Nitrates in drinking water and methemoglobin levels in pregnancy: a longitudinal study

The Effects of Diet, Dietary Supplements, Drugs and Exercise on Physical, Diagnostic Values of Urine Characteristics

Background/Objectives: This review summarizes the current knowledge about factors that affect the physical characteristics of urine. It highlights proper urine sample collection and displays factors like diet, hydration status, and medications that can alter urine color, odor, clarity, specific gravity and pH. Results: Urinalysis is a minimally invasive examination of a patient's health, especially concerning nephrological and endocrinological abnormalities, as well as dietary habits and stimulants used. Certain deviations in appearance, composition or frequency/pain during urination may indicate an ongoing disease process in the body. Based on laboratory results, further medical treatment is determined. The reason for a change in the color of the urine, for its clouding or intense odor may be a disease, as well as the consumption of food, medication, intensive physical exercise or inadequate hydration of the body. Well-standardized procedures for collecting, transporting, preparing and analyzing samples should become the basis for an effective diagnostic strategy in urinalysis. It is worth noting that pharmacists in pharmaceutical care are often the first people to whom a patient turns for health advice and for the interpretation of simple laboratory tests. Acquiring the ability to interpret the results of laboratory tests and the principles of proper sampling for laboratory tests is indispensable in the process of possible counseling and providing reliable answers to patients' questions. Conclusions: Although urinalysis is not recommended as a routine screening tool for the general population, it can prove to be a valuable source of patient health data in some cases as the data will be useful to physicians and pharmacists to more effectively diagnose and better care for patients.

Cationic Polystyrene-Based Hydrogels: Low-Cost and Regenerable Adsorbents to Electrostatically Remove Nitrites from Water

Nitrites are metastable anions that are derived from the oxidation of ammonia by agricultural pollution, sewage, decaying protein, and other nitrogen sources. They are a recognized environmental issue due to their role in eutrophication, as well as in surface and groundwater contamination, being toxic to almost all living creatures. Recently, we reported on the high efficiency of two cationic resins (R1 and R2) forming hydrogels (R1HG and R2HG) by dispersion in water in removing anionic dyes from water by electrostatic binding. Here, aiming at developing adsorbent materials for nitrite remediation, R1, R2, R1HG, and R2HG were first tested in adsorption experiments in batches monitored by UV-Vis methods, using the Griess reagent system (GRS) in order to assess their removal efficiency by contact over time. Particularly, samples of water appositely contaminated with nitrites were analyzed by UV-Vis before and during treatment with the hydrogels. The initial concentration of nitrites was quantified (118 mg/L). Then, the removal of nitrites over time, the removal efficiency of R1HG (89.2%) and of R2HG (89.6%), their maximum adsorption (21.0 mg/g and 23.5 mg/g), as well as the adsorption kinetics and mechanisms were evaluated. Additionally, R1HG- and R2HG-based columns (h = 8-10 cm, Ø_E = 2 cm) mimicking mini-scale decontamination systems by filtration were used to rapidly filter samples of water polluted with nitrite that were under pressure. R1HG and R2GH were capable of totally removing nitrites (99.5% and 100%) from volumes of nitrite solutions that were 118 mg/L that is 10 times the volumes of resins used. Additionally, when extending filtration to increasing volumes of the same nitrite solution up to 60 times the volume of resins used, the removal efficiently of R1HG decreased, and that of R2HG remained stable at over 89%. Interestingly, both the worn-out hydrogels were regenerable by 1% HCl washing, without a significant reduction in their original efficiency. There is a lack of studies in the literature reporting on novel methods to remove nitrite from water. R1HG and especially R2HG represent low-cost, up-scalable, and regenerable column-packing materials with promise for applications in the treatment of drinking water contaminated by nitrites.

