Search Results (34,421)

The use of asbestos, once celebrated for its versatility and fire-resistant properties, has left a lasting legacy of environmental degradation and public health risks. This paper provides a comprehensive assessment of the environmental impacts and health risks associated with asbestos, highlighting its widespread use, environmental persistence, and adverse effects on human health. Through a literature review, this study examines the historical context of asbestos use, its adverse environmental effects and the mechanisms by which exposure to asbestos poses significant health risks, including the development of asbestos-related diseases such as mesothelioma, lung cancer, asbestosis, etc. It also assesses the current regulatory framework and provides a methodological analysis of the strategy for recycling end-of-life materials containing asbestos fibers, proposing the inclusion of asbestos-containing materials (ACMs) in the rock wool industry to reduce Greenhouse Gasses (GHG) emissions. Drawing on interdisciplinary insights from environmental science, public health, and regulatory analysis, this paper concludes with recommendations for improving asbestos management strategies, promoting safer alternatives and mitigating the long-term environmental and human health impacts of asbestos. Full article

Background: This study aims to assess the demographic, lifestyle, and clinical characteristics associated with varying levels of triglycerides (TGs) in a large population sample. Methods: This cross-sectional study utilized data from a nationwide health screening program in Mongolia. A total of 125,330 participants (mean age: 43.8 ± 15.3 years) were included. TG levels were categorized into normal, borderline high, high, and very high. Due to the small number of participants in the very high TG group, they were combined with the high TG category for analysis. Multivariate logistic regression was performed to identify independent predictors of elevated TG levels. Results: The majority of participants (80.3%) had normal TG levels, while 10.3% had borderline high, 8.7% had high, and 0.7% had very high TG levels. Significant predictors of elevated TG levels included age (OR 1.013, 95% CI 1.012–1.014), male (OR 2.328, 95% CI 2.251–2.408), obesity (OR 1.920, 95% CI 1.855–1.987), central obesity (OR 1.866, 95% CI 1.801–1.933), smoking (OR 1.399, 95% CI 1.347–1.453), alcohol use (OR 1.233, 95% CI 1.176–1.292), and non-regular exercise (OR 1.144, 95% CI 1.118–1.171). Sex-specific analysis revealed that elevated TG levels were more prevalent among males, regardless of other risk factors such as obesity and smoking. Conclusions: Male sex, obesity, and smoking were the strongest predictors of elevated TG levels. Full article

Background/Objectives: Falls and fractures are emerging as a near-pandemic and major global health concern, placing an enormous burden on ageing patients and public health economies. Despite the high risk of polypharmacy in the elderly patients, falls are usually attributed to age-related changes. For the “Individual Pharmacotherapy Management (IPM)” established at the University Hospital Halle, the IPM medication adjustments and their association with in-hospital fall prevention were analysed. Methods: On the basis of the most updated digital overall patient view via his inpatient electronic health record (EHR), IPM adapts each drug’s Summary of Product Characteristics to the patient’s condition. A retrospective pre-post intervention study in geriatric traumatology on ≥70 years old patients compared 200 patients before IPM implementation (CG) with 204 patients from the IPM intervention period (IG) for the entire medication list, organ, cardiovascular and vital functions and fall risk parameters. Results: Statistically similar baseline data allowed a comparison of the average 80-year-old patient with a mean of 11.1 ± 4.9 (CG) versus 10.4 ± 3.6 (IG) medications. The IPM adjusted for drug-drug interactions, drug-disease interactions, overdoses, anticholinergic burden, adverse drug reactions, esp. from opioids inducing increased intrasynaptic serotonin, psychotropic drugs and benzodiazepines. IPM was associated with a significant reduction in in-hospital falls from 18 (9%) in CG to 3 (1.5%) in IG, a number needed to treat of 14, relative risk reduction 83%, OR 0.17 [95% CI 0.04; 0.76], p = 0.021 in multivariable regression analysis. Factors associated with falls were antipsychotics, digitoxin, corticosteroids, Würzburg pain drip (combination of tramadol, metamizole, metoclopramide), head injury, cognitive impairment and aspects of the Huhn Fall Risk Scale including urinary catheter. Conclusion: The results indicate medication risks constitute a major iatrogenic cause of falls in this population and support the use of EHR-based IPM in standard care for the prevention of falls in the elderly and for patient and drug safety. In terms of global efforts, IPM contributes to the running WHO and United Nations Decade of Healthy Ageing (2021–2030). Full article

