Search Results (152)

Maternal exposure to polycyclic aromatic hydrocarbons (PAHs) during pregnancy has been associated with adverse obstetric and perinatal outcomes, including miscarriage, low birth weight, intrauterine growth restriction, and spontaneous abortion. Exposure occurs through multiple pathways, including dietary intake and inhalation, which ultimately determine the final body burden. PAHs may reach relevant levels in the blood, representing the initial step in their internal distribution to the placenta, umbilical cord, and breast milk, thereby compromising maternal–fetal health. In this exploratory study, maternal blood samples were collected from pregnant women residing in different regions of Antioquia, Colombia. Serum was isolated from whole blood, subsequently extracted using freezing-assisted liquid–liquid extraction, purified by solid-phase extraction, and analyzed by GC–MS. Method performance showed PAH recoveries between 60 and 120%, limits of detection (LOD) ranging from 0.5 to 3.3 ng·mL⁻¹, and limits of quantification (LOQ) ranging from 1.4 to 9.9 ng·mL⁻¹. Airborne PAH concentrations were measured using a photoelectric aerosol sensor, and higher levels were observed in municipalities intersected by major highways, indicating a strong vehicular contribution, with an average concentration of 72.6 ± 39.2 ng·m⁻³. Low and medium-molecular weight PAHs were detected in serum samples at an average concentration of 43.8 ± 8.8 ng·g⁻¹ of lipid (mean of ∑ individual congeners). In contrast, a high-molecular-weight PAH, benzo[a]pyrene (BaP), was detected in one participant. Pyrene (PYR) and fluoranthene (FLU) were the predominant congeners, suggesting combustion-related sources, primarily vehicular emissions. Serum PAH levels showed a correlation with the frequency of consumption of canned fish and meat, but not with short-term airborne PAH measurements. These exploratory findings suggest that dietary intake is a primary pathway of bioaccumulation during acute exposure and plays a key role in determining the parental PAHs burden during pregnancy in polluted environments. However, additional data on parent PAHs and their metabolites are needed to provide a more comprehensive assessment of cumulative exposure arising from dietary sources and chronic inhalation of airborne PAHs. Full article

