Efficient mitigation of emerging antibiotics residues from water matrix: Integrated approaches and sustainable technologies

The prevalence of antibiotic traces in the aquatic matrices is a concern due to the emanation of antibiotic resistance which requires a multifaceted approach. One of the potential sources is the wastewater treatment plants with a lack of advance infrastructure leading to the dissemination of contaminants. Continuous advancements in economic globalization have facilitated the application of several conventional, advanced, and hybrid techniques for the mitigation of rising antibiotic traces in the aquatic matrices that have been thoroughly scrutinized in the current paper. Although the implementation of existing mitigation techniques is associated with several limiting factors and barriers which require further research to enhance their removal efficiency. The review further summarizes the application of the microbial processes to combat antibiotic persistence in wastewater establishing a sustainable approach. However, hybrid technologies are considered as most efficient and environmental-benign due to their higher removal efficacy, energy-efficiency, and cost-effectiveness. A brief elucidation has been provided for the mechanism responsible for lowering antibiotic concentration in wastewater through biodegradation and biotransformation. Overall, the current review presents a comprehensive approach for antibiotic mitigation using existing methods however, policies and measures should be implemented for continuous monitoring and surveillance of antibiotic persistence in aquatic matrices to reduce their potential risk to humans and the environment.

Production of biochar from tropical fruit tree residues and ecofriendly applications - A review

Environmental contamination is considered a major issue with the growing urbanization and industrialization. In this context, the scientific society is engaged in searching for a sustainable, safe, and eco-friendly solution. Sustainable materials such as biochar play an important role in environmental contamination. It has some specific properties such as micropores which increase the surface area to bind the pollutants. This review endeavors to analyze the potential of fruit wastes especially tropical fruit tree residues as potential candidates for producing highly efficient biochar materials. The review discusses various aspects of biochar production viz. pyrolysis, torrefaction, hydrothermal carbonization, and gasification. In addition, it discusses biochar use as an adsorbent, wastewater treatment, catalyst, energy storage, carbon sequestration and animal feed. The review put forward a critical discussion about key aspects of applying biochar to the environment.

Potential health risk assessment, spatio-temporal hydrochemistry and groundwater quality of Yamuna river basin, Northern India

Groundwater which is an essential source of freshwater for various domestic, agricultural, industrial applications is facing a severe deterioration in quality due to demographic pressure and intense industrial activities. Present study appraises the influence of human induced activities on groundwater quality of Agra-Firozabad industrial belts of Western Uttar Pradesh, Yamuna basin, India. The maximum concentrations of metals and anions found during pre and post monsoon are as follows: Lead 0.302; 0.086, calcium 672; 1260, magnesium 215; 16.8, cadmium 0.0; 0.066, chromium 0.016; 0.005, manganese 0.340; 0.076, nickel 0.044; 0.028, sulfate 514; 286, nitrate 66.7; 3.56 and fluoride 1.17; 2.02 mg/L respectively. Based on results of Water Quality Index, groundwater samples were classified under 'Poor water' category in 34.2% and 52.63% during pre and post-monsoon period, respectively. Accordingly, higher concentrations of bicarbonate and sulfate might have attributed to excess hardness, instrumental in making it unsuitable for industrial usage. However, values of Percent Sodium, Sodium Adsorption Ratio, Magnesium Hazard and Permeability Index signified that groundwater from majority of locations was fit for agricultural use. Health risk assessment studies revealed that children consuming polluted water were affected more as compared to adults. Timely action and strict compliance of regulation is recommended towards groundwater management for defined usage to avert severe health effects and to meet sustainable development goals.

Advances from conventional to real time detection of heavy metal(loid)s for water monitoring: An overview of biosensing applications

The rapid growth of the industrial sector has expedited the accumulation of heavy metal(loid)s in the environment at hazardous levels. The elements such as arsenic, lead, mercury, cadmium and chromium are lethal in terms of toxicity with severe health impacts. With issues like water scarcity, limitations in wastewater treatment, and costs pertaining to detection in environmental matrices; their rapid and selective detection for reuse of effluents is of the utmost priority. Biosensors are the futuristic tool for the accurate qualitative and quantitative analysis of a specific analyte and integrate biotechnology, microelectronics and nanotechnology to fabricate a miniaturized device without compromising the sensitivity, specificity and accuracy. The characteristic features of supporting matrix largely affect the biosensing ability of the device and incorporation of highly sensitive and durable metal organic frameworks (MOFs) are reported to enhance the efficiency of advanced biosensors. Electrochemical biosensors are among the most widely developed biosensors for the detection of heavy metal(loids), while direct electron transfer approach from the recognition element to the electrode has been found to decrease the chances of interference. This review provides an insight into the recent progress in biosensor technologies for the detection of prevalent heavy metal(loid)s; using advanced support systems such as functional metal-based nanomaterials, carbon nanotubes, quantum dots, screen printed electrodes, glass beads etc. The review also delves critically in comparison of various techno-economic studies and the latest advances in biosensor technology.