Background: Dietary supplements (DS) are widely used to address nutritional deficiencies and promote health, yet their indiscriminate use often leads to reduced efficacy, adverse effects, and safety concerns. Biomarker-driven approaches have emerged as a promising strategy to optimize DS prescriptions, ensuring precision and reducing risks associated with generic recommendations. Methods: This narrative review synthesizes findings from key studies on biomarker-guided dietary supplementation and the integration of artificial intelligence (AI) in biomarker analysis. Key biomarker categories—genomic, proteomic, metabolomic, lipidomic, microbiome, and immunological—were reviewed, alongside AI applications for interpreting these biomarkers and tailoring supplement prescriptions. Results: Biomarkers enable the identification of deficiencies, metabolic imbalances, and disease predispositions, supporting targeted and safe DS use. For example, genomic markers like MTHFR polymorphisms inform folate supplementation needs, while metabolomic markers such as glucose and insulin levels guide interventions in metabolic disorders. AI-driven tools streamline biomarker interpretation, optimize supplement selection, and enhance therapeutic outcomes by accounting for complex biomarker interactions and individual needs. Limitations: Despite these advancements, AI tools face significant challenges, including reliance on incomplete training datasets and a limited number of clinically validated algorithms. Additionally, most current research focuses on clinical populations, limiting generalizability to healthier populations. Long-term studies remain scarce, raising questions about the sustained efficacy and safety of biomarker-guided supplementation. Regulatory ambiguity further complicates the classification of supplements, especially when combinations exhibit pharmaceutical-like effects. Conclusion: Biomarker-guided DS prescription, augmented by AI, represents a cornerstone of personalized nutrition. While offering significant potential for precision and efficacy, advancing these strategies requires addressing challenges such as incomplete AI data, regulatory uncertainties, and the lack of long-term studies. By overcoming these obstacles, clinicians can better meet individual health needs, prevent diseases, and integrate precision nutrition into routine care. Full article

Colorectal cancer (CRC) is the third most common cancer globally. Therefore, this study aims to examine data from the National Health Insurance Sharing Service (NHISS) to investigate factors influencing colon cancer incidence, focusing on key variables and optimal cutoff points. The patient cohort from the NHISS database included 1,120,377 individuals aged 1–85 years. CRC data were retrieved using diagnostic codes from the Korean Standard Classification of Diseases and Causes of Death. Analyses included logistic regression and receiver operating characteristic curve assessments. In this retrospective cohort study, 1,120,377 patients were analyzed for over 10 years, including 2802 with CRC via propensity score matching (PSM). Key risk factors were blood pressure, fasting blood sugar, liver somatic index, alcohol consumption, smoking duration, and hemoglobin levels. Patients with CRC showed sex differences in gamma-glutamyl transpeptidase (GGT). High-intensity exercise (3 days/week) reduced CRC risk by 26% (p < 0.05). Optimal threshold points for GGT and Charlson Comorbidity Index (CCI) were 23.50 U/L (AUC, 0.52) and 1.50 (AUC, 0.58), respectively. CCI scores were higher in patients with cancer, especially men with peptic ulcers and both sexes with metastatic cancer (p < 0.01). Our findings reveal new risk factors and interventions, including tailored exercise programs for CRC management, highlighting the importance of enhanced preventive strategies and personalized care. Full article