Background and Objectives: The SARS-CoV-2 pandemic disrupted oral and maxillofacial surgery (OMS) services worldwide because of the high aerosol-generating nature of head-and-neck procedures, restricted access to elective dental care, and systemic reallocation of hospital resources. Continuous longitudinal multi-year data covering both the pandemic and the post-pandemic phases from regional Romanian (and more broadly central and southeastern European) emergency centers remain scarce. We aimed to quantify the impact of the pandemic on OMS activity in a large Romanian regional referral center and to evaluate post-pandemic resilience. Materials and Methods: We conducted a retrospective single-center study of all inpatient admissions to the OMS Clinic of a tertiary emergency hospital in western Romania between 1 January 2018 and 31 December 2024. Three periods were pre-specified: pre-pandemic (2018–2019), pandemic (2020–2022) and post-pandemic (2023–2024). A Newey–West segmented interrupted-time-series (ITS) regression and a negative-binomial monthly count model with Fourier seasonality were fitted; length of hospital stay was further analyzed with a multivariable gamma-log generalized linear model adjusted for age, sex, county, primary ICD-10 chapter and total ICD-10 codes. Variables analyzed included case volume, demographics, primary and secondary ICD-10 diagnoses, length of hospital stay (LOS), case complexity (total ICD-10 codes per admission) and in-hospital mortality. Results: A total of 11,628 inpatient admissions corresponding to 8084 unique patients (56.5% male; mean age 52.2 ± 19.2 years) were analyzed. Compared with the pre-pandemic baseline (mean 2037 admissions/year), annual volume dropped by 45.1% in 2020, 44.0% in 2021 and 32.3% in 2022, with a nadir of −76% during the first state of emergency (April 2020; n = 34 admissions). Recovery was rapid; 2024 exceeded the pre-pandemic baseline by +10.1% on raw counts and by +16.2% on admissions per 100,000 catchment population using year-specific INS denominators. The segmented ITS regression confirmed an immediate level drop of −114.2 admissions/month in March 2020 (95% CI −133.1 to −95.3; p < 0.001) and a positive post-intervention slope of +2.06 admissions/month (95% CI 1.23–2.88; p < 0.001), with observed monthly volume returning to the counterfactual projection by October 2023. The case mix shifted significantly (χ² = 406.9, p < 0.0001); elective benign neoplasm admissions were reduced from 7.2% to 2.0%, while neoplasms of uncertain behavior nearly doubled from 15.7% to 27.5%. Case complexity increased during the pandemic (mean ICD codes 4.08 ± 2.42 vs. 3.44 ± 2.30; p < 0.001); after exclusion of administrative codes (whole Z chapter and U07.x), the difference attenuated to 3.34 vs. 3.17 codes (still p < 0.001 by Kruskal–Wallis), indicating that the largest portion of the unadjusted increase was driven by the new mandatory pre-admission SARS-CoV-2 screening code Z11.5 rather than true clinical complexity. Notably, the clinically interpretable proxy R63.3 (feeding difficulty) independently rose from 41.5% to 53.1%. The crude median LOS did not differ between the pre-pandemic and pandemic periods (3.07 vs. 3.06 d; p = 0.19) and dropped significantly post-pandemic (2.22 d; p < 0.001); however, after multivariable adjustment for case mix, age, sex, county and code count, the LOS was 15.7% shorter during the pandemic (adjusted ratio 0.84, 95% CI 0.82–0.87; p < 0.001) and 22.8% shorter post-pandemic (adjusted ratio 0.77, 95% CI 0.75–0.80; p < 0.001) relative to baseline. Conclusions: The pandemic caused a severe but transient contraction of OMS activity accompanied by increased case complexity and a marked shift away from elective surgery. Inpatient volume returned to and exceeded the pre-pandemic baseline by 2024. These results support the value of standing pandemic-preparedness protocols, sustained access to preventive dental care, and integrated tele-triage pathways for future public-health crises. Full article

Personal protective equipment (PPE) is critical for defending against airborne biological hazards; however, current standard testing protocols often rely on “black-box” aggregate metrics or qualitative visual inspections that fail to pinpoint localized vulnerabilities. This study proposes a novel, spatially resolved quantitative methodology combining a whole-body fluorescent aerosol exposure chamber with an entropy-based image processing algorithm. By establishing a robust linear calibration mode, we accurately mapped and quantified localized aerosol ingress through protective clothing interfaces. Dynamic human-in-simulant tests were conducted using three suit models on two subjects with distinct body morphologies over 2- and 5-min exposure durations. Quantitative results revealed two distinct morphological failure mechanisms. A well-fitted suit resulted in steady “ Steady Accumulation,” where the total body leakage mass increased consistently (e.g., from 3.29 to 4.19 μg/cm²) while maintaining stable standard deviation, indicating preserved structural integrity. Conversely, an oversized fit induced “Structural Instability” and an erratic “Bellows Effect.” This mismatch was characterized by a dramatic inflation in aerosol leakage standard deviation during extended dynamic movements, rather than a simple increase in the mean leakage. Ultimately, this study empirically proves that protective clothing efficacy is highly morphology-dependent. The proposed quantitative methodology provides a rigorous scientific tool for diagnosing localized interface failures, thereby facilitating targeted improvements in PPE design and occupational safety. Full article

