Groundwater hydrogeochemistry and non-carcinogenic health risk assessment in major river basins of Punjab, India

The Indian Punjab state is drained by the four rivers, along with a well-connected network of canals, and is now dealing with a slew of water quality issues and problems. In this study, basin-wise hydrogeochemical modelling of 323 groundwater samples and identification of NO3- and F- enrichment pathways in aquifer systems of Punjab were studied using different plots and multivariate statistics. To evaluate the groundwater quality and human health risks, an entropy-based water quality index and Monte Carlo simulation were used, respectively. Spatial distribution of NO3- indicated that its very high values were prominent in parts of southwestern Punjab falling under LSRB, along with few pockets in eastern and northeastern Punjab falling under MSRB and GRB. High NO3- values (> 45.0 mg/L) were found in 15.0% of Ravi River Basin (RRB) groundwater samples, 22.86% of Beas River Basin (BRB), 23.52% of Middle Sutlej River Basin (MSRB), 36.9% of Lower Sutlej River Basin (LSRB), and 21.31% of Ghaggar River Basin (GRB). The spatial distribution of NO3- revealed elevated concentrations (> 100 mg/L) in the southwestern part of Punjab, particularly in LSRB and localized pockets in the eastern and northeastern areas of Punjab within MSRB and GRB. High F- concentration (> 1.5 mg/L) was observed in 15.12% and 21.31% groundwater samples of LSRB and GRB, respectively. Spatially southern parts falling under LSRB and GRB reflected high F- content (> 1.5 mg/L) in groundwater. In LSRB, evaporative and anthropogenic processes influence the groundwater quality. The results of interionic relationships and statistical analysis revealed that NO3- has anthropogenic origin and that is being aggravated by leaching, the evaporation processes, animal excreta, septic tanks and irrigation return flows in LSRB and GRB, while F- is geogenic in nature. Hazard index (HI) values in 14.63%, 22.2%, 24.6%, 49.58%, and 34.42% samples for adults and 21.95%, 27.7%, 42.0%, 72.3%, and 52.46% samples for children were higher than unity in RRB, BRB, MSRB, LSRB, and GRB, respectively. The basin-wise demarcation of various groundwater quality parameter and assessment of human health risk would be of significance for the management of water resources.

Mapping and identification of potential groundwater development zones of an alluvial aquifer in parts of Ghaggar and Upper Yamuna basins in India

Using an integrated analytical hierarchy process, remote sensing and geographic information system techniques, the current study aims to map and identify the potential groundwater zones of Kurukshetra District of Haryana, which is located in the Ghaggar and Upper Yamuna Basins in India. This is done in the context of a significant change in the use of groundwater pattern, with respect to its continuously increasing demand due to the growing population, expansion of area under irrigation and related economic factors. The amount and quality of groundwater are anticipated to be impacted by anthropogenic activities as well as natural factors such as geomorphology, soil type, lithology and rainfall variance owing to a changing climatic scenario. The potential index of groundwater for this study was calculated by using nine important factors, including geomorphology, rainfall, soil type, depth to groundwater level, lithology, land use land cover, normalized difference vegetation index, cumulative sand thickness and elevation. The integration of multiple thematic layers was accomplished using the overlay weighted method to generate a potential groundwater zonation map and the accuracy of the resulting map was validated against a groundwater resource potential map. Statistical measures demonstrate an 82% agreement between the two maps, indicating a high level of concurrence. Accordingly, three groundwater zones of good, average and bad potential have been identified in the study area. In the current study, a process that combines weighted ranking with spatial data transformation and harmonization has been developed to obtain information for accurate decision-making. The results accruing from this research have significant ramifications for creating regional sustainable groundwater management plans.

