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BACKGROUND: This study presents the pattern of respiratory effects seen among residents chronically exposed to gas flaring in some communities in the Niger Delta Region, Nigeria. The other health challenges associated with this chronic exposure to gas were also evaluated in the study. METHODS: A total of three hundred and eighty-six 386 adult residents in Ibeno, Niger Delta Region who have been residents for at least two years. Four hundred and fourteen (414) age, sex, and height-matched control unexposed residents in Etinan were recruited for a cross-sectional survey study comparing their respiratory symptoms and other related health challenges. Past and current smokers were excluded from the study in both groups. The study was conducted using a questionnaire as the investigative tool. Both descriptive and inferential statistics were used to analyze the data. RESULTS: Most of the respondents in both exposed and control communities were aged 18-30 years, with a height range of 161-170 cm. Both exposed and control subjects experienced similar symptoms suggestive of respiratory disorders, however, the prevalence was significantly higher among exposed subjects than controls: Cough 57(14.8%) vs. 39(10.1%); breathlessness 58(15%) vs. 28(7.3); wheezing 22(5.7) vs. 12(3.1). The respondents from the exposed community were mostly traders and fishermen while the controls were predominantly farmers. CONCLUSION: There is substantial evidence from the data presented that prolonged exposure to air pollution from gas flaring has significant respiratory and other health implications on residents in these communities reflected as increased frequency of symptoms of cough, chest pain, difficulty in breathing, wheezing, chest tightness, Skin and eye irritation. There is therefore an urgent need for intensified efforts and commitment by the government to speed up the implementation of policies regarding the reduction of flaring of natural gas associated with oil production and the adoption of measures to mitigate the effect of the exposure on human health.

CONTEXTE: Cette étude présente les effets respiratoires observés chez les résidents chroniquement exposés au torchage de gaz dans certaines communautés de la région du delta du Niger, au Nigeria. Les autres problèmes de santé associés à cette exposition chronique au gaz ont également été évalués dans cette étude. MÉTHODES: Un total de 386 résidents adultes d'Ibeno, dans la région du delta du Niger, ayant résidé pendant au moins deux ans, ont été inclus dans l'étude. Quatre cent quatorze (414) résidents non exposés, appariés en fonction de l'âge, du sexe et de la taille, à Etinan ont été recrutés pour une étude transversale comparant leurs symptômes respiratoires et d'autres problèmes de santé associés. Les fumeurs passés et actuels ont été exclus de l'étude dans les deux groupes. L'étude a été menée à l'aide d'un questionnaire comme outil d'investigation. Des statistiques descriptives et inférentielles ont été utilisées pour analyser les données. RÉSULTATS: La plupart des répondants dans les communautés exposées et témoins avaient entre 18 et 30 ans, avec une taille allant de 161 à 170 cm. Les sujets exposés et témoins ont présenté des symptômes similaires suggérant des troubles respiratoires, cependant, la prévalence était significativement plus élevée chez les sujets exposés que chez les témoins : Toux - 57 (14,8 %) contre 39 (10,1 %) ; essoufflement 58 (15 %) contre 28 (7,3 %) ; sifflement 22 (5,7 %) contre 12 (3,1 %). Les répondants de la communauté exposée étaient principalement des commerçants et des pêcheurs, tandis que les témoins étaient principalement des agriculteurs. CONCLUSION: Les données présentées fournissent des preuves substantielles que l'exposition prolongée à la pollution de l'air due au torchage de gaz a des implications respiratoires et autres sur la santé des résidents de ces communautés, se traduisant par une fréquence accrue des symptômes de toux, douleur thoracique, difficulté à respirer, sifflement, oppression thoracique, irritation de la peau et des yeux. Il est donc urgent d'intensifier les efforts et l'engagement du gouvernement pour accélérer la mise en œuvre des politiques visant à réduire le torchage du gaz naturel associé à la production de pétrole et à adopter des mesures pour atténuer les effets de l'exposition sur la santé humaine. MOTS CLÉS: Effet respiratoire, Exposition chronique, Torchage de gaz, Delta du Niger.

