Diagnostic performance of coronary computed tomography angiography stenosis score for coronary stenosis.

BACKGROUND: Coronary computed tomography angiography stenosis score (CCTA-SS) is a proposed diagnosis score that considers the plaque characteristics, myocardial function, and the diameter reduction rate of the lesions. This study aimed to evaluate the diagnostic performance of the CCTA-SS in seeking coronary artery disease (CAD). METHODS: The 228 patients with suspected CAD who underwent CCTA and invasive coronary angiography (ICA) procedures were under examination. The diagnostic performance was evaluated with the receiver operating curve (ROC) for CCTA-SS in detecting CAD (defined as a diameter reduction of ≥ 50%) and severe CAD (defined as a diameter reduction of ≥ 70%). RESULTS: The area under ROC (AUC) of CCTA-SS was 0.909 (95% CI: 0.864-0.943), which was significantly higher than that of CCTA (AUC: 0.826; 95% CI: 0.771-0.873; P = 0.0352) in diagnosing of CAD with a threshold of 50%. The optimal cutoff point of CCTA-SS was 51% with a sensitivity of 90.66%, specificity of 95.65%, positive predictive value of 98.80%, negative predictive value of 72.13%, and accuracy of 91.67%, whereas the optimal cutoff point of CCTA was 55%, and the corresponding values were 87.36%, 93.48%, 98.15%, 65.15%, and 88.60%, respectively. With a threshold of 70%, the performance of CCTA-SS with an AUC of 0.927 (95% CI: 0.885-0.957) was significantly higher than that of CCTA with an AUC of 0.521 (95% CI: 0.454-0.587) (P < 0.0001). CONCLUSIONS: CCTA-SS significantly improved the diagnostic accuracy of coronary stenosis, including CAD and severe CAD, compared with CCTA.

Hydroxyl radical-based and sulfate radical-based photocatalytic advanced oxidation processes for treatment of refractory organic matter in semi-aerobic aged refuse biofilter effluent arising from treating landfill leachate.

In this study, three photolytic advanced oxidation processes (AOPs) were applied to the treatment of refractory organic matter in semi-aerobic aged refuse biofilter (SAARB) effluent, and the treatment efficiencies of the three AOPs were systematically compared. The AOPs combined ultraviolet (UV) radiation with either hydrogen peroxide (UV-H2O2), peroxymonosulfate (UV-PMS) or both oxidants (UV-PMS/H2O2). The effects of key parameters on degradation characteristics of refractory organics, and the contribution of reactive oxygen species were systematically studied. Results indicated that UV radiation can greatly enhance treatment efficiencies of both PMS and H2O2. Furthermore, decreasing n(H2O2)/n(PMS) ratio and decreasing the reaction pH can increase treatment efficiency for refractory organics. Compared on the basis of chemical oxygen demand (COD), treatment efficiency followed the order UV-PMS (COD removal 37.39%) > UV-PMS/H2O2 (30.51%) > UV-H2O2 (28.59%) which is consistent with results from ultraviolet-visible spectra analysis. HO• and SO4•- were both identified in the UV-PMS/H2O2 and UV-PMS processes. In the UV-PMS process, SO4•- was the dominant ROS, which suggested that SO4•--based AOPs are better than HO•-based AOPs for degrading refractory organics contained in SAARB effluent. Parallel factor (PARAFAC) analysis indicated that UV-based AOPs were effective in degrading humic- and fulvic-like substances in the SAARB leachate, and the UV-PMS process achieved a much better degradation efficiency of refractory organics in the leachate than did the UV-PMS/H2O2 and the UV-H2O2 processes. Furthermore, the best treatment efficiency was achieved by the UV-PMS process and this process also consumed the least electrical energy. This study provides a theoretical reference for refractory organics degradation in SAARB effluent by UV-catalyzed AOPs.

Comparison study on microwave irradiation-activated persulfate and hydrogen peroxide systems in the treatment of dinitrodiazophenol industrial wastewater.

In this study, refractory organics in industrial wastewater containing dinitrodiazophenol (DDNP) were treated by microwave (MW) irradiation-activated persulfate (PS) and hydrogen peroxide (H2O2). The organics degradation effect of MW output power, oxidant dosage and initial pH were investigated. Spectral analysis and radical scavenging experiments were used to investigate the degradation pathway and identify reactive oxygen species in the two systems. As the MW output power increased, kobs of both systems increased, but excessively high-power output inhibited organics degradation in the MW-PS system. The impact of initial pH on MW-PS system performance was not obvious compared to that of the MW-H2O2 system (in which alkalinity significantly limited the reaction with organics). Under the same reaction condition, COD removals reached 89.89% (MW-PS) and 54.56% (MW-H2O2) and biodegradability improved from 0.060 to 0.561 (MW-PS) and 0.535 (MW-H2O2). In addition, SO4and ·OHwere identified in the MW-PS system but only ·OHexisted in the MW-H2O2 system, indicating that the MW-PS system could oxidize more types of organics in DDNP wastewater than the MW-H2O2 system. Furthermore, UV-Vis and FITR analyses showed that organics with diazo groups and nitro-groups could be decomposed and intermediate products with C-O-H (which are biodegradable) will be generated. The MW-PS system also produced a better economic benefit than the MW-H2O2 system. Therefore, this study provides valuable references for the use of MW irradiation-activated oxidants to treat DDNP industrial wastewater.

Dinitrodiazophenol industrial wastewater treatment by a sequential ozone Fenton process.

The ozonation process is efficient in degrading aromatic substances and substances with unsaturated bonds, but cannot effectively destroy small-molecule organic compounds, which accumulate. Likewise, the Fenton process is a classic wastewater treatment method, but requires strict pH control and produces secondary pollution when the concentration of organic substances is high. In this study, we applied a 1stO3-2ndFenton sequential process to treat diazodinitrophenol (DDNP) industrial wastewater and provide suitable reaction conditions for Fenton process. For the 1stOzone process, organics removal increased as O3 dosage increased. At optimized operation, the 1stO3 process provided an acidic effluent (pH = 3) and reduced the organics concentration to a level suitable for the 2ndFenton process. Benzene ring substances as well as nitro group and diazo group compounds were greatly degraded in the 1stO3 process and were further mineralized in the 2ndFenton process. Additionally, the biodegradability of DDNP industrial wastewater was greatly improved. This is the first reported time that ozonation and the Fenton process have been integrated sequentially to treat an explosive production wastewater. The study provides a feasible chemical oxidation method for treating DDNP industrial wastewater by simply combining two classic treatment processes.

[Research progresses on ergonomics assessment and measurement methods for push-pull behavior].

Pushing and pulling (P&P) is a common operating mode of operator's physical works, and plays an important role in evaluation of human behavior health and operation performance. At present, there are many research methods of P&P, and this article is a state-of-art review of the classification of P&P research methods, the various impact factors in P&P program, technical details of internal/external P&P force measurement and evaluation, the limitation of current research methods and the future developments in the ergonomics field.