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The Science of the Total Environment Dec 2023Plastic pollution has become a significant global problem over the years, leading to the continuous decomposition and accumulation of micro/nanoplastics (MNPLs) in the... (Review)
Review
Plastic pollution has become a significant global problem over the years, leading to the continuous decomposition and accumulation of micro/nanoplastics (MNPLs) in the environment. As a result, human exposure to these MNPLs is inevitable. The liver, in particular, is highly susceptible to potential MNPL toxicity. In this study, we systematically reviewed the current literature on MNPLs-induced hepatotoxicity and collected data on toxic events occurring at different biological levels. Then, to better understand the cause-mechanism causality, we developed an Adverse Outcome Pathway (AOP) framework for MNPLs-induced hepatotoxicity. The AOP framework provided insights into the mechanism of MNPL-induced hepatotoxicity and highlighted potential health risks such as liver dysfunction and inflammation, metabolism disorders and liver fibrosis. Moreover, we discussed the potential application of emerging toxicological models in the hepatotoxicity study. Liver organoids and liver-on-chips, which can simulate the structure and function of the liver in vitro, offer a promising alternative platform for toxicity testing and risk assessment. We proposed combining the AOP framework with these emerging toxicological models to improve our understanding of the hepatotoxic effects of MNPLs. Overall, this study performed a preliminary exploration of novel toxicological methodologies to assess the hepatotoxicity of MNPLs, providing a deeper understanding of environmental toxicology.
Topics: Humans; Adverse Outcome Pathways; Microplastics; Drug-Related Side Effects and Adverse Reactions; Chemical and Drug Induced Liver Injury
PubMed: 37517720
DOI: 10.1016/j.scitotenv.2023.165659 -
Frontiers in Public Health 2023Micro/nano-plastics (MNPs) are considered a heterogeneous class of environmental contaminants that cause multiple toxic effects on biological species. As the commonly... (Meta-Analysis)
Meta-Analysis
Micro/nano-plastics (MNPs) are considered a heterogeneous class of environmental contaminants that cause multiple toxic effects on biological species. As the commonly used mammalian models to study the effects of MNPs with regard to their toxic effects, the mouse and rat models are making a great contribution to the disciplines of environmental toxicology and medical health. However, the toxic effects of MNPs have not been systematically summarized. Therefore, a systematic review and a meta-analysis of the toxic effects of MNPs on mouse/rat models were conducted. A total of seven main categories were established in this systematic review, and 24 subcategories were further divided according to the specific physiological significance of the endpoint or the classification of the physiological system, which covered all the selected pieces of literature. A total of 1,762 biological endpoints were found, and 52.78% of them were significantly affected. This fact indicates that there are relative factors, including the size, polymer type, concentration, and exposure time of MNPs and different sexes of mouse/rat models that could significantly affect the biological endpoints. These biological endpoints can be classified into various factors, such as the dose-response relationships between MNP concentration and physiological categories of the nervous system, growth, reproduction, digestive tract histopathology, and inflammatory cytokine level, among others. MNPs negatively affected the blood glucose metabolism, lipid metabolism, and reproductive function in mice. The reproductive function in male mice is more sensitive to the toxic effects of MNPs. These findings also provide insights into and directions for exploring the evidence and mechanisms of the toxic effects of MNPs on human health. It is clear that more research is required on the pathological mechanisms at the molecular level and the long-term effects of tissue accumulation.
Topics: Rats; Mice; Male; Humans; Animals; Plastics; Microplastics; Mammals
PubMed: 37275491
DOI: 10.3389/fpubh.2023.1103289 -
Toxicology and Industrial Health Nov 2023Good mechanical properties and low costs have led to a global expansion of plastic production and use. Unfortunately, much of this material can be released into the... (Review)
Review
Good mechanical properties and low costs have led to a global expansion of plastic production and use. Unfortunately, much of this material can be released into the environment as a waste product and cleaved into micro- and nanoplastics (NPs) whose impact on the environment and human health is still largely unknown. Considering the growing worldwide awareness on exposure to chemicals that can act as endocrine disruptors, a systematic review was performed to assess the impact of NPs on the endocrine function of in vitro and in vivo models. Although a limited number of investigations is currently available, retrieved findings showed that NPs may induce changes in endocrine system functionality, with evident alterations in reproductive and thyroid hormones and gene expression patterns, also with a trans-generational impact. Nanoplastic size, concentration, and the co-exposure to other endocrine disrupting pollutants may have an influencing role on these effects. Overall, although it is still too early to draw conclusions regarding the human health risks derived from NPs, these preliminary results support the need for further studies employing a wider range of plastic polymer types, concentrations, and time points as well as species and life stages to address a great variety of endocrine outcomes and to achieve a broader and shared consensus on the role of NPs as endocrine disruptors.
