Oral and salivary changes among renal patients undergoing hemodialysis: A cross-sectional study

We wanted to assess oral and salivary changes in end stage renal disease (ESRD) patients undergoing hemodialysis (HD) and to understand the correlation of such changes with renal insufficiency. The cross-sectional study was performed among 100 ESRD patients undergoing HD. Among these, 25 patients were randomly selected to assess the salivary changes and compared with 25 apparently healthy individuals who formed the control group. Total duration of the study was 15 months. Oral malodor, dry mouth, taste change, increased caries incidence, calculus formation, and gingival bleeding were the common oral manifestations. The flow rates of both unstimulated as well as stimulated whole saliva were decreased in the study group. The pH and buffer capacity of unstimulated whole saliva was increased in the study group, but stimulated whole saliva did not show any difference. ESRD patients undergoing HD require special considerations during dental treatment because of the various conditions inherent to the disease, their multiple oral manifestations and the treatment side-effects.

Organochlorine pesticide residues in human blood samples collected from Haryana, India and the changing pattern

Blood samples were collected during August 1992 and August 2002 from various hospitals of Haryana state and analyzed for the presence of HCH and DDT residues and the change in concentration of pesticide residues was calculated in terms of % reduction. The study revealed that the mean residue levels of total HCH in human blood samples have declined by 87.6% while those of total DDT have decreased by 98.9% during a gap of 10 years. The obtained results reveal that during 1992 p,p'-DDT was the major component with the mean value of 6.125 mg/L followed by p,p'-DDE, γ-HCH, α-HCH and β-HCH while in 2002, β-HCH and p,p'-DDE were comparable with mean value of 0.053 and 0.052 mg/L, respectively followed by p,p'-DDT, α-HCH and p,p'-DDD.

Organochlorine pesticide residues in drinking water in the rural areas of Haryana, India

Drinking water samples collected from rural areas of three districts of Haryana during pre-monsoon and post-monsoon periods were analysed for the presence of organochlorine pesticide residues. The main source of drinking water in rural areas, i.e. groundwater in Ambala and Gurgaon districts and surface water supply in Hisar district, was found to be contaminated with isomers of HCH and endosulfan and metabolites of DDT, whereas dieldrin remained below detection limits. During the study period, the mean values observed for total HCH, DDT and endosulfan were 87.6, 848.2, and 27.4 ng/L and 99.8, 275.3 and 164.2 ng/L, respectively, for Ambala and Gurgaon districts. In the case of Hisar district, the values were 78.5, 115.9, and 53.0 ng/L, respectively. During the study period, 37% of the samples exceeded the total pesticide level of 500 ng/L indicated in the EECD directive for drinking water. Seasonal variations of pesticide residues were also observed during the study period.

Integrating photobiological hydrogen production with dye-metal bioremoval from simulated textile wastewater

The study reports production of hydrogen in photobioreactors with free (PBR(Fr)) and immobilized (PBR(Imm)) Nostoc biomass at enhanced and sustained rates. Before running the photobioreactors, effects of different immobilization matrices and cyanobacterial dose on hydrogen production were studied in batch mode. As hydrogen production in the PBRs declined spent biomass from the photobioreactors were collected and utilized further for column biosorption of highly toxic dyes (Reactive Red 198+Crystal Violet) and metals (hexavalent chromium and bivalent cobalt) from simulated textile wastewater. Breakthrough time, adsorption capacity and exhaustion time of the biosorption column were studied. The photobioreactors with free and immobilized cyanobacterium produced hydrogen at average rates of 101 and 151 μmol/h/mg Chl a, respectively over 15 days, while the adsorption capacity of the spent biomass was up to 1.4 and 0.23 mg/g for metals and 15 and 1.75 mg/g for the dyes, respectively in continuous column mode.

