Efficient injection of gas tracers into rivers: A tool to study Surface water-Groundwater interactions

Surface water (SW) - groundwater (GW) interactions exhibit complex spatial and temporal patterns often studied using tracers. However, most natural and artificial tracers have limitations in studying SW-GW interactions, particularly if no significant contrasts in concentrations between SW and GW exist or can be maintained for long durations. In such context, (noble) gases have emerged as promising alternatives to add to the available tracer methods, especially with the recent development of portable mass spectrometers, which enable continuous monitoring of dissolved gas concentrations directly in the field. However, long-duration gas injection into river water presents logistical challenges. To overcome this limitation, we present an efficient and robust diffusion-injection apparatus for labeling large amounts of river water. Our setup allows fine, real-time control of the gas injection rate, and is suitable for extended injection durations and different gas species. To illustrate the effectiveness of our approach, we present a case study where helium (He) is used as an artificial tracer to study river water infiltration into an alluvial aquifer. Our injection of He as a tracer increased the dissolved He concentration of the river water by one order of magnitude compared to air-saturated water concentration for 35 days. This experiment yields valuable information on travel times from the river to a pumping well and on the mixing ratios between freshly infiltrated river water and regional groundwater.

Challenges and strategies in relation to effective CAR-T cell immunotherapy for solid tumors

Chimeric Antigen Receptor T cell (CAR-T) therapy has revolutionized cancer treatment, but its application to solid tumors is limited. CAR-T cells have poor incapability of entering, surviving, proliferating, and finally exerting function in the tumor microenvironment. This review summarizes the main strategies related to enhancing the infiltration, efficacy, antigen recognition, and production of CAR-T in solid tumors. Additional applications of CAR-γδ T and macrophages are also discussed. We believe CAR-T will be a milestone in treating solid tumors once these problems are solved.

Extravasation and infiltration: under-recognised complications of intravenous therapy

Occasionally, the administration of intravenous (IV) therapies can go wrong. Infiltration or extravasation is a complication when a drug or IV therapy leaks into the tissues surrounding the vascular access device. Extravasation can cause serious and often life-changing injuries. Extravasation is often associated with systemic anti-cancer therapy but non-chemotherapy drugs have been reported as having a greater risk of serious complications. This study outlines the first UK Infusion unit evaluation of the ivWatch infusion monitoring device which was undertaken from August 2023 to January 2024. Out of 2254 infusions monitored with ivWatch, the device prevented 122 cases of infiltration and extravasation from causing any harm to the patient, corresponding to a 5.4% 'check IV' notification rate.

Microplastic infiltration into mobile sediments

This study investigates the dynamics of microplastic infiltration into non-stationary sandy sediments, a pressing environmental concern due to the rising prevalence of microplastics in aquatic ecosystems. An annular flume was used to simulate riverine bedform motion, examining the suspension and infiltration of denser-than-water microplastic particles, including polyvinyl chloride (PVC), polyamide (PA), and polylactide (PLA). The experiments focused on various particle sizes (ranging from 0.2 to 5 mm in diameter) and bedform migration speeds, known as celerities. The findings indicate that particle size is a significant factor influencing the depth of infiltration and distribution within sediment layers, whereas the impact of bedform celerities and particle densities appears less significant. This research provides novel insights into the behavior of microplastics in dynamic sedimentary environments, highlighting the intricate interaction between microplastic characteristics and sedimentary processes. The results contribute to an enhanced understanding of microplastic distribution and accumulation in riverine systems, offering crucial data for developing predictive models and formulating potential remediation strategies for microplastic pollution.

The Prognostic Role of the Number of Involved Structures in Thymic Epithelial Tumors: Results from the ESTS Database

BACKGROUND

The role of the number of involved structures (NIS) in thymic epithelial tumors (TETs) has been investigated for inclusion in future staging systems, but large cohort results still are missing. This study aimed to analyze the prognostic role of NIS for patients included in the European Society of Thoracic Surgeons (ESTS) thymic database who underwent surgical resection.

METHODS

Clinical and pathologic data of patients from the ESTS thymic database who underwent surgery for TET from January 2000 to July 2019 with infiltration of surrounding structures were reviewed and analyzed. Patients' clinical data, tumor characteristics, and NIS were collected and correlated with CSS using Kaplan-Meier curves. The log-rank test was used to assess differences between subgroups. A multivariable model was built using logistic regression analysis.

RESULTS

The final analysis was performed on 303 patients. Histology showed thymoma for 216 patients (71.3%) and NET/thymic carcinoma [TC]) for 87 patients (28.7%). The most frequently infiltrated structures were the pleura (198 cases, 65.3%) and the pericardium in (185 cases, 61.1%), whereas lung was involved in 96 cases (31.7%), great vessels in 74 cases (24.4%), and the phrenic nerve in 31 cases (10.2%). Multiple structures (range, 2-7) were involved in 183 cases (60.4%). Recurrence resulted in the death of 46 patients. The CSS mortality rate was 89% at 5 years and 82% at 10 years. In the univariable analysis, the favorable prognostic factors were neoadjuvant therapy, Masaoka stage 3, absence of metastases, absence of myasthenia gravis, complete resection, thymoma histology, and no more than two NIS. Patients with more than two NIS presented with a significantly worse CSS than patients with no more than two NIS (CSS 5- and 10-year rates: 9.5% and 83.5% vs 93.2% and 91.2%, respectively; p = 0.04). The negative independent prognostic factors confirmed by the multivariable analysis were incomplete resection (hazard ratio [HR] 2.543; 95% confidence interval [CI] 1.010-6.407; p = 0.048) and more than two NIS (HR 1.395; 95% CI 1.021-1.905; p = 0.036).

CONCLUSIONS

The study showed that more than two involved structures are a negative independent prognostic factor in infiltrative thymic epithelial tumors that could be used for prognostic stratification.

Evaluation of the efficiency of an ultrasound-supported infiltration technique in patients with tennis elbow applying the ITEC medical device: a multicenter study

Background

The treatment of lateral epicondylitis remains unsatisfactory in certain cases. The aim of this study is to investigate the efficiency of an ultrasound-guided infiltration combined with fenestration of the extensor tendon postulating a 50% reduction in pain on exertion within 6 months.

Methods

In a prospective, nonrandomized, multicenter study design, 68 patients with chronic lateral epicondylitis and symptoms lasted for at least 6 weeks were included. Each hospital has been assigned for Traumeel (A), autologous whole blood (B), or dextrose (C) in advance. Preinterventional, 6 weeks, 12 weeks, 6 and 12 months after infiltration, patient-related outcome parameter, and dorsal wrist extension strength were documented. Preinterventional (obligate) and after 6 months (optional) radiological evaluation (magnetic resonance imaging) was performed.

Results

The Visual Analog Scale showed a significant reduction after 6 months in all groups (A. 4.8-2.5, B. 6.2-2.3, C. 5.8-2.4). Similar results could be observed with Subjective elbow value, Disabilities of Arm, Shoulder, and Hand Score, Mayo Elbow Performance Score, and Patient Rated Tennis Elbow Evaluation. The loss of strength could be completely compensated after about 6 months. Magnetic resonance imaging did not fully reflect clinical convalescence. Re-infiltrations were sometimes necessary for final reduction of symptoms (A = 11, B = 8, C = 4). Switching to surgical intervention was most frequently observed in group C (A = 2, B = 1, C = 5). In 14.5% of the cases, no improvement of the symptoms could be achieved with this method.

Conclusion

The primary hypothesis of a significant long-term pain reduction of at least 50% could be achieved regardless of the medication chosen.

Myocardial perfusion in cardiac amyloidosis

AIMS

Cardiac involvement is the main driver of clinical outcomes in systemic amyloidosis and preliminary studies support the hypothesis that myocardial ischaemia contributes to cellular damage. The aims of this study were to assess the presence and mechanisms of myocardial ischaemia using cardiovascular magnetic resonance (CMR) with multiparametric mapping and histopathological assessment.

METHODS AND RESULTS

Ninety-three patients with cardiac amyloidosis (CA) (light-chain amyloidosis n = 42, transthyretin amyloidosis n = 51) and 97 without CA (three-vessel coronary disease [3VD] n = 47, unobstructed coronary arteries n = 26, healthy volunteers [HV] n = 24) underwent quantitative stress perfusion CMR with myocardial blood flow (MBF) mapping. Twenty-four myocardial biopsies and three explanted hearts with CA were analysed histopathologically. Stress MBF was severely reduced in patients with CA with lower values than patients with 3VD, unobstructed coronary arteries and HV (CA: 1.04 ± 0.51 ml/min/g, 3VD: 1.35 ± 0.50 ml/min/g, unobstructed coronary arteries: 2.92 ± 0.52 ml/min/g, HV: 2.91 ± 0.73 ml/min/g; CA vs. 3VD p = 0.011, CA vs. unobstructed coronary arteries p < 0.001, CA vs. HV p < 0.001). Myocardial perfusion abnormalities correlated with amyloid burden, systolic and diastolic function, structural parameters and blood biomarkers (p < 0.05). Biopsies demonstrated abnormal vascular endothelial growth factor staining in cardiomyocytes and endothelial cells, which may be related to hypoxia conditions. Amyloid infiltration in intramural arteries was associated with severe lumen reduction and severe reduction in capillary density.