Synthetic organic antibiotics residues as emerging contaminants waste-to-resources processing for a circular economy in China: Challenges and perspective

Synthetic antibiotics have been known for years to combat bacterial antibiotics. But their overuse and resistance have become a concern recently. The antibiotics reach the environment, including soil from the manufacturing process and undigested excretion by cattle and humans. It leads to overburden and contamination of the environment. These organic antibiotics remain in the environment for a very long period. During this period, antibiotics come in contact with various flora and fauna. The ill manufacturing practices and inadequate wastewater treatment cause a severe problem to the water bodies. After pretreatment from pharmaceutical industries, the effluents are released to the water bodies such as rivers. Even after pretreatment, effluents contain a significant number of antibiotic residues, which affect the living organisms living in the water bodies. Ultimately, river contaminated water reaches the ocean, spreading the contamination to a vast environment. This review paper discusses the impact of synthetic organic contamination on the environment and its hazardous effect on health. In addition, it analyzes and suggests the biotechnological strategies to tackle organic antibiotic residue proliferation. Moreover, the degradation of organic antibiotic residues by biocatalyst and biochar is analyzed. The circular economy approach for waste-to-resource technology for organic antibiotic residue in China is analyzed for a sustainable solution. Overall, the significant challenges related to synthetic antibiotic residues and future aspects are analyzed in this review paper.

Sustainable biochar: A facile strategy for soil and environmental restoration, energy generation, mitigation of global climate change and circular bioeconomy

The increasing agro-demands with the burgeoning population lead to the accumulation of lignocellulosic residues. The practice of burning agri-residues has consequences viz. Release of soot and smoke, nutrient depletion, loss of soil microbial diversity, air pollution and hazardous effects on human health. The utilization of agricultural waste as biomass to synthesize biochar and biofuels, is the pertinent approach for attaining sustainable development goals. Biochar contributes in the improvement of soil properties, carbon sequestration, reducing greenhouse gases (GHG) emission, removal of organic and heavy metal pollutants, production of biofuels, synthesis of useful chemicals and building cementitious materials. The biochar characteristics including surface area, porosity and functional groups vary with the type of biomass consumed in pyrolysis and the control of parameters during the process. The major adsorption mechanisms of biochar involve physical-adsorption, ion-exchange interactions, electrostatic attraction, surface complexation and precipitation. The recent trend of engineered biochar can enhance its surface properties, pH buffering capacity and presence of desired functional groups. This review focuses on the contribution of biochar in attaining sustainable development goals. Hence, it provides a thorough understanding of biochar's importance in enhancing soil productivity, bioremediation of environmental pollutants, carbon negative concretes, mitigation of climate change and generation of bioenergy that amplifies circular bioeconomy, and concomitantly facilitates the fulfilment of the United Nation Sustainable Development Goals. The application of biochar as seen is primarily targeting four important SDGs including clean water and sanitation (SGD6), affordable and clean energy (SDG7), responsible consumption and production (SDG12) and climate action (SDG13).

Highly efficient bio-adsorption of Malachite green using Chinese Fan-Palm Biochar (Livistona chinensis)

The discharge of effluents from the textile industry is a multidimensional problem that affects the ecosystem in many ways. Though many new technologies are being developed, it remains to be seen which of those can be practiced in a real scenario. The current investigation attempts to absorb the Malachite Green, an effluent from textile dye using Chinese Fan Palm Seed Biochar. Accordingly, biochar was prepared using fruits of Chinese Fan Palm (Livistona chinensis) tree. The fruit also yielded a significant amount of biochar and bio-oil. 1.346 kg of fresh and cleaned fruit was fast pyrolyzed at 500 °C in a laboratory-scale Pyrolyzer resulting in 0.487 kg of biochar and 0.803 L of bio-oil. The remaining fruit matter was converted to gaseous products. The kinetics of dye removal were studied and the parameters were determined. The study advocates that the Langmuir isotherm model simulates the adsorption experiment, to a good extent. From the plot, the maximum (monolayer) adsorption capacity, Q_m was determined to be 21.4 mg/g. The suitability of the Langmuir isotherm model onto biochar was established by the high correlation coefficient, R² that was higher than 0.97.