Assessment of heavy metal tolerance in native plant species from soils contaminated with electroplating effluent

Heavy metals concentrations of (Cr, Zn, Fe, Cu and Ni) were determined in plants and soils contaminated with electroplating industrial effluent. The ranges of total soil Cr, Zn, Fe, Cu and Ni concentrations were found to be 1443-3240, 1376-3112, 683-2228, 263-374 and 234-335 mg kg⁻¹, respectively. Metal accumulation, along with hyperaccumulative characteristics of the screened plants was investigated. Present study highlighted that metal accumulation in different plants varied with species, tissues and metals. Only one plant (Amaranthus viridis) accumulated Fe concentrations over 1000 mg kg⁻¹. On the basis of TF, eight plant species for Zn and Fe, three plant species for Cu and two plant species for Ni, could be used in phytoextraction technology. Although BAF of all plant species was lesser than one, these species exhibited high metal adaptability and could be considered as potential hyperaccumulators. Phytoremediation potential of these plants can be used to remediate metal contaminated soils, though further investigation is still needed.

Changing patterns of organochlorine pesticide residues in raw bovine milk from Haryana, India

Bovine milk samples were collected and analyzed during 1992 and 1998 from rural areas of 14 different districts of Haryana state for the presence of HCH and DDT residues. The study revealed that the mean residues of ΣHCH in raw bovine milk have declined by 67.5% while mean levels of ΣDDT have decreased by 92.8% during six years gap. The obtained results reveal that during 1992 p,p'-DDT was the main component followed by p,p'-DDD, α-HCH and β-HCH while in 1998, p,p'-DDE and β-HCH followed by p,p'-DDT were relatively more as compared to other isomers and metabolites of these pesticides.

Harmonized Medical Device Regulation: Need, Challenges, and Risks of not Harmonizing the Regulation in Asia

Medical device sector is one of the most complex and challenging business segments of the healthcare industry with close collaboration between science and engineering. Despite the fact that Asia has 60% of the world population providing large market potential, Asian healthcare expenditure constitutes only 15% of the global healthcare expenditure. The accelerated ageing population and increasing prevalence of chronic disease are the key drivers that contribute toward the increase in the total healthcare expenditure on medical devices in the region. Several policies clearly showed the eagerness of the government to provide better healthcare infrastructure with better medical devices and facilities. The fundamental objective of the regulatory harmonization is to improve the efficiency of national economies and their ability to adopt to change and remain competitive. After the era of liberalization and globalization, the desires of developing economies is to ensure safety and performance of the product brought to their markets and for this harmonized regulation is an important tool for strengthening the same. If we talk about the industry need, then this approach will eliminate redundant requirements that do not contribute to safety and effectiveness. In addition, Asia is diverse in many respects and with it come the various challenges to harmonizing the regulation which includes diversity in culture, politics, economy, historical issues, etc. If, by any reason, the regulation of medical devices is not harmonized and consequently, the harmonized regulation is not adopted, then it leads to serious concerns like delayed or absent access to innovative technology, continued rise in the cost of medical therapies, etc. So this issue is written to attract all stakeholders to move toward the concept of harmonization, keeping in mind their need, challenges, and risks of not harmonizing the regulation as well.

Hydrogen production and metal-dye bioremoval by a Nostoc linckia strain isolated from textile mill oxidation pond

Biohydrogen production by Nostoc linckia HA-46, isolated from a textile-industry oxidation-pond was studied by varying light/dark period, pH, temperature and ratio of carbon-dioxide and argon in the gas-mixture. Hydrogen production rates were maximum under 18 h of light and 6 h of darkness, pH 8.0, 31°C, a CO(2):Ar ratio 2:10. Hydrogen production of the strain acclimatized to 20 mg/L of chromium/cobalt and 100 mg/L of Reactive red 198/crystal violet dye studied in N-supplemented/deficient medium was 6-10% higher in the presence of 1.5 g/L of NaNO(3). Rates of hydrogen production in the presence of dyes/metals by the strain (93-105 μmol/h/mg Chlorophyll) were significantly higher than in medium without metals/dyes serving as control (91.3 μmol/h/mg Chlorophyll). About 58-60% of the two metals and 35-73% of dyes were removed by cyanobacterium. Optimal conditions of temperature, pH and metals/dyes concentration for achieving high hydrogen production and wastewater treatment were found practically applicable as similar conditions are found in the effluent of regional textile-mills.

