Search Results (33)

Background: Ultraviolet (UV) radiation is a major risk factor for skin cancer. Nevertheless, many people tan in the sun and in tanning beds. The aim of this study was to explore the reasons behind these behaviors and to investigate whether the reasons for tanning in the sun and in tanning beds differ. Methods: We used data from a nationwide survey study conducted in Germany, which included n = 4156 individuals aged 16 to 65 years. We assessed different reasons for outdoor and indoor tanning, as well as sociodemographic characteristics, skin type, and tanning behaviors. Results: While both outdoor and indoor tanners frequently reported relaxation, as well as feeling of light and warmth as reasons, outdoor tanners placed a greater emphasis on increasing vitamin D levels and health benefits. In contrast, indoor tanners were more focused on enhancing attractiveness and pre-tanning for holidays. Individuals who sought a tan more frequently—whether through indoor or outdoor tanning—were more likely to agree with the various reasons provided, compared to those who tanned less often. In addition, we found associations with sex, age, immigrant background, education, occupation, and skin type. Conclusions: There were differences as well as similarities in the reasons for indoor and outdoor tanning. This indicates that overarching prevention strategies could be effective. Additionally, targeted measures specifically for indoor and outdoor tanning could also be beneficial in raising awareness about the risks of UV radiation and, in the long term, reducing the incidence of skin cancer. Full article

Skin cancer is caused by aberrant cells that proliferate uncontrollably after unrepaired DNA damage results in mutations in the epidermis. The majority of skin cancer is caused by high UV exposure from the sun, tanning beds, or sunlamps. Due to sociocultural hurdles, limited access to specialized dermatological care, and low public knowledge, many nations, including India, have higher mortality rates and late-stage presentations. The unequal distribution of specialized dermatological treatments, particularly in rural and underdeveloped areas, makes detection and treatment more difficult. For skin cancer, one of the most prevalent malignancies with a high death rate, early detection is crucial. This study gathered 1200 dermoscopic images from two clinics in Himachal Pradesh in order to solve these problems. In order to automatically classify dermoscopic clinical images into melanoma and non-melanoma skin cancer categories, this study compares VGG16 with ResNet-50. Preprocessing, lesion segmentation, and classification are all part of the suggested approach. A collection of 1200 dermoscopic images with clinical annotations was used to improve the models. ResNet-50 outperformed VGG16 in tests, with 93% accuracy and 96% AUC-ROC as opposed to 89% and 94%, respectively. These results emphasize how crucial model selection and preprocessing are to diagnostic performance. Ensemble methods, multi-class classification, explainability integration, and clinical validation will be investigated in order to facilitate the implementation of AI-assisted dermatological diagnostic tools. Full article

The recirculating aquaculture system (RAS) provides a sustainable approach to sustaining aquaculture output while reducing environmental pollution and excessive water consumption. Nonetheless, high concentrations of Total Ammonia Nitrogen (TAN) continue to be a significant obstacle in RAS operations. To address this issue, the Moving Bed Biofilm Reactor (MBBR), with bubble aeration, is important for promoting ammonia degradation. Bubble size impacts the effectiveness of bubble aeration, influencing both oxygen transfer and microbial activity. This research involved a 35-day experiment to evaluate the effects of bubble size, produced by nanobubble and coarse bubble aerators, on biofilm development and TAN decrease. The maximum biofilm thickness of 172.88 µm was recorded during nanobubble aeration, which also produced a higher quantity of microbial colonies (293 × 10⁷ CFU) in comparison to coarse bubble aeration (89 × 10⁷ CFU), as validated by Total Plate Count analysis. SEM–EDX imaging additionally demonstrated a more compact and consistent biofilm structure in the presence of nanobubbles. These results align with an increased TAN degradation efficiency, achieving 83.33% with nanobubble aeration, while coarse bubble aeration reached only 50%. The findings indicate that nanobubble aeration enhances biofilm functionality by improving bacterial dispersion and oxygen availability within the biofilm matrix, thereby promoting a more uniform distribution of microorganisms and nutrients. This mechanism represents a promising approach for improving water quality and overall treatment efficiency in recirculating aquaculture systems (RAS). Full article

