A pneumonia-like disease of unknown origin caused a catastrophe in Wuhan city, China. This disease spread to 215 countries affecting a wide range of people. World health organization (WHO) called it a pandemic and it was officially named as Severe Acute Respiratory Syndrome Corona virus 2 (SARS CoV-2), also known as Corona virus disease (COVID-19). This pandemic compelled countries to enforce a socio-economic lockdown to prevent its widespread. This paper focuses on how the particulate matter pollution was reduced during the lockdown period (23 March to April 15, 2020) as compared to before lockdown. Both ground-based and satellite observations were used to identify the improvement in air quality of Pakistan with primary focus on four major cities of Lahore, Islamabad, Karachi and Peshawar. Both datasets have shown a substantial reduction in PM2.5 pollution levels (ranging from 13% to 33% in case of satellite observations, while 23%-58% in ground-based observations) across Pakistan. Result shows a higher rate of COVID-19 spread in major cities of Pakistan with poor air quality conditions. Yet more research is needed in order to establish linkage between COVID-19 spread and air pollution. However, it can be partially attributed to both higher rate of population density and frequent exposure of population to enhanced levels of PM2.5 concentrations before lockdown period.
The nature of micro- and nanoplastics and their harmful consequences has drawn significant attention in recent years in the context of environmental protection. Therefore, this paper aims to provide an overview of the existing literature related to this evolving subject, focusing on the documented human health and marine environment impacts of micro- and nanoplastics and including a discussion of the economic challenges and strategies to mitigate this waste problem. The study highlights the micro- and nanoplastics distribution across various trophic levels of the food web, and in different organs in infected animals which is possible due to their reduced size and their lightweight, multi-coloured and abundant features. Consequently, micro- and nanoplastics pose significant risks to marine organisms and human health in the form of cytotoxicity, acute reactions, and undesirable immune responses. They affect several sectors including aquaculture, agriculture, fisheries, transportation, industrial sectors, power generation, tourism, and local authorities causing considerable economic losses. This can be minimised by identifying key sources of environmental plastic contamination and educating the public, thus reducing the transfer of micro- and nanoplastics into the environment. Furthermore, the exploitation of the potential of microorganisms, particularly those from marine origins that can degrade plastics, could offer an enhanced and environmentally sound approach to mitigate micro- and nanoplastics pollution.
In this study, the role of manganese precursors in mesoporous (meso) MnOx/γ-Al2O3 catalysts was examined systematically for toluene oxidation under ozone at ambient temperature (20 °C). The meso MnOx/γ-Al2O3 catalysts developed with Mn(CH3COO)2, MnCl2, Mn(NO3)2.4H2O and MnSO4 were prepared by an innovative single step solvent-deficient method (SDM); the catalysts were labeled as MnOx/Al2O3(A), MnOx/Al2O3(C), MnOx/Al2O3(N), and MnOx/Al2O3(S), respectively. Among all, MnOx/Al2O3(C) showed superior performance both in toluene removal (95%) as well as ozone decomposition (88%) followed by acetate, nitrate and sulphated precursor MnOx/Al2O3. The superior performance of MnOx/Al2O3(C) in the oxidation of toluene to COx is associated with the ozone decomposition over highly dispersed MnOx in which extremely active oxygen radicals (O2-, O22- and O-) are generated to enhance the oxidation ability of the catalysts greatly. In addition, toluene adsorption over acid support played a vital role in this reaction. Hence, the properties such as optimum Mn3+/Mn4+ ratio, acidic sites, and smaller particle size (≤2 nm) examined by XPS, TPD of NH3, and TEM results are playing vital role in the present study. In summary, the MnOx/Al2O3 (C) catalyst has great potential in environmental applications particularly for the elimination of volatile organic compounds with low loading of manganese developed by SDM.
