Treatability Study of Car Wash Wastewater Using Upgraded Physical Technique with Sustainable Flocculant

Grease, oil, hydrocarbon residues, heavy metals, and surfactants are all present in car wash wastewater (CWW), which all can have detrimental effects on the environment and human health. This study was designed to assess CWW treatment using an upgraded physical technique combined with a range of conventional and more sustainable coagulants. Physical treatment effectively lowered the oil and grease (O&G) and chemical oxygen demand (COD) of the CWW by 79 ± 15% and 97 ± 1.6%, respectively. Additional treatment was provided using chemical coagulation–flocculation– settling. In jar test studies, humic acid (HA) and alum were found to provide significantly higher turbidity removal, 79.2 ± 3.1% and 69.8 ± 8.0%, respectively, than anionic polyacrylamide (APA), 7.9 ± 5.6% under influent turbidity values from 89 to 1000 NTU. Overall physical/chemical treatment of CWW yielded 97.3 ± 0.8% COD removal, and 99.2 ± 0.4% O&G removal using HA and alum. Due to the numerous problems created when using synthetic coagulants, naturally occurring coagulants that have no impact on human health, such as HA, are highly desirable options. The findings of this study show that treating CWW provides several advantages for sustainable development, health and well-being, and raising public knowledge and support for water reuse

Competition and adaptation in an Internet evolution model

We model the evolution of the Internet at the Autonomous System level as a process of competition for users and adaptation of bandwidth capability. We find the exponent of the degree distribution as a simple function of the growth rates of the number of autonomous systems and the total number of connections in the Internet, both empirically measurable quantities. This fact place our model apart from others in which this exponent depends on parameters that need to be adjusted in a model dependent way. Our approach also accounts for a high level of clustering as well as degree-degree correlations, both with the same hierarchical structure present in the real Internet. Further, it also highlights the interplay between bandwidth, connectivity and traffic of the network.Comment: Minor content changes and inset of fig.

Semillas de altramuces bajan la concentración de lípidos plasmáticos y normaliza los parámetros antioxidantes en ratas

This study was designed to test bitter and sweet lupin seeds for lipid-lowering and for their antioxidative activities in hypercholesterolemic rats. The levels of plasma lipid, malondialdehyde (MDA) and whole blood reduced glutathione (GSH), as well as the activities of transaminases (ALT and AST), lactate dehydrogenase (LDH) in plasma, superoxide dismutase (SOD), glutathione peroxidase (GPx) in erythrocytes and plasma glutathione reductase (GR), glutathione-S-transferase (GST) and catalase (CAT) were examined. A hypercholesterolemia-induced diet manifested in the elevation of total lipids (TL), total cholesterol (TC), triglycerides (TG), LDL-C and MDA levels, ALT, AST, LDH activities and the depletion of GSH and enzymic antioxidants. The supplementation of a hypercholesterolemia-induced diet with bitter and sweet lupin seeds significantly lowered the plasma levels of TL, TC, TG and LDL-C. ALT, AST and LDH activities slightly decreased in treated groups compared with the hypercholesterolemic group (HC). Furthermore, the content of GSH significantly increased while MDA significantly decreased in treated groups compared with the HC group. In addition, the bitter lupin seed group improved enzymic antioxidants compared with the HC group. In general, the results indicated that the bitter lupin seed supplements are better than those containing sweet lupin seeds. These results suggested that the hypocholesterolemic effect of bitter and sweet lupin seed supplements might be due to their abilities to lower the plasma cholesterol level as well as to slow down the lipid peroxidation process and to enhance the antioxidant enzyme activity.Este estudio fue diseñado para evaluar semillas de altramuces dulces y amargas como agentes que bajan los lípidos y estudiar su efecto en la actividad antioxidante en ratas hipercolesterolémicas. El nivel de lípidos en plasma, malondialdehido (MDA) y glutatión reducido (GSH), así como la actividad transaminasa (ALT y AST), lactato deshidrogenasa (LHD) en plama, superóxido dismutasa (SOD) y glutatión peroxidasa (GPx) en eritrocitos, glutatión reductasa (GR) en plasma, glutatión-S- trnasferasa (GST) y catalasa (CAT) fueron examinadas. La dieta inductora de hipercolesterolemia se manisfesto mediante la elevación de los lípidos totales (TL), del colesterol total (TC), de los triglicéridos, de la LDL-C y de los niveles de MDA, de las actividades ALT, AST, LDH y del descenso de GSH y enzimas antioxidantes. La suplementación de dietas inductoras de hipercolesterolemia con semillas de altramuces dulces y amargas bajo significativamente los niveles en plasma de TL, TC, TG y LDL-C. Las actividades ALT, AST y LDH decrecieron ligeramente en grupos tratados comparados con el grupo hipercolesterolémico (HC). Por otra parte, el contenido de GSH aumento significativamente mientras que el MDA decreció significativamente en los grupos tratados comparados con el grupo HC. Además, las semillas de altramuces amargas mejoraron las enzimas antioxidantes comparadas con el grupo HC. En general, los resultados indican que, el suplemento con semillas amargas es mejor que con semillas de altramuces dulces. Estos resultados sugieren que el efecto hipercolesterolémico del suplemento con semillas de altramuces dulces y amargas podrían ser debiadas a su capacidad para bajar los nivleles en plasma de colesterol, así como una ralentización del proceso de peroxidación lipídica y un aumento de la actividad enzimática antioxidante

