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Environmental Pollution (Barking, Essex... Mar 2024Mountaintop removal coal mining leaves a legacy of disturbed landscapes and abandoned infrastructure with clear impacts on water resources; however, the intensity and...
Mountaintop removal coal mining leaves a legacy of disturbed landscapes and abandoned infrastructure with clear impacts on water resources; however, the intensity and persistence of this water pollution remains poorly characterized. Here we examined the downstream impacts of over a century of coal mining in the Crowsnest Pass (Alberta, Canada). Water samples were collected downstream of two historical coal mines: Tent Mountain and Grassy Mountain. Tent Mountain hosts a partially reclaimed surface mine that closed in 1983. Selenium concentrations downstream of Tent Mountain reached 185 μg/L in a lake below the mine spoil pile, and up to 23 μg/L in Crowsnest Creek, which drains the lake and the mine property. Further downstream, a well-dated sediment core from Crowsnest Lake records increases in sediment, selenium, lead, carbon, nitrogen, and polycyclic aromatic compounds that closely tracked the history of mining at Tent Mountain. In contrast, episodic discharge of mine water from abandoned underground adits at Grassy Mountain drive periodic (but short-term) increases in iron, various metals, and suspended sediment. These results underscore the lasting downstream impacts of abandoned and even reclaimed coal mines.
Topics: Coal Mining; Ecosystem; Environmental Monitoring; Selenium; Water Pollutants, Chemical; Mining; Water; Alberta; Coal
PubMed: 38195024
DOI: 10.1016/j.envpol.2024.123328 -
Cureus Nov 2023Extra-cardiac stimulation after cardiac pacemaker implantation is seldom seen in the cardiac field. However, this case report demonstrates an unusual symptom of...
Extra-cardiac stimulation after cardiac pacemaker implantation is seldom seen in the cardiac field. However, this case report demonstrates an unusual symptom of persistent abdominal twitching in a 42-year-old male patient who underwent pacemaker replacement, lasting for 15 years. Initially, it was attributed to diaphragmatic pacing by the new pacemaker. Despite several attempts to replace the endocardial leads, the patient's symptoms did not improve. Finally, he was referred to our hospital, where our team conducted further investigations and discovered that the old pacemaker lead was exposed, leading to excitation of the rectus muscle.
PubMed: 38161898
DOI: 10.7759/cureus.49668 -
Journal of Religion and Health Feb 2024COVID-19 patients have been reported to more than likely experience a variety of difficult physical and psychological problems. This qualitative study aims to perceive...
COVID-19 patients have been reported to more than likely experience a variety of difficult physical and psychological problems. This qualitative study aims to perceive psychological experiences in COVID-19 patients in Iran. The study method is qualitative, with a conventional content analysis approach adopted. Purposive sampling was applied to 20 COVID-19 patients admitted to medical wards at hospitals in Tehran, Iran. Additionally, data were collected using semi-structured interviews. All data were analyzed based on the method proposed by Lindgren et al. (Int J Nurs Stud 108:103632, 2020). Data analysis identified the main theme to be "death fear and anxiety" with five main categories. These categories included the feelings of death panic and apprehension, uncertainty and ambiguity, fear of abandonment, fear of an unknown future for the family, and fear of unmet spiritual-cultural needs. Accordingly, the patients' experiences of COVID-19 contraction were unique. Against this backdrop, understanding COVID-19 patients' complexities, experiences, beliefs, and attitudes about anxiety and death, can lead to an improved awareness and understanding of the psychological consequences of COVID-19 by executive decision-makers, healthcare personnel and mental health professionals.