Effect of sewage sludge biochar on the soil nutrient, microbial abundance, and plant biomass: A sustainable approach towards mitigation of solid waste

Soils functions, fertility, and microbial abundance may alter in various ways by the biochar amendments to the soil. This study revealed the way of pyrolysis temperature influences the biochar quality and its addition for improving soil properties. The SS biochar was synthesized via pyrolysis and characterized by SEM and FTIR for studying surface images and chemical functional groups. The biochar upon addition with soil was studied for physiological parameters of plants like seed germination index, root length, shoot length, biomass, metal (loid) analysis of soil, SS and SS biochar, total organic content, C: N ratio, NPK values, etc. Besides, combinations of biochar: soil {1:3 (25% + 75%), 1:1 (50% + 50%), and 3:1 (75% + 25%)} ratios were used for studying the effect of biochar on soil microbial community. The 16S rRNA metagenomic analysis revealed the dominance of phyla: Proteobacteria, Actinobacteria, and Acidobacteria that influence the soil nutrient cycle when applied at ratio 1:3. This study highlights the valorization of SS into biochar and studied the effect of biochar augmentation with soil; its impact on soil nutrients, microbial abundance, and plant biomass enhancement. The greener approach also mitigates and helps in the sustainable management of solid wastes, thus reducing GHGs emissions and improves nutrient cycling.

Dissemination of antibiotic resistance genes, mobile genetic elements, and efflux genes in anthropogenically impacted riverine environments

Anthropogenically impacted surface waters are an important reservoir for multidrug-resistant bacteria and antibiotic-resistant genes. The present study aimed at MDR, ESBL, AmpC, efflux genes, and heavy metals resistance genes (HMRGs) in bacterial isolates from four Indian rivers belonging to different geo-climatic zones, by estimating the mode of resistance transmission exhibited by the resistant isolates. A total 71.27% isolates exhibited MDR trait, showing maximum resistance towards β-lactams (P = 66.49%; AMX = 59.04%), lincosamides (CD = 65.96%), glycopeptides (VAN = 25.19%; TEI = 56.91%), cephalosporins (CF = 53.72%; CXM = 30.32%) sulphonamide (COT = 43.62%; TRIM = 12.77%), followed by macrolide and tetracycline. The dfrA1 and dfrB genes were detected in total 37.5% isolates whereas; dfrA1 genes were detected in 33.34%. The sul1 gene was detected in 9.76% and sul2 gene was detected in 2.44% isolates. A total of 69.40% MDR integron positive isolates were detected with intI1and intI2 detected at 89.25% and 1.07%, respectively; encoding class 1 and class 2 integron-integrase. ESBL production was confirmed in 73.13% isolates that harboured the genes blaTEM (96.84%), blaSHV (27.37%), blaOXA (13.68%) and blaCTXM (18.95%) while the frequency of HMRGs; 52.24% (zntB), 33.58% (chrA), and 6.72% (cadD). Efflux activity was confirmed in 96.26% isolates that harbored the genes acrA (93.02%), tolC (88.37%), and acrB (86.04%). AmpC (plasmid-mediated) was detected in 20.9% of the riverine isolates. Detection of such hidden molecular modes of antibiotic resistance in the rivers is alarming that requires urgent and stringent measures to control the resistance threats.

Newly isolated Bacillus sp. PS-6 assisted phytoremediation of heavy metals using Phragmites communis: Potential application in wastewater treatment

This work aimed to study Bacillus sp. PS-6 assisted phytoremediation of metals from pulp and paper industry wastewater as a novel green technique for the removal of metals of wastewater. Results revealed that heavy metal (mg L^-1) contents in wastewater were reduced after in-situ phytoremediation for Fe, Cu, Zn, Cd, Mn, Ni, Pb, and As. Phragmites communis showed higher potential for the enrichment of Fe, Cu, Zn, Cd, Mn, Ni, Pb, and As in its rhizomes, roots, and shoots compared to leaves. The strain produced indole acetic acid, siderophores, and hydrolytic and ligninolytic enzymes, and resulted in nutrients solubilization. Results offer potential basis for the removal of metals from pulp and paper industry wastewater at large scale and prevention of pollution.

Co-occurrence of multidrug resistance, β-lactamase and plasmid mediated AmpC genes in bacteria isolated from river Ganga, northern India

