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As policymakers increasingly promote emission control technologies and the use of electric vehicles, urban traffic pollution patterns are shifting. Traffic-related nitrogen-containing organic compounds (TNOCs), which represent a critical yet underexplored group of chemicals, have not been comprehensively monitored in humans, particularly among sensitive populations such as pregnant women. In this study, we assessed the internal exposure of pregnant women to 20 emerging and legacy TNOCs by analyzing urine samples after deconjugation ( = 400). The results revealed a frequent detection of TNOCs (median ΣTNOCs: 34.7 ng/mL, adjusted by specific-gravity), with 2-hydroxy-benzothiazole (2-OH-BTH), -(1,3-dimethylbutyl)-'-phenyl--phenylenediamine quinone (6PPD-Q), and tolyltriazole (TTR) being the most common. Significantly negative correlations were found between PPDs and nitro-PAHs ( = -0.23 to -0.54, < 0.01, except for 1-AP), indicating their distinct origins. Comparative analyses suggest higher BTH, 2-thiocyanomethylthio-benzothiazole (TCMTB), and xylyltriazole (XTR) in frequent commuters compared to infrequent ones ( < 0.05), implying their traffic-related origins. Seasonal variations pinpoint higher TNOC exposure burden generally during the winter, possibly due to the increased leaching from winter tires. Moreover, the median daily urinary excretion of ΣTNOCs in pregnant women was estimated to be 978 ng/kg bw/day. Such exposure burden including for 6PPD, 1,2,3-triphenylguanidine (TPG), and 2-OH-BTH had negative associations with fetal birth weight ( < 0.05), suggesting developmental adversity. Our study reiterates the recognition of TNOC contaminants and reflects a potential rise in nonexhaust emissions, further demonstrateing TNOCs' health risks in fetal development.
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http://dx.doi.org/10.1021/envhealth.5c00037 | DOI Listing |
Cochrane Database Syst Rev
September 2025
Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada.
Background: Opioid use disorder (OUD) is commonly treated in specialized care settings with long-acting opioid agonists, also known as opioid agonist therapy, or OAT. Despite the rise in opioid use globally and evidence for a 50% reduction in mortality when OAT is employed, the proportion of people with OUD receiving OAT remains small. One initiative to improve the access and uptake of OAT could be to offer OAT in a primary care setting; primary care clinics are more numerous, might reduce the visibility and potential stigma of receiving treatment for OUD, and may facilitate the care of other medical conditions that are unrelated to OUD.
View Article and Find Full Text PDFAm J Prev Cardiol
September 2025
Department of Cardiology, Cedars-Sinai Smidt Heart Institute, Los Angeles, CA, USA.
Background: Data on outcomes associated with various modes of delivery in pregnant patients with heart failure (HF) or pulmonary hypertension (pHTN) are limited.
Objective: We aim to investigate the association between mode of delivery on maternal and fetal outcomes in pregnant patients with HF or pHTN by conducting a multicenter, large scale and nationwide retrospective cohort study.
Methods: This retrospective population-based cohort study used the Nationwide Readmission Database to identify all hospitalized pregnant patients who were primarily admitted for vaginal or cesarean delivery from 2011 to 2019.
Cureus
August 2025
Anaesthesiology, Latifa Hospital, Dubai Health, Dubai, ARE.
Propofol and thiopental are commonly used induction agents for general anesthesia in cesarean sections. While both are effective, their impact on neonatal outcomes, particularly Apgar scores, remains a subject of clinical interest. Neonatal Apgar scores are critical indicators of early adaptation and are used to assess the immediate well-being of the newborn after delivery.
View Article and Find Full Text PDFCureus
August 2025
Obstetrics and Gynaecology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, IND.
Background Cervical cancer remains a significant public health concern in India. The objective of this study was to compare cytological abnormalities and HPV positivity rates between pregnant and non-pregnant women. Materials and methods This prospective observational study was performed at a tertiary care center in North India.
View Article and Find Full Text PDFCureus
August 2025
Department of Anaesthesiology, Hebrew University of Jerusalem, Faculty of Medicine, Jerusalem, ISR.
Pregnancy in women with Ehlers-Danlos syndrome (EDS) carries elevated risks, including prematurity, hemorrhage, and maternal morbidity, posing significant anesthetic challenges. We present the case of a 36-year-old woman with classical EDS (cEDS) and multiple comorbidities, including postural orthostatic tachycardia syndrome, bronchial asthma, congenital adrenal hypoplasia, and chronic venous thrombosis, who underwent an elective cesarean section. A multidisciplinary team developed a comprehensive perioperative plan featuring ultrasound-guided spinal anesthesia, extended post-anesthesia observation, and coordinated recommendations from cardiology, hematology, endocrinology, pulmonology, and other specialties.
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