CONCLUSION

Cardiac amyloidosis is associated with severe inducible myocardial ischaemia demonstrable by histology and CMR stress perfusion mapping. Histological evaluation indicates a complex pathophysiology, where in addition to systolic and diastolic dysfunction, amyloid infiltration of the epicardial arteries and disruption and rarefaction of the capillaries play a role in contributing to myocardial ischaemia.

Imaging hydrological dynamics in karst unsaturated zones by time-lapse electrical resistivity tomography

The hydrodynamics of karst terrain are highly complex due to the diverse fractures and reservoirs within limestone formations. The time delay between rainfall events and subsequent flow into reservoirs exhibits significant variability. However, these hydrological processes are not easily visualized in karst topography. Subsurface geophysics, specifically 2D time-lapse electrical resistivity tomography (ERT), provides an effective method for studying the relationships between hydrological and geophysical features. In our research, we adopted ERT in the Karst Critical Zone (KCZ) to visualize specific karstic zones, including cave galleries, water storage reservoirs, wetting fronts, soil layers, and potential preferential flow paths down to a depth of 20 m. To capture spatial and seasonal variations in resistivity, we presented a comprehensive approach by combining sixteen inversion models obtained between February 2020 and September 2022 above the Villars Cave in SW-France-a well-known prehistoric cave. We used a multi-dimensional statistical technique called Hierarchical Agglomerative Clustering (HAC) to create a composite model that divided the synthetic ERT image into eight clusters representing different karst critical zones. The ERT image clearly visualized the cave gallery with high resistivity values that remained consistent throughout the seasons. Our analysis revealed a close seasonal relationship between water excess and resistivity variations in most infiltration zones, with time delays increasing with depth. The karst reservoirs, located at significant depths compared to other clusters, displayed sensitivity to changes in water excess but were primarily affected by fluctuations in water conductivity, particularly during summer or dry periods. These findings have significant implications for predicting rainwater infiltration pathways into caves, thereby assisting in the conservation and preservation of prehistoric caves and their cultural heritage.

How to Test Human CAR T Cells in Solid Tumors, the Next Frontier of CAR T Cell Therapy

Chimeric antigen receptor (CAR) T cell therapy has proven to be a successful treatment option for leukemias and lymphomas. These encouraging outcomes underscore the potential of adoptive cell therapy for other oncology applications, namely, solid tumors. However, CAR T cells are yet to succeed in treating solid tumors. Unlike liquid tumors, solid tumors create a hostile tumor microenvironment (TME). CAR T cells must traffic to the TME, survive, and retain their function to eradicate the tumor. Nevertheless, there is no universal preclinical model to systematically test candidate CARs and CAR targets for their capacity to infiltrate and eliminate human solid tumors in vivo. Here, we provide a detailed protocol to evaluate human CAR CD4+ helper T cells and CD8+ cytotoxic T cells in immunodeficient (NSG) mice bearing antigen-expressing human solid tumors.

Effectiveness of short peripheral intravenous catheter educational programmes to improve clinical outcomes protocol for a systematic review

The placement of a short peripheral intravenous catheter (sPIVC) is the most common invasive clinical procedure for patients requiring fluid infusion and multiple blood draws. Phlebitis and infiltration represent the most common catheter-related complications. Occlusions, dislocations, and infections are less frequent. Insufficient knowledge and skills may increase the risk of these complications. This review aims to evaluate the effectiveness of training programmes to reduce sPIVC failure amongst hospitalised patients. We will search PubMed, Embase, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Vascular Specialized Register through the Cochrane Register of Studies, and Google Scholar. We defined the search query using the PICO framework (Participants: health professionals; Intervention: training programme; Comparison: No training programme; Outcomes: all-cause catheter failure). We will include experimental studies evaluating an educational programme to reduce early sPIVC failure amongst hospitalised patients. Two reviewers will independently screen studies for inclusion, extract data, and perform the risk of bias assessment using the Cochrane Effective Practice and Organisation of Care Risk of Bias tool for randomised controlled trials. This review will highlight important perspectives for future studies on the effectiveness of educational programmes focused on reducing the rate of sPIVC complications.

Effects of urea solution concentration on soil hydraulic properties and water infiltration capacity

Elucidating the effect of fertigation on soil hydraulic parameters and water-solute transportation is fundamental to the design of farmland irrigation systems and their sustainable utilization. Few studies have focused on soil hydraulic parameters or water infiltration characteristics or how they are influenced by urea solution concentration. In this study, the clay loam and sandy loam in Yangling District of Shaanxi Province, China, were used as test soil, and experiments involving seven urea solution concentrations (0.2, 0.4, 0.6, 0.8, 1, 3, and 5 g/L) and a control treatment (0 g/L) were conducted to explore the influence of the various urea solution concentrations on soil hydraulic parameters and water infiltration characteristics. The results indicated that the cumulative infiltration and wetting front migration depth increased with urea solution concentration, as accurately estimated using the Kostiakov model and a power function, respectively. In addition, the coefficients of the Kostiakov model and the power function increased with urea solution concentration. Treatment with multiple concentrations of urea solution resulted in an increase in the volume of macro pores in the soil but a reduction in the volume of mesopores and micro pores in the soil, leading to increases in the saturated water content, saturated hydraulic conductivity, soil water diffusivity, and infiltration capacity and a reduction in the water-holding capacity of the soil. The effect of urea solute potential on the inhibition of soil water movement is small, and this inhibitory effect is far weaker than the improvement effect of the urea solution on soil structure, and hence enhance the soil water infiltration capacity. Our results increase the understanding of soil hydrological mechanisms and may be usefully applied for improving the management of fertigation.

Adverse effects of articaine versus lidocaine in pediatric dentistry: a meta-analysis

Over the last few years, numerous reports have lauded the efficacy of articaine hydrochloride as a local anesthetic (LA) in dental procedures. Numerous studies have shown that articaine outperforms lidocaine in various aspects of dental treatment, leading to its widespread adoption in both adults and children. Despite the publications of comparative studies, there remains a dearth of systematic reviews examining the adverse effects of articaine versus lidocaine in randomized controlled trials. The aim was to assess the available research on the adverse effects of articaine and lidocaine in pediatric dentistry. A comprehensive search was conducted on Cochrane Library, Pubmed, Chinese Biomedical Literature Database (CBM), Embase, Web of Science and China National Knowledge Infrastructure (CNKI). Randomized controlled trials (RCT) that compared articaine with lidocaine in pediatric dentistry were included. Methodological quality assessment and risk of bias were determined for each of the included studies. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach was used to assess the strength of evidence for every research. A total of 333 studies were identified through electronic searches. After conducting primary and secondary assessments, eight studies were included for the final qualitative analysis. We found no difference in the probability of adverse reactions between articaine and lidocaine after treatment in pediatric patients (risk ratio (RR) = 1.08, 95% confidence interval (CI) (0.54-2.15), p = 0.83). However, a high heterogeneity was reported among the outcomes in the investigated studies (I2 = 57%), and the strength of the evidence was classified as "moderate" based on the GRADE approach. Besides, we found no significant difference in the probability of postoperative pain, postoperative soft tissue injury and edema between articaine and lidocaine in pediatric patients following treatment. There was moderate quality evidence suggesting no difference in the occurrence of adverse events between articaine and lidocaine when used for pediatric dental procedures.

Transformation of tall-tussock grasslands and soil water dynamics in the Flooding Pampa

Cow-calf production is the main practice within marginal agricultural lands of the world, like the Flooding Pampa of Argentina, where it promotes the transformation of native tall-tussock grasslands Paspalum quadrifarium into native short-grass grasslands or sown pastures. The effect of these land use changes on water dynamics are not well understood, especially in regions subjected to marked interannual drought and flooding cycles. Here we measured soil properties (infiltration rate, bulk density and soil organic matter), rainfall interception by the canopy, and soil moisture during two years with different annual rainfall. Then, we parameterized a hydrological model (HYDRUS) for inferring consequences of soil water fluxes on water regulation. Infiltration rate was significantly higher in native tall-tussock grasslands than native short-grass grasslands and sown pastures, bulk density was significantly lower in native tall-tussock grasslands than native short-grass grasslands and sown pastures, and soil organic matter was significantly higher in native tall-tussock grasslands than sown pastures. Simulated water dynamics during years of low annual precipitation (summer rainfall deficit), show that transpiration and evaporation from native short-grass grasslands represented 59 % and 23 % of total water balance, whereas transpiration and evaporation from native tall-tussock grasslands represented 70 % and 12 %, respectively. This result reflects the high productive capacity of native tall-tussock grasslands under dry conditions. In contrast, under high annual precipitation (excess during fall and winter), transpiration and evaporation from native short-grass grasslands represented 48 % and 26 % of total water balance, whereas in native tall-tussock grasslands represented 35 % and 9 %, respectively. These results suggest a low capacity of native tall-tussock grasslands to evacuate water excess, especially during fall and winter. The observed differences in water fluxes between native tall-tussock grasslands and native short-grass grasslands are important to understand water dynamics under different climatic conditions and could be useful for adaptation to climate change through ecosystem-based management.