Tanneries impact on groundwater quality: a case study of Kasur city in Pakistan

Leather industry is the second largest export-earning sector of Pakistan. However, because of poor waste management, this industry has been continuously polluting the environment. In this paper, the impact of tanneries on the groundwater quality of Kasur city (i.e., the second largest leather producing city) is examined. The study is conducted in the following three phases: (I) water samples collection, (II) determination of physio-chemical properties, and (III) application of data mining techniques. In phase I, groundwater samples were collected from various sources such as hand pumps, motor pumps, and tube wells. In phase II, several physio-chemical properties such as (i) total dissolved solids (TDS), (ii) pH, (iii) turbidity, (iv) electrical conductivity (EC), (v) total hardness (TH), (vi) total alkalinity (TA), (vii) nitrates, (viii) chromium, (ix) fluoride, and (x) chloride were estimated. The estimated values of all these foregoing parameters are then compared with the Punjab Environmental Quality Standards for Drinking Water (PEQSDW). In phase III, principle component analysis and cluster analysis of the estimated parameters were performed to elucidate the relation between various parameters and to highlight the highly vulnerable sites, respectively. The results exhibit that most of the sampling collections sites are at the threshold of losing quality water. Moreover, it is also found that Mangal Mandi carries the worst groundwater quality among all sampling locations. Overall, it is concluded that serious attention is due from the water and wastewater authorities to further investigate and monitor the groundwater quality of Kasur before the country strikes with another pandemic after COVID-19.

Consumption of water contaminated by nitrate and its deleterious effects on the human thyroid gland: a review and update

Nowadays, the nitrates have been established as carcinogenic components due to the endogenous formation of N-nitroso compounds, however, the consumption of water contaminated with nitrates has only been strongly related to the presence of methemoglobinemia in infants, as an acute effect, leaving out other side effects that demand attention. The thyroid gland takes relevance because it can be altered by many pollutants known as endocrine disruptors, which are agents capable of interfering with the synthesis of hormones, thus far, it is known that nitrates may disrupt the amount of iodine uptake causing most of the time hypothyroidism and affecting the metabolic functions of the organism in all development stages, resulting in an important health burden for the exposed population. Here, this review and update highlighted the impact of consumption of water contaminated with nitrates and effects on the thyroid gland in humans, concluding that nitrates could act as true endocrine disruptor.

Denitrification performance and mechanism of denitrification biofilm reactor based on carbon-nitrate counter-diffusional

This study researched denitrification performance and mechanism of denitrification biofilm reactor with different HRTs and carbon sources dosages. Experimental group (EG) had better nitrate and COD removal performance than control group (CG) with different HRTs or carbon doses, and the maximum nitrate-to-nitrite transformation ratio (NTR) of them reached 7.91 ± 1.60% and 17.50 ± 1.92%, respectively. Because organic carbon sources were added to the carrier's interior in EG, forming high local concentrations in biofilms and counter-diffusional with nitrate. By contrast, carbon sources and nitrate were provided from the aqueous phase in CG. Thus, the EG system has more active regions of the biofilm than CG. In addition, EG had higher proportions of microorganisms and enzymes related to denitrification and carbon metabolism. The most dominant phylum, genus, and species were Proteobacteria, Thaurea, and Thauera_sp._27, respectively. The transcript of acetyl-CoA synthetase (K01895) and denitrification (M00529) was mainly originated from unclassified_g__Pseudomonas and unclassified_g__Thauera, respectively.

The metabolic patterns of the complete nitrates removal in the biofilm denitrification systems supported by polymer and water-soluble carbon sources as the electron donors

In this study, two denitrification bio-filters adopted polycaprolactone (PCL) and sodium acetate (NaAc) as polymer and water-soluble carbon sources respectively. With the increasing influent nitrate concentrations, NaAc bio-filter always had shorter HRT to achieve complete nitrate removal. Furthermore, the optimal volumetric denitrification rate in NaAc bio-filter was 0.728 g N/(L·d), which was higher than 0.561 g N/(L·d) in PCL bio-filter. For nitrates removal, the costs of bio-filters supported by NaAc and PCL were 24.93 and 120.25 CNY/kg N respectively. Although Proteobacteria in PCL bio-filter was abundant with 83.98%, NaAc bio-filter had better denitrification performance, due to the appropriate ratio of nitrate removal microorganisms and organic matters degradation organisms. The total abundance value of the denitrification genera is NaAc (16.06%) < PCL (41.19%). However, PCL bio-filter had poor denitrification performance, due to the lower adequacy of PCL depolymerization enzymes and the low expression of the key genes for denitrification.