Deciphering pollution vulnerability zones of River Yamuna in relation to existing land use land cover in Panipat, Haryana, India

Rivers are one of the major freshwater resources, which provide water for irrigation, domestic, recreational, environmental, and industrial purposes, but they are extremely vulnerable to pollution due to discharge of untreated waste. Establishing the baseline river water quality data is important, so that monitoring changes over time, assessing impacts of particular developmental projects and setting water quality standards for the protection of the river, can be undertaken. In the present study, water quality assessment was done for a segment of Yamuna River passing through Panipat district, Haryana, India. This study is an attempt to know the impact of wastewater generated due to urban and industrial activities taking place in Panipat city and nearby areas, on River Yamuna. Furthermore, vulnerability zone of River Yamuna was delineated using CCME-WQI, NSF-WQI, and hierarchical cluster analysis (HCA). The water quality samples were further evaluated for the agricultural and industrial purposes to determine whether the water can be used for irrigation and industrial requirements. The study also considered the existing land use land cover (LULC) on left and right banks of the River Yamuna and the wastewater carrying drain. River Yamuna travels nearly a distance of ≈ 44 Kms in and around Panipat district and the results of the study indicated that nearly 13 Km stretch of River is more vulnerable to pollution. Thus, it is suggested that wastewater discharge regulation, installation of effluent treatments plants, and maintenance of environmental flow are prerequisite to protect and restore the River Yamuna.

Evaluation of groundwater quality and human health risks from fluoride and nitrate in semi-arid region of northern India

Groundwater quality in the alluvial plains of Punjab has special significance and needs great attention since it is the foremost source of drinking, irrigation and industrial uses. The present research work emphasizes the integrated hydrogeochemical and chemometric statistical approaches to appraise the geochemical processes and source apportionment of the groundwater in the alluvial plains of Jalandhar district, Punjab, India. The human health risk assessment was also performed to quantify the potential non-carcinogenic impacts of nitrate and fluoride on human health through ingestion of groundwater. For this purpose, 41 groundwater samples were collected from different groundwater abstraction units and analysed for pH, electrical conductivity, total dissolved solids, total hardness, total alkalinity and major ions (Ca²⁺, Mg²⁺, Na⁺, K⁺, HCO₃^-, CO₃^2-, SO₄^2-, NO₃^-, F^-, Cl^- and PO₄^3-) using standard protocols. Drinking water quality index and Revelle index showed that groundwater samples fall under poor to unfit water class and salinization along the south-western portion of the study region shows poor water quality. The results of the hazard index (HI_ingestion) show 68% and 46.34% of the groundwater samples have HI > 1 for children and adults. The non-carcinogenic health risk assessment of nitrate (NO₃^-) and fluoride (F^-) on the local population indicated that the children are more vulnerable through direct ingestion of drinking water than adults. Piper diagram and saturation index reveal that Ca²⁺-Mg²⁺-HCO₃^- is the dominant hydrochemical facies and oversaturated with calcite, dolomite and aragonite minerals in the groundwater. Gibbs diagrams, chloro-alkaline indices and scatter plots show that the hydrochemistry of the groundwater is mainly governed by aquifer material interaction such as weathering of silicate, carbonate rock, halite dissolution and cation exchange process. Chemometric statistical techniques revealed that the source identification of parameters such as Ca²⁺, Mg²⁺, Na⁺, K⁺, HCO₃^-, CO₃^- and F^- is originated from geogenic factors, whereas NO₃^-, SO₄^2-, Cl^- and PO₄^3- are from the anthropogenic origin. Therefore, urgent and efficient measures must be taken to combat groundwater pollution and reduce human health risk in the study area.

Deterministic and probabilistic health risk assessment techniques to evaluate non-carcinogenic human health risk (NHHR) due to fluoride and nitrate in groundwater of Panipat, Haryana, India

Human interferences have caused groundwater contamination in alluvial aquifers which subsequently affects the health of exposed population. In the present study, 74 groundwater samples from the semi-arid region of Panipat district, falling under Yamuna sub-basin, India was evaluated to know the potential non-carcinogenic human health risk in local adult and child population. The major objective of the present study was to know the non-carcinogenic human health risk due to intake of fluoride and nitrate contaminated water, using two different approaches: deterministic and probabilistic (Monte Carlo simulation). The values of hazard quotient (HQ) determined by deterministic as well as probabilistic approach were nearly identical. The hazard index (HI) value of 40.8% samples was above the unity in case of adults while 69.7% samples indicated HI value greater than unity for children thus indicating children are more prone to non-carcinogenic health risk than the adult population. Sensitivity analysis was performed to identify the influence of the non-carcinogenic human health risk predictor variables for the prediction of risk and concentration factor (CF) was the most influential variable. Multivariate statistical techniques were employed to know the positive and negative relationship of fluoride and nitrate with other parameters. Results of principal component analysis/factor analysis (PCA/FA) indicated that the concentration of fluoride is controlled by the presence of calcium due to their negative correlation in groundwater samples. The hierarchical agglomerative cluster analysis (HCA) also supported the outcome of PCA/FA and both indicated anthropogenic sources of fluoride and nitrate in groundwater.