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Gas flaring has been identified as a major contributor to global warming and climate change. It is used either as a safety measure or as a means of disposal for technical or economic reasons. Over 250 toxins have been directly/indirectly associated with gas flaring and its associated emissions. Most of these toxins have been known to have significant inimical impacts on humans' health, plant biodiversity, and the environment. With the recent rise in global energy insecurity, several EU countries have either returned to coal power generation or extended the lifetime of their coal-fired plants thereby increasing anthropogenic carbon emissions. This increase in carbon emission has necessitated the re-evaluate of gas flare practices vis-à-vis the environmental challenges and the financial potentials. This paper presents a holistic review of gas flaring, its types, composition, systems design, estimation methods, social and environmental challenges, the abatement measures, and the re-utilization strategies. It identified the potential to save a minimum of US$10.4 billion globally if more stringent gas flare abatement measures were pursued. Furthermore, the paper highlights the recent trends in flare gas re-utilization technologies such as the production of bioproducts which has been reported to hold a potential for an annual production of about 148 million bbl of biocrude and 67 million metrics of algae protein from 140 bcm of globally flared gas. Finally, it explored the possible way forward and stringent measures that can be pursued to disincentivize gas flare and also increase investments in gas processing technologies.

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To achieve net-zero emissions by 2050, we need economic means of sequestering carbon dioxide (CO2) and reducing greenhouse gas emissions (GHG). We analyze the sequestration potential of the Intermountain West (I-West) region, US, as a primary energy transition hub through analysis of wellbore retrofit potential and emission reduction in both fugitive gas abatement and flare gas. We selected the I-West region due to its abundant energy sources and oil and gas production legacy. Preliminary analysis hints that well retrofits can breathe new life into a well at a fraction of the cost of a new drill. With millions of potential candidates in the US, even a modest fraction (1% or less) suitable for retrofit could accelerate the shift to large-scale CO2 sequestration. Fugitive gas, the unintentional release of wellbore gases such as methane, is a significant emissions source. Through conservative analysis, it is estimated that wellhead leakage alone may account for 5 million tonnes of carbon dioxide equivalent (CO2e) emissions. We conclude by assessing the CO2 emissions from flaring, which is the burning of associated gas during well operations, conservative analysis indicates flaring contributes another 2 million tonnes of CO2 emissions to the region. We find that with targeted retrofit and better controls on emissions sources, the I-West region can make a significant impact in the nation's push to become net-zero. This study outlines economic feasibility and actionable items to achieve the critical reductions in emissions and increases in sequestration necessary to attain net zero.

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To minimize condylar positional and morphological changes after mandibular advancement through bilateral sagittal split ramus osteotomy (BSSRO), surgeons add either a bicortical screw or a two-hole plate distal to the conventional single miniplate. Since there have been no previous studies investigating the effect of this combination, our study aimed to evaluate the short- and long-term effects of these adjunctive fixation methods (AFM) on condylar positional and morphological changes after mandibular advancement through BSSRO. This retrospective cohort study included consecutive patients with retruded mandibles who were treated in the Department of Orthognathic and TMJ Surgery at West China Hospital of Stomatology, Sichuan University. The patients were divided into two groups based on the primary predictor variable, which was the addition of AFM - either a single bicortical screw or a two-hole plate in addition to the single miniplate. The primary outcome variable was the condylar positional and morphological changes after mandibular advancement through BSSRO. Three-dimensional facial CT scans were obtained at three different time points (preoperatively - T0, 1 week postoperatively - T1, and 1 year postoperatively - T2) and analyzed using ITK-SNAP, 3D Slicer, and SlicerSALT software. Intergroup comparisons were conducted with an independent t-test, with a p-value of <0.05 considered significant. Correlations between the variables were estimated by Pearson correlation. The study comprised 51 patients (32 females, 19 males; mean age 25.13 ± 4.24 years), involving a total of 81 condyles (21 unilateral and 60 bilateral). There was a significant difference in long-term condylar displacement in favor of AFM along with a single miniplate (p < 0.001). The bicortical screw group recorded less condylar displacement than the two-hole plate group horizontally (0.11 mm vs 0.22 mm) and sagittally (0.03 mm vs 0.17 mm), but more vertically (0.85 mm vs 0.03 mm). Bone formation associated with AFM occurred on all condylar surfaces, compared with only three surfaces in the single miniplate group. The adjunctive method in addition to the single miniplate fixation method showed less condylar displacement and more bone apposition after mandibular advancement through BSSRO. The follow-up duration variable was the only significant determinant for volumetric changes in the condyle.