Wind power is one of the most popular sources of renewable energies with an ideal extractable value that is limited to 0.593 known as the Betz-Joukowsky limit. As the generated power of wind machines is proportional to cubic wind speed, therefore it is logical that a small increment in wind speed will result in significant growth in generated power. Shrouding a wind turbine is an ordinary way to exceed the Betz limit, which accelerates the wind flow through the rotor plane. Several layouts of shrouds are developed by researchers. Recently an innovative controllable duct is developed by the authors of this work that can vary the shrouding angle, so its performance is different in each opening angle. As a wind tunnel investigation is heavily time-consuming and has a high cost, therefore just four different opening angles have been assessed. In this work, the performance of the turbine was predicted using multiple linear regression and an artificial neural network in a wide range of duct opening angles. For the turbine power generation and its rotor angular speed in different wind velocities and duct opening angles, regression and an ANN are suggested. The developed neural network model is found to possess better performance than the regression model for both turbine power curve and rotor speed estimation. This work revealed that in higher ranges of wind velocity, the turbine performance intensively will be a function of shrouding angle. This model can be used as a lookup table in controlling the turbines equipped with the proposed mechanism.
The deposition phenomenon of microparticle and SAR-CoV-2 laced bioaerosol in human airways is studied by Taguchi methods and response surface methodology (RSM). The data used herein is obtained from simulations of airflow dynamics and deposition fractions of drug particle aerosols in the downstream airways of asthma patients using computational fluid dynamics (CFD) and discrete particle motion (DPM). Three main parameters, including airflow rate, drug dose, and particle size, affecting aerosol deposition in the lungs of asthma patients are examined. The highest deposition fraction (DF) is obtained at the flow rate of 45 L min-1, the drug dose of 200 μg·puff-1, and the particle diameter of 5 μm. The optimized combination of levels for the three parameters for maximum drug deposition is performed via the Taguchi method. The importance of the influencing factors rank as particle size > drug dose > flow rate. RSM reveals that the combination of 30 L min-1, 5 μm, 200 μg·puff- has the highest deposition fraction. In part, this research also studied the deposition of bioaerosols contaminated with the SAR-CoV-2 virus, and their lowest DF is 1.15%. The low DF of bioaerosols reduces the probability of the SAR-CoV-2 virus transmission.
The composition of carbon dioxide (CO2) is increasing day by day in the Earth's atmosphere. Worldwide energy demand is now increasing, and this has led to an increase in the percentage of global carbon emission. Moreover, this phenomenon can occur from the careless use of heating systems, generators and especially transportation, therefore, the release of these gases will continue to be widespread if there is no solution. Interaction within the microwave plasma-based gasification system of synthetic natural gas (syngas) production is presented in this paper. Consequently, this reduces the high concentrations of methane and carbon dioxide emission in our atmosphere. Syngas is very useful products that can be used as a source of energy such as fuel production and fuel source. The overview and basic theory about gasification process and microwave plasma technology are provided. Modelling of the microwave plasma system particularly on its application of system electromagnetic field inside waveguide of plasma reactor to produce microwave plasma and how it was calculated are presented in this paper. To recapitulate, the global challenges on the rising of greenhouse gases volume can be regulated with microwave plasma technology and its important aspects have been underlined.
Little is known on respiratory effects of indoor chemicals in the tropics. We investigated associations between asthma and respiratory infections in Malaysian students and chemical exposure at home and at school. Moreover, we investigated differences in home environment between the three main ethnic groups in Malaysia (Malay, Chinese, Indian). Totally, 462 students from 8 junior high schools in Johor Bahru participated (96% participation rate). The students answered a questionnaire on health and home environment. Climate, carbon dioxide (CO2), volatile organic compounds (VOC), formaldehyde and nitrogen dioxide (NO2) were measured inside and outside the schools. Multilevel logistic regression was applied to study associations between exposure and health. Totally 4.8% were smokers, 10.3% had wheeze, 9.3% current asthma, and had 18.8% any respiratory infection in the past 3 months. Malay students had more dampness or mould (p
Carbon capture can be implemented at a large scale only if the CO2 selective materials are abundantly available at low cost. Since the sustainable requirement also elevated, the low-cost and biodegradable cellulosic materials are developed into CO2 selective adsorbent and membranes recently. The applications of cellulose, cellulosic derivatives and nanocellulose as CO2 selective adsorbents and membranes are reviewed here. The fabrication and modification strategies are discussed besides comparing their CO2 separation performance. Cellulose nanofibrils (CNFs) and cellulose nanocrystals (CNCs) isolated from cellulose possess a big surface area for mechanical enhancement and a great number of hydroxyl groups for modification. Nanocellulose aerogels with the large surface area were chemically modified to improve their selectivity towards CO2. Even with the reduction of surface area, amino-functionalized nanocellulose aerogels exhibited the satisfactory chemisorption of CO2 with a capacity of more than 2 mmol/g was recorded. Inorganic fillers such as silica, zeolite and MOFs were further incorporated into nanocellulose aerogels to enhance the physisorption of CO2 by increasing the surface area. Although CO2 adsorbents developed from cellulose and cellulose derivatives were less reported, their applications as the building blocks of CO2 separation membranes had been long studied. Cellulose acetate membranes were commercialized for CO2 separation, but their separation performance could be further improved with silane or inorganic filler. CNCs and CNFs enhanced the CO2 selectivity and permeance through polyvinyl alcohol coating on membranes, but only CNF membranes incorporated with MOFs were explored so far. Although some of these membranes surpassed the upper-bound of Robeson plot, their stability should be further investigated.