Effect of cyanobacterial exopolysaccharides on salt stress alleviation and seed germination

Effectof exopolysaccharides (EPS) produced by a consortium of cyanobacteria on germination of three crops wheat, maize and rice was studied at different salt concentrations. Production of EPS was found to be stimulated by salts, which in turn had a significant Na+ removal capability from aqueous solution. Seed germination, vigor index and mobilization efficiency in all the three crops remarkably improved when cyanobacterial EPS was applied. While germination improved significantly by 13 to 30%, mobilization efficiency increased marginally by 1.03 to 1.1 times and vigor index increased by 1.15 to 2.4 times in these crops in response to EPS under non-saline conditions. Salinity had an inhibitory effect on seed germination of all the species showing 18 to 54% reduction. However, in the presence of EPS, the salt induced inhibition diminished to 13 to 18%. Inhibitory effect of salt on chlorophyll concentration, vigor index and mobilization efficiency of the seedlings was much less in these crops in the presence of EPS, indicating the latter's role in salt stress alleviation.

Pesticide pollution of River Ghaggar in Haryana, India

Ghaggar, one of the major rivers of northern India originating in outer Himalayas and flowing through the state of Punjab, Haryana, and Rajasthan, is put to multiple uses. Along its course of 464 km, it receives discharge from various cities and runoff from agricultural lands. Punjab and Haryana are two predominantly agricultural states of India using substantial amounts of agrochemicals, yet there are no reports available in literature on the level of pesticides in the stretch of river Ghaggar through Punjab and Haryana. This is the first report on pesticide pollution of the river Ghaggar in Haryana. Water samples along the 230-km stretch of the river in Haryana were analyzed for the presence of organochlorine insecticide residues. While aldrin and dieldrin were below detection limits, both hexachlorocyclohexane (HCH) and dichlorodiphenyltrichloroethane (DDT) were traceable in all the water samples. High concentration of beta-HCH among SigmaHCH indicates old pollution source whereas predominance of p,p'-DDT among SigmaDDT reflects its recent use in the catchment area of the river. The concentrations of HCH and DDT in all the samples were above the permissible limits prescribed by the European Commission Directive for drinking purposes.

Heavy metal contamination of river Yamuna, Haryana, India: Assessment by Metal Enrichment Factor of the Sediments

Concentration of Heavy Metals (Cd, Cr, Fe, Ni) in water, plants and sediments of river Yamuna flowing in Haryana through Delhi are reported here selecting 14 stations covering the upstream and downstream sites of major industrial complexes of the State. Some important characteristics of river water and sediments (pH, EC, Cl(-), SO(3)(2-), and PO(4)(3-) in water and sediments, COD of water and organic matter content of sediments) were also analysed and inter-relationships of all these parameters with heavy metal concentration in different compartments were examined. The sediments of the river show significant enrichment with Cd and Ni indicating inputs from industrial sources. Concentrations of Cr are moderate and show high enrichment values only at a few sites. Enrichment factor for Fe is found to be <1, showing insignificant effect of anthropogenic flux. Concentrations of these metals in river water are generally high exceeding the standard maximum permissible limits prescribed for drinking water, particularly in the downstream sites. The aquatic plants show maximum accumulation of Fe. The other heavy metals Cd, Cr and Ni, though less in concentration, show some accumulation in the plants growing in contaminated sites. Interrelationships of metal concentration with important characteristics of water and sediment have been analysed. Analysis of heavy metals in water, sediments and littoral flora in the stretch of river Yamuna is first study of itself and interrelationship of metal concentration and other important characteristics make the study significant and interesting in analysing the pollution load at different points of the river body.