Topics: Humans; COVID-19; Iran; Qualitative Research; Anxiety; Anxiety Disorders
PubMed: 38160442
DOI: 10.1007/s10943-023-01972-8 -
The Science of the Total Environment Feb 2024The 160-year history of oil and gas drilling in the United States has left a legacy of unplugged orphaned and abandoned wells, some of which are leaking methane and... (Review)
Review
The 160-year history of oil and gas drilling in the United States has left a legacy of unplugged orphaned and abandoned wells, some of which are leaking methane and other hazardous chemicals into the environment. The locations of around 120,000 documented orphaned wells are currently known with the number of undocumented orphaned wells possibly ranging towards a million. The bulk of methane emissions originate from only 10 % of orphaned and abandoned wells, while the remaining wells have undetectable emissions. Understanding the sources of methane emissions from orphaned wells is key to estimating emission rates and prioritizing plugging. In this article, we identify key studies reporting methane emission measurements from orphaned and abandoned wells in the published literature and analyze previously published isotopic methane data to categorize the sources of methane emissions. Three primary geologic sources provide methane to a leaking well that can migrate from geologic formations into or along the wellbore to contaminate groundwater, the surface environment, and the atmosphere. These geologic sources of methane are petroleum (oil and gas) sourced reservoirs, coal seams, and methanogenesis occurring in and around the wellbore. Thermogenic petroleum gas reservoirs are associated with the highest emission rates measured to date. The next highest rates are from coalbed methane sources, while biogenic sources are the lowest based on the publicly available measured emissions data. Well conditions that could potentially enable methane transport include decay of the wellhead and surface infrastructure, wellbore deterioration from corrosive fluids in the subsurface, delamination of the casing and cement, damage from seismicity, and new fracture networks created by hydraulic fracturing of newly drilled neighboring wells. With an understanding of these geologic sources and well conditions, we can (1) better identify areas where high-emitting wells are likely to be present, (2) improve emission rate estimates from orphaned and abandoned wells, and (3) better prioritize wells for plugging. SYNOPSIS: Understanding the geologic sources of methane emissions from orphaned and abandoned wells and wellbore conditions that lead to methane release can significantly improve emissions estimates and aid in prioritizing which wells to plug.
PubMed: 38151133
DOI: 10.1016/j.scitotenv.2023.169584 -
The Science of the Total Environment Feb 2024The screening of new effective metal hyperaccumulators is essential for the development of profitable phytoremediation projects in highly degraded environments such as...
The screening of new effective metal hyperaccumulators is essential for the development of profitable phytoremediation projects in highly degraded environments such as mining areas. The goal of this research was to analyze the phytoextraction potential of the native plant Spergularia rubra to decontaminate and eventually recover metals (phytomining) from the mine tailings (belonging to an abandoned Pb/Zn Spanish mine) in which it grows spontaneously. To do so, the ability of this plant species to accumulate metals was evaluated both under natural conditions and through simple and electrokinetically assisted phytoextraction tests using alternating current and different combinations of voltage gradient (1/2 V cm) and application time (6/12 h per day). The complete duration of the greenhouse trial was 64 days, although alternating current was applied only during the last 14 days. The results obtained demonstrated the exceptional effectiveness of S. rubra for metal hyperaccumulation and growth without affecting toxicity in highly contaminated mining waste. Zn was the metal accumulated to a higher extent in the shoots, reaching concentrations up to 17,800 mg kg; Pb was mainly accumulated in the roots reaching a maximum concentration of 8709 mg kg. Cu and Cd were accumulated to a lesser extent but the bioconcentration factors were much >1. It has been proved that S. rubra is a hyperaccumulator species for Zn and Cd both in natural and greenhouse conditions and, very probably, Pb in wild conditions. The application of AC current did not significantly increase metal concentrations in plant tissues but it was able to increase the aerial biomass of S. rubra by 49.8 %. As a result, the phytoextraction yields of all metals were significantly improved as compared to wild conditions (up to 86 % for Zn). It could open new expectations about the economic viability of recovering high-value metals from mine tailings.
