Ultrafine particles (UFP) associated with air quality and health impacts are a major concern in growing urban regions. Concentrations of UFP (particles of size between 10 and 100 nm) and accumulation mode (N) (particles of size >100 and up to 1000 nm), are analyzed over a highly polluted megacity, Delhi, in conjunction with vehicular flow density, during peak (morning, and evening) and non-peak hours. UFP contributes ≥60% to total particle concentration during autumn and monsoon. UFP concentrations are about 50,000 particles per cm in winter which reduces to about 25,000 particles during monsoon. N are about 20,000 (winter) and 10,000 (monsoon) particles per cm. UFP concentration and N during peak hours are at least twice higher than those obtained in non-peak hours, confirming the dominant influence of emissions from vehicular exhaust in the study region. Seasonal analysis of UFP size distribution reveals that direct emissions dominate the particle concentrations during winter and autumn, whereas new particle formation mechanism contributes the highest in spring and summer. Assessment of inhalable particle number concentration and particle deposition in the human respiratory tract using Multiple Path Particle Dosimetry (MPPD) model, performed for the first time, shows that the order in which these particles deposit in the human respiratory tract is alveoli > bronchiole > bronchus. The deposition ranges between 10 and 18 million nanoparticles during different hours of the day, whereas the estimated inhalable particle concentration (IPN) varies between 0.5 and 1 billion. Results on the IPN during activities classified from light (walking), medium, heavy, very heavy to severe (long-distance running) provide insights into health effects on vulnerable populations. These quantitative results obtained over a megacity on hourly and seasonal variations of nanoparticles along with IPN and deposition rates for different activities are important, and are invaluable inputs for developing mitigation policies aimed to improve air quality and public health, both of which are major concerns in South Asia.
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http://dx.doi.org/10.1016/j.chemosphere.2024.143470 | DOI Listing |
PLoS One
January 2025
Evidence-based Public Health, Centre for International Health Protection, Robert Koch Institute, Berlin, Germany.
Health system resilience is defined as the ability of a system to prepare, manage, and learn from shocks. This study investigates the resilience of the German health system by analysing the system-related factors that supported health care workers, a key building block of the system, during the COVID-19 pandemic. We thematically analysed data from 18 semi-structured interviews with key informants from management, policy and academia, 17 in-depth interviews with health care workers, and 10 focus group discussions with health care workers.
View Article and Find Full Text PDFPLoS One
January 2025
Department of Urology, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Background: Overactive bladder (OAB) is a common disorder, particularly in women, and its symptoms, including urgency, frequency, and nocturia, can significantly affect quality of life. The cardiometabolic index (CMI) is a novel metabolic risk indicator that has been receiving more attention lately. This study investigated the association between CMI and OAB in adult women.
View Article and Find Full Text PDFPLoS One
January 2025
Department of Experimental Oncology, European Institute of Oncology, IRCCS, Milano, Italy.
Background: Randomised trials conducted from 2006 to 2021 indicated that vitamin D supplementation (VDS) was able to prevent severe COVID-19 and acute respiratory infections (ARI). However, larger randomised trials published in 2022 did not confirm the health benefits of VDS in COVID-19 patients.
Objective: To examine through a systematic review with meta-analysis the characteristics of randomised trials on VDS to COVID-19 patients and admission to intensive care unit (ICU), and of randomised trials on VDS for the prevention of ARI.
PLoS One
January 2025
Health Economics and Financing, Health Systems and Population Studies Division, icddr,b, Dhaka, Bangladesh.
Background: Upazila Health Complexes (UzHC) serve as the backbone of primary healthcare (PHC) at the sub-district level in Bangladesh, delivering comprehensive healthcare services including both inpatient and outpatient services to the grassroots levels. However, not all the prescribed medicines and diagnostics services are always available at these facilities for outpatient care. This results in out-of-pocket expenditure (OOPE) to the patients for getting prescribed medicines and diagnostics services which has not been properly explored.
View Article and Find Full Text PDFAndes Pediatr
August 2023
Programa Madre Canguro /Alto riesgo neonatal Subred Sur-UMHES-MEISSEN, Bogotá, Colombia.
Unlabelled: Omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) complex is a rare entity that presents abdominal wall defects, entails high morbidity and mortality, and requires multidisciplinary management.
Objective: To describe a case with an unusual association between OEIS complex and diaphragmatic hernia and to discuss its pathogenesis and possible association with other midline malformations.
Clinical Case: A preterm female newborn of 33 weeks of gestational age, with prenatal diagnosis of giant omphalocele that, at birth, presented intact amnion coverture containing the entire liver and some bowel loops, open bladder exstrophy and exposed urethral orifices; uterus didelphys, no palpable gonads, and concurrent imaging findings of pelvic soft tissue extrusion, left diaphragmatic hernia (Bochdalek), multiple bone defects, myelomeningocele, and myelocystocele.
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