PRONE VENTILATION IN INTUBATED COVID-19 PATIENTS: SYSTEMATIC REVIEW AND META-ANALYSIS

INTRODUCTION: Prone ventilation is a well-established strategy in patients with severe ARDS as it has been shown to improve survival and mortality. However, in intubated patients with COVID-19 pneumonia, the data are limited, with no substantial evidence supporting its use. This meta-analysis is the first to examine the mortality benefit of prone ventilation in intubated COVID-19 patients. METHODS: A systematic search according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in Medline, Embase, and Web of Science databases was conducted in January 2022 for published studies assessing the mortality benefit of prone ventilation in intubated COVID-19 patients. RESULTS: Four hundred sixty-seven studies were identified. Of those, five studies met the inclusion criteria studies were included. The total number of patients included in the studies was 4247 patients. In four studies, ARDS prevalence was reported. The prone group had a higher prevalence of severe ARDS rates than the supine group. No significant difference was found between prone or supine groups in ICU mortality (OR: 1.39; 95%CI: 0.80-2.43; p=0.24). Regarding overall mortality, No difference was detected between the prone or the supine groups (OR: 1.04; 95%CI: 0.57-1.87; p = 0.9), with significant heterogeneity (I2= 93; p \u3c 0.001). The length of hospital stay (LOS) was reported in two studies. Our analysis showed that LOS did not differ between the prone and supine groups (SMD: 0.77; 95%CI: -0.33-1.86; p=0.17). CONCLUSIONS: Prone ventilation in intubated COVID-19 patients does not offer a mortality benefit. Randomized controlled trials are warranted to confirm this finding and clarify whether specific subpopulations may benefit from prone ventilation

Prone Vs. Supine Position Ventilation in Intubated COVID-19 Patients: A Systematic Review and Meta-Analysis

Whether prone positioning of patients undergoing mechanical ventilation for COVID-19 pneumonia has benefits over supine positioning is not clear. We conducted a systematic review with meta-analysis to determine whether prone versus supine positioning during ventilation resulted in different outcomes for patients with COVID-19 pneumonia. We searched Ovid Medline, Embase, and Web of Science for prospective and retrospective studies up through April 2023. We included studies that compared outcomes of patients with COVID-19 after ventilation in prone and supine positions. The primary outcomes were three mortality measures: hospital, overall, and intensive care unit (ICU). Secondary outcomes were mechanical ventilation days, intensive care unit (ICU) length of stay, and hospital length of stay. We conducted risk of bias analysis and used meta-analysis software to analyze results. Mean difference (MD) was used for continuous data, and odds ratio (OR) was used for dichotomous data, both with 95% CIs. Significant heterogeneity (I(2)) was considered if I(2) was \u3e50%. A statistically significant result was considered if the p-value was \u3c0.05. Of 1787 articles identified, 93 were retrieved, and seven retrospective cohort studies encompassing 5216 patients with COVID-19 were analyzed. ICU mortality was significantly higher in the prone group (OR 2.22, 95% CI 1.43-3.43; p=0.0004). No statistically significant difference was observed between prone and supine groups for hospital mortality (OR, 0.95; 95% CI, 0.66-1.37; p=0.78) or overall mortality (OR, 1.08; 95% CI, 0.72-1.64; p=0.71). Studies that analyzed primary outcomes had significant heterogeneity. Hospital length of stay was significantly higher in the prone than in the supine group (MD, 6.06; 95 % CI, 3.15-8.97; p\u3c0.0001). ICU length of stay and days of mechanical ventilation did not differ between the two groups. In conclusion, mechanical ventilation with prone positioning for all patients with COVID-19 pneumonia may not provide a mortality benefit over supine positioning

