An Investigative Study on the Chemical, Morphological and Mineralogical Alterations of Dry Disposed Fly Ash During Sequential Chemical Extraction

The hazardous elements associated with various physicochemical forms in coal fly ash are of environmental concern due to their leaching potential and subsequent contamination of surface and groundwater in the vicinity of the ash dump. Selective sequential extraction was performed on dry disposed fly ash samples from a coal-fired power station in Mpumalanga province, South Africa. The alteration of the chemical, morphological and mineralogical species of weathered fly ash during the selective sequential extraction was investigated using X-ray fluorescence (XRF), Nano-scan electron microscopy (NANOSEM) and X-ray powder diffraction (XRD). Insoluble residue from the water-soluble fraction is composed of amorphous alumino-silicate. The residues from exchangeable carbonate and Fe and Mn fractions consisted mostly of amorphous alumino-silicate spheres with a lesser quantity of iron-rich spheres. The iron-rich spheres are surrounded by amorphous alumino-silicate spheres.  The leaching behavior of trace metals (such as Ce, Y, Nb, Rb, U, and Tl) in weathered dry disposed fly ash was considered to have a dependency relationship with the components of SiO2, CaO, MgO, P2O5, and amount of unburned carbon. The decrease in the quantities of calcite with successive extraction could be considered as a marker of progress of sequential extraction technique. At the same time, the increase in the quantities of quartz could be also considered as an indicator of progress of the sequential extraction scheme. Trace elements bound to exchangeable or carbonate fraction during sequential chemical extraction were found associated with calcite. The elemental concentrations, as determined by electron dispersive x-ray spectroscopy (EDS), were consistent with XRF and XRD data. Therefore, the chemical extractant used in this study proved efficient for extraction of inorganic metals associated with various physicochemical forms in weathered fly ash.Key words: Coal fly ash; Selective sequential extraction; Major components; Trace elements; Morphology; Mineralogical compositio

Vector species composition and malaria infectivity rates in Mkuzi, Muheza District, north-eastern Tanzania

Entomological surveys were conducted in Mkuzi village in Muheza District, north-east Tanzania from April to September 2003. The objectives were to determine the species composition and infectivity rates of mosquitoes in Mkuzi village. Mosquito collection was done using CDC light trap and pyrethrum spray catch (PSC) techniques. The light trap: spray catch ratio was 2.2:1. A total of 2157 mosquitoes were collected (light trap= 1483; PSC= 674). Anopheles gambiae s.s. accounted for 56.7% (N=1224) of all mosquitoes collected. Other species were An. funestus complex (19.2%) and Culex quinquefasciatus (24.1%).The mosquito density per room was 74.15 and 33.7 for light trap and PSC techniques, respectively. A total of 1637 Anopheles mosquitoes were tested for circumsporozoite protein by Enzyme linked Immunosobent Assay (ELISA). The overall infectivity rate for circumsporozoite protein for P. falciparum in Anopheles mosquitoes was 21.14% (346/1637). Species-specific infectivity rates were 22.7% (278/1224) in An. gambiae s.s. and 24.0 % (68/283) in An. funestus funestus, 0% (0/80) for An. rivulorum and 0% (0/50) for An.parensis. Blood meal analysis indicated that 92.3 % of An. gambiae s.s, 88.9% of An. funestus s.s., 64.5% of An. rivulorum and 67.7% of An. parensis had taken blood meal from human hosts. In conclusion, malaria transmission in Mkuzi area of Muheza district is mainly by the highly anthropophagic An. gambiae s.s. and An. funestus s.s. More studies are needed to identify the seasonal variation of species composition and transmission dynamics in this village

Correction: Epidemiology and outcomes of early-onset AKI in COVID-19-related ARDS in comparison with non-COVID-19-related ARDS: insights from two prospective global cohort studies (Critical Care, (2023), 27, 1, (3), 10.1186/s13054-022-04294-5)

Following publication of the original article [1], the authors identified that the collaborating authors part of the collaborating author group CCCC Consortium was missing. The collaborating author group is available and included as Additional file 1 in this article

Early short course of neuromuscular blocking agents in patients with COVID-19 ARDS: a propensity score analysis

Background: The role of neuromuscular blocking agents (NMBAs) in coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS) is not fully elucidated. Therefore, we aimed to investigate in COVID-19 patients with moderate-to-severe ARDS the impact of early use of NMBAs on 90-day mortality, through propensity score (PS) matching analysis. Methods: We analyzed a convenience sample of patients with COVID-19 and moderate-to-severe ARDS, admitted to 244 intensive care units within the COVID-19 Critical Care Consortium, from February 1, 2020, through October 31, 2021. Patients undergoing at least 2 days and up to 3 consecutive days of NMBAs (NMBA treatment), within 48 h from commencement of IMV were compared with subjects who did not receive NMBAs or only upon commencement of IMV (control). The primary objective in the PS-matched cohort was comparison between groups in 90-day in-hospital mortality, assessed through Cox proportional hazard modeling. Secondary objectives were comparisons in the numbers of ventilator-free days (VFD) between day 1 and day 28 and between day 1 and 90 through competing risk regression. Results: Data from 1953 patients were included. After propensity score matching, 210 cases from each group were well matched. In the PS-matched cohort, mean (± SD) age was 60.3 ± 13.2 years and 296 (70.5%) were male and the most common comorbidities were hypertension (56.9%), obesity (41.1%), and diabetes (30.0%). The unadjusted hazard ratio (HR) for death at 90 days in the NMBA treatment vs control group was 1.12 (95% CI 0.79, 1.59, p = 0.534). After adjustment for smoking habit and critical therapeutic covariates, the HR was 1.07 (95% CI 0.72, 1.61, p = 0.729). At 28 days, VFD were 16 (IQR 0–25) and 25 (IQR 7–26) in the NMBA treatment and control groups, respectively (sub-hazard ratio 0.82, 95% CI 0.67, 1.00, p = 0.055). At 90 days, VFD were 77 (IQR 0–87) and 87 (IQR 0–88) (sub-hazard ratio 0.86 (95% CI 0.69, 1.07; p = 0.177). Conclusions: In patients with COVID-19 and moderate-to-severe ARDS, short course of NMBA treatment, applied early, did not significantly improve 90-day mortality and VFD. In the absence of definitive data from clinical trials, NMBAs should be indicated cautiously in this setting