Suitability assessment of groundwater for drinking, irrigation and industrial use in some North Indian villages

The study comprised suitability assessment of groundwater for drinking, irrigation, and industrial use. A total of 34 groundwater samples were collected from Rewari town and its perimeter from the land chiefly used for agriculture. Physico-chemical characterization of the samples revealed that groundwater from most of the sources was not fit for drinking owing to a high concentration of calcium, magnesium, hardness and fluoride. Suitability for irrigation, too, was low since most of the sources had high value of sodium adsorption ratio (SAR), residual sodium carbonate (RSC), soluble sodium percentage (SSP) and magnesium hazard which can render salinity and alkali hazard to soils on long term use in irrigation. No source of water was found to be suitable for industrial application since it had high concentration of calcium carbonate which can precipitate very easily. It was observed that sodium, sulphate, and chloride were the chief ions present in water and based on the abundance of ions and their correlation type, most of the groundwater samples are of sodium sulphate and/or sodium chloride type. The high concentration of the chemical constituents is attributed to the lithologic composition of the area. It was observed that the water of deep meteoric percolation type was of sodium sulphate type and the shallow of sodium chloride type.

Sequestration of chromium by exopolysaccharides of Nostoc and Gloeocapsa from dilute aqueous solutions

This article reports the chromium removal potential of exopolysaccharides (EPS) of two indigenously isolated cyanobacterial strains, Gloeocapsa calcarea and Nostoc punctiforme. The biosorption was studied by varying pH from 2 to 6 and initial chromium concentration from 5 to 20mg/L to find out the optimized conditions for maximum chromium removal by EPS. Two equilibrium models, Langmuir and Freundlich, were used to explain these results. The Freundlich model was found to be better applicable to the experimental data as compared to Langmuir as inferred from high value of coefficient of determination whereas the optimal conditions were found to be same for the two (pH 2 and initial chromium concentration 20 mg/L). EPS production by the two strains was also studied which was found to be higher for Gloeocapsa. On the basis of experimental results and model parameters, it can be inferred that the EPS extracted from Nostoc has comparatively high biosorption capacity and can be utilized for the removal of chromium from dilute aqueous solution. Adsorption of chromium on EPS was further confirmed by surface morphology observed in scanning electron micrographs.

Pesticide residues in river Yamuna and its canals in Haryana and Delhi, India

Yamuna, a prominent river of India covers an extensive area of 345,843 km(2) from Yamunotri glacier through six Indian states. Residues of organochlorine pesticides (OCPs) namely, isomers of HCH and endosulfan, DDT and its metabolites, aldrin, dieldrin, were analysed in water of river Yamuna along its 346 km stretch passing through Haryana-Delhi-Haryana and the canals originating from it. beta-HCH, p.p'-DDT, p.p'-DDE and p.p'-DDD had maximum traceability in test samples (95-100%) followed by gamma-HCH, alpha-HCH and o.p'-DDD (60-84%) and o.p'-DDT, delta-HCH and o.p'-DDE (7-30%) while aldrin, dieldrin, alpha and beta endosulfan remained below detection limits (BDL). The concentration of SigmaHCH and SigmaDDT at different sites of the river ranged between 12.76-593.49 ng/l (with a mean of 310.25 ng/l) and 66.17-722.94 ng/l (with a mean of 387.9 ng/l), respectively. In canals the values were found between 12.38-571.98 ng/l and 109.12-1572.22 ng/l for SigmaHCH and SigmaDDT, respectively. Water of Gurgaon canal and Western Yamuna canal contained maximum and minimum concentration, respectively both of SigmaHCH and SigmaDDT residues. Sources of these pesticides and suggested measures to check pesticide pollution of this major Indian river, keeping in view its vital link with life, are discussed in this paper.