TCAF2 is associated with the immune microenvironment, promotes pathogenesis, and impairs prognosis in glioma

PURPOSE

Glioma is the most common primary intracranial tumor and exhibits rapid growth and aggressiveness. TRPM8 channel-associated factor 2 (TCAF2), located in cell junctions and the plasma membrane, plays a key role in the pathogeneses of several cancers in humans. However, the role of TCAF2 in glioma has been elusive.

METHODS

A combination of bioinformatic analysis using The Cancer Genome Atlas database and biological experiments, including 5-ethynyl-2'-deoxyuridine, transwell, and immunohistochemistry assays and xenotransplantation, was performed to analyze the expression level of TCAF2 and to mechanistically explore the relationship of TCAF2 with malignancy, prognosis, and the immune microenvironment in glioma.

RESULTS

TCAF2 was upregulated in glioma, and its expression level correlated with tumor grade and clinical outcome. The role of TCAF2 in promoting glioma malignancy was characterized through in vitro and in vivo experiments. Additionally, we observed that TCAF2 can modulate the metabolic pathways and immune microenvironment.

CONCLUSION

TCAF2 acts as an oncogene and may serve as a therapeutic target and prognostic marker in glioma.

Rapid quantification of the surface overflow and underground infiltration in sewer pipes based on computer vision and continuous optimization

The overloading of the sewer network caused by unwarranted infiltration of stormwater may lead to waterlogging and environmental pollution. The accurate identification of infiltration and surface overflow is essential to predict and reduce these risks. To retrieve the limitations of infiltration estimation and the failure of surface overflow perception using the common stormwater management model (SWMM), a surface overflow and underground infiltration (SOUI) model is proposed to estimate the infiltration and overflow. First, the precipitation, water level of the manhole, surface water depth and images of the overflowing point, and volume at the outfall are collected. Then, the surface waterlogging area is identified based on computer vision to reconstruct the local digital elevation model (DEM) by spatial interpolation, and the relationship between the waterlogging depth, area and volume is established to identify the real-time overflow. Next, a continuous genetic algorithm optimization (CT-GA) model is proposed for the underground sewer system to determine the inflow rapidly. Finally, surface and underground flow estimations are combined to perceive the state of the urban sewer network accurately. The results show that, compared with the common SWMM simulation, the accuracy of the water level simulation is improved by 43.5% during the rainfall period, and the time cost of the computational optimization is reduced by 67.5%. The proposed method can effectively diagnose the operation state and overflow risk of the sewer networks in real time during rainfall seasons.

Simulation and Experimental of Infiltration and Solidification Process for Al2O3(3D)/5083Al Interpenetrating Phase Composite for High Speed Train Prepared by Low-Pressure Infiltration

Understanding the infiltration and solidification processes of liquid 5083Al alloy into Al2O3 three-dimensional reticulated porous ceramic (Al2O3(3D) RPC) is essential for optimizing the microstructure and properties of Al2O3(3D)/5083Al interpenetrating phase composites (IPCs) prepared by low-pressure infiltration process (LPIP). This study employs ProCAST software to simulate the infiltration and solidification processes of liquid 5083Al with pouring velocities (PV) of 0.4 m/s infiltrating into Al2O3(3D) RPC preforms with varying porosities at different pouring temperatures (PT) to prepare Al2O3(3D)/5083Al IPCs using LPIP. The results demonstrate that pore diameter of Al2O3(3D) RPC preforms and PT of liquid 5083Al significantly influence the of the infiltration. Solidification process analysis reveals that the Al2O3(3D) RPC preform with smaller pore diameters allows the lower pouring velocity of 5083Al to solidify faster compared to the preform with larger pore diameters. Al2O3(3D)/5083Al IPCs were prepared successfully from Al2O3(3D) RPC porosity of 15 PPI with liquid 5083Al at PV 0.4 m/s and PT 800 °C using LPIP, resulting in nearly fully dense composites, where both Al2O3(3D) RPCs and 5083Al interpenetrate throughout the microstructure. The infiltration and solidification defects were reduced under air pressure of 0.3 MPa (corresponding to PV of 0.4 m/s) during LPIP. Finite volume method simulations are in good agreement with experimental data, validating the suitability of the simplified model for Al2O3(3D) RPCs in the infiltration simulation.

Interactions between flue gas desulfurization gypsum and biochar on water infiltration characteristics and physicochemical properties of saline-alkaline soil

The application of flue gas desulfurization gypsum (FGDG) improves the soil structure, reduces soil pH, and accelerates soil salt leaching. Biochar amendment to soil can affect the soil infiltration rate, increase soil porosity, decrease soil bulk density, and enhance the water retention capacity. This study investigated the interactive effect of FGDG and biochar on water infiltration characteristics and physicochemical properties as well as determined the optimal amendment rate as a saline-alkaline soil conditioner. Seven experimental schemes were designed, and the newly reclaimed cultivated soil from Pingtan Comprehensive Experimental Zone in Fujian Province, China, was used in an indoor soil column experiment to simulate soil infiltration. Five models were employed to describe the infiltration process. The power function was used to represent the dynamic process of the wetting front. The conclusions of this study are as follows: (1) there was a reduction in the infiltration capacity of saline-alkaline soil (sandy soil) in each treatment, and the application of FGDG alone had the highest inhibition effect compared to the control (CK). The Kostiakov model provides the best fit for the experimental data of soil cumulative infiltration. (2) All treatments increased the total porosity and water content of saline-alkali soil, with the combined application of FGDG and biochar found to be more effective. (3) The application of FGDG alone or in combination with biochar decreased the pH and increased the electrical conductivity of the saline-alkali soil significantly, with the combined application having the most significant effect. In contrast, soil amended with biochar alone had minimal effect on the pH and EC of the soil. (4) The best improvement ratio was achieved with the F1B2 combination (75 g/kg FGDG + 30 g/kg biochar).

[Subacromial shoulder impingement]

Impingement, especially subacromial impingement, is one of the most frequent causes of shoulder pain. It results in soft tissue pathologies due to constriction of the subacromial space. It can lead to tendon pathologies and bursitis. In addition to the clinical examination, imaging methods such as magnetic resonance imaging (MRI), MRI arthrography, ultrasound and X‑ray examinations are helpful in making a diagnosis or evaluating the cause of pain. Conservative treatment approaches, such as rest, medication, physiotherapy, manual therapy and infiltrations should primarily be used. If the symptoms do not improve after 3-6 months of conservative treatment, surgical treatment should be considered.

Data quantifying interseeded cover crops effects on soil water and corn productivity in corn-soybean-wheat no-till cropping systems

The data described support the research article entitled "Interseeded cover crop mixtures influence soil water storage during the corn phase of corn-soybean-wheat no-till cropping systems". Data were collected during the corn (Zea mays L.) phase from rotations with four different cover crop (CC) treatments. The study was conducted at the USDA research facility in Beltsville, MD from 2017 through 2020. The data are available from a repository at Ag Data Commons. Descriptions of crop rotations, soil water and temperature sensors, placement, and frequency of measurements are provided in the manuscript and repository. Hourly volumetric soil water content (m3 m-3) (VWC) and soil temperature (°C) data for each soil depth (0-12, 25-35, 50-60, 75-85 cm) are available from the repository. In the manuscript, daily values of soil water storage were used to estimate daily evapotranspiration (ET) and infiltration. A text file of meta information is provided in the repository describing data collection procedures, estimation of ET and infiltration, and methods used to replace sensor data having errors. Daily precipitation, maximum and minimum temperatures, net solar radiation, and windspeed collected at a nearby weather station are provided for estimating growing degree days and potential ET. Cover crop biomass (kg ha-1) prior to corn planting and corn yields are provided by replication and cover crop system treatment for the four years.

DC vaccine enhances CAR-T cell antitumor activity by overcoming T cell exhaustion and promoting T cell infiltration in solid tumors

OBJECTIVE

Great success has been achieved in CAR-T cell immunotherapy in the treatment of hematological tumors. However, it is particularly difficult in solid tumors, because CAR-T is difficult to enter interior and exert long-term stable immune effects. Dendritic cells (DCs) can not only present tumor antigens but also promote the infiltration of T cells. Therefore, CAR-T cells with the help of DC vaccines are a reliable approach to treat solid tumors.

METHODS

To test whether DC vaccine could promote CAR-T cell therapy in solid tumors, DC vaccine was co-cultured with MSLN CAR-T cells. The in vitro effects of DC vaccine on CAR-T were assessed by measuring cell proliferation, cell differentiation, and cytokine secretion. Effects of DC vaccine on CAR-T were evaluated using mice with subcutaneous tumors in vivo. The infiltration of CAR-T was analyzed using immunofluorescence. The persistence of CAR-T in mouse blood was analyzed using real-time quantitative PCR.