Background and Objectives: To our knowledge, this is the first case–control study conducted in the Baltic countries that identified CM risk factors focusing on the investigated subjects’ phenotypic traits, severe sunburns, sunscreen and tanning bed use. Materials and Methods: This study analyses 180 subjects with CM (case group) and 182 randomly selected controls. All participants completed surveys about sun exposure habits and skin phototype (I–IV) according to the Fitzpatrick scale. Skin, eye, and hair colour, number of freckles, and melanocytic nevi greater than 2 mm in diameter (MN > 2 mm) on sites with maximal, intermittent, and minimal sun exposure were examined. Results: We determined five risk factors that significantly increased the odds ratio of CM (OR; 95% confidence interval): tanning bed use compared to non-use (6.46; 1.89–22.96), lack of sunscreen use compared to regular use (7.41; 2.88–19.09), and fair skin compared to medium and olive skin (2.06; 1.03–4.09). The probability of CM also increased with each instance of severe sunburn (2.57; 1.96–3.38) and with each additional MN > 2 mm in sun-exposed areas (1.05; 1.03–1.07). Conclusions: The results of this case–control study offer novel insights into modifiable risk factors for CM, highlighting potential targets for primary prevention strategies in the Baltic countries’ population, with dominant fair phenotypic traits of skin, eye, and hair colour. Full article

The rapid development of marine recirculating aquaculture systems (RASs) worldwide offers an efficient and sustainable approach to aquaculture. However, the slow start-up of the nitrification process under low-temperature conditions remains a significant challenge. This study evaluated multiple start-up strategies for moving bed biofilm reactors (MBBRs) operating at 13–15 °C. Among them, the salinity-gradient (SG) strategy exhibited the best performance, reducing the start-up time by 38 days compared to the control, with microbial richness (Chao1 index) reaching 396 and diversity (Shannon index) of 4.89. Inoculation with mature biofilm (MBI) also showed excellent results, shortening the start-up period by 26 days and achieving a stable total ammonia nitrogen (TAN) effluent concentration below 0.5 mg/L within 132 days. MBI exhibited the highest microbial richness (Chao1 index = 808) and diversity (Shannon index = 5.55), significantly higher than those of the control (Chao1 index = 279, Shannon index = 3.90) and other treatments. The hydraulic retention time-gradient (HRT) strategy contributed to performance improvement as well, with a 24-day reduction in start-up time and a Chao1 index of 663 and a Shannon index is 4.69. In contrast, nitrifying bacteria addition (NBA) and carrier adhesion layer modification (CALM) had limited effects on start-up efficiency or microbial diversity, with Chao1 indices of only 255 and 228, and Shannon indices were both 3.24, respectively. Overall, the results indicate that salinity acclimation, mature biofilm inoculation, and extended HRT are effective approaches for promoting microbial community adaptation and enhancing MBBR start-up under low-temperature marine conditions. Full article

Background: Patients diagnosed with melanoma are at increased risk of developing multiple primary melanomas (MPMs). Identifying clinical and genetic factors associated with MPM is critical for implementing personalized surveillance strategies. This study aims to describe the clinical, histopathological, and genetic characteristics of patients with MPM managed in a tertiary hospital and to contextualize findings within the current literature. Methods: We conducted a retrospective review of patients diagnosed with two or more primary melanomas between 2010 and 2023 at a tertiary dermatology unit. Demographic data, personal and family cancer history, phototype, melanoma characteristics, genetic testing, staging, treatments, and outcomes were collected. These data were compared with findings from the recent literature. Results: Thirteen patients (ten males, three females; median age: 59 years) were found to have a total of 33 melanomas. Most patients had Fitzpatrick phototype II and no immunosuppression. The number of melanomas per patient ranged from two to five. Synchronous lesions were observed in two patients. Common locations included the trunk and extremities. Histologically, 57% were in situ melanomas, and subsequent melanomas were generally thinner than the index lesion. Two patients showed progression to advanced disease. One patient was positive for MC1R mutation; the rest were negative or inconclusive. Additional phenotypic and environmental risk factors were extracted from patient records and are summarized as follows: Ten patients (76.9%) had Fitzpatrick skin phototype II, and three (23.1%) had phototype III. Chronic occupational sun exposure was reported in four patients (30.8%), while five (38.5%) recalled having suffered multiple sunburns during childhood or adolescence. Eight patients (61.5%) presented with a total nevus count exceeding 50, and five (38.5%) exhibited clinically atypical nevi. None of the patients reported use of tanning beds. Conclusions: Our findings are consistent with the existing literature indicating that patients with MPM often present with thinner subsequent melanomas and require long-term dermatologic follow-up. The inclusion of genetic testing and phenotypic risk factors enables stratified surveillance and supports the application of personalized medicine in melanoma management. Full article