Household airborne transmission can be promoted when infectious and susceptible occupants share indoor air for long periods, yet practical infection-risk models often require pathogen-specific parameters that are uncertain. This study proposes a measurement-informed multizone/HVAC-network workflow that identifies inter-room airflow rates (q) from CO₂ tracer time series and estimates an effective first-order non-ventilation aerosol loss rate (λ) by fitting PM_2.5 concentration decay dynamics; the identified parameters are then reused within the same whole-house recirculating network model (vtsim) to compute a steady-state exhaled-air tracer concentration index for scenario comparison. The workflow is demonstrated in a high-insulation, airtight detached house equipped with a duct-type whole-house air-conditioning system with return-air recirculation. The results indicate measurable cross-room dispersion under baseline operation and show that a return-side filtration scenario reduces the steady-state index in non-source rooms relative to baseline under the tested operating assumptions. These findings illustrate how measurement-informed identification can support rapid, threshold-free relative comparison of ventilation/HVAC operation or mitigation scenarios within a specific house, rather than estimating absolute infection probability. Limitations include potential non-uniqueness in inverse identification, simplified treatment of leakage and pressure-drop-induced airflow changes, and the use of a steady-state index for inherently transient residential exposures; further validation across additional houses and HVAC topologies is warranted. Full article

A detailed picture of how an aerosol is transported and deposited in the self-affine bronchial tree structure of patients is fundamental to design and optimize orally inhaled drug products. This work describes a Monte Carlo-based statistical deposition model able to simulate aerosol transport and deposition in a 3D human bronchial tree. The model enables working with complex and realistic inhalation maneuvers including breath-holding and exhalation. It can run on fully stochastically generated bronchial trees as well as on those whose proximal airways are extracted from patient chest scans. However, at present, a mechanical breathing model is not explicitly included in our trees; their ventilation can be controlled by means of heuristic airflow splitting rules at bifurcations and by an alveolation index controlling the distal lung volume. Our formulation allows us to introduce different types of pathologies on the trees, both those altering their morphology (e.g., bronchiectasis and chronic obstructive pulmonary disease) and those impairing their function (e.g., interstitial lung diseases and emphysema). In this initial activity we describe deposition and ventilation models as well as the stochastic tree construction algorithm, and we validate them against total, regional, lobar, and sub-lobar deposition for healthy subjects. Full article

Invasive cases of Mycobacterium chimaera have been found in Europe, and beyond, and have been associated with the use of heater–cooler units necessary to regulate the temperature of blood in extracorporeal circulation during cardiac surgery, mostly due to contamination of patients by aerosol coming from the water in the tanks of the devices. An outbreak of five cases of M. chimaera infection associated with heater–cooler units Stockert 3T (LivaNova) was also identified in the Piedmont region (Italy). M. chimaera strains isolated from 10 Stockert 3T heater–cooler units used in 3 regional cardiac surgery operating rooms were subjected to whole-genome sequencing. The results were analysed according to van Ingen’s criteria. M. chimaera was isolated from 59% of heater–cooler units Stockert 3T (LivaNova) monitored. By whole-genome sequencing analysis performed on M. chimaera strains obtained from 10 heater–cooler units, four strains were classified as subgroup 1.1 or 1.8, which are the two subgroups associated with the HCU-related outbreak worldwide. Our data and their comparisons with global heater–cooler unit isolates provide further evidence of the hypothesis that contamination occurs at the production site of LivaNova following exposure to M. chimaera-contaminated factory plumbing systems. Full article

Background: Bacterial Chondronecrosis with Osteomyelitis (BCO) is a significant issue affecting the welfare and economy of the broiler industry, causing substantial revenue losses annually. This disease is frequently associated with Staphylococcus spp. and Enterococcus spp. infections and necrosis of leg and vertebral bones. The typical annual lameness incidence of approximately 3–5% may increase to 30% during outbreaks. Neither the etiology or pathogenesis of the disease has been comprehended, nor have effective preventative measures been identified. Electron beam (eBeam) technology is renowned for producing efficient whole-cell vaccines by preventing bacterial multiplication through irreversible DNA shredding while preserving the integrity of membrane proteins (immunogenic epitopes). This study aims to reduce BCO-induced lameness in broiler chickens via in ovo immunization using eBeam-inactivated multi-strain Staphylococcus. Methods: A total 1080 birds were assigned to four vaccination groups: eBeam-inactivated, formalin-inactivated, combination of eBeam- and formalin-inactivated, and sham (vehicle). The birds were directly exposed to aerosolized, natural BCO challenge until 56 days of age. Results: Birds vaccinated with the eBeam-inactivated Staphylococcus vaccine showed a significant reduction (>50%) in daily cumulative lameness compared to other groups and a decrease in Staphylococcus colonization was observed in the leg joints of treated birds. Conclusions: the eBeam-inactivated Staphylococcus vaccine successfully prevented BCO lameness in broiler chickens. Full article