Topics: Humans; Microplastics; Endocrine Disruptors; Reproduction; Environmental Pollutants; Endocrine System
PubMed: 37753827
DOI: 10.1177/07482337231203053 -
Clinical Oral Investigations Sep 2023The aim of this systematic review and meta-analysis is to assess the comparative clinical success and survival of intracoronal indirect restorations using gold, lithium... (Meta-Analysis)
Meta-Analysis Review
OBJECTIVES
The aim of this systematic review and meta-analysis is to assess the comparative clinical success and survival of intracoronal indirect restorations using gold, lithium disilicate, leucite, and indirect composite materials.
MATERIAL AND METHODS
This systematic review and meta-analysis were conducted following the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA guidelines. The protocol for this study was registered in PROSPERO (registration number: CRD42021233185). A comprehensive literature search was conducted across various databases and sources, including PubMed/Medline, Embase, Cochrane Library, Web of Science, ClinicalTrials.gov, and gray literature. A total of 7826 articles were screened on title and abstract. Articles were not excluded based on the vitality of teeth, the language of the study, or the observation period. The risk difference was utilized for the analyses, and a random-effects model was applied. All analyses were conducted with a 95% confidence interval (95% CI). The calculated risk differences were derived from the combined data on restoration survival and failures obtained from each individual article. The presence of heterogeneity was assessed using the I statistic, and if present, the heterogeneity of the data in the articles was evaluated using the non-parametric chi-squared statistic (p < 0.05).
RESULTS
A total of 12 eligible studies were selected, which included 946 restorations evaluated over a minimum observation period of 1 year and a maximum observation period of 7 years. Results of the meta-analysis indicated that intracoronal indirect resin composite restorations have an 18% higher rate of failure when compared to intracoronal gold restorations over 5-7 years of clinical service (risk difference = - 0.18 [95% CI: - 0.27, - 0.09]; p = .0002; I = 0%). The meta-analysis examining the disparity in survival rates between intracoronal gold and leucite restorations could not be carried out due to methodological differences in the studies.
CONCLUSIONS
According to the currently available evidence, medium-quality data indicates that lithium disilicate and indirect composite materials demonstrate comparable survival rates in short-term follow-up. Furthermore, intracoronal gold restorations showed significantly higher survival rates, making them a preferred option over intracoronal indirect resin-composite restorations. Besides that, the analysis revealed no statistically significant difference in survival rates between leucite and indirect composite restorations. The short observation period, limited number of eligible articles, and low sample size of the included studies were significant limitations.
CLINICAL SIGNIFICANCE
Bearing in mind the limitations of the reviewed literature, this systematic review and meta-analysis help clinicians make evidence-based decisions on how to restore biomechanically compromised posterior teeth.
Topics: Dental Porcelain; Aluminum Silicates; Composite Resins; Gold
PubMed: 37597003
DOI: 10.1007/s00784-023-05050-x -
The Science of the Total Environment Dec 2022Growing demand for plastic and increasing plastic waste pollution have led to significant environmental challenges and concerns in today's world. Bioplastics offer... (Review)
Review
Growing demand for plastic and increasing plastic waste pollution have led to significant environmental challenges and concerns in today's world. Bioplastics offer exciting new opportunities and possibilities where biodegradable and bio-based plastics are expected to be more eco-friendly and rely on renewable resources. With all its promises, evaluating its real impact and fate on the geoenvironment is paramount for promoting bioplastic use. This paper presents a systematic literature review to understand current bioplastic-soil research and the effects of its residues on the geoenvironment. 632 studies related to bioplastic research in soil since 1973 were identified and categorized into different relevant topics. Publication trend showed bioplastic-soil research grew exponentially after 2010 wherein field studies accounted to 33.1 % of the total studies and only about 9.7 % studied the effects of bioplastic residues on the geoenvironment. Majority of the lab studies were on development and subsequent stability of bioplastics in soil. Short-term studies (in months) dominated the longer-term studies and studies over 4 years were almost non-existent. Lab and field experiments often gave inconsistent results with seasonal, climatic and bio-geographical factors strongly influencing the field results and bioplastic stability in soil. Most existing studies reported significant effects for microbioplastic concentrations at or above 1 % w/w. Bioplastic residues were found to substantially affect soil C/N ratio, impact soil microbial diversity by favouring certain microbial taxa and alter soil physical structure by influencing soil aggregates formation. At higher concentrations, plant health and germination success were also negatively affected. Conclusively, the review found it important to focus more on long-term field experiments to better understand the degree and extent of bioplastic residue impact on soil physico-chemical properties, mechanical properties, soil biology, soil-bioplastic-plant response, nutrients and toxicity. There are also very few studies investigating contaminant transport and migration of micro or nano-bioplastics in soil.