The present study investigated adsorptive removal of toluene and ethylbenzene from the aqueous media via using biochar derived from municipal solid waste (termed "MSW-BC") in a single and binary contaminant system at 25-45 °C. The adsorption was evaluated at different pH (3-10), experimental time (up to 24 h), and initial adsorbate concentrations (10-600 μg/L) in single and binary contaminant system. A fixed-bed column experiment was also conducted using MSW-BC (0.25%) and influent concentration of toluene and ethylbenzene (4 mg/L) at 2 mL/min of flow rate. The adsorption of toluene and ethylbenzene on the MSW-BC was mildly dependent on the pH, and the peak adsorption ability (44-47 μg/g) was recorded at a baseline pH of ~8 in mono and dual contaminant system. Langmuir and Hill are the models that match the isotherm results in a single contaminant environment for both toluene (R2 of 0.97 and 0.99, respectively) and ethylbenzene (R2 of 0.99 and 0.99, respectively) adsorption. In the binary system, the isotherm models matched in the order of Langmuir > Hill > Freundlich for toluene, whereas Hill > Freundlich > Langmuir for ethylbenzene. The adsorption in the batch experiment was likely to take place via cooperative and multilayer adsorption onto MSW-BC involving hydrophobic, π- π and n- π attractions, specific interaction such as hydrogen-π and cation-π interactions, and van der Waals interactions. The thermodynamic results indicate exothermic adsorption occurred by physical attractions between toluene and ethylbenzene, and MSW-BC. The breakthrough behavior of toluene and ethylbenzene was successfully described with Yoon-Nelson and Thomas models. The data demonstrate that the low-cost adsorbent derived from the municipal solid waste can be utilized to remove toluene and ethylbenzene in landfill leachate.
Membrane technology, especially nanofiltration (NF) has great attention to provide an imperative solution for water issues. The membrane is considered to be the heart in the separation plant. Understanding the membrane characteristics could allow predicting and optimizing the membrane performance namely flux, rejection and reduced fouling. The membrane development using biomaterials and nanomaterials provides a remarkable opportunity in the water application. This review focuses on the membrane characteristics of biomaterials and nanomaterials based nanofiltration. In this review, recent researches based on biomaterials and nanomaterials loaded membrane for salt rejection have been analyzed. Membrane fouling depends on the membrane characteristics and this review defined fouling as a ubiquitous bottleneck challenge that hampers the NF blooming applications. Fouling mitigation strategies via membrane modification using biomaterial (chitosan, curcumin and vanillin) and various other nanomaterials are critically reviewed. This review also highlights the membrane cleaning and focuses on concentrates disposal methods with zero liquid discharge system for resource recovery. Finally, the conclusion and future prospects of membrane technology are discussed. From this current review, it is apparent that the biomaterial and various other nanomaterials acquire exclusive properties that facilitate membrane advancement with improved capability for water treatment. Regardless of membrane material developments, still exist considerable difficulties in membrane commercialization. Thus, additional studies related to this field are needed to produce membranes with better performance for large‒scale applications.
