Comparative in vitro toxicological effects of water-soluble and insoluble components of atmospheric PM2.5 on human lung cells

Fine particulates in city air significantly impact human health, but the hazardous compositional mechanisms are still unclear. Besides the toxicity of environmental PM2.5 to in vitro human lung epithelial cells (A549), the independent cytotoxicity of PM2.5-bound water-soluble (WS-PM2.5) and water-insoluble (WIS-PM2.5) fractions were also compared by cell viability, oxidative stress (reactive oxygen species, ROS), and inflammatory injury (IL-6 and TNF-α). The cytotoxicity of PM2.5 varied significantly by sampling season and place, with degrees greater in winter and spring than in summer and autumn, related to corresponding trend of air PM2.5 level, and also higher in industrial than urban site, although their PM2.5 pollution levels were comparable. The PM2.5 bound metals (Ni, Cr, Fe, and Mn) may contribute to cellular injury. Both WS-PM2.5 and WIS-PM2.5 posed significant cytotoxicity, that WS-PM2.5 was more harmful than WIS-PM2.5 in terms of decreasing cell viability and increasing inflammatory cytokines production. In particular, industrial samples were usually more toxic than urban samples, and those from summer were generally less toxic than other seasons. Hence, in order to mitigate the health risks of PM2.5 pollution, the crucial targets might be components of heavy metals and soluble fractions, and sources in industrial areas, especially during the cold seasons.

Effects of polypropylene microplastics on carbon dioxide dynamics in intertidal mangrove sediments

Microplastics (MPs) in soil can influence CO2 dynamics by altering organic carbon (OC) and microbial composition. Nevertheless, the fluctuation of CO2 response attributed to MPs in mangrove sediments is unclear. This study explores the impact of micro-sized polypropylene (mPP) particles on the carbon dynamics of intertidal mangrove sediments. In the high-tide level sediment, after 28 days, the cumulative CO2 levels for varying mPP dosages were as follows: 496.86 ± 2.07, 430.38 ± 3.84 and 447.09 ± 1.72 mg kg-1 for 0.1%, 1% and 10% (w/w) mPP, respectively. The CO2 emissions were found to be increased with a 0.1% (w/w) mPP level and decreased with 1% and 10% (w/w) mPP at high-tide level sediment, suggesting a tide level-specific dose dependence of the CO2 emission pattern in mangrove sediments. Overall, results indicated that the presence of mPP in mangrove sediments would potentially affect intertidal total CO2 storage under given experimental conditions.

Super capacity of ligand-engineered biochar for sorption of malachite green dye: key role of functional moieties and mesoporous structure

This study synthesized a new thiomalic acid-modified rice husk biochar (TMA-BC) as a versatile and eco-friendly sorbent. After undergoing chemical treatments, the mercerized rice husk biochar (NaOH-BC) and TMA-BC samples showed higher BET surface area values of 277.1 m2/g and 305.8 m2/g, respectively, compared to the pristine biochar (BC) sample, which had a surface area of 234.2 m2/g. In batch adsorption experiments, it was found that the highest removal efficiency for malachite green (MG) was achieved with TMA-BC, reaching 96.4%, while NaOH-BC and BC exhibited removal efficiencies of 38.6% and 27.9%, respectively, at pH 8. The engineered TMA-BC exhibited a super adsorption capacity of 104.17 mg/g for MG dye at pH 8.0 and 25 °C with a dosage of 2 g/L. The SEM, TEM, XPS, and FTIR spectroscopy analyses were performed to examine mesoporous features and successful TMA-BC carboxylic and thiol functional groups grafting on biochar. Electrostatic forces, such as π - π interactions, hydrogen bonding, and pore intrusion, were identified as key factors in the sorption of MG dye. As compared to single-solution adsorption experiments, the binary solution experiments performed at optimized dosages of undesired ions, such as humic acid, sodium dodecyl sulfate surfactant, NaCl, and NaSCN, reflected an increase in MG dye removal of 2.8%, 8.7%, 5.4%, and 12.7%, respectively, which was attributed to unique mesoporous features and grafted functional groups of TMA-BC. Furthermore, the TMA-BC showed promising reusability up to three cycles. Our study indicates that mediocre biochar modified with TMA can provide an eco-friendly and cost-effective alternative to commercially accessible adsorbents.

