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Modeling efforts could help predict case scenarios and select a proper design and approach, while BES-based biosensing could help monitoring remediation processes. In this review, we critically analyze in situ BES applications for groundwater remediation, focusing in particular on different proposed setups, and we identify and discuss the existing research gaps in the field. Biological desulfurization technology is a sustainable process for the sulfide removal from biogas, which has multiple advantages. In this study, a biological sulfide removal (BISURE) system was established to investigate the working performances and process mechanisms. The results showed that the sulfide removal rate was 2.30 kg-S/(m3 d), the sulfide removal efficiency was higher than 98%, the sulfur production rate was 1.76 kg-S/(m3 d), the sulfur selectivity was 75.02 ± 3.63% and the main form of products (sulfur compounds) was Rosickyite-S and S8. The performance of BISURE system was supported by the dominant genus (abundance more than 60%) of sulfur-oxidizing bacteria (SOB) which shifted to Thiovirga at the high SLR. The sqr and dsrA genes could serve as the indicators for the pathway of two-step sulfide oxidation, i.e. "partial sulfide oxidation (PSO, sulfide → sulfur)" and "complete sulfide oxidation (CSO, sulfur → sulfate)". The sulfur selectivity was improved by enhancing PSO and inhibiting CSO with the indication of two genes. The cellular sulfur secretion was revealed, and the "outer-membrane vesicles (OMVs)-dependent" sulfur-secreting hypothesis was proposed to explain the transportation of elemental sulfur from inside to outside of SOB cells. The findings of this work provide a new perspective to understand the sulfur selection of sulfide bio-oxidation and the sulfur secretion of SOB cells so as to promote the development of biological desulfurization technology. Chemicals policies have spawned a wide range of regulations aimed at limiting damage to the environment and human health. Most instruments are reactive and fragmented. We propose a simple underpinning philosophy, "Do no harm", to ensure a more sustainable, safe "chemical environment" for the future. selleck Diet is assumed to be the main source of exposure to per- and polyfluoroalkyl substances (PFAS) in non-occupationally exposed populations, but studies on the diet-PFAS relationship in the United States are scarce. We extracted multiple dietary variables, including daily intakes of food group, diet scores, and dietary patterns, from self-reported dietary data collected at baseline (1996-1999) from adults with pre-diabetes enrolled in the Diabetes Prevention Program, and used linear regression models to evaluate relationships of each dietary variable with plasma concentrations of six PFAS (perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonic acid (PFHxS), 2-(N-ethyl-perfluorooctane sulfonamido) acetic acid (EtFOSAA), 2-(N-methyl-perfluorooctane sulfonamido) acetic acid (MeFOSAA), perfluorononanoic acid (PFNA) adjusting for covariates. Participants (N = 941, 65% female, 58% Caucasian, 68% married, 75% with higher education, 95% nonsmoker) had similar PFAS concentrations cfried fish, and excluding Omega3-rich fish), low-fiber and high-fat bread/cereal/rice/pasta, and coffee/tea was associated with higher plasma concentrations while dietary patterns of vegetables, fruits and Omega-3 rich fish were associated with lower plasma concentrations of some PFAS. PURPOSE To determine the application of various components of the Kidney Disease Improving Global Outcomes (KDIGO) bundle in managing patients at high-risk for AKI progression ([TIMP2]•[IGFBP7] >0.3) in the real-world setting. METHODS Patients with a [TIMP2]•[IGFBP7] test ordered between 5/23/16-2/28/18 were evaluated. We reviewed the medical record for evidence of implementation of the KDIGO bundle in response to biomarker test results. Evidence including explicit documentation in physicians' note discussing [TIMP2]•[IGFBP7] results and implicit evidence from review of dose adjusted medications, discontinued nephrotoxins and therapeutic drug monitoring. RESULTS 105 [TIMP2]•[IGFBP7] tests were conducted in 100 patients (54% female; mean age 55.4 ± 16.8; 89% in the ICU). Sixty-one patients had a value of >0.3 and 46 (75.4%) of these patients received at least one management strategy consistent with KDIGO. By contrast, nine patients (23.1%) with [TIMP2]•[IGFBP7] ≤0.3 received one or more components of the KDIGO bundle (p  less then  .001). CONCLUSION In a real-world setting the use of urinary [TIMP2]•[IGFBP7] as an AKI risk screening tool resulted in differential application of various components of the KDIGO bundle for patient management for those with a positive test result. BACKGROUND Many treatments in common use are not proved better than simulated or inert treatments. While some clinicians express little concern about whether a particular treatment has a direct effect on the pathophysiology believed to be causing symptoms, we wonder if patients would agree. QUESTIONS/PURPOSES Are there factors independently associated with the affirmation that it is OK if a treatment is proved not to outperform simulated or inert treatment (a placebo) measured on an 11-point ordinal scale, including the risk and invasiveness of the treatment? And, are there factors independently associated with the affirmation that the clinician should inform a patient about the degree to which a given treatment is known to outperform simulated or inert treatments? PATIENTS AND METHODS We asked 763 English-speaking people their willingness to accept unproved treatment, depending on variations in risk, and invasiveness and their opinion regarding the importance of clinicians informing them whether a given treatment is proved to outperform simulated and inert (placebo) treatment. RESULTS Acceptance of the unproved treatment was quite low, more so with greater risk and invasiveness. Lower acceptance of unproved treatment was associated with older age, more education, and unemployment. People rated it quite important (mean 7.3 out of 10) that clinicians inform patients if treatments are no better than placebo, no matter the risk of the treatment. CONCLUSIONS People want to be informed if a treatment is not proved to outperform nonspecific effects such as the placebo effect. LEVEL OF EVIDENCE Not applicable.

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