The variation in the concentration of outdoor air pollutants during the COVID-19 lockdown was studied in Jakarta, Indonesia. The term lockdown was replaced by large-scale social restrictions (PSBB) in Indonesia by more flexible regulations to save the economy. Data on five air pollutants, namely, PM10, SO2, CO, O3, and NO2, from five monitoring stations located in five regions in Jakarta (West, East, Central, North, and South Jakarta) were utilized. We analyzed the changes in the concentrations of outdoor air pollutants before lockdown from January 1 to April 9, 2020, and during lockdown from April 10 to June 4, 2020. Overall, the CO concentration (39.9%) demonstrated the most significant reduction during lockdown, followed by NO2 (7.5%) and then SO2 (5.7%). However, we unexpectedly found that during lockdown, the PM10 concentration in Jakarta increased by 10.9% due to the southwest monsoon during the seasonal change in Jakarta. Among the five cities in Jakarta, East and Central Jakarta experienced the maximum improvement in their air quality, whereas North Jakarta had the least air quality improvement. To the best of our knowledge, this research is the first to study the effect of lockdown on outdoor air quality improvement in Indonesia using ground-level measurement data. The findings of the study provide additional strategies to the regulatory bodies for the reduction of temporal air pollutants in Jakarta, Indonesia, by restricting people mobility as a supplementary initiative.
The Bokashi leachate (BL) is a by-product from the anaerobic digestion of food waste, following the Bokashi composting method. Bokashi leachate is acidic and it contains effective microorganisms hence it has potential to be a functional feed additive to the plant proteins based diets for fish farming. This study evaluated the growth performance and feed utilization of the red tilapia (Oreochromis sp.) fingerlings fed with the BL supplemented soybean meal (SBM) based diets. After an 8-week feeding trial, fish fed with the 5% BL supplemented SBM diet attained the highest weight gain. This result was significantly higher (p 0.05) to those fed with the control full fish meal (FM) diet. Generally, dietary inclusion of BL enhanced the fish feed intake on the SBM diet but it did not show clear sign of improvement in their feed utilization. In addition, no significant difference was found across the hepatosomatic index and viscerosomatic index from all dietary treatments. These outcomes concluded that dietary inclusion of BL can enhance the feed intake and growth performance of the red tilapia fingerlings fed with the SBM based diet without compromising their health, and the optimum BL inclusion level was 5%. Nevertheless, further study on the properties and substances content of the BL produced from different types and ratios of food waste is strongly recommended. In this study, BL was also discovered to be capable of reducing the crude fiber content in the SBM diets. Such observation deserves a further exploitation on the application of BL to manipulate the crude fiber content in the plant proteins based diets in fish farming.
Culture scaffolds allow microalgae cultivation with minimum water requirement using the air-liquid interface approach. However, the stability of cellulose-based scaffolds in microalgae cultivation remains questionable. In this study, the stability of regenerated cellulose culture scaffolds was enhanced by adjusting TiO2 loading and casting gap. The membrane scaffolds were synthesized using cellulose dissolved in NaOH/urea aqueous solution with various loading of TiO2 nanoparticles. The TiO2 nanoparticles were embedded into the porous membrane scaffolds as proven by Fourier transform infrared spectra, scanning electron microscopic images, and energy-dispersive X-ray spectra. Although surface hydrophilicity and porosity were enhanced by increasing TiO2 and casting gap, the scaffold pore size was reduced. Cellulose membrane scaffold with 0.05 wt% of TiO2 concentration and thickness of 100 μm attained the highest percentage of Navicula incerta growth rate, up to 37.4%. The membrane scaffolds remained stable in terms of weight, porosity and pore size even they were immersed in acidic solution, hydrogen peroxide or autoclaved at 121 °C for 15 min. The optimal cellulose membrane scaffold is with TiO2 loading of 0.5 wt% and thickness of 100 μm, resulting in supporting the highest N. incerta growth rate and and exhibits good membrane stability.
Herein we reported the effect of doping and addition of surfactant on SnO2 nanostructures for enhanced photocatalytic activity. Pristine SnO2, Zn-SnO2 and SDS-(Zn-SnO2) was prepared via simple co-precipitation method and the product was annealed at 600 °C to obtain a clear phase. The structural, optical, vibrational, morphological characteristics of the synthesized SnO2, Zn-SnO2 and SDS-(Zn-SnO2) product were investigated. SnO2, Zn-SnO2 and SDS-(Zn-SnO2) possess crystallite size of 20 nm, 19 nm and 18 nm correspondingly with tetragonal structure and high purity. The metal oxygen vibrations were present in FT-IR spectra. The obtained bandgap energies of SnO2, Zn-SnO2 and SDS-(Zn-SnO2) were 3.58 eV, 3.51 eV and 2.81 eV due to the effect of dopant and surfactant. This narrowing of bandgap helped in the photocatalytic activity. The morphology of the pristine sample showed poor growth of nanostructures with high level of agglomeration which was effectively reduced for other two samples. Product photocatalytic action was tested beneath visible light of 300 W. SDS-(Zn-SnO2) nanostructure efficiency showed 90% degradation of RhB dye which is 2.5 times higher than pristine sample. Narrow bandgap, crystallite size, better growth of nanostructures paved the way for SDS-(Zn-SnO2) to degrade the toxic pollutant. The superior performance and individuality of SDS-(Zn-SnO2) will makes it a potential competitor on reducing toxic pollutants from wastewater in future research.