Topics: Cadmium; Decontamination; Lead; Soil Pollutants; Biodegradation, Environmental; Plants; Metals, Heavy
PubMed: 38145688
DOI: 10.1016/j.scitotenv.2023.169543 -
Microorganisms Dec 2023is the main causal agent of pulmonary tuberculosis (TB); the treatment of this disease is long and involves a mix of at least four different antibiotics that frequently...
is the main causal agent of pulmonary tuberculosis (TB); the treatment of this disease is long and involves a mix of at least four different antibiotics that frequently lead to abandonment, favoring the surge of drug-resistant mycobacteria (MDR-TB), whose treatment becomes more aggressive, being longer and more toxic. Thus, the search for novel strategies for treatment that improves time or efficiency is of relevance. In this work, we used a murine model of pulmonary TB produced by the MDR-TB strain to test the efficiency of gene therapy with adenoviral vectors codifying TNF (AdTNF), a pro-inflammatory cytokine that has protective functions in TB by inducing apoptosis, granuloma formation and expression of other Th1-like cytokines. When compared to the control group that received an adenoviral vector that codifies for the green fluorescent protein (AdGFP), a single dose of AdTNF at the chronic active stage of the disease produced total survival, decreasing bacterial load and tissue damage (pneumonia), which correlated with an increase in cells expressing IFN-γ, iNOS and TNF in pneumonic areas and larger granulomas that efficiently contain and eliminate mycobacteria. Second-line antibiotic treatment against MDR-TB plus AdTNF gene therapy reduced bacterial load faster within a week of treatment compared to empty vector plus antibiotics or antibiotics alone, suggesting that AdTNF is a new potential type of treatment against MDR-TB that can shorten second-line chemotherapy but which requires further experimentation in other animal models (non-human primates) that develop a more similar disease to human pulmonary TB.
PubMed: 38138078
DOI: 10.3390/microorganisms11122934 -
Journal of Clinical Medicine Dec 2023(1) Background: Transvenous lead extraction (TLE) can become far more complex when unanticipated difficulties arise. The aim was to develop a simple scoring system that...
(1) Background: Transvenous lead extraction (TLE) can become far more complex when unanticipated difficulties arise. The aim was to develop a simple scoring system that allows for the prediction of the difficulty and complexity of this significant procedure. (2) Methods: Based on analysis of 3741 TLE procedures with and without complicating factors (extended fluoroscopy time, need for second-line instruments, and advanced techniques and instruments), a five-point Complex Indicator of Difficulty of (TLE) Procedure (CID-TLEP) scale was developed. Two or more points on the CID-TLEP scale indicate a higher level of procedure complexity. (3) Results: Patient age below 51 years at first CIED implantation, number of abandoned leads, number of previous procedures, passive fixation and multiple leads to be extracted, and a ratio of dwell time of oldest lead to patient age during TLE of >0.13 are significant predictors of higher levels of lead extraction complexity. The ROC analysis demonstrates that a point total (being the sum of the odds ratios of the above variables) of >9.697 indicates a 21.83% higher probability of complex TLE (sensitivity 74.08%, specificity 74.46%). Finally, a logistic function was calculated, and we constructed a simple equation for lead extraction complexity that can predict the probability of a difficult procedure. The risk of complex extraction (as a percentage) is calculated as [1/(1 + 55.34 · 0.754)] · 100 ( < 0.001). (4) Conclusion: The LECOM score can effectively predict the risk of a difficult transvenous lead extraction procedure, and predicting the probability of a more complex procedure may help clinicians in planning lead removal and improving patient management.
PubMed: 38137637
DOI: 10.3390/jcm12247568 -
Chemosphere Feb 2024The leaching of heavy metals from abandoned mine tailings can pose a severe threat to surrounding areas, especially in the regions influenced by acid rain with high...