Trace organic contaminants (TrOCs), including pharmaceutically active compounds (PhACs), present significant challenges for conventional water treatment processes and pose potential risks to environmental and human health. To address these issues, nanofiltration (NF) and reverse osmosis (RO) membrane technologies have gained attention. This study aims to evaluate the performance of NF and RO membranes in removing TrOCs from wastewater and develop a predictive model using the Solution Diffusion Model. Experiments were conducted using a stirred cell setup at various target concentrations, stirring speeds, and operating pressures, with acetaminophen and caffeine selected as representative pharmaceutical compounds. The results demonstrated that most of the pharmaceutical compounds were effectively removed, showing excellent performance. NF membranes exhibited high permeate flux with somewhat lower removal efficiency (average 84.17%), while RO membranes demonstrated high removal efficiency (average 99.21%), highlighting their importance in trace pharmaceutical treatment. The predictive model based on the solution diffusion model correlated well with the experimental data, suggesting its potential utility for large-scale system applications. This study confirms that NF and RO membranes are effective technologies for the removal of TrOCs from wastewater, offering a promising solution to the challenges posed by trace pharmaceutical contaminants. Full article

Trematode infections cause long-term suffering and debilitation, posing a significant threat to global animal health and production and leading to considerable economic losses. Studies on the epidemiology and control of these infections in Tanzania are limited. The few available studies have been conducted in abattoir settings. This study aimed to fill this knowledge gap by determining the prevalence, distribution, and risk factors for trematode infections in domesticated ruminants in two different ecological zones of Tanzania. A cross-sectional study was conducted in the Lake Victoria and the Southern highlands ecological zones of Tanzania. Rectal fecal samples were collected and examined for F. gigantica, Paramphistomidae, and S. bovis infections using the sedimentation technique. A total of 1367 domesticated ruminants were sampled and examined for trematode infections. The overall prevalence of trematode infections was found to be 65.7%. The individual prevalence of F. gigantica, Paramphistomidae, and S. bovis (based on egg morphology only) was 35.1%, 60.2%, and 3.1%, respectively. Adult cattle were more likely to be infected with Paramphistomidae (adjusted odds ratio, (AOR): 1.98; 95% confidence interval, (CI): 1.40–2.78) and S. bovis (AOR: 8.5; 95% CI: 1.12–64.19) than weaners. It was observed that trematode infections in domesticated ruminants are prevalent in the two ecological zones of Tanzania; therefore, effective and community-directed prevention and control strategies are highly needed to address trematode infections of domesticated ruminants in these areas. Full article

Climate change is projected to bring substantial changes to hydroclimatic extremes, which will affect natural river regimes and have wide-ranging impacts on human health and ecosystems, particularly in Central Highland Vietnam. This study focuses on understanding and quantifying the projected impacts of climate change on streamflow in the Kon-Ha Thanh River basin, using the Soil and Water Assessment Tool (SWAT) between 2016 and 2099. The study examined projected changes in streamflow across three time periods (2016–2035, 2046–2065, and 2080–2029) under two scenarios, Representative Conversion Pathways (RCPs) 4.5 and 8.5. The model was developed and validated on a daily scale with the model performance, yielding good performance scores, including Coefficient of Determination (R²), Nash-Sutcliffe Efficiency (NSE), and Root Mean Squared Error (RMSE) values of 0.79, 0.77, and 50.96 m³/s, respectively. Our findings are (1) streamflow during the wet season is projected to increase by up to 150%, particularly in December, under RCP 8.5; (2) dry season flows are expected to decrease by over 10%, beginning in May, heightening the risk of water shortages during critical agricultural periods; and (3) shifts in the timing of flood and dry seasons are found toward 2099 that will require adaptive measures for water resource management. These findings provide a scientific foundation for incorporating climate change impacts into regional water management strategies and enhancing the resilience of local communities to future hydroclimatic challenges. Full article