Background/Objectives: Melanoma is an aggressive cutaneous malignancy with a rising incidence. While most cases are sporadic, 5–10% are hereditary, especially in patients with multiple or familial melanomas. The aim of this study is to explore the epidemiological, clinical, histological, and genetic features of this class of patients to identify risk factors for better management and surveillance. Methods: Between 2021 and 2024, patients with multiple melanomas or a familial history of melanoma were recruited. Collected data included demographic, clinic-pathologic features, and genetic analyses. Results: Patients >60 years had a higher prevalence of multiple melanomas (>50%, p = 0.0002), while familial melanoma was more common in those <40 years (54.3%). UV exposure increased with age, while sunscreen use decreased (p = 0.0004). Younger patients showed the highest nevi counts (mean: 139.6) and density (p < 0.0001). Dermatologists more frequently detected subsequent melanomas in older patients (>60 years) (p = 0.001). Genetic testing and melanoma subtypes showed no significant age-related differences. Conclusions: melanoma can develop at any age, and early detection through regular screening is crucial. Older patients (>60 years) have a higher prevalence of multiple melanomas, influenced by UV exposure and genetics. Indeed, in our cohort, a history of sun exposure, sunburns, and tanning bed use emerged as key risk factors, particularly among older individuals. Genetic testing showed a 4.3% rate of pathogenic/likely pathogenic variants, mainly in CDKN2A. Family history and nevus burden are significant risk factors, highlighting the need for targeted surveillance in high-risk populations. Full article

Background/Objectives: Skin cancer is becoming increasingly common due to increasing risk factors such as excessive ultraviolet (UV) radiation, genetic predisposition, fair skin, and a history of sunburn. Melanoma accounts for only 1% of cases but causes most skin cancer deaths. Dysplastic nevi (DN) are important precursors of melanoma. The aim of this study was to investigate the influence of these risk factors on the incidence and stage of skin cancer. Methods: The study included 591 patients aged 18 to 64 who visited the Department of Dermatology and Venereology in 2022–2023 for skin examinations. Each patient completed a questionnaire regarding the risk factors for melanoma and atypical melanocytic nevi and then underwent a dermatoscopic examination of the whole body using a digital videodermatoscope. Results: Dermatoscopic examination revealed a lesion suggestive of melanoma in 1.69% of the patients. Risk factors for developing melanoma included male gender, family history of melanoma, number of skin moles, sunburn in childhood, sun-dependent hobby, using a tanning bed, using low sun protection factor (SPF) cream, not avoiding sun exposure, and co-occurrence of actinic keratosis. Conclusions: Risk factors for melanoma and dysplastic nevi are still common among patients, but the situation has been improving over the years. Early intervention and education on sun safety can play pivotal roles in reducing the incidence of atypical moles and potentially preventing malignant transformations. Full article

Background: Skin cancer prevention relies on effective sun safety practices. Previous studies have shown that LGBTQ+ individuals exhibit lower sunscreen use and higher tanning bed usage compared to their non-LGBTQ+ counterparts. This study is the first to assess skin cancer risk factors, sun-protective behaviors, and skin cancer concerns among LGBTQ+ individuals across Canada. Methods: A national survey study was conducted between July 2020 and March 2024 and included LGBTQ+ respondents aged ≥ 16 years who had completed the survey. Responses were summarized using frequency counts/percentages for categorical variables and means/standard deviations for continuous variables. Logistic regression models were used to calculate age- and gender-adjusted odds ratios for subgroup analyses. Results: Of the 700 LGBTQ+ participants included (59.3% women; median age 38 years), the majority had a Fitzpatrick skin phototype (FSP) I–III (76.4%). Concerningly, 60% reported >10 lifetime sunburns, 58% reported ≥1 blistering sunburn, 34% had used a tanning bed ≥1 time in their lifetime, and 69% reported having a tan in the last 12 months. Sunscreen was worn regularly by only half of the respondents, and half of the participants agreed or strongly agreed with “I look better and/or healthier with a tan”. Additional comparisons are presented based on gender, FSP, education, and income. Conclusion: The findings of this study highlight the need for public health campaigns tailored to the LGBTQ+ community, emphasizing culturally sensitive sun safety education, particularly for LGBTQ+ men, individuals with FSP IV–VI, and those with lower education levels, to help reduce future skin cancer risk. Full article