Analyte-restrained silver coating of gold nanostructures: an efficient strategy to advance multicolorimetric probes

Visual detection based on gold nanorods (AuNRs) has gained tremendous attention in sensing applications owing to the potential for simple, inexpensive, instrument-free, and on-site detection. The proper selection of the mechanism involved in the interaction between the analyte and the nanostructure plays a significant role in designing a selective and multicolorimetric probe for visual purposes. A winning mechanism to develop multicolorimetric probes is the silver metalization of AuNRs. Herein, an unprecedented idea is presented to expand the variety of multicolorimetric sensors relying on the mechanism of silver deposition. We introduce the anti-silver deposition mechanism in which the analyte directly or indirectly restrains the silver coating of AuNRs. To ascertain the anti-silver deposition mechanism, we have exploited the proposed idea for the direct detection of nitrate. The presence of nitrate (as restrainer agent), which was firstly treated with ascorbic acid (as reducing agent), induced a decrease in the spectral blueshift of AuNRs along with diverse sharp color transitions from reddish-orange (blank) to maroon, wine, berry/purple, dark blue, teal, green, seafoam, and mint. The difference in the spectrum area of the probe in the absent (S_o) and presence (S) of nitrate were linearly proportional to nitrate concentration in the range of 0.5-5.5 mmol l^-1and the limit of detection was calculated to be 465μmol l^-1. Furthermore, the practicability of the multicolor probe was assessed by the determination of nitrate in complex environmental samples.

Denitrification in Intrinsic and Specific Groundwater Vulnerability Assessment: A Review

Several groundwater vulnerability methodologies have been implemented throughout the years to face the increasing worldwide groundwater pollution, ranging from simple rating methodologies to complex numerical, statistical, and hybrid methods. Most of these methods have been used to evaluate groundwater vulnerability to nitrate, which is considered the major groundwater contaminant worldwide. Together with dilution, the degradation of nitrate via denitrification has been acknowledged as a process that can reduce reactive nitrogen mass loading rates in both deep and shallow aquifers. Thus, denitrification should be included in groundwater vulnerability studies and integrated into the various methodologies. This work reviewed the way in which denitrification has been considered within the vulnerability assessment methods and how it could increase the reliability of the overall results. Rating and statistical methods often disregard or indirectly incorporate denitrification, while numerical models make use of kinetic reactions that are able to quantify the spatial and temporal variations of denitrification rates. Nevertheless, the rating methods are still the most utilized, due to their linear structures, especially in watershed studies. More efforts should be paid in future studies to implement, calibrate, and validate user-friendly vulnerability assessment methods that are able to deal with denitrification capacity and rates at large spatial and temporal scales.

Suspected Drinking Water Poisoning in a Domestic Kitten with Methemoglobinemia

A 4-month-old male indoor cat was referred for dyspnea, mental dullness and weakness, which appeared two days earlier. The cat had been adopted at 3 months of age. Physical exam showed cyanosis, dyspnea and mild hypothermia. The “spot test” was supportive of methemoglobinemia. Co-oximetry blood gas analysis revealed severe methemoglobinemia (81.40%), severe hyperchloremia and mild hyponatremia. CBC, biochemistry and urinalysis were within normal limits, blood smear showed the presence of Heinz bodies. Treatment was instituted with oxygen therapy, methylene blue 1% solution, ascorbic acid, intravenous fluid therapy. The clinical course was favorable with rapid improvement of cyanosis and methemoglobinemia (4.2%). Acquired methemoglobinemia was hypothesized. Two weeks after discharge the cat was asymptomatic but mild methemoglobinemia (15.60%) and hyperchloremia were evident. Exposure to oxidants contained in drinking water was suspected so the owners were instructed to use bottled water only. One month later the cat was asymptomatic, and methemoglobinemia and chloremia were within normal limits. Even if a congenital form due to cytochrome b5 reductase deficiency cannot be ruled out, drinking water intoxication is the most likely cause of methemoglobinemia in this cat.