Trends and social aspects in the management and conversion of agricultural residues into valuable resources: A comprehensive approach to counter environmental degradation, food security, and climate change

The circular economy is essential as it encourages the reuse and recycling of resources while reducing waste, which ultimately helps to reduce environmental pollution and boosts economic efficiency. The current review highlights the management of agricultural and livestock residues and their conversion into valuable resources to combat environmental degradation and improve social well-being. The current trends in converting agricultural residues into useful resources emphasize the social benefits of waste management and conversion. It also emphasizes how waste conversion can reduce environmental degradation and enhance food security. Using agricultural residues can increase soil health and agricultural output while reducing pollution, greenhouse gas emissions, and resource depletion. Promoting sustainable waste-to-resource conversion processes requires a combination of strategies that address technical, economic, social, and environmental aspects. These multiple strategies are highlighted along with prospects and considerations.

Effects of biodegradable and conventional microplastics on the intestine, intestinal community composition, and metabolic levels in tilapia (Oreochromis mossambicus)

Despite growing interest in conventional microplastics (CMPs) and their toxicological effects on aquatic species, little is known about biodegradable microplastics (BMPs) and their corresponding implications for aquatic life. Here, tilapia (Oreochromis mossambicus) were semi-statically exposed for 14 days to the bio-based plastic polylactic acid (PLA, 100 μg/L, 2.52 ± 0.46 μm) and the petroleum-based plastic polyvinyl chloride (PVC, 100 μg/L, 1.58 ± 0.36 μm). The results showed that ingesting the above two types of microplastics (MPs) led to oxidative stress in the fish gut, and damage to gut tissues and organelles, and PLA resulted in more obvious gut tissue edema than PVC. Furthermore, PLA caused increased levels of gut microbiota dysbiosis and a decrease in the abundance of the genus Cetobacterium, which is linked to vitamin B-12 synthesis, whereas an opposite relationship was observed on PVC. Metabolomic analysis indicated that PVC caused a significant down-regulation of orotic acid, co-metabolite of folic acid with vitamin B-12, while PLA did not affect orotic acid, which may lead to the accumulation of folic acid in fish. The joint analysis found that MPs disturbed gut metabolism homeostasis, implying that abnormal gut microbiota metabolites may be a key mechanism for MPs to induce tissue damage and oxidative stress in the gut. Overall, this study systematically illustrates the differential toxic effects of BMPs and CMPs on tilapia through gut microbiota and metabolite interactions, which will contribute to assessing the risks of BMPs to organismal health.

Earlier Return to Sports, Reduced Donor-Site Morbidity with Doubled Peroneus Longus Versus Quadrupled Hamstring Tendon Autograft in ACL Reconstruction

Background

Graft choice for anterior cruciate ligament reconstruction (ACLR) has been evolving. The peroneus longus tendon (PLT) has been seen as a suitable choice for ACLR, providing comparable results to those of hamstring tendon (HT) autograft, but its clinical relevance in terms of return to sports, to our knowledge, has not been studied.

Methods

Two hundred and thirty-two patients who sustained an isolated ACL injury were enrolled and underwent ACLR using doubled PLT autograft or quadrupled HT autograft; 158 were followed for 24 months. Functional scores (International Knee Documentation Committee [IKDC] and Tegner-Lysholm scores) were assessed preoperatively and at 3,6, 12, and 24 months postoperatively. Graft diameter and graft harvesting time were measured intraoperatively. Donor-site morbidity was evaluated using subjective evaluation. Time to return to sports in both groups was compared.

Results

The mean diameter of PLT autograft was significantly larger than that of HT autograft, and the mean graft-harvesting time was less (p < 0.001). Patients in the PLT group returned to sports a mean of 34 days earlier than those in the HT group (p < 0.001) and had a lower rate of donor-site morbidity and, at 6 months, better patient-reported outcomes at the knee (p < 0.001). There were no significant differences between the groups in the rate of graft rupture or in IKDC and Tegner-Lysholm scores at the 24-month follow-up.

Conclusions

PLT is a suitable autograft for ACLR in terms of graft diameter and graft-harvesting time and may offer athletes an earlier return to sports related to better outcomes at 6 months of follow-up. HT autograft was associated with increased thigh weakness. Both grafts, however, performed similarly at 24 months postoperatively.