Incidence and contributing factors of glucose intolerance in Saudi postpartum women: Sub-group analysis from RAHMA study

Objectives: The objectives of this study were to determine incidence and risk factors of glucose intolerance one year after delivery in a sub-cohort of Riyadh Mother and Baby Cohort Study (RAHMA) study. Methods: This is a follow-up study of a sub-cohort from RAHMA study from King Khalid University Hospital (KKUH). All women from RAHMA database who completed one year since delivery at KKUH were contacted by phone to participate in the study. Previously collected data from RAHMA registry for each participant were linked to this study data. Clinical data measured for each participant included current weight and height to calculate the BMI and waist circumference. Blood tests done for each participant were fasting blood glucose (FPG) and HbA1c. Based on the blood tests results, participants were classified into three groups; diabetic, pre-diabetic and normal. The incidence of diabetes and prediabetes was calculated for the whole cohort. Clinical, biochemical, and sociodemographic predictors of glucose intolerance were compared between the three groups. Risk factors with P-value less than 0.05 were tested in multivariate regression model with bootstrapping to calculate the relative risk (RR) and its 95% Bias corrected Confidence Interval (C.I.) Results: From the sub-cohort, 407 women fulfilled the inclusion criteria and agreed to participate in the study. From the study participants; 250 (61.4%) women were normoglycemic, 142 (35%) women had prediabetes and 15 (3.6%) women were diabetic. Following multivariable regression analysis only history of gestational diabetes mellitus (GDM), (RR 1.74, 95% CI (1.06 to 2.84), P = 0.01), obesity (RR 1.69, 95% CI (1.01–3.11), P = 0.04) and diastolic blood pressure, (RR 1.04, 95% CI (1.01–1.09), P = 0.03) remained as predictors of postpartum glucose intolerance. Conclusion: The incidence of postpartum glucose intolerance (diabetes and prediabetes) is very high in Saudi women. Both GDM and obesity are strong predictors of glucose intolerance

Makna Simbolik Pantun Banjar Samarinda dalam Teater Tradisional Sandima (Studi Kasus Pergelaran “PPKM” Taman Budaya Kalimantan Timur)

Penelitian ini bertujuan untuk mengetahui awal mulanya tradisi pantun banjar, serta untuk mengungkapkan makna simbolik pantun Banjar Samarinda pada pergelaran Sandima. Penelitian ini menggunakan jenis penelitian deskriptif kualitatif yang berusaha menjelaskan, menuturkan, mendeskripsika, menganalisis dan sebagainya mengenai awal mulanya tradisi pantun Banjar di Samarinda Kalimantan Timur pada pergelaran teater tradisional Sandima. Hasil penelitian ini pun mengungkapkan dan mengetahui makna sebenarnya dari pantun dalam pergelaran teater tradisional Sandima berjudul “PPKM” di Taman Budaya Kalimantan Timur. Pantun-pantunya memberi nasihat dan pesan kepada masyarakat dan khsusunya penonton untuk menjaga seni tradisi, selain itu pantun-pantunya juga merepresentasikan keadaan sosial masyarakat kota Samarinda saat itu.Kata kunci: Makna Simbolik; Pantun Sandima; Banjar Samarind

Efficacy of memantine in the treatment of fibromyalgia: A double-blind, randomised, controlled trial with 6-month follow-up.