Chromium (VI) tolerance in two halotolerant strains of Nostoc

The present study reports on chromium (VI) tolerance of two cyanobacterial strains Nostoc linckia and Nostoc spongiaeforme isolated from salt affected soils using uni-algal and bi-algal systems. Besides distinct halophilism, the two strains exhibited remarkable tolerance to chromium (VI) and revealed 1.2 to 2.8 times more chlorophyll in the presence of the metal. While phycobilins and carotenoids also increased in Nostoc linckia with total dissolved salts (TDS) as well as metal, a decline was observed in Nostoc spongiaeforme in the presence of Cr (VI). Relative algal biomass (as % of control) showed significantly higher values (123-239) in Nostoc linckia in the presence of salt, metal and combination of the two. In Nostoc spongiaeforme it declined in the presence of metal (72-81) but increased in the presence of salts (143-249) and also in the binary systems (121-440). The bi-algal consortium showed relatively less tolerance to salt and metal stress. Nostoc linckia (20 day culture) showed upto 40% chromium removal whereas Nostoc spongiaeforme showed up to 12% removal, indicating greater suitability of the former for use in bioremediation studies.

Biosorption of Cr(VI) by immobilized biomass of two indigenous strains of cyanobacteria isolated from metal contaminated soil

Biosorption of Cr(VI) using native strains of cyanobacteria from metal contaminated soil in the premises of textile mill has been reported in this paper. Biosorption was studied as a function of pH (1-5), contact time (5-180 min) and initial chromium ion concentration (5-20mg/l) to find out the maximum biosorption capacity of alginate immobilized Nostoc calcicola HH-12 and Chroococcus sp. HH-11. The optimum conditions for Cr(VI) biosorption are almost same for the two strains (pH 3-4, contact time 30 min and initial chromium concentration of 20mg/l) however, the biomass of Chroococcus sp. HH-11 was found to be more suitable for the development of an efficient biosorbent for the removal of Cr(VI) from wastewater, as it showed higher values of q(m) and K(f), the Langmuir and Freundlich isotherm parameters. Both the isotherm models were suitable for describing the biosorption of Cr(VI) by the cyanobacterial biosorbents.

A study of the association between children's access to drinking water in primary schools and their fluid intake: can water be 'cool' in school?

BACKGROUND

Water is essential for health. The 'Water is Cool in School' campaign promoted improved drinking water access in UK schools. Implementation has been patchy, and impact has not been studied. The aim of this study is to determine whether fluid intake and frequency of toilet visits are associated with children's access to drinking water in the classroom.

METHODS

A total of 145 schoolchildren in Year 2 (aged 6-7 years) and 153 in Year 5 (aged 9-10 years) classes were studied in six Southampton schools. Total fluid intake and toilet visits were recorded during one school day. Schools were recruited according to drinking policy: 'prohibited access' = water prohibited in classroom; 'limited access' = water allowed in classroom but not on the desk; and 'free access' = water bottle encouraged on the desk. Data were analysed on an intention-to-treat basis.

RESULTS

In total, 120 children in prohibited access, 91 in limited access and 87 in free access settings were recruited. Total fluid intake was significantly higher in Year 2 free access schools (geometric mean 293, range 104-953 mL) compared with prohibited access schools (geometric mean 189, range 0-735 mL, P=0.046), in Year 5 free access schools (geometric mean 489, range 88-1200 mL) compared with prohibited access schools (geometric mean 206, range 0-953 mL, P=0.001), and in free access versus limited access schools (geometric mean 219, range 0-812 mL, P=0.003). A total of 81% and 80% of children in prohibited and limited access schools, respectively, consumed below the minimum recommended amount of total fluid at school, compared with 46.5% in the free access schools. In total, 34.6% of children did not use the toilets at all during the school day. There was no trend observed between water access and frequency of toilet visits (median of 1 trip for each group, P=0.605).

CONCLUSION

Most children have an inadequate fluid intake in school. Free access to drinking water in class is associated with improved total fluid intake. Primary schools should promote water drinking in class.