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Emissions from flaring and venting (FV) in oil and gas (O&G) production are difficult to quantify due to their intermittent activities and lack of adequate monitoring and reporting. Given their potentially significant contribution to total emissions from the O&G sector in the United States, we estimate emissions from FV using Visible Infrared Imaging Radiometer Suite satellite observations and state/local reported data on flared gas volume. These refined estimates are higher than those reported in the National Emission Inventory: by up to 15 times for fine particulate matter (PM2.5), two times for sulfur dioxides, and 22% higher for nitrogen oxides (NOx). Annual average contributions of FV to ozone (O3), NO2, and PM2.5 in the conterminous U.S. (CONUS) are less than 0.15%, but significant contributions of up to 60% are found in O&G fields with FV. FV contributions are higher in winter than in summer months for O3 and PM2.5; an inverse behavior is found for NO2. Nitrate aerosol contributions to PM2.5 are highest in the Denver basin whereas in the Permian and Bakken basins, sulfate and elemental carbon aerosols are the major contributors. Over four simulated months in 2016 for the entire CONUS, FV contributes 210 additional instances of exceedances to the daily maximum 8-hr average O3 and has negligible contributions to exceedance of NO2 and PM2.5, given the current form of the national ambient air quality standards. FV emissions are found to cause over $7.4 billion in health damages, 710 premature deaths, and 73,000 asthma exacerbations among children annually.

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Gas flaring, a common practice in many countries, has been associated with environmental and health concerns. A recent study in Bangladesh's largest gas field, Kailashtilla, assessed the influence of gas flaring on soil quality in the surrounding areas. Physical, chemical, and microbiological characteristics were assessed on soil samples collected from three union zones. Considerable influences have been found on soil quality, with several physical and chemical characteristics failing to meet the standards for healthy plant growth. Heavy metal contamination in the earth's soil was identified, specifically cadmium and lead, having a risk index indicating a moderate risk to the ecosystem in the future. Gas flaring also impacted the amount of bacteria in the soil, with the highest number being found farthest from the flaring zone. The soil was only marginally contaminated and potential health risks found. AAS and digestion methods were used to estimate the content of heavy metal contamination in the soil. To depict the geographically distributed abundance of heavy metals in the study area, the Kriging spatial interpolation procedure was utilized, and PCA and CA were used to assess the condition of soil. Findings indicate that particular gas flaring may have a deleterious influence on soil bacteria, which could have further consequences for the ecosystem. The study is likely to contribute to our understanding of the current state of soil's surrounding gas fields and serve as a platform for future research in this area emphasizing the necessity for sustainable energy methods and the importance of limiting environmental repercussions.

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Natural gas flaring is a common practice employed in many United States (U.S.) oil and gas regions to dispose of gas associated with oil production. Combustion of predominantly hydrocarbon gas results in the production of nitrogen oxides (NOx). Here, we present a large field data set of in situ sampling of real world flares, quantifying flaring NOx production in major U.S. oil production regions: the Bakken, Eagle Ford, and Permian. We find that a single emission factor does not capture the range of the observed NOx emission factors within these regions. For all three regions, the median emission factors fall within the range of four emission factors used by the Texas Commission for Environmental Quality. In the Bakken and Permian, the distribution of emission factors exhibits a heavy tail such that basin-average emission factors are 2-3 times larger than the value employed by the U.S. Environmental Protection Agency. Extrapolation to basin scale emissions using auxiliary satellite assessments of flare volumes indicates that NOx emissions from flares are skewed, with 20%-30% of the flares responsible for 80% of basin-wide flaring NOx emissions. Efforts to reduce flaring volume through alternative gas capture methods would have a larger impact on the NOx oil and gas budget than current inventories indicate.