Meteorological reanalyses are one of the means to assess the solar irradiance reaching the ground. This paper deals with estimates of the hourly means of irradiance in clear-sky conditions provided by the ERA5, JRA-3Q, and MERRA-2 reanalyses. They are compared to coincident ground-based measurements from 28 BSRN stations located worldwide, selected by a new algorithm for detecting cloud-free instants. Although ERA5 most often underestimates measurements, it is quite reliable over time because it captures the temporal variability of measurements well and provides a constant level of uncertainty. JRA-3Q offers a complex pattern with negative and positive biases depending on station and season. It captures well the temporal variability but, as a whole, is not reliable over time. None of the three reanalyses is reliable in space. Because of its use of the mean solar time instead of the true solar time, MERRA-2 suffers many drawbacks over intraday scales. Its statistical indicators exhibit marked patterns depending on the season and station. Its assimilation of aerosol properties offers advantages when compared to the climatologies used in ERA5 and JRA-3Q. This work exposes the strengths and weaknesses of each reanalysis in clear-sky conditions and formulates suggestions to providers for further improvements. Full article

Detecting airborne viruses using an integrated aerosol sampling detection device is of great significance in epidemic prevention and control. Most of the applicable aerosol samplers have a flow rate of less than 1000 L/min, which is insufficient for application in large public spaces. Recent research, on the other hand, has revealed the advantages of microfluidic chip-based LAMP–CRISPR in airborne virus detection; however, this promising detection method has yet to be integrated with an aerosol sampler. Herein, we present an aerosol sampling and microfluidic chip-based detection (ASMD) device that couples a high-flow-rate aerosol sampling (HFAS) system with a microfluidic LAMP–CRISPR detection (MLCD) chip for surveilling airborne viruses, as represented by SARS-CoV-2. The HFAS system achieved a 6912 L/min flow rate while retaining a satisfactory collection efficiency, and achieved an enrichment ratio of 1.93 × 10⁷ that facilitated subsequent detection by the MLCD chip. The MLCD chip integrates the whole LAMP–CRISPR procedure into a single chip and is compatible with the HFAS system. Environmental detection experiments show the feasibility of the ASMD device for aerosol sampling and detection. Our ASMD device is a promising tool for large space aerosol detection for airborne virus surveillance. Full article

Aerosols play a crucial role in air quality, climate regulation, and public health; their timely monitoring is hence fundamental. The aerosol optical depth (AOD) is the parameter used to investigate the spatial–temporal distribution of aerosols from space. Specifically, the AOD retrieved from the Multi-Angle Implementation of Atmospheric Correction (MAIAC) algorithm applied to a Moderate Resolution Imaging Spectroradiometer (MODIS) is suitable for aerosol investigation at a local scale by exploiting its high spatial resolution (1 km × 1 km). In this study, the MAIAC AOD retrieval over Rome (Italy) was validated for the first time, using ground-based data provided by an AERONET station operating in a semi-rural environment close to the city, over a time series from January 2001 to December 2022. Moreover, AOD trends were evaluated in a study area encompassing Rome and its surroundings, characterized by a transition zone between urban and rural environments. The results show a general underestimation of the MAIAC AOD; specifically, the validation process highlighted the less accurate performance of the algorithm under higher aerosol loading and with predominantly coarse mode aerosol. Interesting results were obtained concerning the influence of the geometrical configuration of satellite acquisition on the accuracy of the MAIAC product. In particular, the solar zenith angle, the relative azimuth and the scattering angle between the principal plane of the sun and satellite synergistically influence retrievals. Finally, the spatial distribution of the AOD shows a decreasing trend over the 2001–2022 period and a strong influence of the city of Rome over the whole study area. Full article