The leaching of heavy metals from abandoned mine tailings can pose a severe threat to surrounding areas, especially in the regions influenced by acid rain with high frequency. In this study, the potential risks of heavy metals in the tailings collected from a small-scale abandoned multi-metal mine was assessed, and their leaching behavior and mechanism were investigated by batch, semi-dynamic and in situ leaching experiments under simulated and natural rainfall conditions. The results suggested that Zn, Cu, Pb, and Cd in the tailings could cause high/very high risks. Both batch and semi-dynamic leaching tests consistently confirmed that the leaching of heavy metals (particularly Cd) could lead to serious pollution of the surrounding environment. The leaching rates of heavy metals were pH-dependent and related to their chemical speciations in the mine tailings. The leaching behavior of Cu and Cd was dominated by surface wash-off, Zn was controlled by diffusion initially and then surface wash-off, and the leaching mechanisms of Pb and As varied with the pH conditions. It was estimated that acid rain could greatly elevate the release fluxes of Zn (20.8%), Cu (36.7%), Pb (49.9%) and Cd (35.3%) in the study area. These findings could improve the understanding of the leaching behavior of heavy metals from mine tailings and assist in developing appropriate management strategies.
Topics: Acid Rain; Cadmium; Lead; Soil Pollutants; Metals, Heavy
PubMed: 38128738
DOI: 10.1016/j.chemosphere.2023.140995 -
The European Journal of Contraception &... Feb 2024The aim of our study was to assess the covariates of contraceptive switching and abandonment among Brazilian women stratified by oral pills, condoms and injectables.
OBJECTIVE
The aim of our study was to assess the covariates of contraceptive switching and abandonment among Brazilian women stratified by oral pills, condoms and injectables.
MATERIALS AND METHODS
Women attending primary health care services in three Brazilian mid- to large-sized cities were interviewed face-to-face about their contraceptive practices ( = 2,051). Data were collected using a contraceptive calendar. Analysis included estimates using Kaplan-Meier multiple-decrement life-table probabilities and discrete-time hazards modelling of switching from a method to another or to no method.
RESULTS
Among 3,280 segments of contraceptive use, we observed that five-year contraceptive switching rates ranged from 34.9% among injectable users to 56.1% among pill users. Of particular concern were the high discontinuation rates of abandonment, which ranged from 50.9% among injectable users to 77.4% among pill users. Covariates of method switching and abandonment varied by type of method, but age, race/ethnicity, religion and relationship status must be highlighted as key elements of discontinuation.
CONCLUSION
Contraceptive method switching and abandoning are frequent outcomes of contraceptive use. Understanding the factors that shape women's decisions to continue or discontinue the use of a contraceptive method can help tailoring comprehensive contraceptive counselling that meet their expectations and reproductive needs when starting using a method.
Topics: Female; Humans; Contraceptive Agents; Condoms; Brazil; Contraception; Contraception Behavior
PubMed: 38108084
DOI: 10.1080/13625187.2023.2289831 -
Annual International Conference of the... Jul 2023There is a paucity of data regarding the safety of magnetic resonance imaging (MRI) in patients with abandoned epicardial leads. Few studies have reported temperature...
There is a paucity of data regarding the safety of magnetic resonance imaging (MRI) in patients with abandoned epicardial leads. Few studies have reported temperature rises up to 76 °C during MRI at 1.5 T in gel phantoms implanted with epicardial leads; however, lead trajectories used in these experiments were not clinically relevant. This work reports patient-specific RF heating of both capped and uncapped abandoned epicardial lead configurations during MRI at both 1.5 T and 3 T field strengths. We found that leads routed along realistic, patient-derived trajectories generated substantially lower RF heating than the previously reported worst-case phantom experiments. We also found that MRI at the head imaging landmark leads to substantially lower RF heating compared to MRI at the chest or abdomen landmarks at both 1.5 T and 3 T. Our results suggest that patients with abandoned epicardial leads may safely undergo MRI for head imaging, but caution is warranted during chest and abdominal imaging.Clinical Relevance- Patients with abandoned epicardial leads may safely undergo MRI for head imaging, but caution is warranted during chest and abdominal imaging.
Topics: Humans; Heating; Prostheses and Implants; Phantoms, Imaging; Temperature; Magnetic Resonance Imaging
PubMed: 38082570
DOI: 10.1109/EMBC40787.2023.10340533