Reviewing chemical and biological risks in urban agriculture: A comprehensive framework for a food safety assessment of city region food systems

Attention to urban agriculture (UA) has recently grown among practitioners, scientists, and the public, resulting in several initiatives worldwide. Despite the positive perception of modern UA and locally grown, fresh produce, the potential food safety risks connected to these practices may be underestimated, leading to regulatory gaps. Thus, there is a need for assessment tools to evaluate the food safety risks connected to specific UA initiatives, to assist practitioners in self-evaluation and control, and to provide policy makers and scholars a means to pursue and assess food safety in city regions, avoiding either a lack or an excess of regulation that could ultimately hinder the sector. To address this aim, this paper reviews the most recent and relevant literature on UA food safety assessments. Food safety indicators were identified first. Then, a food safety assessment framework for UA initiatives was developed. The framework uses business surveys and food analyses (if available) as a data source for calculating a food safety index for single UA businesses and the whole UA landscape of a given city region. The proposed framework was designed to allow its integration into the CRFS (City Region Food System) toolkit developed by FAO (Food and Agriculture Organization of the United Nations), RUAF foundation (Resource Centres on Urban Agriculture and Food Security) and Wilfrid Laurier University.

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Connection of several biological and chemical food safety risks to UA techniques.

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Identifiable food safety risk factors for diverse UA practices.

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Framework for the assessment of food safety levels of UA initiatives.

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Development of a risk-based assessment that can be integrated into the FAO CRFS framework.

Plasmonic nanoparticles for colorimetric detection of nitrite and nitrate

Irregular and unknowingly use of chemical compounds is a serious threat to the environment, human health, and other living organisms attributable and intensified by the growing population and increasing demand for food. Nitrite and nitrate are among those compounds that are widely used in agricultural and industrial products. Therefore on-site, rapid, simple, and accurate monitoring of nitrite/nitrate is highly desirable. In this review, while emphasizing the importance of nitrite and nitrate in food chain safety and health of living organisms, their measurement methods, in particular, nanoplasmonic colorimetric sensors are comprehensively discussed based on the researches in this field. Nanoplasmonic-based sensors have proved to be successful in comparison with traditional methods due to their low cost, biocompatibility, high sensitivity and selectivity, and most importantly, the ability to visually detect and be used on-site to measure nitrite and nitrate. The design principle of nanoplasmonic sensors will be presented into two categories of aggregation- and etching-based detection followed by their applications in nitrite detection. The nitrate measurement will be discussed based on either direct detection of nitrate or indirect strategy in which nitrate is reduced to nitrite by enzymes or metals. Finally, the remaining challenges and prospects in this topic will be described and outlined.

Efficient total nitrogen removal from wastewater by Paracoccus denitrificans DYTN-1

Bioaugmentation is an effective treatment method to reduce nitrogenous pollutants from wastewater. A strain of DYTN-1, which could effectively remove TN from sewage, was isolated from the sludge of a wastewater treatment plant and was identified as Paracoccus denitrificans. The TN in wastewater reduced to <20 mg l^-1 within 12 h under optimal conditions by free cells of P. denitrificans DYTN-1. To enhance the removal of TN, P. denitrificans DYTN-1 cells were immobilized in sodium alginate (SA) using different divalent metal ions as cross-linking agents. It was found that the immobilized P. denitrificans DYTN-1 cells could reduce the TN concentration from 100 to below 20 mg l^-1 within 8 h. After the optimization of an orthogonal experiment, the immobilized P. denitrificans DYTN-1 cells could reduce the TN concentration from 100 mg l^-1 to below 20 mg l^-1 within 1 h and significantly reduce the fermentation cycle. These findings would provide an economical and effective method for the removal of total nitrogen in wastewater by immobilized cells of P. denitrificans DYTN-1. SIGNIFICANCE AND IMPACT OF THE STUDY: We identified a new Paracoccus denitrificans strain (DYTN-1) for removal of the total nitrogen in wastewater. The total nitrogen could be removed effectively by P. denitrificans DYTN-1 within 12 h in wastewater. Using sodium alginate as the carrier and Ba²⁺ as cross-linking agent, the immobilized P. denitrificans DYTN-1 cells could improve the removal efficiency of total nitrogen in wastewater and significantly reduce the fermentation cycle. The assay has provided an economical and effective method for the removal of total nitrogen in wastewater by immobilized cell.

