This study was conducted in order to assess the chemistry (41 metalloids and heavy metals and 16 physico-chemical indicators) of groundwater sampled from the protected area of the Tisa River Basin during the months of 2021. Pollution indices were used in order to determine the potential metal pollution level. Consequently, a non-carcinogenic risk assessment of metal through the ingestion of water was done. The results indicated general contamination with ammonium, chloride, iron, and manganese. The samples were rich in Cu, Mg, and Pb, but lower than the maximum limits. Significant correlations were noticed between Al-Fe, Mn-Fe, Mn-Ni, and Cr-Zn, as well as the metal content and pollution index scores. The metal pollution indices indicated three pollution levels (low, medium, and high) based on the metal content and standards regarding the water quality used for drinking purposes. The pollution indices scores ranged from 1.52-41.2. A human health risk assessment indicated no potential non-carcinogenic risk for the studied metals through the consumption of groundwater. The results of three different tools (chronic daily intake, hazard quotient, and hazard index) were below the critical value, except for the aluminium in two samples. This study is one of the first attempts to evaluate the quality of groundwater sources associated with the human health risks of the studied metals from the Tisa River Basin protected area. Based on this research, strategies for managing and controlling the risks can be developed.
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http://dx.doi.org/10.3390/ijerph192214898 | DOI Listing |
JAMA
January 2025
Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Importance: The impact of adjunctive intra-arterial tenecteplase administration following near-complete to complete reperfusion by endovascular thrombectomy (EVT) for acute ischemic stroke is unknown.
Objective: To assess the efficacy and adverse events of adjunctive intra-arterial tenecteplase in patients with large vessel occlusion stroke who had achieved near-complete to complete reperfusion (defined as a score on the expanded Thrombolysis in Cerebral Infarction [eTICI] scale of 2c to 3) after EVT.
Design, Setting, And Participants: Investigator-initiated, randomized, open-label, blinded outcome assessment trial implemented at 34 hospitals in China among 540 patients with stroke due to proximal intracranial large vessel occlusion within 24 hours of the time they were last known to be well, with an eTICI score of 2c to 3 after EVT, and without prior intravenous thrombolysis.
JAMA Netw Open
January 2025
Latin American Cooperative Oncology Group (LACOG), Porto Alegre, Brazil.
Importance: The open-label randomized phase 2 LACOG0415 trial evaluated 3 treatment strategies for patients with advanced castration-sensitive prostate cancer (CSPC): androgen deprivation therapy (ADT) plus abiraterone acetate and prednisone (AAP), apalutamide (APA) alone, or APA plus AAP.
Objective: To investigate the association of ADT plus AAP, APA alone, or APA plus AAP with health-related quality of life (HRQOL) in patients with advanced CSPC in the LACOG0415 trial.
Design, Setting, And Participants: The LACOG0415 randomized clinical trial comprised 128 patients with advanced CSPC who were randomized (1:1:1) to 1 of 3 treatment arms from October 16, 2017, to April 23, 2019.
JAMA Netw Open
January 2025
City of Hope National Medical Center, Duarte, California.
Importance: Enhanced breast cancer screening with magnetic resonance imaging (MRI) is recommended to women with elevated risk of breast cancer, yet uptake of screening remains unclear after genetic testing.
Objective: To evaluate uptake of MRI after genetic results disclosure and counseling.
Design, Setting, And Participants: This multicenter cohort study was conducted at the University of Southern California Norris Cancer Hospital, the Los Angeles General Medical Center, and the Stanford University Cancer Institute.
JAMA Intern Med
January 2025
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Importance: The optimal antiviral drug for treatment of nonsevere influenza remains unclear.
Objective: To compare effects of antiviral drugs for treating nonsevere influenza.
Data Sources: MEDLINE, Embase, CENTRAL, CINAHL, Global Health, Epistemonikos, and ClinicalTrials.
Ultrasound J
January 2025
Ovum Women and Child Speciality Hospitals, Bengaluru, Hoskote, Karnataka, India.
Objective: There has been an increase in real-time ultrasonography use in central venous catheterisation. This systematic review and meta-analysis aimed to assess the role of real-time ultrasound use in umbilical venous catheterisation in neonates.
Data Sources: PubMed, Embase, Web of Science and Cochrane Library were searched on July 11, 2024.
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