RESULTS

The results showed that DC vaccine significantly enhanced the proliferation potential of MSLN CAR-T cells in vitro. DC vaccines not only promoted the infiltration of CAR-T cells, but also significantly improved the persistence of CAR-T in solid tumors in vivo.

CONCLUSION

In conclusion, this study has demonstrated that DC vaccine can promote CAR-T therapy in solid tumors, which provides the possibility of widespread clinical application of CAR-T cells in the future.

Suspected Accidental Infiltration of Rocuronium During General Anesthesia Induction: A Case Report

There are few reports on rocuronium infiltration under general anesthesia. We report a case of suspected accidental rocuronium infiltration during anesthesia induction. A 25-year-old woman with autism spectrum disorder, intellectual disability, and epilepsy was scheduled for the extraction of 4 impacted third molars under general anesthesia. After induction with sevoflurane, an intravenous (IV) line was established in the left cephalic vein. Rocuronium was administered; however, subcutaneous swelling at the IV site was observed immediately. Spontaneous ventilations were maintained until additional rocuronium was administered via a new IV line. After heat pack application, the swelling disappeared 60 minutes after infiltration, and no tissue damage was observed. A strategy was developed to continue neuromuscular monitoring until recovery occurred. Acceleromyography was used, and the train-of-4 ratios at 99, 130, and 140 minutes after infiltration were 0.79, 0.91, and 1.0, respectively. Sugammadex was administered to prevent neuromuscular blockade recurrence. The patient was extubated once adequate return of muscle function and consciousness were observed. No neuromuscular block prolongation or recurrence were observed postoperatively. When rocuronium infiltration is suspected, it is important to eliminate swelling at the infiltration site and determine a management strategy based on neuromuscular monitoring.

Success of Pulpal Anesthesia Following Buccal Infiltration of the Maxillary First Molar With 1.8 mL and 3.6 mL of 4% Articaine With 1:100,000 Epinephrine: A Prospective, Randomized Crossover Study

OBJECTIVE

The purpose of this prospective, randomized crossover study was to compare the peak incidence of success, onset, and incidence over time of pulpal anesthesia in maxillary first molars following a buccal infiltration of 1.8 mL or 3.6 mL of 4% articaine with 1:100 000 epinephrine.

METHODS

A total of 118 adults received 1.8 mL or 3.6 mL of 4% articaine with 1:100 000 epinephrine via buccal infiltration of the maxillary first molar at 2 separate appointments. Electric pulp testing (EPT) of the maxillary first molar was performed over 68 minutes.

RESULTS

There was no significant difference in the peak incidence of anesthetic success (85% and 92%, respectively) in the maxillary first molar between 1.8 mL and 3.6 mL. The difference in onset times (4.5 min for 1.8 mL vs 4.4 min for 3.6 mL) was not statistically significant. However, the 3.6-mL volume did produce a significantly higher incidence of pulpal anesthesia from minutes 48 to 68 compared with the 1.8-mL volume.

CONCLUSION

There was no significant difference in peak incidence or onset of pulpal anesthesia in the maxillary first molar between 1.8 mL and 3.6 mL of articaine with epinephrine. The incidence of pulpal anesthesia was significantly higher with 3.6 mL of articaine at 48 minutes and beyond, but neither volume provided complete pulpal anesthesia for all subjects that lasted at least 60 minutes.

Prognostic and immunological characterization of diffuse large B-cell lymphoma evaluated by co-stimulatory molecular-related features

Background

Co-stimulatory molecules have been shown to enhance antitumor immune responses, but their role in Diffuse Large B-cell Lymphoma (DLBCL) remains unexplored.

Methods

This study aimed to explore the molecular typing of DLBCL with co-stimulatory molecule genes and to construct a prognostic profile to improve treatment decisions and clinical outcomes.

Results

We conducted the first comprehensive analysis of co-stimulatory molecules in DLBCL patients and identified five co-stimulatory molecule genes with prognostic and diagnostic values. Consensus cluster analysis based on these five co-stimulatory molecule genes revealed that the two identified clusters had different distribution patterns and prognostic differences. Co-stimulatory molecular correlation signatures were then constructed based on these five co-stimulatory molecular genes and validated in an external dataset, showing good performance in predicting patient prognosis. The signature is an independent risk factor for DLBCL patients and significantly correlates with clinical factors in patients and can be used as a complement to clinical factors. Furthermore, the signature was associated with the tumor immune microenvironment. Patients identified as being at high risk according to our signature exhibit high levels of immune cell infiltration microenvironment.

Conclusions

In conclusion, our signature can provide clinicians with prognostic predictions and help guide the treatment of patients with DLBCL.

Efficacy and safety of parenteral and local application of tramadol in mandibular third molar extraction: a qualitative systematic review of current evidence

PURPOSE

To assess the efficacy and safety of perioperative parenteral administration or submucosal infiltration of tramadol for perioperative pain control on the basis of pain intensity or analgesics consumption and perioperative outcomes in mandibular third molar surgery.

MATERIAL-METHODS

An electronic database search was conducted up to 10 November 2022 to retrieve all randomized controlled trials (RCTs), assessing the analgesic efficacy of parenteral use of tramadol implemented as an adjunct to local anesthesia or intraoperative sedation/general anesthesia, in surgical extraction of mandibular third molars. Modified Jadad scale and Cochrane bias tool were used for the qualitative appraisal.

RESULTS

Nineteen RCTs were selected for qualitative analysis. Nine studies involved intravenous, and 5 intramuscular administration of tramadol, while 5 evaluated submucosal infiltration with tramadol. Intravenous or intramuscular tramadol provided a weaker analgesic effect compared with non-steroidal anti-inflammatory drugs (NSAIDs), while intravenous tramadol induced an enhanced analgesic effect than oral tramadol. Parenteral administration of tramadol improved the quality of postoperative analgesia versus placebo. No notable adverse effects were recorded.

CONCLUSIONS

Parenteral or submucosal infiltration of tramadol constitutes an effective and safe alternative analgesic approach in surgical extraction of mandibular third molars, yet the nociceptive effect of this analgesic modality could not supersede that of NSAIDs.

TRIAL REGISTRATION

PROSPERO No CRD42021227574.

Management of shoulder stiffness following rotator cuff repair: a systematic review and meta-analysis

The purpose was to systematically review and synthesize the literature on treatment modalities for shoulder stiffness following rotator cuff repair (RCR) and investigate which modality provides the greatest postoperative range of motion (ROM). A search was performed on PubMed, Embase, and Cochrane. Clinical case series and comparative studies that report pre- and posttreatment ROM of shoulder stiffness following RCR were included. Studies that exclusively assess idiopathic frozen shoulder or primary shoulder stiffness were excluded. Five eligible studies that reported on a total of 177 patients who underwent treatment for shoulder stiffness following RCR were included. The ranges of postoperative ROM following arthroscopic capsular release were 158°-166° for active forward elevation (AFE) and 53°-59° for external rotation (ER). The ranges of postoperative ROM following infiltration were 146°-163° for AFE and 34°-35° for ER. The ranges of postoperative ROM following rehabilitation were 166° for AFE and 62° for ER. For AFE, 4 studies (5 data sets) were eligible for meta-analysis, which indicated better AFE when treated with a mean difference (MD) of 5.10° with no heterogeneity (I2 = 0%, CI, 0.83-9.38). For ER, 3 studies (4 data sets) were eligible for meta-analysis, which indicated better ER without treatment with an MD of 4.59° with no heterogeneity (I2 = 0%, CI, -7.04 to -2.13). For the treatment of shoulder stiffness following RCR, all included treatments improved the ROM, resulting in comparable AFE and ER compared to the comparative group. Among the treatment modalities, arthroscopic capsular release granted the greatest posttreatment AFE, while rehabilitation granted the greatest posttreatment ER.

Mid-term symptomatic relief after platelet-rich plasma infiltration in vulvar lichen sclerosus

PURPOSE

Vulvar lichen sclerosus (LS) is a chronic, progressive, autoimmune dermatologic condition that causes cutaneous changes accompanied by pruritus and pain. There remains a small population with vulvar LS refractory to topical corticosteroids. Injection of platelet-rich plasma (PRP) has been reported to have positive effects on tissue repair. The aim of this pilot study was to evaluate changes in symptom scores during and after PRP vulvar infiltration.

METHODS

Three PRP infiltrations were administered to 28 female postmenopausal patients with biopsy-proved LS with unsatisfactory response to steroid therapy. Change in score according to the Clinical Scoring System for Vulvar Lichen Sclerosus (CSS) was measured on six occasions over the course of a year. We used growth curve modeling to measure change over the period of the study.

RESULTS

Women in our study experienced a statistically significant improvement in auto-assessed symptoms of vulvar lichen sclerosus, and this improvement appears to be maintained throughout the monitoring year.

CONCLUSION

Platelet-rich plasma may have a role in symptom relief in certain cases of patients with LS that do not respond to first-line therapy.