Effect of Land Use Changes on Water Quality in an Ephemeral Coastal Plain: Khambhat City, Gujarat, India

Rapid changes in land use and land cover pattern have exerted an irreversible change on different natural resources, and water resources in particular, throughout the world. Khambhat City, located in the Western coastal plain of India, is witnessing a rapid expansion of human settlements, as well as agricultural and industrial activities. This development has led to a massive increase in groundwater use (the only source of potable water in the area), brought about significant changes to land management practices (e.g., increased fertilizer use), and resulted in much greater amounts of household and industrial waste. To better understand the impacts of this development on the local groundwater, this study investigated the relationship between groundwater quality change and land use change over the 2001–2011 period; a time during which rapid development occurred. Water quality measurements from 66 groundwater sampling wells were analyzed for the years 2001 and 2011, and two water quality indicators (NO3− and Cl− concentration) were mapped and correlated against the changes in land use. Our results indicated that the groundwater quality has deteriorated, with both nitrate (NO3−) and chloride (Cl−) levels being elevated significantly. Contour maps of NO3− and Cl− were compared with the land use maps for 2001 and 2011, respectively, to identify the impact of land use changes on water quality. Zonal statistics suggested that conversion from barren land to agricultural land had the most significant negative impact on water quality, demonstrating a positive correlation with accelerated levels of both NO3− and Cl−. The amount of influence of the different land use categories on NO3− increase was, in order, agriculture > bare land > lake > marshland > built-up > river. Whereas, for higher concentration of Cl− in the groundwater, the order of influence of the different land use categories was marshland > built-up > agriculture > bare land > lake > river. This study will help policy planners and decision makers to understand the trend of groundwater development and hence to take timely mitigation measures for its sustainable management.

Drinking Water Nitrate and Human Health: An Updated Review

Nitrate levels in our water resources have increased in many areas of the world largely due to applications of inorganic fertilizer and animal manure in agricultural areas. The regulatory limit for nitrate in public drinking water supplies was set to protect against infant methemoglobinemia, but other health effects were not considered. Risk of specific cancers and birth defects may be increased when nitrate is ingested under conditions that increase formation of N-nitroso compounds. We previously reviewed epidemiologic studies before 2005 of nitrate intake from drinking water and cancer, adverse reproductive outcomes and other health effects. Since that review, more than 30 epidemiologic studies have evaluated drinking water nitrate and these outcomes. The most common endpoints studied were colorectal cancer, bladder, and breast cancer (three studies each), and thyroid disease (four studies). Considering all studies, the strongest evidence for a relationship between drinking water nitrate ingestion and adverse health outcomes (besides methemoglobinemia) is for colorectal cancer, thyroid disease, and neural tube defects. Many studies observed increased risk with ingestion of water nitrate levels that were below regulatory limits. Future studies of these and other health outcomes should include improved exposure assessment and accurate characterization of individual factors that affect endogenous nitrosation.

Recent developments in sensing methods for eutrophying nutrients with a focus on automation for environmental applications

A comprehensive review focusing on eutrophying nutrient monitoring using autonomous sensors, including novel analysis methods, standard analysis methods and state-of-the-art sensor technology.

The use of multilevel sampling techniques for determining shallow aquifer nitrate profiles

Nitrate is a worldwide pollutant in aquifers. Shallow aquifer nitrate concentrations generally display vertical stratification, with a maximum concentration immediately below the water level. The concentration then gradually decreases with depth. Different techniques can be used to highlight this stratification. The paper aims at comparing the advantages and limitations of three open hole multilevel sampling techniques (packer system, dialysis membrane samplers and bailer), chosen on the base of a literary review, to highlight a nitrate vertical stratification under the assumption of (sub)horizontal flow in the aquifer. The sampling systems were employed at three different times of the year in a shallow aquifer piezometer in northern Italy. The optimal purge time, equilibration time and water volume losses during the time in the piezometer were evaluated. Multilevel techniques highlighted a similar vertical nitrate stratification, present throughout the year. Indeed, nitrate concentrations generally decreased with depth downwards, but with significantly different levels in the sampling campaigns. Moreover, the sampling techniques produced different degrees of accuracy. More specifically, the dialysis membrane samplers provided the most accurate hydrochemical profile of the shallow aquifer and they appear to be necessary when the objective is to detect the discontinuities in the nitrate profile. Bailer and packer system showed the same nitrate profile with little differences of concentration. However, the bailer resulted much more easier to use.