The tanning industry is among the most environmentally harmful activities globally due to the pollution of lakes and rivers from its effluents. Hexavalent chromium, a metal in tannery effluents, has adverse effects on human health and ecosystems, requiring the development of removal techniques. This study assessed the efficacy of organobentonite/alginate hydrogel beads in removing Cr(VI) from a fixed-bed adsorption column system. The synthesized organobentonite (OBent) was encapsulated in alginate, utilizing calcium chloride as a crosslinking agent to generate hydrogel beads. The effects of the volumetric flow rate, bed height, and initial Cr(VI) concentration on a synthetic sample were analyzed in the experiments in fixed-bed columns. The fractal-like modified Thomas model showed a good fit to the experimental data for the asymmetric breakthrough curves, confirmed by the high R² correlation coefficients and low χ² values. The application of organoclay/alginate hydrogel beads was confirmed with a wastewater sample from an artisanal tannery industry in Belén (Nariño, Colombia), in which a Cr(VI) removal greater than 99.81% was achieved. Organobentonite/alginate hydrogels offer the additional advantage of being composed of a biodegradable polymer (sodium alginate) and a natural material (bentonite-type clay), resulting in promising adsorbents for the removal of Cr(VI) from aqueous solutions in both synthetic and real water samples. Full article

The rapidly increasing skin cancer rates in Canada are alarming, with current data estimating that 1/3 of Canadians will be affected in their lifetime. Thus, deeper understanding of high-risk sun exposure behaviors is needed to help counter this trend. Only limited action has been taken by federal/provincial governments to reduce skin cancer incidence. A cross-sectional survey study was conducted in Manitoba, with frequency counts, means, and percentages used to encapsulate responses. Age- and gender-adjusted odds ratios were calculated using logistic regression analyses. Our study identified worrying inadequacies in sun protective behaviors and attitudes, with the threat of such high-risk behaviors amplified by a lack of skin cancer awareness. Alarming elements were noted in participants’ sun exposure history (>65% reported a history of sunburns, >50% previously used a tanning bed, and >75% recently tanned for pleasure), beliefs and attitudes (>50% believe that they look better/healthier with a tan, and >40% believe that having a base tan is protective against further sun damage), and sun protection efforts (sun protective clothing was used <60% of the time, sunscreen was used by <50%, and there was a lack of knowledge about sunscreen characteristics in ~30% of respondents), in addition to significant differences being established between demographic subgroups (based on gender, age, skin phototype, income, and education attained). This study provides worrisome insight onto the grim landscape of sun protective behaviors and attitudes in Manitoba, which will inevitably translate into higher skin cancer rates and should serve as a call to action to promote targeted public health messaging in this jurisdiction and beyond. Full article

The unregulated discharge of synthetic dyes from various anthropogenic and industrial activities has resulted in the contamination of different environmental compartments. These dyes can contaminate water bodies, soil, and even the air, resulting in many environmental and health issues. True colors may persist for long periods, thereby affecting the aesthetics and ecology of dye-contaminated areas. Furthermore, they pose potential risks to aquatic life and human health through the ingestion or absorption of dye-contaminated water or food. Acid orange 7 (AO7) is a synthetic azo dye used in the textile, tanning, food, pharmaceutical, paint, electronics, cosmetics, and paper and pulp industries. AO7 can have various human health implications, such as dermatitis, nausea, severe headache, respiratory tract irritation, and bone marrow depletion, due to its high toxicity, mutagenicity, and carcinogenicity. Efforts to regulate and mitigate dye pollution (AO7) are crucial for environmental sustainability and public health. Therefore, this study aimed to remove AO7 from water using sustainable biochar. This objective was accomplished by pyrolyzing dried Napier grass at 700 °C to develop affordable and sustainable Napier grass biochar (NGBC700). The developed biochar was characterized for its surface morphology, surface functional groups, surface area, and elemental composition. The yield, moisture content, and ash content of the NGBC700 were approximately 31%, 6%, and 21%, respectively. The NGBC700’s BET (Brunauer–Emmett–Teller) surface area was 108 m² g⁻¹. Batch sorption studies were carried out at different pH levels (2–10), biochar dosages (1, 2, 3, and 4 g L⁻¹), and AO7 concentrations (10, 20, and 30 mg L⁻¹). The kinetic data were better fitted to the pseudo-second-order (PSO) equation (R² = 0.964–0.997) than the pseudo-first-order (PFO) equation (R² = 0.789–0.988). The Freundlich isotherm equation (R² = 0.965–0.994) fitted the sorption equilibrium data better than the Langmuir equation (R² = 0.788–0.987), suggesting AO7 sorption on heterogenous NGBC700. The maximum monolayer AO7 adsorption capacities of the NGBC700 were 14.3, 12.7, and 8.4 mg g⁻¹ at 10, 25, and 40 °C, respectively. The column AO7 sorption capacity was 4.4 mg g⁻¹. Fixed-bed AO7 sorption data were fitted to the Thomas and Yoon–Nelson column models. The NGBC700 efficiently removed AO7 from locally available dye-laden wastewater. NGBC700 was regenerated using different NaOH concentrations. Possible interactions contributing to AO7 sorption on NGBC700 include hydrogen bonding, electrostatic interactions, and π–π electron donor–acceptor attractions. The estimated total preparation cost of NGBC700 was US$ 6.02 kg⁻¹. The developed sustainable NGBC700 is potentially cost-effective and environmentally friendly, and it utilizes waste (Napier grass) to eliminate fatal AO7 dye from aqueous media. Full article