Topics: Soil; Plastics; Environmental Pollution
PubMed: 36037904
DOI: 10.1016/j.scitotenv.2022.158311 -
Clinical Nephrology Jun 2017The relationship between the sieving coefficient (SC) or extraction ratio (ER) and the molecular weight (MW) of peptide and protein solutes during hemofiltration has not... (Review)
Review
The relationship between the sieving coefficient (SC) or extraction ratio (ER) and the molecular weight (MW) of peptide and protein solutes during hemofiltration has not been investigated; it is possible that the SC and ER correlate with MW, permitting an estimate of peptide and protein clearance by hemofiltration in the absence of empiric data. A search for studies of the SC and/or ER for peptide and protein solutes during hemofiltration identified data for β-microglobulin, brain natriuretic peptide, carperitide, IL-1β, IL-1RA, IL-6, IL-8, lysozyme, myoglobin, neutrophil gelatinase-associated lipocalin, procalcitonin, retinol-binding protein, TNF-α, soluble TNFR-1, soluble TNFR-II, and vasopressin using polyacrylonitrile, polysulfone, polyamide, and cellulose hemofilters. The SC correlated with MW using polyacrylonitrile, polyamide, and cellulose hemofilters. With fewer data, the ER did not correlate with MW using polyacrylonitrile hemofilters, and not enough data were available to assess the ER with any other hemofilters. These results may help predict peptide and protein convective clearance during hemofiltration with polyacrylonitrile, polyamide, and cellulose hemofilters when empiric data are not available. .
Topics: Acrylic Resins; Blood Proteins; Hemofiltration; Humans
PubMed: 28211786
DOI: 10.5414/CN108841 -
The Journal of Hospital Infection Jan 2022Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the causative agent of coronavirus disease 2019, has caused millions of deaths worldwide. The virus is... (Review)
Review
BACKGROUND
Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the causative agent of coronavirus disease 2019, has caused millions of deaths worldwide. The virus is transmitted by inhalation of infectious particles suspended in the air, direct deposition on mucous membranes and indirect contact via contaminated surfaces. Disinfection methods that can halt such transmission are important in this pandemic and in future viral infections.
AIM
To highlight the efficacy of several disinfection methods against SARS-CoV-2 based on up-to-date evidence found in the literature.
METHODS
Two databases were searched to identify studies that assessed disinfection methods used against SARS-CoV-2. In total, 1229 studies were identified and 60 of these were included in this review. Quality assessment was evaluated by the Office of Health Assessment and Translation's risk-of-bias tool.
FINDINGS
Twenty-eight studies investigated disinfection methods on environmental surfaces, 16 studies investigated disinfection methods on biological surfaces, four studies investigated disinfection methods for airborne coronavirus, and 16 studies investigated methods used to recondition personal protective equipment (PPE).
CONCLUSIONS
Several household and hospital disinfection agents and ultraviolet-C (UV-C) irradiation were effective for inactivation of SARS-CoV-2 on environmental surfaces. Formulations containing povidone-iodine can provide virucidal action on the skin and mucous membranes. In the case of hand hygiene, typical soap bars and alcohols can inactivate SARS-CoV-2. Air filtration systems incorporated with materials that possess catalytic properties, UV-C devices and heating systems can reduce airborne viral particles effectively. The decontamination of PPE can be conducted safely by heat and ozone treatment.
Topics: COVID-19; Disinfection; Humans; Pandemics; Povidone-Iodine; SARS-CoV-2
PubMed: 34673114
DOI: 10.1016/j.jhin.2021.07.014 -
The Science of the Total Environment Apr 2023Plastic microfibers (PMFs) are emerging pollutants widely distributed in the environment. In the early 2020s, the need for personal protection due to the COVID-19... (Review)
Review
Plastic microfibers (PMFs) are emerging pollutants widely distributed in the environment. In the early 2020s, the need for personal protection due to the COVID-19 pandemic led to increased consumption of plastic materials (e.g., facemasks and gloves) and ultimately to increased plastic pollution, especially by PMFs. The PMFs present in the environment may be released in this form (primary particles) or in larger materials, that will release them as a result of environmental conditions. Although a considerable number of studies have been addressing the effects of microplastics, most of them studied round particles, with fewer studies focusing on PMFs. Thus, the current study aimed to summarize and critically discuss the available data concerning the ecotoxicological impact of PMFs on aquatic organisms. Aquatic organisms exposed to PMFs showed accumulation, mainly in the digestive tract, and several toxic effects, such as DNA damage, physiological alterations, digestive damage and even mortality, suggesting that PMFs can pose a risk for the health of aquatic organisms. The PMFs induced toxicity to aquatic invertebrate and vertebrate organisms depends on size, shape, chemical association and composition of fibers. Regarding other size range (nm) of plastic fibers, the literature review highlighted a knowledge gap in terms of the effects of plastic nanofibers on aquatic organisms. There is a knowledge gap in terms of the interaction and modes of action of PMFs associated with other pollutants. In addition, studies addressing effects at different trophic levels as well as the use of other biological models should be considered. Overall, research gaps and recommendations for future research and trends considering the environmental impact of the COVID-19 pandemic are presented.
