midstream

BACKGROUND: Current diagnoses of urinary tract infection (UTI) by standard urine culture (SUC) has significant limitations in sensitivity, especially for fastidious organisms, and the ability to identify organisms in polymicrobial infections. The significant rate of both SUC "negative" or "mixed flora/contamination" results in UTI cases and the high prevalence of asymptomatic bacteriuria indicate the need for an accurate diagnostic test to help identify true UTI cases. This study aimed to determine if infection-associated urinary biomarkers can differentiate definitive UTI cases from non-UTI controls...

Nanotechnology has emerged as a revolutionary technology that has been applied in the oil and gas industry for over a decade, spanning the upstream, midstream, and downstream sectors. Nanotechnology has made significant contributions to the exploration of crude oil and natural gas, both in underground and deep-water environments. It has also played a crucial role in improving the drilling process, enabling the extraction of oil and gas resources from beneath the Earth's surface. Nanoparticles, with their unique physical and chemical properties, such as high specific surface area, high pore volume, and small size, have demonstrated considerable potential in the oil industry...

This article calls for a closer examination of health equity regarding the disparities and inequities in health care among marginalized and vulnerable populations. A review of strategies to improve culturally responsive care to these populations will be examined. This examination includes a discussion of the need for structural competence and the ongoing debate around the concepts of cultural competence and cultural humility. Cultural competemility, a new paradigm of thought regarding the relationship between cultural competence and cultural humility, will be proposed...

INTRODUCTION: The Ministry of Health in Saudi Arabia provides comprehensive antenatal care for all pregnant women with all required investigations. However, it does not include urine culture for diagnosis of asymptomatic bacteriuria (ASB). This is the first study to evaluate the prevalence of ASB among pregnant females, identify the causative organisms and determine their antibiotic susceptibility patterns in the Maternity and Children's Hospital, Arar, Saudi Arabia. METHODOLOGY: This cross-sectional study included 400 pregnant women attending an antenatal clinic...

Agriculture is a main source of nitrous oxide (N2 O) emissions. In agricultural systems, direct N2 O emissions from nitrogen (N) addition to soils have been widely investigated, whereas indirect emissions from aquatic ecosystems such as ditches are poorly known, with insufficient data available to refine the IPCC emission factor. In this contribution, in situ N2 O emissions from two ditch water‒air interfaces based on a diffusion model were investigated (almost once per month) from June 2021 to December 2022 in an intensive arable catchment with high N inputs and salt-affected conditions in the Qingtongxia Irrigation District, northwestern China...

Diffuse pollution, including that in the lower and middle reaches of the Yangtze River, is the primary source of pollution in several agricultural watersheds globally. As the largest river basin in China, the Yangtze River Basin has suffered from total phosphorus (TP) pollution in the past decade owing to diffuse pollution and aquatic ecology destruction, especially in the midstream tributaries and mid-lower reaches of the lakes. However, the transport dynamics of diffuse pollutants, such as phosphorus (P) from land to water bodies have not been well evaluated, which is of great significance for quantifying nutrient loss and its impact on water bodies...

PURPOSE OF REVIEW: With the recent explosion in the use of artificial intelligence (AI) and specifically ChatGPT, we sought to determine whether ChatGPT could be used to assist in writing credible, peer-reviewed, scientific review articles. We also sought to assess, in a scientific study, the advantages and limitations of using ChatGPT for this purpose. To accomplish this, 3 topics of importance in musculoskeletal research were selected: (1) the intersection of Alzheimer's disease and bone; (2) the neural regulation of fracture healing; and (3) COVID-19 and musculoskeletal health...

BACKGROUND: Many emerging uropathogens are currently identified by multiplex polymerase chain reaction (M-PCR) in suspected UTI cases. Standard urine culture (SUC) has significantly lower detection rates, raising questions about whether these organisms are associated with UTIs and truly cause inflammation. OBJECTIVE: To determine if microbes detected by M-PCR were likely causative of UTI by measuring inflammatory biomarkers in the urine of symptomatic patients. DESIGN SETTING AND PARTICIPANTS: Midstream voided urine was collected from subjects ≥60 years presenting to urology clinics with symptoms of UTI (n = 1132) between 01/2023 and 05/2023...

The grey water footprint (GWF) is an advanced index linking pollution load and water resources. However, the existing agriculture-related GWF was developed based on hydrological processes, which limits its role in watershed water pollution level (WPL) measurements. The main scope of this study is to calculate GWF and WPL based on runoff, total nitrogen (TN), and total phosphorus (TP) observations in the Hujiashan Watershed of China's Yangtze River Basin. Partial least squares structural equation modeling (PLS-SEM) was utilized to explore the impact pathways of environmental features on GWF and WPL...

The aim of this study was to explore the carbon storage potential of karst forest soils in the Lijiang River Basin, reveal the spatial pattern of soil organic carbon (SOC), investigate the contributions and pathways of each driving factor to the spatial distribution of soil organic carbon, and provide a scientific basis for assessing the carbon cycle function of karst forests in the region. We employed structural equation modeling (SEM) and correlation analysis to investigate the spatial distribution characteristics of forest soil organic carbon in different basin sections (upper, middle, and lower reaches) and soil layers at different depths of the Lijiang River...