Seasonal variation of nutrient loads in treated wastewater effluents and receiving water bodies in Sedibeng and Soshanguve, South Africa

The discharge of inadequately treated wastewater effluent presents a major threat to the aquatic environment and public health worldwide. As a water-scarce country, South Africa is facing an alarming situation since most of its wastewater discharges are not meeting the permissible limit. The aim of this study was to assess the physicochemical quality of treated wastewater effluents and their impact on receiving water bodies. During the study period, pH, temperature, free chlorine residue (Cl(-)), dissolved oxygen (DO), nitrate (NO3 (-1)), orthophosphate (PO4 (-3)) and chemical oxygen demand (COD) were measured in order to ascertain whether the selected wastewater systems in Sedibeng and Soshanguve complied with the South African and World Health Organization standards during wet and dry seasons. These parameters were analysed for samples collected from raw wastewater influent, treated wastewater effluent and receiving water bodies. The study was carried out between August 2011 and May 2012, and samples were collected on a weekly basis during both seasons. The physicochemical quality of effluents did not comply with the regulatory limits set by South Africa in terms of pH in Meyerton, Rietgat and Sandspruit (pH 7.6 to 8.1); free chlorine in Sandspruit (0.27 ± 0.05 mg/L); nitrate in Leeuwkuil and Rietgat (2.1 and 3.8 mg/L, respectively) during the wet season; orthophosphate in Meyerton during the wet season and in Sandspruit during the dry season (1.3 mg PO4 (-3) as P/L and 1.1 mg PO4 (-3) as P/L, respectively); and chemical oxygen demand in Rietgat during the dry season and in Sandspruit during the wet season (75.5 and 35 mg/L, respectively). Furthermore, the quality of the receiving water bodies did not comply with the South African standards recommended for pH, chemical oxygen demand and orthophosphate and DO (5 mg/L) in Rietgat during the wet season. The geometric mean of the water quality index values ranged between 32.4 and 36.9 for the effluent samples and between 38.1 and 65.7 for the receiving water bodies. These findings revealed that the receiving water bodies were classified as having "poor" quality status, except Leeuwkuil receiving water body (Vaal River) and Sandspruit upstream (Sandspruit stream). The dry season showed a relatively lower water quality index. This situation might be attributed to the higher amount of organic matter and lower microbial activities in the receiving water bodies. This study suggests that wastewater effluents and receiving water systems should be monitored regularly to ensure best practices with regard to nutrient treatment and discharge of wastewater.

Genetic variation in CYB5R3 is associated with methemoglobin levels in preterm infants receiving nitric oxide therapy

BACKGROUND

In recent years, increasing numbers of preterm infants have been exposed to inhaled nitric oxide (iNO). This population has decreased methemoglobin (MetHb) reductase activity in their erythrocytes, which may increase the risk of MetHb toxicity. We sought to determine if genetic factors are associated with the observed variance in MetHb levels.

METHODS

A population of 127 preterm infants was genotyped for five single-nucleotide polymorphisms (SNPs) in the CYB5A and CYB5R3 genes. iNO dose and levels of MetHb were obtained by chart abstraction. ANOVA was performed to identify genetic associations with MetHb levels.

RESULTS

An association was found between the heterozygous genotype (GA) of rs916321 in the CYB5R3 gene and the mean of the first recorded MetHb levels in Caucasian infants (P = 0.01). This result remained significant after adjustment for the iNO dose (P = 0.009), gender (P = 0.03), multiple gestation (P = 0.03), birth weight (P = 0.02), and gestational age (P = 0.02). No significant associations were found with the other SNPs.

CONCLUSION

We demonstrate a novel genetic association with neonatal MetHb levels. Identification of genetic risk factors may be useful in determining which preterm infants are most at risk of developing MetHb toxicity with the use of iNO.