Fibromyalgia (FM) is a prevalent and disabling chronic disease. Recent studies have found elevated levels of glutamate in several brain regions, leading to hypotheses about the usefulness of glutamate-blocking drugs such as memantine in the treatment of FM. The aim of this study was to evaluate the efficacy of memantine in the treatment of pain and other clinical variables (global function, clinical impression, depression, anxiety, quality of life) in FM patients. A double-blind, parallel randomised controlled trial was developed. A total of 63 patients diagnosed with FM were recruited from primary health care centres in Zaragoza, Spain. Memantine was administered at doses of 20mg/d after 1 month of titration. Assessments were carried out at baseline, posttreatment, and 3- and 6-month follow-up. Compared with a placebo group, memantine significantly decreased ratings on a pain visual analogue scale (Cohen's d=1.43 at 6 months) and pain measured with a sphygmomanometer (d=1.05). All other secondary outcomes except anxiety also improved, with moderate-to-large effect sizes at 6 months. Compared with placebo, the absolute risk reduction obtained with memantine was 16.13% (95% confidence interval=2.0% to 32.6%), and the number needed to treat was 6.2 (95% confidence interval=3 to 47). Tolerance was good, with dizziness (8 patients) and headache (4 patients) being the most frequent side effects of memantine. Although additional studies with larger sample sizes and longer follow-up times are needed, this study provides preliminary evidence of the utility of memantine for the treatment of FM

Brain Changes in Long-Term Zen Meditators Using Proton Magnetic Resonance Spectroscopy and Diffusion Tensor Imaging: A Controlled Study

Introduction: This work aimed to determine whether 1H magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS), diffusion-weighted imaging (DWI) and diffusion tensor imaging (DTI) are correlated with years of meditation and psychological variables in long-term Zen meditators compared to healthy non-meditator controls. Materials and Methods: Design. Controlled, cross-sectional study. Sample. Meditators were recruited from a Zen Buddhist monastery. The control group was recruited from hospital staff. Meditators were administered questionnaires on anxiety, depression, cognitive impairment and mindfulness. 1H-MRS (1.5 T) of the brain was carried out by exploring four areas: both thalami, both hippocampi, the posterior superior parietal lobule (PSPL) and posterior cingulate gyrus. Predefined areas of the brain were measured for diffusivity (ADC) and fractional anisotropy (FA) by MR-DTI. Results: Myo-inositol (mI) was increased in the posterior cingulate gyrus and Glutamate (Glu), N-acetyl-aspartate (NAA) and N-acetyl-aspartate/Creatine (NAA/Cr) was reduced in the left thalamus in meditators. We found a significant positive correlation between mI in the posterior cingulate and years of meditation (r = 0.518; p = .019). We also found significant negative correlations between Glu (r =20.452; p = .045), NAA (r =20.617; p = .003) and NAA/Cr (r =20.448; P = .047) in the left thalamus and years of meditation. Meditators showed a lower Apparent Diffusion Coefficient (ADC) in the left posterior parietal white matter than did controls, and the ADC was negatively correlated with years of meditation (r =20.4850, p = .0066). Conclusions: The results are consistent with the view that mI, Glu and NAA are the most important altered metabolites. This study provides evidence of subtle abnormalities in neuronal function in regions of the white matter in meditators

The metabolomic analysis of five Mentha species: cytotoxicity, anti-Helicobacter assessment, and the development of polymeric micelles for enhancing the anti-Helicobacter activity

Mentha species are medicinally used worldwide and remain attractive for research due to the diversity of their phytoconstituents and large therapeutic indices for various ailments. This study used the metabolomics examination of five Mentha species (M. suaveolens, M. sylvestris, M. piperita, M. longifolia, and M. viridis) to justify their cytotoxicity and their anti-Helicobacter effects. The activities of species were correlated with their phytochemical profiles by orthogonal partial least square discriminant analysis (OPLS-DA). Tentatively characterized phytoconstituents using liquid chromatography high-resolution electrospray ionization mass spectrometry (LC-HR-ESI-MS) included 49 compounds: 14 flavonoids, 10 caffeic acid esters, 7 phenolic acids, and other constituents. M. piperita showed the highest cytotoxicity to HepG2 (human hepatoma), MCF-7 (human breast adenocarcinoma), and CACO2 (human colon adenocarcinoma) cells using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays. OPLS-DA and dereplication studies predicted that the cytotoxic activity was related to benzyl glucopyranoside-sulfate, a lignin glycoside. Furthermore, M. viridis was effective in suppressing the growth of Helicobacter pylori at a concentration of 50 mg mL−1. OPLS-DA predicted that this activity was related to a dihydroxytrimethoxyflavone. M. viridis extract was formulated with Pluronic® F127 to develop polymeric micelles as a nanocarrier that enhanced the anti-Helicobacter activity of the extract and provided minimum inhibitory concentrations and minimum bactericidal concentrations of 6.5 and 50 mg mL−1, respectively. This activity was also correlated to tentatively identified constituents, including rosmarinic acid, catechins, carvone, and piperitone oxide