Acidification of previously limed upland pastures - An overlooked flood risk factor?

In low-lying land, the impact of agriculture on flooding has focussed on soil compaction, whilst in the uplands there has been more interest in the influence of afforestation. The potential effect of acidification of previously limed upland grassland soils on this risk has been overlooked. The marginal economics of upland farms has led to inadequate lime application on these grasslands. In Wales, UK, agronomic improvement of upland acid grasslands with liming was widespread in the last century. The extent and topographical distribution of this land use in Wales was estimated and these characteristics were mapped in four catchments studied in more detail. Then 41 sites on improved pastures within the catchments were sampled, where lime had not been applied for periods of between two and 30 years; unimproved acid pastures adjacent to five of these sites were also sampled. Soil pH, organic matter, infiltration rates and earthworm populations were recorded. Grasslands at risk of acidification without maintenance liming were estimated to cover almost 20 % of upland Wales. The majority of these grasslands were located on steeper slopes (gradients >7^o) where any reduction in infiltration would promote surface runoff and limit rainwater retention. The extent of these pastures varied markedly between the four study catchments. There was a 6-fold reduction in infiltration rates between high and low pH soils, and this trend was correlated with reductions in anecic earthworm abundance. The vertical burrows of these earthworms are important for infiltration and no such earthworms were present in the most acidic soils. Recently limed soils had infiltration rates similar to those of unimproved acid pastures. Soil acidification has the potential to exacerbate flood risk but further research is needed to assess the extent of any impact. Modelling of catchment specific flood risk should include the extent of upland soil acidification as an additional land use factor.

Complex behavior of petroleum hydrocarbons in vadose zone: A holistic analysis using unsaturated soil columns

The migration of petroleum hydrocarbons in vadose zone involves complex coupled processes such as downward displacement and natural attenuation. Despite its significance in determining groundwater vulnerability to petroleum contamination and optimizing the remedial strategy, it has not been comprehensively studied in terms of overall processes under field-relevant conditions. In this study, a series of unsaturated soil column experiments were conducted by simulating subsurface diesel contamination within a vadose zone using different soil textures at different soil bulk densities and initial diesel concentrations, while partly exposing them to simulated precipitation. The results showed that the soil column with less fine fraction was favorable for the downward migration of diesel but unfavorable for its natural degradation. However, precipitation complicated the relative conductivities of multiple fluids (water, air, and diesel) through the pore network, therby decreasing diesel migration and degradation. For example, the downward migration of diesel in the SL column decreased by 8.4% under precipitation, while the overall attenuation rate dropped to almost 0.24% of its original state. Lowering bulk density (from 1.5 to 1.23 g/cm3), however, could enhance the attenuation rate presumably due to the secured void space for the incoming fluids. A high initial concentration of diesel (2%; w/w) inhibited its natural attenuation, while its influence on its vertical propagation after the precipitation was not significant. The present findings provide a mechanistic basis for approximating the behavior of petroleum hydrocarbons in a random vadose zone.

CD7 protein plays a crucial role in T cell infiltration in tumors

CD7 protein as a target is being used to treat CD7⁺ lymphoma; however, the role of CD7 in the hematopoietic system remains largely unknown. Therefore, we evaluated the effects of CD7 KO in mice. The differentiation of the hematopoietic system in the bone marrow and the number of various cell types in the thymus and spleen did not differ between CD7 KO and WT mice. After subcutaneous inoculation of B16-F10 melanoma cells, tumors from CD7 KO mice grew more rapidly, and the proportion of CD8⁺ T cells in the spleen and tumors decreased. In vitro, the infiltration and adhesion of CD8⁺ T cells from the spleen of CD7 KO mice were weakened. Blocking CD7 in normal T cells did not alter the migration and infiltration, but in Jurkat, CCRF-CEM, and KG-1a tumor cell lines, migration and invasion were significantly reduced after blocking CD7. Therefore, CD7 does not affect hematopoietic system development but plays a crucial role in T cell infiltration into tumors.

Assessing short- and long-term modifications of steady-state water infiltration rate in an extensive Mediterranean green roof

Green roof detention capacity is related to the steady-state infiltration rate, i_s, of the growing medium. With the aim to investigate short- and long-term modifications of the detention capacity of an extensive Mediterranean green roof, three mini-disk infiltrometer (MDI) measurement campaigns were conducted at construction, after one season and after five years of operation. A laboratory experiment was designed to separately measure i_s in the upper and the lower part of the substrate profile. During the first operating season, field i_s increased by a factor of 2.4 and 1.9 for near-saturated (applied pressure head, h₀ = -30 mm) and quasi-saturated conditions (h₀ = -5 mm), respectively. Similar rainfall height did not induce significant modifications in the upper layer of the laboratory columns, even if contribution of small pores to water infiltration tended to increase. Differently, i_s significantly decreased by a factor of 3.4-5.3 in the lower layer. After the simulated rainfall, the upper layer was less packed (mean bulk density, ρ_b = 1.083 kg m^-3) and the lower layer was more packed (ρ_b = 1.218 kg m^-3) as compared with the initial density (ρ_b = 1.131 kg m^-3) and the lower part enriched in small particles. Short-term modifications in the experimental plot were thus attributed to fine particles washing-off and bulk density decrease in the upper layer, yielding an overall more conductive porous medium. After five years of green roof operation, field i_s did not further increase thus showing that the washing/clogging mechanism was complete after one season or it was masked by counteracting processes, like root development and hydrophobicity.

Transfer route and driving forces of antibiotic resistance genes from reclaimed water to groundwater

The infiltration of reclaimed water has created a significant environmental risk due to the spread of antibiotic resistance genes (ARGs) in riparian groundwater. Reclaimed water from wastewater treatment plants (WWTPs) had been identified as a source of both antibiotics and ARGs in groundwater, based on their spatial and temporal distribution. The assembly process of microbial communities in the groundwater of the infiltration zone was more influenced by deterministic processes. Co-occurrence network analysis revealed that Thermotoga, Desulfotomaculum, Methanobacterium, and other such genera were dominant shared genera. These were considered core genera and hosts of ARGs for transport from reclaimed water to groundwater. The most abundant ARG in these shared genera was MacB, enriched in groundwater point G3 and potentially transferred from reclaimed water to groundwater by Acidovorax, Hydrogenophaga, Methylotenera, Dechloromonas, and Nitrospira. During the infiltration process, environmental factors and the tradeoff between energy metabolism and antibiotic defense strategy may have affected ARG transfer. Understanding the transfer route and driving forces of ARGs from reclaimed water to groundwater provided a new perspective for evaluating the spread risk of ARGs in reclaimed water infiltration.

Infiltration OF 5Y-PSZ with thermally compatible glass: Strength, microstructure and failure mode analyses

This study set out to develop a thermally compatible glass to be infiltrated into zirconia partially stabilized by yttrium oxide (5Y-PSZ), to characterize it, and to evaluate its structural reliability and mechanical behavior. 5Y-PSZ zirconia discs (N = 90), dimensions 1.5 mm × 15 mm were produced, polished with #600 alumina oxide and #1200 silicon carbide sandpaper in a polisher. Three groups of 5Y-PSZ discs were assigned (n = 30): Zctrl: as sintered zirconia, Zinf-comp: glass-infiltrated zirconia on the occlusal surface, and sintered, and Zinf-tens: glass-infiltrated zirconia on the cementing surface and sintered; for biaxial flexural strength testing (ISO 6872:2015). A gel was synthesized via the sol-gel method and applied to the ceramic surface. Mechanical assay data (MPa) were evaluated via Weibull analysis (α = 5%) and specimens via X-Ray Diffractometry (XRD), Scanning Electron Microscopy (SEM), and fractographic analysis. The Zinf-tens group showed a characteristic strength of 824 MPa and m = 9.9; Zinf-comp 613 MPa and m = 10.2; Zctrl 534 MPa and m = 8; all groups differed statistically (σ₀). However, they were similar in structural homogeneity (m). XRD showed 20-50 μm of infiltration, which means dissolution of part of the yttrium and reduction in the size of the cubic grains. In addition, the Zinf-tens group presented a failure origin from inside the material. The developed glass infiltrated into zirconia partially stabilized by yttrium oxide, increasing its characteristic strength and structural homogeneity by reducing surface defects and changing the failure mode.