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INTRODUCTION: This study aimed to assess the influence of different coronal flaring files on dentin removal in mandibular teeth using cone-beam computed tomographic (CBCT) images. METHODS: CBCT images of 48 mandibular molar teeth were acquired and randomly divided into 2 main groups, with each main group further divided into 3 subgroups. In the first main group, root canal preparation was performed using TruNatomy (Dentsply Sirona, Ballaigues, Switzerland), ProTaper Gold (Dentsply Sirona), and One Curve (Micro-Mega, Besancon, France) files without the use of coronal flaring files. In the second main group, root canal preparation was performed using the same files with the use of coronal flaring files. After the completion of root canal preparation, a second set of CBCT images was obtained. Subsequently, the dentin removal and remaining critical dentin were assessed by measuring at 4 distinct points below the furcation level. Data were compared between groups using the Mann-Whitney U and Kruskal-Wallis tests with alpha set at 5%. RESULTS: The ProTaper Gold files demonstrated higher dentin removal compared with the TruNatomy files. In the no-flaring groups, the One Curve files exhibited greater dentin removal than the TruNatomy files at specific levels. The use of coronal flaring files generally did not significantly impact dentin removal, except for certain cases in the TruNatomy and ProTaper Gold groups. CONCLUSIONS: The TruNatomy instrument group was more effective in preserving pericervical dentin compared with the other instrument groups. Coronal flaring files can be confidently used to preserve critical dentin during root canal treatment.

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Associated gas flaring has several consequences on the environment. This study was aimed at assessing the impact of gas flaring on soil enzymes and plant antioxidant activities from gas flare-bearing communities in Nigeria. Soil and plant samples were obtained from farmlands in Ukwa West and Izombe gas flaring sites, as well as unpolluted site from Olokoro (used as control). The level of activities of soil urease, dehydrogenase, phosphatases, plant antioxidant enzymes and lactate dehydrogenase (LDH) of selected plants (Gnetum africanum [GA], Piper guineense [PG], Gongronema latifolium [GL], Pterocarpus mildbraedii [PM]) were evaluated using standard methods. The results showed that the activities of urease were significantly higher (P < 0.05) in soil from Ukwa site than Izombe and the control soil. Dehydrogenase (DHA) and phosphatases recorded higher activities (P < 0.05) for Izombe soil than in Ukwa compared with the control. For plants, superoxide dismutase (SOD), glutathione S-transferase (GST) and glutathione peroxidase (GPx) recorded a significant (P < 0.05) higher activities in all the plants assayed from Ukwa site than Izombe and the control site. The activities of GPx from GA and PG plants at Izombe site were not significant (P > 0.05) when compared with the control, except for PM and GL which recorded a significant decrease (P < 0.05) in GPX and SOD activities, respectively. The activities of catalase enzyme also decreased significantly (P < 0.05) in all plants grown at Ukwa, while an increase was seen for GA and PM grown at Izombe compared with control. The overall variability in enzymes activities is an indication that soil ecosystem and plants are altered significantly by the stress load from the gas flaring pollutants which could serve as bio-indicators for assessing ecological risks and bioremediation.

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Background: Successful root canal treatment is influenced by the apical extent of root canal preparation and the eventual root canal filling. Achieving the full working length until the apical constriction, which is usually 0.5 - 1 mm shorter than the anatomical apex, is crucial. Electronic apex locators were used to detect the working length more accurately. There are six generations of electronic apex locators in the market. The selection of the appropriate irrigation with each apex locator for accurate working length determination is not fully investigated. Methods: The actual working lengths of 120 freshly extracted human single-rooted teeth were measured and compared with their working lengths using 3 rd generation (Root ZX) followed by 6 th generation (Raypex 6) apex locators in dry medium, presence of 5.25% sodium hypochlorite, and 2% chlorhexidine, without coronal pre-flaring and after coronal pre-flaring using the same irrigating media. Data were collected, tabulated, and afterward analyzed using one-way ANOVA with post-hoc to evaluate the significant difference in average working length between actual working length, Root ZX, and Raypex 6 apex locator working lengths accuracy. Results: The significant results were shown in roots that were coronally pre-flared and their working lengths were measured in a dry medium using Raypex 6 apex locator. While using the Root ZX apex locator, the most accurate results were shown in roots that were coronally pre-flared and their working lengths were measured while using a chlorhexidine irrigating solution. Conclusions: It is concluded that it is very important to know the specific irrigating medium to be used with each specific electronic apex locator to achieve the most accurate working length results.