Ecological protection and high-quality development of the Yellow River Basin (YRB) are major national strategies in China. Agricultural drought (AD) is one of the most important stress factors of the ecological security of the YRB. Currently, there is a lack of exploration of the spatiotemporal evolution of AD in the YRB under different climatic zones and vegetation types, and the mechanisms by the driving factors influence AD remain unclear. The Temperature Vegetation Dryness Index (TVDI) for the YRB in China during 2000-2020 was calculated using Land Surface Temperature (LST) and the Normalized Difference Vegetation Index (NDVI)...

Microplastics (MPs) are emerging as global environmental pollutants, significantly influencing the safety of city rivers. This study investigated six sampling sites in the Qinhuai River of Nanjing, which explored the distribution and characteristics of MPs and the microbial structure in 2023. The studied river contained various levels of MPs with average concentrations of 667.68 items/L, whose abundance firstly decreased midstream and then increased downstream. The MPs abundance upstream was higher in surface water column, microplastics midstream and downstream accumulated more in deep water column...

The Canadian government aims to achieve a 40-45 % reduction of oil and gas (O&G) methane (CH4 ) emissions by 2025, and 75 % by 2030, although recent studies consistently show that Canada's federal inventory underestimates emissions by a factor of 1.4 to 2.0. We conducted aerial mass balance measurements at sixteen upstream O&G facilities in Alberta between September 29 and November 6, 2021, and our measurements revealed that emissions were, on average, 1.7 (standard deviation (SD): 0.6) times higher than the reported emissions for the same year...

The nitrate (NO3 - ) input has adversely affected the water quality and ecological function in the whole basin of the Yangtze River. The protection of water sources and implementation of "great protection of Yangtze River" policy require large-scale information on water contamination. In this study, dual isotope and Bayesian mixing model were used to research the transformation and sources of nitrate. Chemical fertilizers contribute 76 % of the nitrate sources in the upstream, while chemical fertilizers were also dominant in the midstream (39 %) and downstream (39 %) of Yangtze River...

OBJECTIVES: Antimicrobial resistance (AMR), a growing global menace, poses a significant threat to maternal and fetal health. Gestational diabetes mellitus (GDM) causes double trouble in pregnancy, increasing the risk of a variety of infectious morbidities while also raising the possible association with AMR. Asymptomatic bacteriuria (ASB) is a common problem in pregnancy, but little research has been done to date explicitly examining the relationship between GDM and ASB and yielded conflicting results...

INTRODUCTION: This study compared microbial compositions of midstream and catheter urine specimens from patients with suspected complicated urinary tract infections to determine if emerging and fastidious uropathogens are infecting the bladder or are contaminants. METHODS: Urine was collected by in-and-out catheter (n = 1000) or midstream voiding (n = 1000) from 2000 adult patients (≥60 years of age) at 17 DispatchHealth sites across 11 states. The two groups were matched by age (mean 81 years), sex (62...

Suspended particulate matter (SPM) is an important heavy metal transporter in water. As a well-known high-SPM river, its impact on the distribution and migration of heavy metals in the Yellow River (YR) deserves special attention. In this study, the spatial distributions of heavy metals in surface water and SPM of the YR were investigated. The results indicate that the concentrations (dissolved and particulate phases) and bioavailability (particulate phase) of most heavy metals were higher during the rainy season than during the dry season...

Despite appropriate disinfection, sample contamination during in-and-out urinary catheterization is not uncommon, yielding false-positive and "mixed-culture" interpretations. We implemented a "midstream-like" catheterization technique, and cultured both first- and second-voided urine fractions. Second-fraction cultures exhibited less contaminants and "mixed-culture" interpretations and were better aligned with pyuria, thereby enhancing diagnostic accuracy and minimizing the risk of clinical misdiagnosis and unwarranted antibiotic use...

Recent literature suggests that agricultural value chains are changing rapidly and places an increasing focus on the importance of actors and activities taking place in the "midstream" of these value chains, after production and prior to final sale. This article discusses the financial needs of midstream actors in agricultural value chains, emphasizing differences across midstream activities and highlighting how value chain characteristics can influence both financial needs and potential remedies. The paper concludes with a brief discussion of the prospects of digital financial services and policy levers for government actors in this space...

Heavy metals(HMs) are highly toxic and do not easily degrade in the environment. They can accumulate in the human body through the food chain, with serious impacts on the ecological environment and human health. In this study, 14 sampling sites along the mainstream of the Yellow River were investigated, and the total content and chemical fractions of six heavy metals(As, Cd, Cr, Cu, Pb, and Zn) in sediments were analyzed. The geo-accumulation index, potential ecological risk index, and risk assessment coding were used to assess the contamination level and bioavailability of HMs in sediment...