Basal cell carcinoma (BCC) is a slow-growing, locally aggressive, rarely metastasizing, low-grade cutaneous neoplasm that arises from the epidermal basal layer and invades the adjoining tissues. It is the most common skin cancer. It is fairly common in fair Caucasians and quite uncommon in dark-skinned populations. It contributes to 65–75% of cutaneous malignancies in whites and 20–30% in Asian Indians. The most important causal factors appear to be radiation exposure and genetic predisposition. It may present as a nonhealing lesion that occasionally bleeds or as a pruritic lesion with no symptoms. Tumours rarely spread to regional lymph nodes. The clinical appearances and morphology of BCC are diverse. Clinical types include nodular, cystic, superficial, pigmented, morphoeaform, (sclerosing), keratotic and fibroepithelioma of Pinkus. Most of the lesions appear on the head and neck, usually above the line joining the tragus and the angle of the mouth. A biopsy should be performed on all lesions suspected of BCC. The primary aim of treatment is the complete excision of the tumour tissue. Other treatment modalities include cryotherapy, immunomodulatory drugs, laser treatment or locally applicable chemotherapeutic agents. Prevention consists of lifestyle changes such as avoiding sunburn, tanning beds and prolonged direct sun exposure, shade seeking, sunscreen application on the skin, and physical barrier methods such as protective clothing, hats and sunglasses. Regular sunscreen use in childhood and adolescence seems more beneficial than in adulthood. Full article

Traditional aquaculture systems appear challenged by the high levels of total ammoniacal nitrogen (TAN) produced, which can harm aquatic life. As demand for global fish production continues to increase, farmers should adopt recirculating aquaculture systems (RAS) equipped with biofilters to improve the water quality of the culture. The biofilter plays a crucial role in ammonia removal. Therefore, a biofilter such as a moving bed biofilm reactor (MBBR) biofilter is usually used in the RAS to reduce ammonia. However, the disadvantage of biofilter operation is that it requires an automatic system with a water quality monitoring and control system to ensure optimal performance. Therefore, this study focuses on developing an Internet of Things (IoT) system to monitor and control water quality to achieve optimal biofilm performance in laboratory-scale MBBR. From 35 days into the experiment, water quality was maintained by an aerator’s on/off control to provide oxygen levels suitable for the aquatic environment while monitoring the pH, temperature, and total dissolved solids (TDS). When the amount of dissolved oxygen (DO) in the MBBR was optimal, the highest TAN removal efficiency was 50%, with the biofilm thickness reaching 119.88 μm. The forthcoming applications of the IoT water quality monitoring and control system in MBBR enable farmers to set up a system in RAS that can perform real-time measurements, alerts, and adjustments of critical water quality parameters such as TAN levels. Full article

Artificial ultraviolet radiation from tanning beds has been classified as carcinogenic by the International Agency for Research on Cancer in 2009. Several countries have subsequently introduced comprehensive legislation regulating commercial indoor tanning. Specific aspects of these regulations address tanning bed advertising and information requirements for tanning bed customers, which have been previously neglected in international comparisons of indoor tanning regulations. We performed a systematic search regarding legislation on these aspects in 131 legislative units across three continents (North America, Australia/New Zealand, Europe). The legal restrictions found varied widely in type and content. In 49 legislative units we identified total (n = 8) or partial legal bans (n = 41) on advertising for indoor tanning, while 64 legislative units enacted 5regulations that necessitate the dissemination of different types of specific health information to tanning bed customers. Nearly 40% of the legislative units of the study region lacked any legislation on these issues altogether. The heterogenous results emphasize the need for an international dialogue between health authorities and governments to harmonize the regulatory framework for tanning bed advertising and information requirements to a level better protecting the public from skin cancer. Our comprehensive international comparison can serve as a starting point for such a harmonization process that may ultimately protect the public worldwide from misleading tanning bed advertising. Full article