Level of Evidence

Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.

Assessment of meteorological and air quality drivers of elevated ambient ozone in Beijing via machine learning approach

Over the past few years, surface ozone (O3) pollution has dominated China's air pollution as particulate matter has decreased. In Beijing, the annual average concentrations of ground-level O3 from 2015 to 2020 regularly increased from 57.32 to 62.72 μg/m3, showing a change of almost 9.4%, with a 1.6% per year increase. The meteorological factors are the primary influencer of elevated O3 levels; however, their importance and heterogeneity of variables remain rarely understood. In this study, we used 13 meteorological factors and 6 air quality (AQ) parameters to estimate their influencing score using the random forest (RF) algorithm to explain and predict ambient O3. Among the meteorological variables and overall, both land surface temperature and temperature at 2 m from the surface emerged as the most influential factors, while NO2 stood out as the highest influencing factor from the AQ parameters. Indeed, it is crucial and imperative to reduce the temperature caused by climate change in order to effectively control ambient O3 levels in Beijing. Overall, meteorological factors alone exhibited a higher coefficient of determination (R2) value of 0.80, compared with AQ variables of 0.58, for the post-lockdown period. In addition, we calculated the number of days O3 concentration levels exceeded the WHO standard and newly proposed peak-season maximum daily 8-h average (MDA8) O3 guideline for Beijing. The exceedance number of days from the WHO standard of MDA8 ambient O3 was observed to be the highest in June, and each studied year crossed peak season guidelines by almost 2 times margin. This study demonstrates the contributions of meteorological variables and AQ parameters in surging ambient O3 and highlights the importance of future research toward devising an optimum strategy to combat growing O3 pollution in urban areas.

Heterogeneous aggregation between microplastics and microalgae: May provide new insights for microplastics removal

Existing studies have shown that microplastics (MPs) as artificial surfaces can be colonized by plankton microorganisms. However, systematic research on exploring the aggregation formation process of MPs and microalgae is still lacking and particularly the influencing factors of aggregation remain to be elucidated. Therefore, this study investigated the heterogeneous aggregation process between various microalgal species (i.e., Chlorella vulgaris, Scenedesmus obliquus, Tetraselmis subcordiformis, Chaetoceros müelleri and Streptococcus westermani) and MPs (i.e., mPS and mPLA) with different sizes (i.e., 74 μm and 613 μm), concentrations (i.e., 0.1 g/L, 1 g/L and 2 g/L) and shapes (i.e., the particle and sheet). The results showed that microalgae can first attach to the holes or protrusions of MPs and highly accumulate in the local region, and then multi-layer aggregation can be formed subsequently. The aggregation degree between MPs and microalgae was closely related to the MPs shape and size, and was less related to the MPs concentration. The aggregation speed of small-sized MPs (e.g., 74 μm) was faster than the large-sized ones (e.g., 613 μm). The MPs in a shape of sheet were more obvious than those in particle on their aggregation with microalgae. The density of aggregates was increased compared with pristine MPs, which is related to the cell density and cell number of attached microalgae. For the same type of MPs, the aggregation degree for the tested microalgae was as follows: Scenedesmus obliquus > C. vulgaris > T. subcordiformis > C. müelleri > S. westermani. Meanwhile, MPs inhibited cell growth of microalgae, particularly under the circumstance of their aggregation, by limiting the gas and mass transfer between microalgal cells and the extracellular environment. The heterogeneous aggregation of MPs and microalgae may provide new ideas for treatment and controlling of MPs in the environment.

