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Two mechanisms were revealed for this finding (1) Cu2+ ions suppressed the photo-transformation of GO; (2) the toxicity of free Cu2+ ions was decreased through the adsorption/retention of Cu2+ ions and formation of Cu-based nanoparticles (e.g., Cu2O and Cu2S) on the photo-transformed GO. The provided data are helpful for better understanding the environmental process and risk of GO under natural conditions. The development of "green" water disinfection technology utilizing solar energy is highly desired but remains challenging. In this study, sulfate radical (•SO4-)-mediated bacterial inactivation was first attempted by using Fe3O4-based magnetic hydrochar (MHC) as a recyclable catalyst for persulfate (PS) activation under visible light (VL) irradiation. Complete treatment of 8.0 log E. coli cells was reached within 40 min in VL/PS/MHC system, compared with that of only 2.0 log-reduction was obtained in the PS/MHC system under the same conditions. The system was applicable in wide range of pH (3.0-9.0), and increasing dissolved O2 could further promote the efficiency. A three-route mechanism was proposed, in which the PS activation by ≡Fe(II) of Fe3O4 and photo-generated electron captured by PS were the major processes. The bacterial cell lesion process was found to be triggered directly via •SO4-, which caused the damage of outer membrane, followed by up-regulation of intracellular ROSs and destroy of chromosomal DNA, finally leading to irreversible cell death. Moreover, the VL/PS/MHC system is also effective to inactivate versatile pathogenic bacteria including P. aeruginosa and S. aureus. As a proof-of-concept, our study provides meaningful information to advance the areas of "green" water disinfection technology which can be realized by recyclable photocatalytic systems using solar energy. Antimicrobial resistance has been recognized as a threat to human health. The role of hospital sinks acting as a reservoir for some of the most concerning antibiotic resistant organisms, carbapenemase producing Enterobacterales (CPE) is evident but not well understood. Strategies to prevent establishment, interventions to eliminate these reservoirs and factors which drive persistence of CPE are not well established. We use a uniquely designed sink lab to transplant CPE colonized hospital sink plumbing with an aim to understand CPE dynamics in a controlled setting, notably exploiting both molecular and culture techniques. After ex situ installation the CPE population in the sink plumbing drop from previously detectable to undetectable levels. The addition of nutrients is followed by a quick rebound in CPE detection in the sinks after as many as 37 days. We did not however detect a significant shift in microbial community structure or the overall resistance gene carriage in longitudinal samples from a subset of these transplanted sinks using whole shotgun metagenomic sequencing. Comparing nutrient types in a benchtop culture study model, protein rich nutrients appear to be the most supportive for CPE growth and biofilm formation ability. The role of nutrients exposure is determining factor for maintaining a high bioburden of CPE in the sink drains and P-traps. Therefore, limiting nutrient disposal into sinks has reasonable potential with regard to decreasing the CPE wastewater burden, especially in hospitals seeking to control an environmental reservoir. BACKGROUND Cancer survival has improved in Western Australia (WA) over recent decades. Loss of life expectancy (LOLE) is a useful measure for assessing cancer survival at a population-level. Some previous studies estimating LOLE have required a minimum follow-up beyond diagnosis to reduce the impact of modelled extrapolation, while others have not. read more The first aim of this study was to assess the impact of minimum length of follow-up on LOLE estimates for people diagnosed in 2006 with female breast, colorectal, prostate, lung, cervical, combined oesophageal and stomach cancers, and melanoma. Based on these results, the second aim was to assess temporal changes in LOLE for these cancer types for diagnoses between 1982 and 2016. METHODS Person-level linked cancer registry and mortality data were used for invasive primary cancer diagnoses for WA residents aged 15-89 years. The analysis for aim one included cases diagnosed from 1982 to the end of 2006, followed to the end of 2006 (i.e. no minimum follow-up), 2011 (ir types. Temporal changes in LOLE in-turn reflected changes in the life expectancy of the general population, cancer detection and management. These factors must be considered when estimating and interpreting LOLE estimates. INTRODUCTION Chronic radicular neuropathic pain is a major clinical problem with a life time prevalence of more than 50%. Pulsed radiofrequency (PRF) treatment is a recognised therapy. However, the pathophysiology of chronic neuropathic pain (CNP) and the mechanism of action of PRF remains ill-defined. Improving our knowledge of the mechanisms of CNP and PRF action will enhance our ability to treat patients with this common debilitating problem more effectively. This study aims to characterise the CSF cellular and peptide constituents in patients with CNP and the effect of pulsed radiofrequency (PRF) on these constituents and reported pain. MATERIALS AND METHODS Prospective randomised tripled-blinded control trial of patients receiving PRF treatment versus sham for radicular pain. All patients received local anaesthetic to the appropriate dermatome to confirm diagnosis. Clinical assessment using standard clinical assessment tools and examination of CSF using flow cytometry and ELISA for cellular and peptide constituents was carried out before and 3 months after treatment. RESULTS Ten patients were randomised to PRF (n = 5) or Sham (n = 5) treatment. PRF resulted in a significant reduction in pain score (NRS) at 3 months (6.8 to 2.6, p less then .05). PRF reduced the TNF-α concentration and CD3+ count in CSF. CD4/CD8 ratio of patients with CNP was lower than historical controls (1.4 versus 3.0-4.2). The majority of CD3+ cells in the CNP patients were activated effector memory cells (80%) versus the surveillance central memory cells (85%) seen in healthy controls. CONCLUSIONS PRF is superior to local anaesthetic administration for the management of radicular pain and is associated with CSF constituent modulation in vivo. Patients with CNP have lymphocyte characteristics which suggest immune activation. V.
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