Topics: Humans; Plastics; Aquatic Organisms; Pandemics; Water Pollutants, Chemical; COVID-19; Risk Factors; Environmental Monitoring; Bibliometrics
PubMed: 36740053
DOI: 10.1016/j.scitotenv.2023.161949 -
PloS One 2016This meta-analysis aimed to investigate the efficacy and safety of plastic wrap applied after birth and during NICU in preterm infants for prevention of heat loss in... (Meta-Analysis)
Meta-Analysis Review
OBJECTIVE
This meta-analysis aimed to investigate the efficacy and safety of plastic wrap applied after birth and during NICU in preterm infants for prevention of heat loss in preterm infants.
STUDY METHODS
The Medline (1950 to August 2015), the Cochrane Central Register of Controlled Trials (CENTRAL, Issue 7, 2015), CINAHL (1982 to August 2015) and the Embase (1974 to August 2015) databases were searched for randomized controlled trials (RCTs) or quasi-RCTs with main outcomes related to the core temperature (baseline temperature and/or post-stabilization temperature), hypothermia, mortality rate and hyperthermia.
RESULT
The included studies were of low to moderate quality. Compared with unwrapped infants, plastic wrap was associated with a significantly higher baseline temperature and post-stabilization temperature both in infants < 28 weeks of gestation (mean difference [MD] = 0.62, 95% CI 0.38 to 0.85; MD = 0.41, 95% CI 0.33 to 0.50, respectively), and in infants between 28 to 34 weeks of gestation (MD = 0.54, 95% CI 0.21 to 0.87; MD = 0.64, 95% CI 0.45 to 0.82, respectively). Use of plastic wrap was associated with lower incidence of hypothermia (relative risk [RR] = 0.70, 95% CI 0.63 to 0.78). However, use of plastic wrap in preterm infants was not associated with decrease in mortality (RR: 0.88, 95% CI 0.70 to 1.12, P = 0.31). Incidence of hyperthermia was significantly higher in the plastic wrap group as compared to that in the control group (RR = 2.55, 95% CI: 1.56 to 4.15, P = 0.0002). Hyperthermia in the plastic wrap group was resolved within one or two hours after unwrapping the babies.
CONCLUSION
Plastic wrap can be considered an effective and safe additional intervention to prevent hypothermia in preterm infants. However, its cost-effectiveness and long-term effect on mortality needs to be ascertained by conducting well-designed studies with longer follow-up period.
Topics: Bandages; Humans; Hypothermia; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases; Intensive Care Units, Neonatal; Plastics; Safety
PubMed: 27281027
DOI: 10.1371/journal.pone.0156960 -
BMC Gastroenterology Jul 2023This study was performed to compare a metal stent (MS) and plastic stent (PS) in terms of efficacy and complications during neoadjuvant therapy (NAT) and the... (Meta-Analysis)
Meta-Analysis
Comparison of metal versus plastic stent for preoperative biliary drainage in patients with pancreatic cancer undergoing neoadjuvant therapy: a meta-analysis and systematic review.
BACKGROUND
This study was performed to compare a metal stent (MS) and plastic stent (PS) in terms of efficacy and complications during neoadjuvant therapy (NAT) and the perioperative period.
METHODS
We performed an electronic search of the following databases until 1 June 2022: PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov. Studies comparing an MS versus PS for PBD in patients with pancreatic cancer undergoing NAT were included.
RESULTS
The meta-analysis showed that use of an MS was associated with lower rates of reintervention (p < 0.00001), delay of NAT (p = 0.007), recurrent biliary obstruction (RBO) (p = 0.003), and cholangitis (p = 0.03). There were no significant differences between the two groups in terms of stent migration (p = 0.31), postoperative complications (p = 0.20), leakage (p = 0.90), and R0 resection (p = 0.50).
CONCLUSIONS
Use of an MS for PBD in patients with pancreatic cancer undergoing NAT followed by surgery was associated with lower rates of reintervention, delay of NAT, RBO, and cholangitis compared with use of a PS. However, the postoperative outcomes were comparable between the MS and PS. Further studies on this topic are recommended.
Topics: Humans; Neoadjuvant Therapy; Drainage; Pancreatic Neoplasms; Metals; Stents; Cholangitis; Cholestasis; Plastics
PubMed: 37438761
DOI: 10.1186/s12876-023-02874-5