The study aimed to evaluate the occurrence of some heavy metals in agricultural soil in the Hau Giang province, Vietnam. The geographical accumulation index (Igeo), pollutant load index (PLI) and ecological risk index (RI) are used to assess the pollution levels and potential ecological risks due to the presence of heavy metals in agricultural soil. The results showed that the mean concentrations of Cu, Pb and Zn in the soil ranged from 16. 25-40.32, 18.05-29.92 and 52.78-147.22 mg/kg, respectively, within the limits of QCVN 03-MT:2015/BTNMT. Cluster analysis showed that Pb originated from the process of using fertilizers, especially phosphate fertilizers in farming. Cu and Zn possibly share a common origin from the use of pesticides and fungicides in agricultural production. The Igeo value of Cu, Pb and Zn gradually increases in the order of Cu < Zn < Pb. The PLI (1.03-1.97) reflected that the soil in the study area is moderately polluted. The RI (14.80-25.33) represented a low potential ecological risk. In particular, position D3 had the highest level of pollution and risk among the study sites. Pb had the highest level of accumulation in soil with the highest single ecological risk factor; thus, measures should be taken to limit the source of Pb generation. The results of the study also indicated that ingestion route is the main exposure pathway by which heavy metals can be harmful to humans.
This study used multivariate statistics including cluster analysis (CA) and principal component analysis (PCA) to evaluate the variability and key indicators causing changes in soil quality in Tram Chim National Park, Dong Thap province, Vietnam. Soil samples were collected in the dry season at the habitats of Ischaemum rugosum (CM), Panicum repens (CO), Nelumbo nucifera (LS), Eleocharis dulcis (NO), Oryza rufipogon (LM), Rice field (RL), Melaleuca cajuputi (T) in two layers: A (0-20 cm) and B (20-40 cm). The parameters of pH, total nitrogen (TN), total phosphorus (TP), total acidity (TA), organic matter (OM), total iron (Fe) and exchanged aluminum (Al 3+ ) were used to assess soil quality. The results showed that soil pH was low in both A and B layers. Fe and Al were both high, and the concentrations of these metals in layer A were higher than those in layer B. The OM content was medium while the TN and TP levels were very low. Most of the soil quality indicators tended to decrease with the depth (except for TA). The results of CA analysis showed that there was almost no major change in soil quality between the two soil layers; however, the soil quality in rice field habitat was different from other habitats. The cause may be due to human impact in adding fertilizers/pesticides during farming practices. The PCA results showed at least five influencing factors, explaining 99.7% and 99.9% of soil quality variation in A and B layers. The Al 3+ , TA, OM, and TP parameters had the main influence on the soil quality of layer A. Meanwhile, the pH, Al 3+ , TA, TN, Fe t indicators had influence on the soil quality of layer B. These indicators need to be future surveyed to assess the evolution of soil quality in the study area.
Background: Mechanical thrombectomy (MT) became standard care in 2015 after positive trials in patients presenting with acute ischemic stroke and large vessel occlusion (LVO) 0-6h and in 2018 for selected patients up to 24h from symptom onset. Objective: To evaluate whether patients receiving MT at our center would have comparable outcomes in patients presenting to our comprehensive stroke center (direct) vs transfer patients (drip-and-ship) Methods: This is a retrospective observational study utilising prospectively collected stroke database for patients receiving MT for LVO in anterior and posterior circulation in South Brisbane network of 7 hospitals (6 drip-and-ship centers and 1 MT-capable center), Australia which serves 1.6 million. Day 90 modified Rankin scale (mRS) was used to assess functional outcomes via outpatient follow up at direct or referral center. The association of drip and ship versus mothership treatment with day 90 mRS was tested in ordinal logistic regression adjusted for age, baseline NIHSS and IV thrombolysis. Results: Of 191 patients who underwent Mechanical Thrombectomy from 2015 to June 2018 at our center, 22 patients were excluded from analysis as either their baseline mRS was >1 (13) or follow up data was missing (9). The mean age was 64.4 years. Median (inter-quartile range, IQR) NIHSS was 16 (9-21) on admission and 7 (2-18) on day 1. Thrombolysis in Cerebral Infarction (TICI) ≥2b was achieved in 88.9%. At 90 days, 50.9% achieved excellent functional outcome (mRS 0-1), 61.4% achieved good functional outcome (mRS 0-2) and 69% achieved favorable outcome (mRS 0-3). Median mRS was 1 (IQR 0-5) in 96 patients presenting directly to the endovascular center and 1 (IQR 1-4) in 73 drip-and-ship patients (common odds ratio 1.07 (95%CI 0.62-1.83), p=0.82) Conclusion: Our 7-center network experience confirms real world reproducibility of trial results, interestingly with no difference in functional outcomes for direct vs drip-and-ship patients.
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