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Background and Objectives: The aim of this study was to see the incidence of cracks in root dentin after coronal flaring using various rotary instruments such as Gates Glidden (GG) drills, ProTaper Universal SX, OneFlare, and HyFlex EDM. Materials and Methods: Seventy freshly extracted premolar teeth with single canal were collected. All the teeth were randomly divided into five groups of fourteen each (n = 14), of which one group served as the control and the rest of the four groups were instrumented with GG drills, ProTaper Universal SX, OneFlare, and HyFlex EDM, respectively. Results: The GG drills resulted in a higher rate of crack formation in root dentin (P < 0.05) than the ProTaper Universal SX, OneFlare, and HyFlex EDM instruments (P > 0.05). Conclusion: The use of GG drills resulted in more crack formation. However, the results for the ProTaper Universal SX, OneFlare, and HyFlex EDM flaring instruments were less in terms of crack formation.

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Gas flaring is an environmental problem of local, regional and global concerns. Gas flares emit pollutants and greenhouse gases, yet knowledge about the source strength is limited due to disparate reporting approaches in different geographies, whenever and wherever those are considered. Remote sensing has bridged the gap but uncertainties remain. There are numerous sensors which provide measurements over flaring-active regions in wavelengths that are suitable for the observation of gas flares and the retrieval of flaring activity. However, their use for operational monitoring has been limited. Besides several potential sensors, there are also different approaches to conduct the retrievals. In the current paper, we compare two retrieval approaches over an offshore flaring area during an extended period of time. Our results show that retrieved activities are consistent between methods although discrepancies may originate for individual flares at the highly temporal scale, which are traced back to the variable nature of flaring. The presented results are helpful for the estimation of flaring activity from different sources and will be useful in a future integration of diverse sensors and methodologies into a single monitoring scheme.

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Burning associated gas has been a prevailing problem across the world for decades. This practice consumes billions of (US) dollars' worth of valuable natural gas, contributes billions of metric tons of carbon dioxide (CO2) to the atmosphere, and releases volatile chemicals to nearby communities. To assess the prevalence of wellbore flaring within the Intermountain West (I-West) region, we analyzed data from the Nightfire project and contrasted it with wellbore surface hole locations. Consequently, we will permit the analysis of the flare data on a geospatial scale and compare it with operator self-reported flaring volumes. Through this analysis, we found that New Mexico is by far the largest flaring state in the I-West region, with most of its flare gas coming from the Permian Basin. Additionally, we found that satellite data estimated volumes that were 165% larger than those self-reported by the operators. Although some of this could be an overestimation from the Nightfire project, the size of the discrepancy indicates that there may be an underestimation of flared volumes that operators report to the state. A better understanding of the discrepancy source can be identified by linking the satellite flare volume to individual wells and operators, and potential solutions may be implemented to assist New Mexico's recent waste laws in reducing Permian flared volumes. We also proposed economic solutions that could substantially reduce the flared volume through flare gas utilization through on-site processing, the construction of small spur lines, and the development of a local sink for methane.

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The synergic use of satellite data at moderate spatial resolution (i.e., 20-30 m) from the new Collection 2 (C2) Landsat-8/9 (L8/9) Operational Land Imager (OLI) and Sentinel-2 (S2) Multispectral Instrument (MSI) provides a new perspective in the remote sensing applications for gas flaring (GF) identification and monitoring, thanks to a significant improvement in the revisiting time (up to ~3 days). In this study, the daytime approach for gas flaring investigation (DAFI), recently developed for identifying, mapping and monitoring GF sites on a global scale using the L8 infrared radiances, has been ported on a virtual constellation (VC) (formed by C2 L8/9 + S2) to assess its capability in understanding the GF characteristics in the space-time domain. The findings achieved for the regions of Iraq and Iran, ranked at the second and third level among the top 10 gas flaring countries in 2022, demonstrate the reliability of the developed system, with improved levels of accuracy and sensitivity (+52%). As an outcome of this study, a more realistic picture of GF sites and their behavior is achieved. A new step aimed at quantifying the GFs radiative power (RP) has been added in the original DAFI configuration. The preliminary analysis of the daily OLI- and MSI-based RP, provided for all the sites by means of a modified RP formulation, revealed their good matching. An agreement of 90% and 70% between the annual RPs computed in Iraq and Iran and both their gas-flared volumes and carbon dioxide emissions were also recorded. Being that gas flaring is one of the main sources of greenhouse gases (GHG) worldwide, the RP products may concur to infer globally the GHGs GF emissions at finer spatial scales. For the presented achievements, DAFI can be seen as a powerful satellite tool able to automatically assess the gas flaring dimension on a global scale.