Monitoring and apportioning sources of indoor air quality using low-cost particulate matter sensors

Air quality is one of the most important factors in public health. While outdoor air quality is widely studied, the indoor environment has been less scrutinised, even though time spent indoors is typically much greater than outdoors. The emergence of low-cost sensors can help assess indoor air quality. This study provides a new methodology, utilizing low-cost sensors and source apportionment techniques, to understand the relative importance of indoor and outdoor air pollution sources upon indoor air quality. The methodology is tested with three sensors placed in different rooms inside an exemplar house (bedroom, kitchen and office) and one outdoors. When the family was present, the bedroom had the highest average concentrations for PM_2.5 and PM₁₀ (3.9 ± 6.8 ug/m³ and 9.6 ± 12.7 μg/m³ respectively), due to the activities undertaken there and the presence of softer furniture and carpeting. The kitchen, while presenting the lowest PM concentrations for both size ranges (2.8 ± 5.9 ug/m³ and 4.2 ± 6.9 μg/m³ respectively), presented the highest PM spikes, especially during cooking times. Increased ventilation in the office resulted in the highest PM₁ concentration (1.6 ± 1.9 μg/m³), highlighting the strong effect of infiltration of outdoor air for the smallest particles. Source apportionment, via positive matrix factorisation (PMF), showed that up to 95 % of the PM₁ was found to be of outdoor sources in all the rooms. This effect was reduced as particle size increased, with outdoor sources contributing >65 % of the PM_2.5, and up to 50 % of the PM₁₀, depending on the room studied. The new approach to elucidate the contributions of different sources to total indoor air pollution exposure, described in this paper, is easily scalable and translatable to different indoor locations.

Evaluation of moisture migration characteristics of permeable asphalt pavement: Field research

To analyse the moisture migration characteristics of permeable asphalt pavement (PAP) in engineering applications, a PAP sample with a length and width of 163 m and 12 m, respectively, was designed and paved. The pavement comprised PAC-13, PAC-20, ATPB-25, graded grade, and sandy soil subgrade from the top to the bottom. Moisture sensors were set at 4 cm, 10 cm, 28 cm, 46 cm, 61 cm, 76 cm, 101 cm, 126 cm, 176 cm, and 226 cm below the pavement surface to ascertain the volumetric water content during and after rainfall. This data were used to analyse the changes in the infiltration depth, infiltration rate, water level height, and water emptying time of the PAP under different rainfall conditions. The results show that the prediction model for the infiltration depth can be established using the water adhesion rate and rainfall. According to the moisture changes of the pavement layer after rainfall, the water migration process of the PAP can be divided into the drying stage, wetting stage, emptying stage, and recovery drying stage. The relationship between the average rainfall intensity and the average infiltration rate is a linear function. The water emptying time at the depth of 0-10 cm is less than 20 h, and the emptying time at a depth below 10 cm is less than 6 d.

Quantifying heterogeneity in ecohydrological partitioning in urban green spaces through the integration of empirical and modelling approaches

Urban green spaces (UGS) can help mitigate hydrological impacts of urbanisation and climate change through precipitation infiltration, evapotranspiration and groundwater recharge. However, there is a need to understand how precipitation is partitioned by contrasting vegetation types in order to target UGS management for specific ecosystem services. We monitored, over one growing season, hydrometeorology, soil moisture, sapflux and isotopic variability of soil water under contrasting vegetation (evergreen shrub, evergreen conifer, grassland, larger and smaller deciduous trees), focussed around a 150-m transect of UGS in northern Scotland. We further used the data to develop a one-dimensional model, calibrated to soil moisture observations (KGE's generally > 0.65), to estimate evapotranspiration and groundwater recharge. Our results evidenced clear inter-site differences, with grassland soils experiencing rapid drying at the start of summer, resulting in more fractionated soil water isotopes. Contrastingly, the larger deciduous site saw gradual drying, whilst deeper sandy upslope soils beneath the evergreen shrub drained rapidly. Soils beneath the denser canopied evergreen conifer were overall least responsive to precipitation. Modelled ecohydrological fluxes showed similar diversity, with median evapotranspiration estimates increasing in the order grassland (193 mm) < evergreen shrub (214 mm) < larger deciduous tree (224 mm) < evergreen conifer tree (265 mm). The evergreen shrub had similar estimated median transpiration totals as the larger deciduous tree (155 mm and 128 mm, respectively), though timing of water uptake was different. Median groundwater recharge was greatest beneath grassland (232 mm) and lowest beneath the evergreen conifer (128 mm). The study showed how integrating observational data and simple modelling can quantify heterogeneities in ecohydrological partitioning and help guide UGS management.

The extent and magnitude of islet T cell infiltration as powerful tools to define the progression to type 1 diabetes

AIMS/HYPOTHESIS

Insulitis is not present in all islets, and it is elusive in humans. Although earlier studies focused on islets that fulfilled certain criteria (e.g. ≥15 CD45⁺ cells or ≥6 CD3⁺ cells), there is a fundamental lack of understanding of the infiltration dynamics in terms of its magnitude (i.e. how much) and extent (i.e. where). Here, we aimed to perform an in-depth characterisation of T cell infiltration by investigating islets with moderate (1-5 CD3⁺ cells) and high (≥6 CD3⁺ cells) infiltration in individuals with and without type 1 diabetes.

METHODS

Pancreatic tissue sections from 15 non-diabetic, eight double autoantibody-positive and ten type 1 diabetic (0-2 years of disease duration) organ donors were obtained from the Network for Pancreatic Organ Donors with Diabetes, and stained for insulin, glucagon, CD3 and CD8 by immunofluorescence. T cell infiltration was quantified in a total of 8661 islets using the software QuPath. The percentage of infiltrated islets and islet T cell density were calculated. To help standardise the analysis of T cell infiltration, we used cell density data to develop a new T cell density threshold capable of differentiating non-diabetic and type 1 diabetic donors.

RESULTS

Our analysis revealed that 17.1% of islets in non-diabetic donors, 33% of islets in autoantibody-positive and 32.5% of islets in type 1 diabetic donors were infiltrated by 1 to 5 CD3⁺ cells. Islets infiltrated by ≥6 CD3⁺ cells were rare in non-diabetic donors (0.4%) but could be found in autoantibody-positive (4.5%) and type 1 diabetic donors (8.2%). CD8⁺ and CD8^- populations followed similar patterns. Likewise, T cell density was significantly higher in the islets of autoantibody-positive donors (55.4 CD3⁺ cells/mm²) and type 1 diabetic donors (74.8 CD3⁺ cells/mm²) compared with non-diabetic individuals (17.3 CD3⁺ cells/mm²), which was accompanied by higher exocrine T cell density in type 1 diabetic individuals. Furthermore, we showed that the analysis of a minimum of 30 islets and the use of a reference mean value for T cell density of 30 CD3⁺ cells/mm² (the 30-30 rule) can differentiate between non-diabetic and type 1 diabetic donors with high specificity and sensitivity. In addition, it can classify autoantibody-positive individuals as non-diabetic or type 1 diabetic-like.

CONCLUSIONS/INTERPRETATION

Our data indicates that the proportion of infiltrated islets and T cell density change dramatically during the course of type 1 diabetes, and these changes can be already observed in double autoantibody-positive individuals. This suggests that, as disease progresses, T cell infiltration extends throughout the pancreas, reaching the islets and exocrine compartment. While it predominantly targets insulin-containing islets, large accumulations of cells are rare. Our study fulfils the need to further understand T cell infiltration, not only after diagnosis but also in individuals with diabetes-related autoantibodies. Furthermore, the development and application of new analytical tools based on T cell infiltration, like the 30-30 rule, will allow us to correlate islet infiltration with demographic and clinical variables with the aim of identifying individuals at the very early stages of the disease.

Efficacy of transversalis fascia plane block as a novel ındication for varicocelectomy surgery: prospective randomized controlled study

BACKGROUND

Varicocele occurs as a result of dilatation of the pampiniform plexus in the spermatic veins. In this study, our primary aim was to evaluate the effect of Transversalis Fascia Plane Block (TFPB) on pain scores in the postoperative period in patients undergoing varicocelectomy surgery, and our secondary aim was to evaluate the effect of TFPB on analgesic consumption.

METHODS

The study was initiated following local ethics committee approval, and sixty ASA I-II patients > 18y scheduled to undergo varicocelectomy and who consented to participation were enrolled. Before the procedure, the patients were randomly assigned two groups: Transversalis Fascia Plan block group (Group TFPB) or surgical incision site infiltration group (Group I).All surgeries were carried out under general anesthesia, and microsurgery using the subinguinal approach. After surgical suturing, TFPB and local infiltration blocks were applied prior to termination of anesthesia.For each block, 20 mL of 0.25% bupivacaine was utilized. Patients' demographic information, passive and active VAS ratings after surgery, usage of non steroidal anti-inflammatory medications and rescue analgesia, and the requirement for rescue analgesia, were recorded.

RESULTS

A total of 60 patients were included in the study. In terms of demographic data, there was no difference between the groups. At all hours, there was a statistically significant decrease in favor of Group TFPB in terms of active and passive VAS scores (p < 0.001), non steroidal anti-inflammatory analgesic use (p < 0.05), and tramadol requirement (p < 0.001).

CONCLUSION

This study has shown that TFPB can provide a more effective analgesia when compared to surgical site infiltration.