This study investigates parasitic and bacterial pathogens present in Hamadryas baboons (Papio hamadryas) and humans in southwestern Saudi Arabia. Fecal samples were collected from Hamadryas baboons (n = 999) from three city peripheries and humans from city centers (n = 1998) and peripheries (n = 1998) of southwestern and eastern Saudi cities. Parasitic examinations and bacterial cultures were conducted on these samples. Key findings include the identification of various parasitic and bacterial pathogens, with notable prevalences of Staphylococcus aureus (71.37% in baboons, 71.51% in humans), Blastocystis hominis (42.24% in baboons, 17.85% in humans), Cryptosporidium spp. (40.14% in baboons, 12.6% in humans), hookworms (37.44% in baboons, 18.57% in humans), Strongyloides spp. (37.34% in baboons, 17.39% in humans), Enterobius vermicularis (36.34% in baboons, 11.18% in humans), and Campylobacter spp. (29.73% in baboons, 1.86% in humans). Additionally, the prevalences of these microorganisms in human populations coexisting with baboons in southwestern city peripheries were 75.47%, 25.22%, 23.62%, 26.33%, 22.22%, 15.11%, and 3.8%, respectively. To further characterize bacterial isolates, 16S rRNA gene sequencing was used, suggesting potential zoonotic and anthroponotic cycles. The results highlight significant pathogen prevalence among both baboons and human populations in proximity to baboon habitats, indicating a potential public health risk. However, shared environmental sources, such as contaminated water, were not thoroughly assessed and could play a role in pathogen transmission. The study’s focus on 18 different parasitic and bacterial pathogens allowed for the targeting of prevalent and indicative markers of zoonotic and anthroponotic transmission. In conclusion, these baseline data are crucial for the design of advanced studies to further investigate the zoonotic and anthroponotic transmission dynamics and the environmental factors influencing pathogen prevalence. Full article

Background. Evidence for the effectiveness and cost-savings of workplace wellness programs (WWPs) is varied, likely due to the variability in program design, as not all WWPs meet the five-point criteria of a “comprehensive WWP” set by the U.S. Centers for Disease Control and Prevention. A 2019 study of changes in cardiovascular disease (CVD) risk for those enrolled in a comprehensive WWP found that nearly half of enrolled employees with moderate to high CVD risk improved their risk compared to the initial predictions. This study extends those findings by evaluating the cost-savings and return on investment (ROI) resulting from participants’ CVD risk reduction from the employer’s perspective. Method. Cost-savings related to CVD risk were extrapolated using two studies that provided associated cost-savings for individuals participating in a WWP. Utilizing reference groups used in previous studies, we calculated cost-savings per 1% reduction in CVD risk using our population’s specific CVD risk and our program-specific costs. The cost-savings were annualized per person within each risk category. Results. Across all risk categories, cost-savings were USD 1224 per individual or USD 4.90 ROI for every USD 1 spent. Those at risk had a higher ROI per USD 1.00 spent (USD 35.4 and USD 19.2 for males and females, respectively) than those with minimal risk. However, even those with minimal risk showed a positive ROI (USD 0.3 and USD 5.0 for males and females, respectively). Conclusions/Application to Practice. Investment in WWPs should prioritize programs that include all five elements of the standards established by the U.S Centers for Disease Control and Prevention. Well-designed and comprehensive WWPs can effectively impact employee health and lead to a positive ROI and cost-savings for employers. Full article

The widespread use of polyvinyl chloride (PVC) and its entry into humans and livestock is of serious concern. In our study, we investigated the impact of PVC treatments on physiological, pathological, hormonal, and microbiota changes in female rabbits. Trend-like alterations in weight were observed in the spleen, liver, and kidney in both low (P1) and high dose (P2) PVC treatment groups. Histopathological examination revealed exfoliation of the intestinal mucosa in the treated groups compared to the control, and microplastic particles were penetrated and embedded in the spleen. Furthermore, both P1 and P2 showed increased 17-beta-estradiol (E2) hormone levels, indicating early sexual maturation. Moreover, the elevated tumor necrosis factor alpha (TNF-α) levels suggest inflammatory reactions associated with PVC treatment. Genus-level analyses of the gut microbiota in group P2 showed several genera with increased or decreased abundance. In conclusion, significant or trend-like correlations were demonstrated between the PVC content of feed and physiological, pathological, and microbiota parameters. To our knowledge, this is the first study to investigate the broad-spectrum effects of PVC microplastic exposure in rabbits. These results highlight the potential health risks associated with PVC microplastic exposure, warranting further investigations in both animals and humans. Full article