Background: The prevalence of pulmonary nontuberculous mycobacteria (NTM) is increasing in Europe and North America. Most pulmonary NTM cases are caused by Mycobacterium avium complex (MAC). The treatment of pulmonary MAC is suboptimal with failure rates ranging from 30% to 40% and there is a need to develop new vaccines. Methods: We tested the ability of two whole-cell vaccines, DAR-901 (heat-killed M. obuense) and BCG (live-attenuated M. bovis), to induce MAC cross-reactive immunity by first immunizing BALB/c mice and then performing IFN-γ ELISPOT assays after overnight stimulation of splenocytes with live MAC. To study the ability of these vaccines to protect against MAC infection, BALB/c mice were vaccinated with DAR-901 (intradermal) or BCG (subcutaneous or intranasal) and challenged with aerosolized MAC 4 weeks later. A group of mice vaccinated with BCG were also treated with clarithromycin via gavage. Lung colony-forming units (CFU) in immunized mice and unvaccinated controls were quantified 4 weeks after infection. Histopathology was used to quantify lung inflammation and flow cytometry was used to study lung immunity in BCG-vaccinated and unvaccinated mice following MAC infection. To increase the safety profile of mucosal BCG vaccination, we studied BCG with a “kill switch” (tetR BCG) in scnn1b-transgenic mice (i.e., mice prone to cystic fibrosis-type lung diseases). Results: Our results showed that (i) DAR-901 induced cross-reactive immunity to MAC to a similar level as BCG, (ii) DAR-901 and BCG protected against aerosol MAC challenge, (iii) mucosal BCG vaccination, compared to systemic BCG and DAR-901 vaccinations, provided the best protection against MAC challenge, (iv) BCG vaccination did not interfere with anti-MAC activities of clarithromycin, (v) BCG-vaccinated mice had increased inflammation and increased frequencies of activated CD4 and CD8 T cells following MAC infection, and (vi) doxycycline treatment of tetR BCG-vaccinated mice decreased lung BCG CFU without affecting MAC immunity. Conclusions: Both DAR-901 and BCG vaccinations induce MAC cross-reactive immunity and protect against aerosolized MAC challenges. Mucosal BCG vaccination provides the best protection and TetR BCG could enhance the safety of mucosal BCG vaccination. Full article

A common approach to estimating the spatial–temporal distribution of atmospheric species properties is data assimilation. Data assimilation methods provide the best estimate of the required parameter by combining observations with appropriate prior information (background) that can include the model output, climatology data, or some other first guess. One of the relatively simple and computationally cheap data assimilation methods is optimal interpolation (OI). It estimates a value of interest through a weighted linear combination of observational data and background that is defined only once for the whole time interval of interest. Spatial–temporal OI (STOI) utilizes both spatial and temporal observational error covariance and background error covariance. This allows for filling in not only spatial, but also temporal gaps in observations. We applied STOI to daily mean aerosol optical depth (AOD) observations obtained at the European AERONET (Aerosol Robotic Network) sites with the use of the GEOS-Chem chemical transport model simulations and the AOD climatology data as backgrounds. We found that mean square errors in the estimate when using modeled data are comparable with those when using climatology data. Based on these results, we merged estimates obtained using modeled and climatology data according to their mean square errors. This allows for improving the AOD estimates in areas where observations are limited in space and time. Full article