Pollution tolerance assessment of temperate woody vegetation growing along the National Highway-5 in Himachal Pradesh, India

Industrialization and globalization have resulted in pollution of all the three ecosystems, including soil, water, and air. Among these, air pollution has generated much interest, since it has a major influence on the transboundary dispersion of pollutants globally. Air pollution tolerance index (APTI) value represents tolerance level of plants which help in selecting the most suitable plant species for plantation in/around affected areas. This parameter in conjunction with Anticipated Performance Index (API) can provide a logical solution for green belt development by considering biological and socio-economic aspect of the species and help in reducing the levels of pollutants. The present study was conducted in Himachal Pradesh, constituting a very vital part of the Indian Himalayan Region. In the present study, APTI and API values of six commonly growing temperate and sub-temperate plant species viz., Quercus leucotrichophora, Rubus ellipticus, Debregeasia saeneb, Hypericum oblongifolium, Punica granatum, and Grevillea robusta, were evaluated along the National Highway-5 in Himachal Pradesh. The highest value of APTI was observed for Grevillea robusta (12.89), followed by Punica granatum (10.87), Debregeasia saeneb (10.50), Hypericum oblongifolium (10.43), Rubus ellipticus (10.18), and Quercus leucotrichophora (9.68). Upon assessment of API, it was observed that Grevillea robusta (62.50%) was the highest scoring plant species in trees, while Rubus ellipticus and Debregeasia saeneb were the highest scoring shrub species (56.25% each) and thus can be recommended for green belt development and attenuation of air pollution in the region. Punica granatum can be suggested for plantation among the native species.

Data on fluoride contamination in potable water in alluvial plains of district Panipat, Haryana, India

This data set reveals the fluoride concentration level of an alluvial aquifer of Panipat district Haryana India. The whole district of Panipat relies on groundwater for its agricultural, industrial and domestic purposes. Fluoride concentration in the study area varied from 0.5 mg/L to 5.95 mg/L with an average of 1.6 mg/L. 42.9% of the groundwater samples have shown higher fluoride concentration in groundwater than the permissible level prescribed by World Health Organisation and Bureau of Indian Standards. The spatial distribution map of fluoride has interestingly shown contrast between western and eastern parts of the region. Higher fluoride concentration (1.00-5.95 mg/L) in groundwater is witnessed in western half whereas the eastern half had comparatively lower concentration of fluoride ranging from 0.5 mg/L to 3.0 mg/L with maximum area having concentrations up to 1.5 mg/L. Major part 52.23% of Panipat district has shown high fluoride concentration in groundwater than the permissible level. It is further suggested that prolonged intake of groundwater with fluoride concentration higher than the permissible levels may cause dental or skeletal fluorosis in the locals.

Evaluation of Air Pollution Tolerance Index (APTI) as a tool to monitor pollution and green belt development: A review

Air pollution is a global phenomenon arising out of the unsustainable, unplanned and rapid develop-ment. The quality of air is deteriorating day by day because of rising concentrations of various gases in the atmos-phere. Presently, no such system has been developed ever that completely eliminates air pollutants, but nature has created many systems to deal with the harmful results of different anthropogenic activities up to a certain limit. Some plants can survive well with higher pollutant concentrations and act as pollution scavenger. Green plants act as a sink and filter to minimize air pollution by absorption, adsorption, detoxification, accumulation and/or metabolization without sustaining serious decline in growth, thus improving air quality by providing oxygen to the atmosphere. The plants which can withstand higher pollutant concentrations can serve as tolerant species and may be suggested to act as pollution scavengers. In the present study the air pollution tolerance index of some plants has been reviewed which are widely distributed throughout India and may prove helpful for the abatement of elevated air pollution levels such as Mangifera indica, Azardirachta indica, Saraca indica, Ficus religiosa, Ficus benghalensis, Shorea robusta and Bougainvillea spp. The wild indigenous species are superior performers in air pollution reduction as compared to the cultivated non indigenous species. The screening out of tolerant plant species from the sensitive ones can provide a database which may help landscapers to design green belts around industries and National Highways.