Outbreak of fatal nitrate toxicosis associated with consumption of fennels (Foeniculum vulgare) in cattle farmed in Campania region (southern Italy)

Nitrate and nitrite are toxicants that have become increasingly significant environmental chemicals. Increase in environmental distribution of nitrogenous compounds, especially in surface and ground water, has been attributed to the intensive use of nitrate as agricultural fertilizers and to increasing amounts of nitrogenous wastes produced by municipalities, industries, and feedlots. The purpose of this study is to illustrate a fatal nitrate toxicosis in cattle associated with the consumption of fennels (Foeniculum vulgare). Fifteen cows from the same farm suddenly developed weakness, muscular tremors, respiratory distress, and finally convulsions. The affected animals died within 24 to 48 h from the onset of the clinical signs. Five cows underwent a complete post-mortem examination. In all examined animals, gross lesions included presence of dark unclotted blood around the nostrils and the anal region, moderate inflammation of the gastrointestinal mucosa, and brown discoloration of the skeletal muscles and kidneys. The histological examination showed tubular degeneration and congestion of glomerular vessels in the kidney. Toxicological analysis detected nitrates at 4 672.2 ppm in the fennels used to feed the animals. The source of exposure to nitrates was identified in the fennels. The fennels were grown in a polluted area of the Campania region in southern Italy and distributed in a public market for human consumption. The waste from the sale of the fennels was fed to the cows. The accumulation of nitrates in some vegetables poses a risk not only for animal health but also for human and environmental safety.

Dietary nitrate facilitates an acetazolamide-induced increase in cerebral blood flow during visual stimulation

The carbonic anhydrase (CA) inhibitor acetazolamide (AZ) is used routinely to estimate cerebrovascular reserve capacity in patients, as it reliably increases cerebral blood flow (CBF). However, the mechanism by which AZ accomplishes this CBF increase is not entirely understood. We recently discovered that CA can produce nitric oxide (NO) from nitrite, and that AZ enhances this NO production in vitro. In fact, this interaction between AZ and CA accounted for a large part of AZ's vasodilatory action, which fits well with the known vasodilatory potency of NO. The present study aimed to assess whether AZ acts similarly in vivo in the human cerebrovascular system. Hence, we increased or minimized the dietary intake of nitrate in 20 healthy male participants, showed them a full-field flickering dartboard, and measured their CBF response to this visual stimulus with arterial spin labeling. Doing so, we found a significant positive interaction between the dietary intake of nitrate and the CBF modulation afforded by AZ during visual stimulation. In addition, but contrary to studies conducted in elderly participants, we report no effect of nitrate intake on resting CBF in healthy human participants. The present study provides in vivo support for an enhancing effect of AZ on the NO production from nitrite catalyzed by CA in the cerebrovascular system. Furthermore, our results, in combination with the results of other groups, indicate that nitrate may have significant importance to vascular function when the cerebrovascular system is challenged by age or disease.

Impact of pregnancy and other factors on the levels of urinary perchlorate, thiocyanate, and nitrate among females aged 15-44 years: data from National Health and Nutrition Examination Survey: 2003-2008

Impact of pregnancy on levels of urinary perchlorate, thiocyanate, and nitrate has not been studied using large scale data. Data from National Health and Nutrition Examination Survey for the years 2003-2008 were used to evaluate risk factors that impact levels of these contaminants among females of child bearing age. In addition to pregnancy, other risk factors evaluated were: age, race/ethnicity, smoking status, serum triglyceride levels, and iodine deficiency status. Pregnancy did not affect the levels of perchlorate and nitrate but, new to this study, it was found that thiocyanate levels were statistically significantly lower among pregnant females as compared to non-pregnant females (p<0.01). Iodine deficient females had statistically significantly lower levels of these contaminates than iodine replete females (p<0.01). Levels of thiocyanate among smokers were about five times higher than among non-smokers. Non-Hispanic Blacks had the lowest and Mexican Americans had the highest levels of perchlorate and nitrate. The reverse was true for thiocyanate levels. There was an inverse association between nitrate and education levels. There was a positive association between serum triglyceride levels and the levels of these contaminants. Also, new to this study, of concern, was the fact that levels of these contaminants increased among females over the period 2005-2008. Levels of perchlorate, thiocyanate, and nitrate did not vary across pregnancy trimesters.