Standardised Tendon Fenestration with ITEC-Technique for Lateral Epicondylosis with Injection of Betamethasone versus Autologous Blood

Background: Infiltration is one of the treatment options for lateral epicondylosis, a degenerative process in the tendon of the musculus extensor carpi radialis brevis. The aim of this study was to evaluate the clinical outcome of a standardised fenestration technique, the Instant Tennis Elbow Cure (ITEC) technique, with injection of betamethasone versus autologous blood. Methods: A prospective comparative study was performed. Twenty-eight patients received an infiltration with 1 mL betamethasone, in combination with 1 mL 2% lidocaine. Twenty-eight patients received an infiltration with 2 mL autologous blood. Both infiltrations were administered using the ITEC-technique. The patients were evaluated at baseline, 6 weeks, 3 months and 6 months using Visual Analogue Scale (VAS), Patient-Rated Tennis Elbow Evaluation (PRTEE) and Nirschl staging. Results: At the 6-week follow-up, the corticosteroid group showed significantly better results for VAS. At the 3-month follow-up, no significant differences were observed for all three scores. At the 6-monthfollow-up, the autologous blood group showed significantly better results for all three scores. Conclusions: Standardised fenestration using the ITEC-technique with corticosteroid infiltration is more effective in reducing pain at the 6-week follow-up. At the 6-month follow-up, the use of autologous blood is more effective in pain reduction and functional recovery. Level of Evidence: Level II.

Supporting evidences for vegetation-enhanced stormwater infiltration in bioretention systems: a comprehensive review

Stormwater mitigation efficiency of bioretention systems relies for a large part on their capacity to infiltrate rapidly received runoff. Within this context, the primary aim of this literature review was to clarify the vegetation influences on bioretention media hydraulic conductivity, with the ultimate goal of improving guidance on plant choice for system durability. A thorough synthesis of studies dealing with the comparison of plant species, functional types, or traits on infiltration-related processes in biofilters was achieved. Overall, results converged to a positive impact of plants on water infiltration and percolation, either under greenhouse or field conditions. In most cases, vegetation selection had a determining role in maintaining initial media infiltration rates, with in terms of improvement: turfgrass < prairie grass < shrubs < trees. Wind-induced movements of rigid foliage or stems are believed to avoid complete surface clogging. Species with thick, rhizomatous or fleshy (with maximum root diameter near the centimeter range), and tap or deep root systems could be preferred to maximize infiltration rates in permeable bioretention media. In fine-textured soils, higher specific root length, root length density, or mass density could also enhance infiltration. Root mass densities (0.1-2.2 kg.m³) were positively linked with infiltration rates in unlined systems while roots around 1 mm diameter would favor macropore-related preferential flows and increased hydraulic conductivity. Finally, implementation of high-diversity plant communities would ensure the presence of a more functionally rich vegetation community with species possessing adequate physiological adaptations (including root system architecture) to local environmental conditions for perennial cover and proper bioretention hydrological functioning.

Incidence, time to occurrence and predictors of peripheral intravenous cannula-related complications among neonates and infants in Northwest Ethiopia: an institutional-based prospective study

BACKGROUND

Peripheral intravenous cannulas (PIVC) are venous access devices commonly used for the administration of intravenous fluids, drugs, blood products, and parenteral nutrition. Despite its frequent use, it has complications that can seriously threaten patient safety, prolong hospital stays, and increases medical care costs. PIVC complications are associated with increased morbidity and reinsertion attempts are painful and anxiety-provoking for children and their parents. Therefore, this study was aimed to assess the incidence, time to occurrence and identify predictors for PIVC complications among infants admitted to Debre Tabor Comprehensive Specialized Hospital (DTCSH), Northwest Ethiopia.

METHODS AND SETTING

An institutional-based prospective cohort study was conducted on 358 infants admitted to a neonatal intensive care unit and pediatric ward, DTCSH from January 1 to April 30, 2022. A systematic sampling technique was employed.

RESULTS

The incidence rate of PIVC complication was 11.6 per 1000 person-hours observation. PIVC complication was observed in 56.4% (202) of PIVCs, of which infiltration (42.1%) was the most common complication followed by phlebitis (29.7%). The median time to complication was 46 h. Anatomical insertion site (AHR = 2.85, 95%CI: 1.63-6.27), admission unit (AHR = 1.88, 95%CI: 1.07-4.02), sickness (AHR = 0.24, 95% CI: 1.31-4.66), medication type (AHR = 2.04, 95%CI: 1.13-3.66), blood transfusion (AHR = 0.79, 95%CI: 0.02-0.99), clinical experience (AHR = 0.52, CI:0.26-0.84), and flushing (AHR = 0.71, 95%CI: 0.34-0.98) were potential predictors of PIVC complication.

CONCLUSION

Knowing the predictor factors helps clinicians to provide effective care and to detect complications early.

Experimental study of wetting effect of surfactant based on dynamic wetting process and impedance response of coal

Surfactant can improve the wettability of water to coal, which is beneficial to reduce the production of coal dust in coal seam water injection. Through the measurement and calculation of contact angle and its decay rate, the wettability differences of SDS (C₁₂H₂₅OSO₃Na), AES (C₁₄H₂₉O₅NaS), OP-10 (C₁₈H₃₀O₁₀), and JFC (RO(CH₂CH₂O)_nH) to anthracite were compared. In addition, the wetting modification effect and infiltration rate of anthracite by water, AES, and OP-10 were studied by infrared spectroscopy and complex impedance monitoring of coal pillar immersion process. The results show that when the concentration of surfactant is 0.1%, the contact angle decay time of OP-10 is very short, and the contact angle decay rate is as high as 19°/s. The decay rate can more obviously reflect the wettability difference of surfactants. And the wetting modification effect of OP-10 on anthracite is stronger than that of AES, and the peaks of oxygen-containing functional groups such as carboxyl and hydroxyl groups are stronger. Furthermore, the capillary force between OP-10 and anthracite is much larger than that of water, which shows the characteristics of fast water absorption and wide distribution in the infiltration experiment of columnar coal. The results of complex impedance measurement indicate that the impedance decay rate of coal is well correlated with capillary rise factor F_C, contact angle decay rate, and contact angle. It is hoped that the research results can provide help for coal seam water injection and dust prevention.

PM2.5 elemental composition in indoor residential environments and co-exposure effects on respiratory health in an industrial area

This study aimed to identify and characterise indoor sources of particulate matter (PM) in domestic environments. 74 inhabited apartments located in the urban area of Gela (Sicily, Italy), close to a refinery, and in three villages of the hinterland were evaluated, in real-world conditions, for the elemental composition of PM_2.5. The samples were collected simultaneously inside and outside each apartment for 48 h. In addition, two of the apartments were simultaneously studied for four weeks. The elemental composition of PM_2.5 was determined by applying a chemical fractionation procedure followed by inductively-coupled plasma spectrometry analysis, with both optical emission and mass detection. The extractable, more bio-accessible fraction (_ext), and the mineralised residual fraction (_res) of each element were determined, thus increasing the selectivity of elements as source tracers. Indoor air in the considered apartments was affected by both outdoor pollution and specific indoor emission sources. The behaviour of each source was studied in detail, identifying a reliable tracer: Ti_res for soil, As_ext for industrial sources, V_ext for heavy oil combustion, Ce for cigarette smoking and Mo for the use of vacuum dust cleaners. As_ext and V_ext showed an excellent infiltration capacity, while the concentration of Ti_res was affected by a low infiltration capacity and by the contribution of particles re-suspension caused by the residents' movements. In the case of Ce and Mo, indoor concentrations were much higher than outdoor with a high variability among the apartments, due to the inhabitants' habits concerning cigarette smoke and use of electric appliances. To test the overall effect of the concomitant exposure to the identified sources on Wh12 M and on DDA, a WQS analysis was conducted. Cigarette smoking and heavily oil combustion driven the Wh12 M odds increase, while the DDA odds increase was mainly driven by heavily oil combustion and the use of vacuum dust cleaners.

Modeling leachate generation: practical scenarios for municipal solid waste landfills in Poland

The idea of water balance calculations within the landfill is to determine the distribution of water input and output, and finally the volume of leachate generated. The scope of this data is essential for rational planning of water and wastewater management, and designing leachate drainage network and leachate treatment systems. The aim of this study was to assess the possible amounts of leachate generation regarding ten different scenarios of landfill sealing systems. The calculations were performed using the Hydrologic Evaluation of Landfill Performance (HELP) model. It was revealed that the greatest share among the components of water balance in the landfill has precipitation (on average 509 mm in the 5-year period of simulation), together with evapotranspiration (on average 391 mm in the 5-year period of simulation). The study shows that the minimum amount of leachate (797-803 m³/year) occurs when the best placement quality (=5) is regarded for the geomembrane installed in the bottom of the landfill. The maximum leachate generation (830 m³/year) was found for those scenarios in which only three layers of bottom sealing systems were adopted, with the worst placement quality (=1) assigned to geomembranes. The results of this study confirm that the application of multilayer sealing systems has visible impact on the reduction of leachate generation of around 33 m³/year.

Safety of peripherally administered 3% hypertonic saline

BACKGROUND

Administration of 3% sodium chloride through a peripheral venous catheter is associated with risk of infusion-related adverse events (IRAE) due to its high osmolarity. Given this concern and the paucity of data regarding these events, many hospitals have policies that require central line administration of 3% sodium chloride.