Yeast techniques for modeling drugs targeting Bcl-2 and caspase family members

Development of drugs targeting Bcl-2 relatives and caspases, for treating diseases including cancer and inflammatory disorders, often involves measuring interactions with recombinant target molecules, and/or monitoring cancer cell killing in vitro. Here, we present yeast-based methods for evaluating drug-mediated inhibition of Bcl-2 relatives or caspases. Active Bax and caspases kill Saccharomyces cerevisiae, and pro-survival Bcl-2 proteins can inhibit Bax-induced yeast death. By measuring the growth or adenosine triphosphate content of transformants co-expressing Bax with pro-survival Bcl-2 relatives, we found that the Bcl-2 antagonist drugs ABT-737 or ABT-263 abolished Bcl-2 or Bcl-x_L function and reduced Bcl-w activity, but failed to inhibit Mcl-1, A1 or the poxvirus orthologs DPV022 and SPPV14. Using this technique, we also demonstrated that adenoviral E1B19K was resistant to these agents. The caspase inhibitor Q-VD-OPh suppressed yeast death induced by caspases 1 and 3. Yeast engineered to express human apoptotic regulators enable simple, automatable assessment of the activity and specificity of candidate drugs targeting Bcl-2 relatives or caspases.

Endothelial dysfunction in ankylosing spondylitis improves after tumor necrosis factor-alpha blockade

Chronic inflammation in ankylosing spondylitis (AS) is associated with vascular endothelial dysfunction. Infliximab improves inflammatory disease activity in AS patients, but its effect on endothelial dysfunction has still not been tested in these patients. Twelve anti-TNF naive AS patients (mean age, 32.6 +/- 3.94 years; disease duration, 5.6 +/- 0.8 years) with high disease activity [Bath ankylosing spondylitis disease activity index (BASDAI score > 4)] despite treatment with stable doses of conventional disease modifying anti-rheumatic drugs (DMARDs) were investigated. Inflammatory disease activity [BASDAI and Bath ankylosing spondylitis functional index (BASFI) scores, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) levels], serum nitrite concentration, and endothelium-dependent and endothelium-independent vasodilation of the brachial artery were measured at baseline and 12 weeks of therapy after single intravenous infusion of infliximab (5 mg/kg). Previous DMARD(s) regimen remained unchanged throughout the study period. After treatment with infliximab, flow-mediated vasodilation improved from 9.81 +/- 1.70% to 26.93 +/- 2.34% (p < 0.001), whereas there was no significant change in endothelium-independent vasodilation with nitroglycerin and baseline diameter (13.65 +/- 2.10% versus 14.59 +/- 1.93%, p = 0.08, and 4.45 +/- 0.15 versus 4.46 +/- 0.15 mm, p = 0.3, respectively). Nitrite concentration reduced from 6.50 +/- 0.21 to 2.57 +/- 0.18 micromol/l (p < 0.001), ESR from 40.90 +/- 6.00 to 11.50 +/- 1.38 mm in the first hour (p < 0.001), and CRP level from 29.08 +/- 4.11 to 2.69 +/- 0.43 mg/dl (p < 0.001). BASDAI and BASFI scores were significantly reduced from 5.40 +/- 1.14 to 1.40 +/- 0.70 (p < 0.05) and 5.05 +/- 1.76 to 0.20 +/- 0.63 (p < 0.05), respectively. The study suggests that in ankylosing spondylitis, endothelial dysfunction is a part of the disease process and infliximab improves both endothelial dysfunction and inflammatory disease activity.