Thoracic surgery is a highly complex field requiring collaboration between surgeons, anesthesiologists, pulmonologists, and other specialists. Successful outcomes depend on thorough preoperative evaluations that consider the patient’s overall health, lifestyle habits, and surgical risks. Key elements include proper intraoperative anesthesia management, postoperative pain control, and the integration of enhanced recovery after surgery (ERAS) protocols to optimize recovery. Double-lumen tubes (DLTs) are essential for one-lung ventilation during thoracic procedures, although they can be invasive. Recent advancements, such as video-assisted laryngoscopes, have improved the success of DLTs and reduced the invasiveness of DLT intubation and extubation. Postoperative pain management is crucial for minimizing complications and enhancing recovery. Techniques like epidural analgesia, nerve blocks, and patient-controlled analgesia improve patient outcomes by allowing early mobility and deep breathing. Dexmedetomidine (DEX), a sedative with minimal respiratory impact, has shown promise in reducing delirium and aiding recovery. This review highlights the importance of teamwork, pain management, and emerging technologies in improving thoracic surgery outcomes. Advances in these areas, particularly within ERAS protocols, continue to enhance patient care and overall surgical success. Full article

Background: Dental implants are commonly employed to address edentulism, while orthodontic treatments often incorporate mini-screws to enhance tooth movement and provide stable anchorage. Both procedures are integral to modern dental practice and frequently interact in comprehensive care scenarios. While oral health professionals routinely assess patients’ medical histories before procedures, undiagnosed coagulopathies, such as Von Willebrand Disease (VWD), can present significant challenges when invasive procedures are carried out, such as the insertion of implants or mini-implants. Case report: This case report discusses the surgical placement of dental implants and orthodontic mini-screws in a patient with previously undiagnosed VWD, underscoring the potential complications and the importance of recognizing bleeding disorders in clinical practice, and provides some advice on the management of patients with previously undiagnosed VWD after/during surgical procedures. Conclusions: To prevent the risk of excessive bleeding, before surgery, all patients should be screened through precise questions on bleeding history. Full article

This study evaluates the quality and vulnerability of groundwater within the Nakivale Sub-catchment of the transboundary Lake Victoria Basin in Southwestern Uganda. Groundwater quality assessment focuses on its suitability for both drinking and agricultural uses. Hydrochemical analysis of 19 groundwater samples revealed that 90% comply with World Health Organization drinking water standards, although localized contamination was noted, particularly in terms of total iron, nitrate, potassium, magnesium, and sulfates. The drinking groundwater quality index shows that over 90% of the samples fall within the good-to-excellent quality categories. Elevated nitrate levels and chloride–bromide ratios indicate human impacts, likely due to agricultural runoff and wastewater disposal. For irrigation, Sodium Adsorption Ratio analysis revealed medium-to-high salinity hazards in the region, while Sodium Percentage and other parameters indicated low-to-moderate risks of soil degradation. DRASTIC vulnerability assessments identified low contamination risks due to impermeable geological layers, steep terrain, slow groundwater recharge, deep aquifer depth, and clayey soil cover. These findings emphasize the need for conjunctive water resource management, including improved groundwater quality monitoring, public education on sustainable practices, and protective measures for recharge zones and areas highly susceptible to contamination. By addressing these issues, this study aims to preserve groundwater resources for domestic and agricultural use, ensuring long-term sustainability in the region. Full article

Background/Objectives: Childhood obesity is a global health problem that affects at least 41 million children under the age of five. Increased BMI in children is associated with serious long-term health consequences, such as type 2 diabetes, cardiovascular disease, and psychological problems, including depression and low self-esteem. Although the etiology of obesity is complex, research suggests that the diet and lifestyle of pregnant women play a key role in shaping metabolic and epigenetic changes that can increase the risk of obesity in their children. Excessive gestational weight gain, unhealthy dietary patterns (including the Western diet), and pregnancy complications (such as gestational diabetes) are some of the modifiable factors that contribute to childhood obesity. The purpose of this narrative review is to summarize the most important and recent information on the impact of the diet and lifestyle of pregnant women on the risk of childhood obesity. Methods: This article is a narrative review that aims to summarize the available literature on the impact of pregnant women’s diet and lifestyle on the risk of obesity in their offspring, with a focus on metabolic and epigenetic mechanisms. Results/Conclusions: Current evidence suggests that a pregnant woman’s lifestyle and diet can significantly contribute to lowering the risk of obesity in their offspring. However, further high-quality research is needed to understand better the metabolic and epigenetic relationships concerning maternal factors that predispose offspring to obesity. Full article