OBJECTIVE

The objective of this analysis was to evaluate the incidence of IRAE associated with peripheral administration of 3% sodium chloride.

METHODS

This analysis included patients who received 3% sodium chloride via a peripheral venous catheter between May 2017 and August 2019. The major endpoint of this analysis was the overall incidence of IRAE, defined as the documentation of infiltration or phlebitis. A multivariable logistic regression was performed to identify potential risk factors (e.g., age, infusion rate, infusion duration, peripheral venous catheter location, and needle gauge) for development of IRAE.

RESULTS

A total of 706 administrations in 422 patients were included. Seventy-four (10.5%) administrations were associated with a documented event. Based on the Infusion Nurses grading scale for infiltration or phlebitis, 48% of the events in this analysis were grade 1 in severity. Duration of infusion of 3% sodium chloride was found to be associated with an increased odds of an IRAE (OR per 1 h 1.02, 95% CI 1.01-1.02) in the multivariable analysis. Age, infusion rate, peripheral venous catheter location, and needle gauge were not independently associated with an increased risk of an IRAE.

CONCLUSION

These data suggest that IRAE occurred more frequently when 3% sodium chloride was administered over a longer duration and the majority of events were mild with no permanent tissue injury. It may be reasonable to consider peripheral administration of 3% sodium chloride in the acute care setting for a short duration, although additional studies are needed to continue to evaluate its safety.

Predicting location and evaluating progression of clogging in a permeable pavement parking lot

In 2009, a permeable pavement research and demonstration site was constructed at the Edison Environmental Center, Edison, NJ. Infiltration testing of three original permeable parking rows through August 2012 indicated that clogging occurred along the upgradient edge of these pavements from runoff that drained from adjacent impermeable driving lanes. A subsequent infiltration testing data collection effort from April 2017 through March 2020 focused on permeable interlocking concrete pavers (PICP) that replaces one of the original permeable surfaces. While the original infiltration study through 2012 used random locations throughout the permeable parking rows, the newer study targeted upgradient edge to identify where clogging would occur. Testing locations along the upgradient edge were selected based on a high-resolution survey (HRS) of the parking lot performed in December 2014. The HRS identified three low spots along the upgradient edge that eventually clogged in the new PICP infiltration study. The HRS may assist with maintenance routines. The newer study also supports the conclusion of the earlier study with regards to truncating the infiltration testing method, particularly for maintenance assessments.

Water with low ionic strength recovers the passivated birnessite-coated sand reactivity towards lincomycin removal

The ionic strength of infiltration water changes with the seasonal alternation of irrigation sources. In this study, reactivity changes of birnessite-coated sand with the fluctuations of ionic strength of infiltration water (i.e. from groundwater to rainwater) and the involved mechanism were investigated through column experiments. Birnessite-coated sand was less reactive in groundwater than in rainwater because of the higher cation content and higher pH of groundwater. The cations in the groundwater were adsorbed on birnessite-coated sand and then desorbed in presence of a dilute aqueous solution represented by rainwater. The reactivity of the passivated birnessite-coated sand was recovered instantaneously, and approximately one-third of the pristine reactivity was restored. During recovery, Na⁺ desorption and lincomycin (LIN) removal both exhibited a two-stage reaction pattern. The LIN removal correlated with Na⁺ desorption (r = 0.99) so that the reactive sites that were binding 5.602 μmol of Na⁺ became available for 1 μmol of LIN removal. These results suggest that the reactivity of manganese oxides toward organic contaminant is associated with the ionic strength of infiltration water and indicate that the partial reactivity can be naturally restored.

Global meta-analysis of soil hydraulic properties on the same soils with differing land use

Global land use change has resulted in more pasture and cropland, largely at the expense of woodlands, over the last 300 years. How this change affects soil hydraulic function with regard to feedbacks to the hydrological cycle is unclear for earth system modelling (ESM). Pedotransfer functions (PTFs) used to predict soil hydraulic conductivity (K) take no account of land use. Here, we synthesize >800 measurements from around the globe from sites that measured near-saturated soil hydraulic conductivity, or infiltration, at the soil surface, on the same soil type at each location, but with differing land use, woodland (W), grassland (G) and cropland (C). We found that texture based PTFs predict K reasonably well for cropland giving unbiased results, but increasingly underestimate K in grassland and woodland. In native woodland and grassland differences in K can usually be accounted for by differences in bulk density. However, heavy grazing K responses can be much lower indicating compaction likely reduces connectivity. We show that the K response ratios (RR) between land uses vary with cropland (C/W = 0.45 [W/C = 2.2]) and grassland (G/W = 0.63 [W/G = 1.6]) having about half the K of woodland.

Experimental and numerical analysis of indoor air quality affected by outdoor air particulate levels (PM1.0, PM2.5 and PM10), room infiltration rate, and occupants' behaviour

This study conducted an experimental analysis of how indoor air quality (IAQ) is influenced by the outdoor air pollutants levels, infiltration rate, and occupants' behaviours. The impacts of these factors on IAQ were analyzed using on-site measurements and numerical simulations. The results contribute to a better understanding of how to control the Indoor Particulate Level (IPL) for the specific conditions of the studied building. Results showed that occupant behaviour was the primary factor in determining the IPL, significantly changing the number of outdoor particles introduced to the building. Moreover, it was found that the IPL was exponentially correlated to the Outdoor Particulate Level (OPL). Based on numerical simulations, this study concluded that smaller particles do not always have more chance than larger particles of accessing the indoor environment through the building envelope. Meanwhile, a steady-state indoor particle concentration numerical model was established and verified using the 4-fold cross-validation method. Finally, simulation results identified that the room infiltration rate had a positive linear impact on IAQ if the OPL was under 30 μg/m³. This is because the increased air exchange rate can help to dilute indoor air pollutants when the outdoor air is relatively clean.

Hydrological and water quality performance of Waste Tire Permeable Pavements: Field monitoring and numerical analysis

Permeable pavements can reduce the amount of surface runoff and peak flow rate and delay the occurrence of peak flow by allowing water to infiltrate underground similar to natural undeveloped catchments. Such suite of benefits of permeable pavements have made them one of the preferred stormwater control measures in most of the integrated land and water programs. Waste tire permeable pavements (WTPPs), as a relatively new permeable pavement technology, are designed with a surface layer made of up to 50% recycled tire particles. This study aims to investigate the hydrological performance of WTPPs to divert surface runoff and their impact on water quality. A large-scale trial in Australia was constructed and a comprehensive field performance monitoring program including double-ring infiltrometer tests and water quality testing was conducted to evaluate the performance of WTPP in real field conditions. Quality assurance tests on samples of the WTPP surface layer were conducted for permeability in the laboratory, and numerical simulations were done to estimate the surface runoff and investigate the sensitivity of the results to important design parameters. The physically-based models used for numerical simulations were developed in MUSIC X by replicating the layers of the constructed permeable pavement system as well as the impervious part of the trial site. The results indicated that the constructed system is capable of mitigating the surface runoff from the studied site, although only 25% of the discharge area was covered with WTPP. The infiltration rate of the WTPP over nine months with and without maintenance was studied. The results revealed that the infiltration rates even in areas without maintenance after nine months were found to be above the recommended values from ASCE permeable pavements task committee, but lower than the areas that were regularly maintained highlighting the importance of a regular maintenance regime for permeability recovery over time. Water quality tests were done on samples taken over a 17 month-long period indicating that the WTPP system successfully reduced most of the studied pollutants and chemical indicators, including most of the heavy metals, total suspended solids (69%) and turbidity (88%) by physically filtering the water.

Identification of high nitrate concentration in shallow groundwater of an arid region: a case study of South Kuwait's Bay

Coastal aquifer is a fragile environment due to the interaction of groundwater with seawater, especially in arid environments. Groundwater along Kuwait's Bay is polluted due to discharge of waste from desalination plants, power plants, and other anthropogenic activities. Earlier studies on submarine groundwater discharge in Kuwait's Bay region have reported the transfer of nutrient flux from the groundwater to Kuwait's Bay. The current study focused on nitrate sources and processes governing their distribution in groundwater samples collected from the southern part of Kuwait's Bay. The concentration of nitrate in the samples ranged from 22.7 to 803.9 mg/L. Higher values were noted in the samples collected inland and a few samples adjacent to the Bay. Spearman's correlation analysis of the data indicated that NO₃- has a strong positive correlation with SO₄^2- and moderate positive correlation with Na ⁺ , TDS/EC. The PCA analysis and factor scores revealed the different sources for groundwater nitrate contamination as follows: leakage of sewer lines in the urban region has led to the infiltration of contaminated sewage, high saline environment due to seawater intrusion, chemical weathering, and influence of denitrifying bacteria. The health risk has resulted due to the NO_3- concentration being above the standard limit for adults. Furthermore, the nitrate concentration was higher in the region adjoining the landfills. In addition, the discharge of groundwater with higher nitrate to the adjacent open water in the Bay may lead to eutrophication. Hence, proper management strategies are to be adopted to control the nitrate pollution in groundwater.