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Nickel-titanium (NiTi) usage is associated in endodontics with some complications including canal transportation. Centering ability of a NiTi file is the ability to stay centered in the root canal system during instrumentation. Any undesirable deviation from the natural canal path is indicated as canal transportation. A possible strategy to improve the centering ability of NiTi instruments is the pre-enlargement of the coronal third of the root canal to minimize coronal interferences. This procedure is known as coronal flaring. The aim of this study was to perform a micro-computed tomographic (micro-CT) evaluation of the effect of coronal flaring on canal transportation and centering ability of two heat treated nickel-titanium rotary instruments, 2Shape (Micro Mega, Besançon, France) and HyFlex CM (Coltène Whaledent, Altstätten, Switzerland). Thirty extracted mandibular molars with two independent mesial canals were selected and randomly instrumented (n = 15 canals) with One Flare (Micro Mega, Besançon, France) before HyFlex CM, HyFlex CM (without coronal flaring), One Flare before 2Shape and 2Shape (without coronal flaring). One Flare (Micro Mega, Besançon, France) was introduced 4 mm below the canal entrance for canals prepared with coronal flaring. HyFlex CM and 2Shape were used accordingly to manufacturers' instructions. New files were used for each canal. During and after instrumentation, irrigation procedures were performed. Micro-CT images were obtained pre- and post-preparation to measure and record root canal transportation and centralization. They were reconstructed from root apex to canal orifices, generating approximately 1000 sections per specimen. The anatomical thirds were determined by dividing the number of cross-sectional slices by three. Root canal transportation and centralization were determined by Gambil method, and the mean values were analyzed by repeated measures analysis of variance followed by multiple comparisons of Bonferroni to compare the different instrumentations procedures and the root thirds (p < 0.05). As for root canal transportation, 2Shape reported significantly higher values compared to HyFlex CM in the cervical region independently from the coronal flaring. In the apical region, 2Shape caused significantly minor canal transportation when used with coronal flaring with compared with the absence of coronal flaring. Regarding the centralization, HyFlex CM showed higher values than 2Shape in the cervical, independently from coronal flaring. In the apical region, 2Shape with coronal flaring exhibited significant major centering ratio, compared with not. Within the limitations of this study, coronal flaring reduced canal transportation and improved centralization of the 2Shape files in the apical section while it had no significant influence on shaping ability of the HyFlex CM instruments. Coronal flaring could represent a valid strategy to improve the shaping ability of NiTi files knowing that its benefit could be influenced by the shaping file used.

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In addition to the waste of resources and economic losses, environmental damage by gas flaring is widespread and significant. Since flaring the associated gas gives no added value in exchange for its pollution and greenhouse gas (GHG) emissions, it could be identified as a top priority for mitigation. Iran is the third gas flaring country after Russia and Iraq among those facing this issue, and is responsible for 12.1% of the world's gas flaring. While the necessity of developing a method for the precise estimation of flaring GHG emissions is clear, especially for evaluating the result of countries' efforts to meet their nationally determined contribution target, there are huge uncertainties and discrepancies in the values of emission factors among various data sources due to the lack of actual measurements of the volume and diversity of the composition of flare gas. This study aimed to fill the gap in providing authentic data on Iran's gas flaring GHG and air pollutant emissions by developing a model based on satellite data on flare volumes, gas compositions, and combustion equations. Our results revealed that based on 2021 data on flaring volume, Iranian gas flares are emitting approximately 50 million metric tons of CO2 equivalent to the atmosphere annually, which could be reduced to 43 by only enhancing the flares' efficiency. It accounted for 5.5%-6% of the total GHG emissions of the country. Integr Environ Assess Manag 2023;19:735-748. © 2022 SETAC.