Lead exposure is harmful at any time in life, but pre-natal and early childhood exposures are particularly detrimental to cognitive development. In Bangladesh, multiple household-level lead exposures pose risks, including turmeric adulterated with lead chromate and food storage in lead-soldered cans. We developed and evaluated an intervention to reduce lead exposure among children and their caregivers in rural Bangladesh. We conducted formative research to inform theory-based behavioral recommendations. Lead exposure was one of several topics covered in the multi-component intervention focused on early child development. Community health workers (CHWs) delivered the lead component of the intervention during group sessions with pregnant women and mother-child dyads (<15 months old) in a cluster-randomized trial. We administered household surveys at baseline (control n = 301; intervention n = 320) and 9 months later at endline (control n = 279; intervention n = 239) and calculated adjusted risk and mean differences for primary outcomes. We conducted two qualitative assessments, one after 3 months and a second after 9 months, to examine the feasibility and benefits of the intervention. At endline, the prevalence of lead awareness was 52 percentage points higher in the intervention arm compared to the control (adjusted risk difference: 0.52 [95% CI 0.46 to 0.61]). Safe turmeric consumption and food storage practices were more common in the intervention versus control arm at endline, with adjusted risk differences of 0.22 [0.10 to 0.32] and 0.13 [0.00 to 0.19], respectively. Semi-structured interviews conducted with a subset of participants after the intervention revealed that the perceived benefit of reducing lead exposure was high because of the long-term negative impacts that lead can have on child cognitive development. The study demonstrates that a group-based CHW-led intervention can effectively raise awareness about and motivate lead exposure prevention behaviors in rural Bangladesh. Future efforts should combine similar awareness-raising efforts with longer-term regulatory and structural changes to systematically and sustainably reduce lead exposure.
In the present research work, 2D-Porous NiO decorated graphene nanocomposite was synthesized by hydrothermal method to monitored the concentration of epinephrine (EPI). The morphology (SEM and TEM) results confirmed 2D-Porous NiO nanoparticles firmly attached over graphene nanosheets. FTIR and XPS analysis confirmed the formation of nickel oxide formation and complete reduction of GO to rGO. The electrochemical activity of the proposed NiO-rGO/GCE modified electrode on epinephrine was analyzed by simple cyclic voltammetry technique. The proposed low cost NiO-rGO/GCE modified electrode showed excellent catalytic activity over GCE and rGO/GCE electrodes. Due to its high conductivity and charge transfer ability of the NiO-rGO/GCE modified electrode exhibited high sensitivity of EPI at optimized conditions. The anodic peak current of the EPI linearly increases with increasing the concertation of EPI. A wide linear range (50 μM-1000 μM) was achieved with high correlation coefficient (R2 = 0.9986) and the limit of detection (LOD) of NiO-rGO/GCE modified electrode was calculated to be 10 μM. NiO-rGO/GCE electrode showed good stability and repeatability towards the EPI oxidation. Mainly, the proposed NiO-rGO/GCE modified electrode showed good sensitivity of EPI in the human biological fluid with high recovery percentage. The low cost, NiO-rGO/GCE electrode could be the promising sensor electrode for the detection of Epinephrine in the real samples.