Pulmonary exposure to carbon nanotubes (CNTs) has been linked to a series of adverse respiratory effects in animal models, including inflammation, genotoxicity, fibrosis, and granuloma formation, the degree and characteristics of which are considered dependent upon the detailed physicochemical properties of the material as inhaled. To further explore the effect of variations in physicochemical properties on pulmonary effects, two different multi-walled CNTs (MWCNTs) were tested in vivo: a pristine MWCNT (pMWCNT) (NM-401) and a surface-modified MWCNT (MWCNT-COOH). Female Sprague–Dawley rats were whole-body exposed for 28 days to MWCNT aerosols (pMWCNT (0.5 and 1.5 mg/m³) and MWCNT-COOH (1.5 and 4.5 mg/m³)) and followed up to 1 year post-exposure. The inhalation exposures resulted in relatively low estimated lung deposition. Bronchoalveolar lavage fluid (BALF) analysis indicated inflammation levels broadly consistent with deposited dose levels. Lung histopathology indicated that both MWCNTs produced very limited toxicological effects; however, global mRNA expression levels in lung tissue and BALF cytokines indicated different characteristics for the two MWCNTs. For example, pMWCNT but not MWCNT-COOH exposure induced osteopontin production, suggestive of potential pre-fibrosis/fibrosis effects linked to the higher aspect ratio aerosol particles. This is of concern as brightfield and enhanced darkfield microscopy indicated the persistence of pMWCNT fibres in lung tissue. Full article

The objective of this study is to investigate the potential mutagenic effects of the exposure of mice to aerosols produced from the component liquids of an electronic nicotine delivery system (ENDS). The use of electronic cigarettes (e-cigs) and ENDSs has increased tremendously over the past two decades. From what we know to date, ENDSs contain much lower levels of known carcinogens than tobacco smoke. While conventional tobacco smoke is a well-established mutagen, little is known about the mutagenicity of ENDS aerosols. Here, we report the mutagenic effects of a 3-month whole body exposure of C57 lacI mice (BigBlue^TM) to filtered air (AIR) or ENDS aerosols in several tissues. Aerosols were generated from a 50/50 vegetable glycerin (VG)/propylene glycol (PG) mixture with and without nicotine. The results revealed that in the lung, bladder urothelial tissue, and tongue, mutagenesis was significantly greater in the VG/PG/nicotine group than in the AIR group. In all organs except the bladder, mutagenesis in the VG/PG only group was similar to those exposed to AIR. In the bladder, mutagenesis in the VG/PG group was elevated compared to that in the AIR group. In the liver, mutagenesis was modestly elevated in the VG/PG/nicotine group, but the elevation failed to reach statistical significance. Overall, there were no consistent differences in mutagenesis between the sexes. The results of this study suggest that exposure to e-cig aerosols containing nicotine represents a risk factor for carcinogenesis in several organ systems, and exposure to VG/PG alone may be a risk factor for bladder cancer. Full article

Water-soluble inorganic ions (WSIIs) can increase the hygroscopicity of aerosols, which will transform aerosols into larger sizes and reduce visibility by enhancing light scattering. To explore the characteristics of WSII concentrations and their impacts on visibility in a coastal airport, in this study, PM_1.0 samples at two monitoring sites (including airport site and background site) were collect in spring and summer, and 12 species of ions were detected. In general, secondary water-soluble inorganic ions (SNA, including ${\mathrm{SO}}_4^{2-}$, ${\mathrm{NO}}_3^{-}$ and ${\mathrm{NH}}_4^{+}$) and ${\mathrm{Ca}}^{2+}$ were the dominant WSIIs in PM_1.0, contributing about 89% to 95% of the total measured ions. The continental contributions of ${\mathrm{SO}}_4^{2-}$, ${\mathrm{K}}^{+}$, and ${\mathrm{Ca}}^{2+}$ accounted for more than 60% during the whole period, while Na⁺ and ${\mathrm{Cl}}^{-}$ were mainly from marine sources. The source identification showed that airport emissions were a major source at the sampling site and significantly contributed to the levels of sulfate, nitrate, and ammonium. Agricultural activities were the dominant sources impacting visibility in spring, while airport emissions and secondary inorganic aerosols were the main components affecting visibility in summer. Therefore, improving atmospheric visibility in coastal airport areas should focus on reducing the precursors of secondary particulates and reducing biomass-burning activities. Full article