High mass concentrations of atmospheric lead particles are frequently observed in the Delhi, India metropolitan area, although the sources of lead particles are poorly understood. In this study, particles sampled across Delhi (August - December 2008) were analyzed by computer-controlled scanning electron microscopy with energy dispersive X-ray spectroscopy (CCSEM-EDX) to improve our understanding of the spatial and physicochemical variability of lead-rich particles (>90% lead). The mean mass concentration of lead-rich particles smaller than 10 μm (PM10) was 0.7 μg/m(3) (1.5 μg/m(3) std. dev.) with high variability (range: 0-6.2 μg/m(3)). Four samples (16% of 25 samples) with PM10 lead-rich particle concentrations >1.4 μg/m(3) were defined as lead events and studied further. The temporal characteristics, heterogeneous spatial distribution, and wind patterns of events, excluded regional monsoon conditions or common anthropogenic sources from being the major causes of the lead events. Individual particle composition, size, and morphology analysis indicate informal recycling operations of used lead-acid batteries as the likely source of the lead events. This source is not typically included in emission inventories, and the observed isolated hotspots with high lead concentrations could represent an elevated exposure risk in certain neighborhoods of Delhi.
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http://dx.doi.org/10.1021/acs.est.5b06202 | DOI Listing |
To explore whether ultra-sensitive circulating tumor DNA (ctDNA) profiling enables early prediction of treatment response and early detection of disease progression, we applied NeXT Personal, an ultra-sensitive bespoke tumor-informed liquid biopsy platform, to profile tumor samples from the KeyLargo study, a phase II trial in which metastatic esophagogastric cancer (mEGC) patients received capecitabine, oxaliplatin, and pembrolizumab. All 25 patients evaluated were ctDNA-positive at baseline. Minimal residual disease (MRD) events varied from 406,067 down to 1.
View Article and Find Full Text PDFOligodendrocytes are the myelinating cells of the central nervous system. Regulation of the early stages of oligodendrocyte development is critical to the function of the cell. Specifically, myelin sheath formation is an energetically demanding event that requires precision, as alterations may lead to dysmyelination.
View Article and Find Full Text PDFEClinicalMedicine
September 2024
Department of Plastic and Reconstructive Surgery, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheba, Israel.
Background: Debridement is considered the first step in treatment of chronic wounds, however, current enzymatic and autolytic debridement agents are slow or ineffective. Previous studies have shown positive initial results with EscharEx® (EX-02 formulation), a Bromelain-based enzymatic debridement agent in development for chronic wounds. The main objective of this study was to assess its efficacy in debriding venous leg ulcers (VLU), compared to gel vehicle (GV) as a placebo control and to non-surgical standard of care (NSSOC).
View Article and Find Full Text PDFBackground: Risk-based analyses are increasingly popular for understanding heterogeneous treatment effects (HTE) in clinical trials. For time-to-event analyses, the assumption that high-risk patients benefit most on the clinically important absolute scale when hazard ratios (HRs) are constant across risk strata might not hold. Absolute treatment effects can be measured as either the risk difference (RD) at a given time point or the difference in restricted mean survival time (ΔRMST) which aligns more closely with utilitarian medical decision-making frameworks.
View Article and Find Full Text PDFInt J Stroke
January 2025
School of Health Sciences, The University of Melbourne, Parkville VIC Australia.
Background: Falls are common after stroke and can have serious consequences such as hip fracture. Prior research shows around half of individuals will fall within the 12 months post stroke and these falls are more likely to cause serious injury compared to people without stroke. However, there is limited research on risk factors collected in the immediate post-stroke period that may relate to falls risk.
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