Pesticide residues in bovine milk from a predominantly agricultural state of Haryana, India

One hundred forty seven samples of bovine milk were collected from 14 districts of Haryana, India during December 1998-February 1999 and analysed for the presence of organochlorine pesticide (OCPs) residues. summation operator HCH, summation operator DDT, summation operator endosulfan and aldrin were detected in 100%, 97%, 43% and 12% samples and with mean values of 0.0292, 0.0367, 0.0022 and 0.0036 microg/ml, respectively. Eight percent samples exceeded the maximum residue limit (MRL) of 0.10 mg/kg as recommended by WHO for summation operator HCH, 4% samples of 0.05 mg/kg for alpha-HCH, 5% samples of 0.01 mg/kg for gamma-HCH, 26% samples of 0.02 mg/kg for beta-HCH as recommended by PFAA and 24% samples of 0.05 mg/kg as recommended by FAO for summation operator DDT. Concentrations of beta-HCH and p,p'-DDE were more as compared to other isomers and metabolites of HCH and DDT.

Biosorption of Cr(VI) by native isolate of Lyngbya putealis (HH-15) in the presence of salts

Industrial wastewaters containing heavy metals along with high concentration of soluble salts pose a major environmental problem that needs to be remedied. The present study reports on biosorption of Cr(VI) by native isolate of Lyngbya putealis HH-15 in batch system under varying range of pH (2.0-10.0), initial metal ion concentration (10-100mg/l) and salt concentration (0-0.2%). Maximum metal removal (94.8%) took place at pH 3.0 with initial Cr concentration of 50mg/l, which got reduced (90.1%) in the presence of 0.2% salts. Adsorption equilibrium and kinetic behavior of Cr(VI) in solution was also examined. Both Langmuir and Freundlich models fitted well to explain the adsorption data (R(2)=0.90 and 0.87, respectively) at 0.2% salt concentration. Pseudo-second order kinetic model also fitted well to both the systems, viz. Cr(VI) and Cr(VI)+salt.

Cardiovascular risk factors in tobacco-chewers: a controlled study

BACKGROUND

Influence of habitual tobacco chewing on cardiovascular risk has not been well studied. To determine prevalence of major cardiovascular risk factors in subjects who habitually chew tobacco we performed a controlled study.

METHODS

A population based case-control study was performed in Bikaner in North-western India where the prevalence of tobacco-chewing is high. Successive 200 subjects who agreed to participate in the evaluation and had a history of isolated tobacco-chewing (range 10-60 years) were enrolled (Group III). The prevalence of major coronary risk factors- obesity, truncal obesity, hypertension, fasting hyperglycemia, and lipid levels were estimated using current guidelines. Electrocardiogram was also performed in all subjects. Chest radiography and treadmill stress test was done in subjects when indicated by symptoms. 200 age- and gender-matched controls who did not use tobacco in any form (Group I) and 200 subjects who had history of smoking bidis or cigarettes for more than 10 years (range 10-55 years) (Group II) were also evaluated.

RESULTS

The body-mass index and obesity were lowest in smoker group. Tobacco chewers had a significantly higher (p<0.001) systolic blood pressure (BP), diastolic BP, resting heart rate, total cholesterol, LDL cholesterol and triglycerides as compared to controls and was similar to smoker group. There was a significantly greater (p<0.01) prevalence of hypertension, hypercholesterolemia, hypertriglyceridemia, radiographic cardiomegaly and positive stress test in Group III as compared to controls. Prevalence of these risk factors was similar among Group II and Group III subjects. HDL cholesterol levels were the lowest in tobacco-chewing group (44.3+/-8.1 mg/dl) as compared to the Group I (48.4+/-7.8) and Group II (47.4+/-7.5) (p<0.001).

CONCLUSIONS

There is a significantly greater prevalence of multiple cardiovascular risk factors obesity, resting tachycardia, hypertension, high total and LDL cholesterol, and low HDL cholesterol, and electrocardiographic changes in tobacco users, chewing or smoking, as compared-to tobacco non-users. Chewing tobacco is associated with similar cardiovascular risk as smoking.