-chain compounds, making it a potential strategy for safer biosolid reuse in agriculture.
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Perfluorooctanesulfonic acid (PFOS) is detected in estuarine environments, where salinity levels fluctuate regularly. We investigated the effects of salinity on the toxicity of PFOS in embryos and larvae of Cyprinodon variegatus. We crossed six PFOS treatments (0, 1-10,000 μg/L) with two salinities (10, 30 ppt).

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Per- and polyfluoroalkyl substances (PFAS) are environmental contaminants of growing concern due to their potential negative effects on wildlife and human health. Per- and polyfluoroalkyl substances have been shown to alter immune function in various taxa, which could influence the outcomes of host-parasite interactions. To date, studies have focused on the effects of PFAS on host susceptibility to parasites, but no studies have addressed the effects of PFAS on parasites.

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  • Researchers developed a deep learning (DL) model to detect regional wall motion abnormalities (RWMA) in transthoracic echocardiography, addressing issues like interobserver variability.
  • The model was trained using a large dataset of echocardiography videos and showed high accuracy in identifying RWMA, scoring 0.96 on the area under the curve.
  • While the DL model performed similarly to expert readers in most regions, it surpassed novice readers in RWMA detection, suggesting its potential to enhance both efficiency and educational aspects in RWMA assessment.
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  • Medication management capacity is essential for medication adherence in older adults, influenced by physical, cognitive, sensory, motivational, and environmental factors.
  • The study aimed to identify assessment tools that measure these various barriers and evaluate their effectiveness in helping older adults manage their medications.
  • A scoping review of literature found 44 tools measuring different barriers; many showed good validity and reliability, highlighting their potential in improving medication management for older adults.
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This case report investigates the diagnostic and therapeutic challenges caused by the coexistence of atlantoaxial subluxation and spinal stenosis in a 70-year-old male patient with chronic progressive numbness in both hands. A detailed assessment showed that the patient's symptoms were primarily caused by spinal stenosis, not atlantoaxial subluxation. Considering the patient's age and preference for nonsurgical treatment, a conservative chiropractic care plan was implemented, significantly improving his symptoms and quality of life.

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