In this work, the transformation of soybean industrial bio-residue with limited practical applications, into a multifunctional carbonaceous adsorbent (SBAC) via one-step microwave-irradiation has been succeeded. The surface porosity, chemical compositions, functionalities and surface chemistry were featured by microscopic pore-textural analysis, elemental constitution analysis, morphological characterization and Fourier transform infra-red spectroscopy. The adsorptive performance of SBAC was evaluated in a batch experiment by adopting different classes of water pollutants, specifically methylene blue (MB), acetaminophen and 2,4-dichlorophenoxyacetic acid (2,4-D). The equilibrium uptakes were analyzed with respect to the non-linearized Langmuir, Freundlich and Temkin isotherm equations. The unique features of SBAC, specifically the antimicrobial and antifungal efficacies were examined against gram-positive/negative bacteria and fungi species. An ordered microporous-mesoporous structure of SBAC, with the BET surface area and total pore volume of 1696 m2/g and 0.94 m3/g, respectively, has been achieved. The equilibrium data of MB and acetaminophen were found to be in good agreement with the Langmuir isotherm model, with the monolayer adsorption capacities (Qo) of 434.57 mg/g and 393.31 mg/g, respectively. The adsorptive experiment of 2,4-D was best fitted to the Freundlich isotherm equation, with the Qo of 253.17 mg/g. The regeneration performance of the spent SBAC under microwave-irradiation could maintain at 69.42-79.31%, even after five (5) adsorption-regeneration cycles. SBAC exhibited excellent inhibition efficiencies against gram-positive/negative bacteria and fungi species, with the inhibition zones at 14.0-28.0 mm. This newly developed SBAC appears to be a new powerful candidate for the remediation of different classes of water contaminants, and novel antibacterial and antifungal agents against biological contaminations. The novel concept of "turn waste into wealth" in a cost-effective and energy saving manner for environmental preservation has been successfully accomplished.
A comprehensive overview of various modifications carried out on polymeric membranes for biomedical applications has been presented in this review paper. In particular, different methods of carrying out these modifications have been discussed. The uniqueness of the review lies in the sense that it discusses the surface modification techniques traversing the timeline from traditionally well-established technologies to emerging new techniques, thus giving an intuitive understanding of the evolution of surface modification techniques over time. A critical comparison of the advantages and pitfalls of commonly used traditional and emerging surface modification techniques have been discussed. The paper also highlights the tuning of specific properties of polymeric membranes that are critical for their increased applications in the biomedical industry specifically in drug delivery, along with current challenges faced and where the future potential of research in the field of surface modification of membranes.
Several strategies have been proposed to improve the performance of the anaerobic digestion (AD) process. Among them, the use of various nanoparticles (NPs) (e.g. Fe, Ag, Cu, Mn, and metal oxides) is considered one of the most effective approaches to enhance the methanogenesis stage and biogas yield. Iron-based NPs (zero-valent iron with paramagnetic properties (Fe0) and iron oxides with ferromagnetic properties (Fe3O4/Fe2O3) enhance microbial activity and minimise the inhibition effect in methanogenesis. However, comprehensive and up-to-date knowledge on the function and impact of Fe-NPs on methanogens and methanogenesis stages in AD is frequently required. This review focuses on the applicative role of iron-based NPs (Fe-NPs) in the AD methanogenesis step to provide a comprehensive understanding application of Fe-NPs. In addition, insight into the interactions between methanogens and Fe-NPs (e.g. role of methanogens, microbe interaction and gene transfer with Fe-NPs) beneficial for CH4 production rate is provided. Microbial activity, inhibition effects and direct interspecies electron transfer through Fe-NPs have been extensively discussed. Finally, further studies towards detecting effective and optimised NPs based methods in the methanogenesis stage are reported.
MXene based nanomaterial is an uprising two-dimensional material gaining tremendous scientific attentions due to its versatile properties for the applications in electronic devices, power generation, sensors, drug delivery, and biomedicine. However, the cytotoxic effects of MXene still remained a huge concern. Therefore, stringent analysis of biocompatibility of MXene is an essential requirement before introduction to human physiological system. Several in vitro and in vivo toxicological studies have been reported to investigate the interactions between MXenes with living organisms such as microbes, mammalian cells and animal models. The biological response and cytotoxicity reported were dependent on the physicochemical properties of MXene. The biocompatibility and cytotoxicity of MXene were dependent on size, dose, and surface coating. This review demystifies the in vitro and in vivo biocompatibility studies associated with MXene. Various methods proposed to mitigate the cytotoxicity of MXene for in vivo applications were revealed. The machine learning methods were developed to predict the cytotoxicity of experimentally synthesized MXene compounds. Finally, we also discussed the current research gaps of applying MXenes in biomedical interventions.