Joint thresholding and quantizer selection for compression of medical ultrasound images in the wavelet domain

This paper introduces a simple and efficient technique for compression of medical ultrasound (US) images in the wavelet domain. The statistics of subband wavelet coefficients are modelled using the generalized Gaussian distribution (GGD). By exploiting these statistics, a uniform scalar quantizer is designed which adapts very well to the changing statistics of the signal across various subbands and scales. To increase the quantization performance, a threshold is chosen adaptively to zero-out the insignificant wavelet coefficients in the detail subbands before quantization. A distinctive feature of the proposed technique is that it unifies the two approaches to image adaptive coding: rate-distortion (R-D) optimized quantizer selection and R-D optimal thresholding, in order to increase the compression performance of the coder. The operational R-D criterion used for joint optimization is derived in the minimum description length (MDL) framework. The experimental results show that the joint R-D optimization leads to significant improvement in the compression performance of the proposed coder, named JTQ-WV, over the best state-of-the-art image coder, SPIHT. For example, the coding of US images at 0.25 bpp by JTQ-WV yields a PSNR gain of 1.0 dB over the benchmark SPIHT.

Effect of spironolactone on endothelial dysfunction in rheumatoid arthritis

OBJECTIVE

Chronic inflammation in rheumatoid arthritis (RA) is associated with vascular endothelial dysfunction. The aim of this study was to determine the effect of spironolactone on endothelial function in anti-tumour necrosis factor (TNF)-naive RA patients.

METHODS

Twenty-four anti-TNF-naive RA patients (mean age 49 +/- 1.8 years; disease duration 8.5 +/- 5.8 years) with high disease activity [Disease Activity Score including a 28-joint count (DAS28 > 5.1)] despite treatment with stable doses of conventional disease-modifying anti-rheumatic drugs (DMARDs) were investigated. Inflammatory disease activity [DAS28 and Health Assessment Questionnaire-Disability Index (HAQ-DI) scores, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP)], serum markers of endothelial dysfunction, serum nitrite concentration, and endothelium-dependent and -independent vasodilation of the brachial artery were measured before and after 12 weeks of therapy with oral spironolactone 2 mg/kg/day.

RESULTS

After treatment with spironolactone, flow-mediated vasodilation (FMD) improved from 3.18 +/- 0.46% to 3.95 +/- 0.49% (p < 0.001) whereas there was no significant change in endothelium-independent vasodilation with nitroglycerin and baseline diameter (18.4 +/- 1.15% vs. 18.3 +/- 1.13%, p = 0.046, and 3.5 +/- 0.1 vs. 3.52 +/- 0.1 mm, p = 0.952, respectively); serum nitrite concentration was reduced significantly from 6.9 +/- 0.34 to 6.8 +/- 0.33 micromol/L (p < 0.001), ESR from 59.90 +/- 4.86 to 51.22+/-4.26 mm in the first hour (p < 0.001), and CRP level from 15.2+/-3.8 to 9.4+/-2.6 mg/dL (p = 0.019). DAS28 and HAQ-DI scores were significantly reduced, from 6.9+/-0.25 to 4.1+/-0.31 (p < 0.05) and from 1.47+/-0.09 to 0.69+/-0.1 (p < 0.05), respectively.

CONCLUSIONS

The study suggests that, in RA, endothelial dysfunction is part of the disease process and treatment with spironolactone improves both endothelial dysfunction and inflammatory disease activity in RA.

Wavelet based compression of medical ultrasound images using vector quantization

In this paper, an efficient technique for compression of medical ultrasound (US) images is proposed. The technique is based on wavelet transform of the original image combined with vector quantization (VQ) of high-energy subbands using the LBG algorithm. First, we analyse the statistical behaviour of wavelet coefficients in US images across various subbands and scales. The analysis show that most of the image energy is concentrated in one of the detail subband, either in the vertical detail subband (most of the time) or in the horizontal subband. The other two subbands at each decomposition level contribute negligibly to the total image energy. Then, by exploiting this statistical analysis, a low-complexity image coder is designed, which applies VQ only to the highest energy subband while discarding the other detail subbands at each level of decomposition. The coder is tested on a series of abdominal and uterus greyscale US images. The experimental results indicate that the proposed method clearly outperforms the JPEG2000 (Joint Photographers Expert Group) encoder both qualitatively and quantitatively. For example, without using any entropy coder, the proposed method yields a peak signal to noise ratio gain of 0.2 dB to 1.2 dB over JPEG2000 on medical US images.