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This study quantified fugitive methane (CH4) losses from multiple sources (open digestate storages, digesters and flare) at two biogas facilities over one year, providing a much needed dataset integrating all major loss pathways and changes over time. Losses of CH4 from Facility A were primarily from digestate storage (5.8% of biogas CH4), followed by leakage/venting (5.5%) and flaring (0.2%). At Facility B, losses from digestate storage were higher (10.7%) due to shorter hydraulic retention time and lack of a screwpress. Fugitive emissions from leakage were initially 3.8% but were reduced to 0.6% after the dome membrane was repaired at Facility B. For biogas to have a positive impact on greenhouse gas emissions and provide a low-carbon fuel, it is important to minimize fugitive losses from digestate storage and avoid leakage during abnormal operation (leakage, roof failure).

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Background: We found some important early findings in simple radiographs under the bisphosphonate (BP) treatment through a retrospective study. Here, we report the degree of reversibility of the early findings before overt fracture and analyze the factors affecting the differences through a retrospective case-control study. Methods: We retrospectively inspected the clinical charts of patients diagnosed with atypical femoral fracture (AFF) at our institute between March 2006 and September 2018. Among the 209 screened patients, 102 patients were ultimately divided into 3 categories: Category 1 was described as endosteal diffuse flaring (EDF, early IAFF); category 2 was typical IAFF, with a tiny/partial crack that was limited to less than half of the thickness of the cortex; and category 3 was IAFF with a crack through the entire cortex. Demographics, clinical factors, and three categories of incomplete atypical femoral fracture (IAFF) were analyzed to determine whether their radiological condition "improved" or "progressed" after cessation of BP via univariate and multivariate analyses. Results: Thirty-three, 53, and 16 were classified as categories 1, 2, and 3, respectively. Groups 1 and 2 consisted of 79 patients whose IAFF on the side of interest improved and 23 patients whose IAFF progressed, respectively. The uni/multivariate analyses of the groups demonstrated that the total period of BP (odds ratio [OR] = 1.49) and period of cessation of BP (OR = 0.24) were significant variables. In addition, prophylactic treatment for a contralateral IAFF was a strong factor for progression of the incomplete lesion on the side of interest (OR = 25.99). The rate of progression was significantly higher in patients with a mean treatment period of 43 months or longer, and in those with a mean cessation period shorter than 1.2 months. Conclusion: Early-stage IAFF was found to be a unique finding in simple radiographs before the typical features of AFF. This EDF (category 1) was definitively reversible to normal bone when administration of BP was stopped. In addition, a long period of BP treatment and recent cessation of BP adversely affected IAFF with respect to spontaneous healing. Level of Evidence: Level III, a retrospective case-control study.

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This paper presents a method to model and optimise the substrate feeding rate of an anaerobic digestion (AD) system. The method is demonstrated for a case study plant in Bangalore, India, using onsite kitchen waste to provide biogas for cooking. The AD system is modelled using Anaerobic Digestion Model No. 1 (ADM1) and a genetic algorithm (GA) is applied to control the substrate feeding rate in order to simultaneously minimise the volume of flared biogas, unmet gas demand and energy cost. Our results show that ADM1 can predict biogas yield from a continuously operated digester well with mean percentage errors between daily predicted and measured data values of only 5.7% for March 2017 and 17.8% for July 2017. When biogas flaring and unmet gas demand were minimised, the amount of biogas flared reduced from 886.62 m3 to 88.87 m3 in March and from 73.79 m3 to 68.49 m3 in July. When the energy cost was also considered within the objective function, the biogas flared reduced from 886.62 m3 to 281.27 m3 for March, but increased from 73.79 m3 to 180.11 m3 for July. The amount of flaring increased in July as the energy cost function increased biogas yield without considering surplus gas production beyond demand and storage capacity. As AD systems are often operated to maximise biogas production, these results highlight the need for multi-objective optimisation, particularly for off-grid AD systems.

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