Wastewater effluents released in surface water provides suitable nutrient rich environment for the growth and proliferation of antibiotic resistant bacteria (ARB) and genes (ARG). Consequently, bacterial resistance has highly evolved over the recent years and diversified that each antibiotic class is inhibited by a distinct mechanism. In the present study, the prevalence of Multidrug resistant (MDR), extended spectrum β-lactamases (ESBL) and plasmid mediated Amp-C producing strains was analyzed in 28 surface water samples collected near domestic effluent discharge sites in river Ganga located across 11 different geographical indices of Uttar Pradesh, India. A total of 243 bacterial strains with different phenotypes were isolated. Among 243 isolates, 206 (84.77%) exhibited MDR trait displaying maximum resistance towards β-lactams (P = 78.19%; AMX = 72.84%), glycopeptides (VAN = 32.92%; TEI = 79.42%), cephalosporins (CF = 67.90%; CFX = 38.27%), and lincosamides (CD = 78.18%) followed by sulfonamide, macrolide and tetracycline. ESBL production was confirmed in 126 (51.85%) isolates that harbored the genes: blaTEM (95.24%), blaSHV (22.22%), blaOXA (11.90%) and blaCTX-M group (14.28%). The presence of plasmid mediated AmpC was detected only in 6.17% of isolates. The existence of such pathogenic strains in the open environment generates an urgent need for incorporating stringent measures to reduce the antibiotic consumption and hence its release.

Results of lateral pin fixation for the displaced supracondylar fracture of humerus in children

Supracondylar fracture is common fracture in children and choice of treatment in displaced fracture is closed reduction and percutaneous pinning. There are different methods of fixation techniques described and practiced. This study was undertaken to evaluate the results of lateral pin fixation for the displaced supracondylar fracture of humerus in children. 25 children with displaced Supracondylar fracture were treated with closed reduction and percutaneous lateral fixation by two K-wires. Above elbow slab applied for 4 weeks (mean 28.4 days ± SD 2.27) followed by physiotherapy and were followed for mean of 73.24 days( ± SD 3.66 days). The Flynn’s grading system was used to evaluate functional and cosmetic outcome. Loss in Baumann’s angle was measures. All the patient had satisfactory outcome with excellent to good grading as per Flynn’s criteria. The mean Baumann’s angle loss was 5.52 degrees(SD ± 1.75). Two pin tract infections noted which responded to oral cloxacillin for 5 days. No neurovascular or serious complication noted. In view of results obtained, lateral K -wire fixation provided good fracture stability, good union and satisfactory outcome with minimal complication and virtually no iatrogenic nerve injury. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-1, 13-17 DOI: http://dx.doi.org/10.3126/jcmsn.v8i1.6820

Webbed penis: a rare case

Webbed penis belongs to a rare and little-known defect of the external genitalia. The term denotes the penis of normal size for age hidden in the adjacent scrotal and pubic tissues. Though rare, it can be treated easily by surgery. A case of webbed penis is presented with brief review of literature.

Fine needle aspiration cytology of the testis as the first-line diagnostic modality in azoospermia: a comparative study of cytology and histology

OBJECTIVES

Male factors are responsible for about half of all infertility cases. Until recently, testicular biopsy was the standard method to ascertain the aetiology of azoospermia. Fine needle aspiration cytology has gained increasing popularity as a simple and minimally invasive procedure that can help in assessing testicular function accurately. This study was aimed at addressing the question whether testicular fine needle aspiration (FNA) may be used as a first-line diagnostic modality in azoospermia and to assess its usefulness in the diagnostic protocol.

METHODS

The FNA was performed in 78 consecutive azoospermic patients. To obviate sampling errors both testes were aspirated, except when contraindicated. Routine haematoxylin and eosin as well as Romanowsky staining was performed on the smears.

RESULTS

The smears were categorized on cytological examination into normal spermatogenesis in 35 (50%) patients, Sertoli cells only syndrome in 22 (31.4%) and maturation arrest at the spermatocyte/spermatid level was seen in 13 (18.4%) patients. There were eight (10.2%) cases with scant smears where cytological diagnosis could not be made. A good correlation between cytological smears and histological sections was found in 54 of 58 testes (93.1%) in which histopathological confirmation was available.

CONCLUSIONS

Testicular FNA may be utilized as a first-line investigative modality in patients with azoospermia, provided the procedure is performed and interpreted by experts.

Renal & prostatic disorders in the elderly

The population of aged people is increasing in number all over the world along with the problems associated with senescence. The functional and morphological changes that occur with ageing are accompanied by an increased risk of certain conditions like drug-induced nephrotoxicity and acute tubular necrosis. Elderly patients of end-stage renal disease can undergo renal replacement therapy with acceptably good results. If free from any medical and other illnesses, elderly persons can be considered for kidney donation without any increased risk for surgery or anaesthesia. However, such kidneys are functionally not as good as kidneys from young individuals. Prostatic diseases like prostatic hyperplasia and cancer are more a concern of the aged than the younger population. Besides, there is an apprehension about the increased risk of anaesthesia due to the frequent presence of other co-existent illnesses in the senile population. Less morbid therapeutic methods are available to deal with prostatic disorders but one should not hesitate to undertake major open or endoscopic surgeries in such patients, should it be necessary.