Performance improvement of the SPIHT coder based on statistics of medical ultrasound images in the wavelet domain

This paper proposes some modifications to the state-of-the-art Set Partitioning In Hierarchical Trees (SPIHT) image coder based on statistical analysis of the wavelet coefficients across various subbands and scales, in a medical ultrasound (US) image. The original SPIHT algorithm codes all the subbands with same precision irrespective of their significance, whereas the modified algorithm processes significant subbands with more precision and ignores the least significant subbands. The statistical analysis shows that most of the image energy in ultrasound images lies in the coefficients of vertical detail subbands while diagonal subbands contribute negligibly towards total image energy. Based on these statistical observations, this work presents a new modified SPIHT algorithm, which codes the vertical subbands with more precision while neglecting the diagonal subbands. This modification speeds up the coding/decoding process as well as improving the quality of the reconstructed medical image at low bit rates. The experimental results show that the proposed method outperforms the original SPIHT on average by 1.4 dB at the matching bit rates when tested on a series of medical ultrasound images. Further, the proposed algorithm needs 33% less memory as compared to the original SPIHT algorithm.

Space-frequency quantiser design for ultrasound image compression based on minimum description length criterion

The paper addresses the problem of how the spatial quantisation mode and subband adaptive uniform scalar quantiser can be jointly optimised in the minimum description length (MDL) framework for compression of ultrasound images. It has been shown that the statistics of wavelet coefficients in the medical ultrasound (US) image can be better approximated by the generalised Student t-distribution. By combining these statistics with the operational rate-distortion (RD) criterion, a space-frequency quantiser (SFQ) called the MDL-SFQ was designed, which used an efficient zero-tree quantisation technique for zeroing out the tree-structured sets of wavelet coefficients and an adaptive scalar quantiser to quantise the non-zero coefficients. The algorithm used the statistical 'variance of quantisation error' to achieve the different bit-rates ranging from near-lossless to lossy compression. Experimental results showed that the proposed coder outperformed the set partitioning in hierarchical trees (SPIHT) image coder both quantitatively and qualitatively. It yielded an improved compression performance of 1.01 dB over the best zero-tree based coder SPIHIT at 0.25 bits per pixel when averaged over five ultrasound images.

Sonographic diagnosis of diastematomyelia in utero: a case report and literature review

Fetal diastematomyelia is a rare form of spinal dysraphism that is characterized by a complete or incomplete division of the spinal cord by an osseous or fibrocartilaginous septum. A case of diastematomyelia, which was detected on the routine third trimester detailed ultrasound scan, is presented. The diagnosis was based on the detection of an echogenic focus in the posterior aspect of the spine in association with widening of the interpedicular vertebral space. The case illustrates that diastematomyelia can occur in the absence of overt spina bifida and that prenatal detection will allow timely postnatal investigation and treatment. Prenatal literature is further reviewed to assess the clinical significance of this finding.

Stressful family life events and nonspecific somatic complaints in school children

The relationship between stressful family life events and somatic complaints in 477 school children was studied. There was a significant association between life events and somatic complaints, with a general trend for somatic complaints to increase in almost direct proportion to the number of family life events. Overall occurrence of these nonspecific symptoms was more in girls. The somatic complaints were significantly more in children from nuclear families and of illiterate or poorly educated mothers. No significant association was observed between somatic complaints and number of children in the family or socio-economic status. Assessment of psychodevelopmental tasks and family environment during routine check up of children by the school health teams and their appropriate training in this field should be stressed upon.

Enuresis: analysis of 100 cases

One hundred children with enuresis were studied to find out various factors responsible for this condition. Enuresis was more frequent in first born, service class and bottle fed children. There was a significant role of stress factors in causation of enuresis. We found a higher frequency of behavioral symptoms among children with enuresis. There was no significant correlation between enuresis and sex, education of parents, social class, sleep patterns, age of mother at marriage and intellectual grades of the children. Worm infestations, giardiasis, amebiasis and urinary infection were seen in 70% of cases. General body weakness, cold and nervousness were the common causes of enuresis in the parents' opinion. The main reason for not seeking the treatment at an early stage in view of parents' was that they thought enuresis a normal variant.