Microplastics leachate may play a more important role than microplastics in inhibiting microalga Chlorella vulgaris growth at cellular and molecular levels

The leaching of microplastics (MPs) additives and their negative effects on aquatic organisms remain to be systematically elucidated. In this study, the toxicological effects of MPs leachate (micro-sized polyethylene (mPE) and micro-sized polyvinyl chloride (mPVC) acceleratedly leached by UVA for 15, 90, and 180 days in seawater) on microalga Chlorella vulgaris in terms of cell growth inhibition, oxidative stress, and transcriptomes were investigated. The leachate components of MPs aged for 90 days were further identified to elucidate the corresponding toxicity mechanisms of MPs on microalgal cells. The results revealed that both leachates of mPE and mPVC inhibited cell growth and increased oxidative stress in C. vulgaris, accompanied by a growth inhibition rate to microalgal cells of 4.0%-36.2% and 7.1%-48.2%, respectively. At the same mass concentration, the toxicological effects on C. vulgaris followed the order of mPVC leachate > mPE > mPE leachate > mPVC, whereas MPs leaching time indicated no change in MPs leaching toxicity. Furthermore, the gene functions of "translation, ribosomal structure and biogenesis" were mostly affected by MPs leachate. Compared to mPE leachate and pure MPs, the stronger inhibitory effects of mPVC leachate on microalgal cells may be attributed to the fact that more substances were leached from the polymer of mPVC, including Zn, farnesol isomer a, 2,6-di-tert-butyl-4-methylphenol, and acetyl castor oil methyl ester. In summary, this study provides a better understanding of the ecotoxicological influences of MPs and MPs leachate, and offers a warning on the ecological risk caused by plastic additives.

Membrane-processed honey samples for pollen characterization with health benefits

Better processing techniques must be utilized widely due to the rising demand for honey. The most common honey processing techniques are applied to melissopalynomorphs to check the quality and quantity of valuable honey using microporous ultrafiltration membranes. It is essential to have the ability to selectively filter out sugars from honey using ultrafiltration. This study authenticated 24 honey samples using membrane reactors ultrafiltration protocol to describe the pollen spectrum of dominant vegetation. The purpose of this study was also to explore nutritional benefits as well as the active phytochemical constituents of honey samples. Honey samples were collected and labeled Acacia, Eucalyptus, and Ziziphus species based on plant resources provided by local beekeepers. A variety of honeybee flora was collected around the apiaries between 2020 and 2021. Honey analysis revealed that the pollen extraction of 24 bee foraging species belonging to 14 families. The honey membrane technology verified the identities of honey and nectar sources. Also, pollen identified using honey ultrafiltration membranes revealed dominant resources: Acacia spp. (69%), Eucalyptus spp. (52%) and Ziziphus spp. Honey filtration using a membrane technology classified 14 samples as unifloral, represented by six dominant pollen types. The absolute pollen count in the honey sample revealed that 58.33% (n = 14) belong to Maurizio's class I. Scanning ultrasculpturing showed diverse exine patterns: reticulate, psilate, scabrate-verrucate, scabrate-gemmate, granulate, perforate, microechinate, microreticulate, and regulate to fossulate for correct identification of honey pollen types. Honey ultrafiltration should be utilized to validate the botanical sources of honey and trace their biogeographic authenticity. Thus, it is imperative to look at the alternative useful method to identify the botanical origin of filtered honey. It is critical to separate honey from adulteration by a standardized protocol. Membrane technology has yielded significant outcomes in the purification of honey.

Recent developments in microplastic contaminated water treatment: Progress and prospects of carbon-based two-dimensional materials for membranes separation

Micro (nano)plastics pollution is a noxious menace not only for mankind but also for marine life, as removing microplastics (MPs) is challenging due to their physiochemical properties, composition, and response toward salinity and pH. This review provides a detailed assessment of the MPs pollution in different water types, environmental implications, and corresponding treatment strategies. With the advancement in nanotechnology, mitigation strategies for aqueous pollution are seen, especially due to the fabrication of nanosheets/membranes mostly utilized as a filtration process. Two-dimensional (2D) materials are increasingly used for membranes due to their diverse structure, affinity, cost-effectiveness, and, most importantly, removal efficiency. The popular 2D materials used for membrane-based organic and inorganic pollutants from water mainly include graphene and MXenes however their effectiveness for MPs removal is still in its infancy. Albeit, the available literature asserts a 70- 99% success rate in micro/nano plastics removal achieved through membranes fabricated via graphene oxide (GO), reduced graphene oxide (rGO) and MXene membranes. This review examined existing membrane separation strategies for MPs removal, focusing on the structural properties of 2D materials, composite, and how they adsorb pollutants and underlying physicochemical mechanisms. Since MPs and other contaminants commonly coexist in the natural environment, a brief examination of the response of 2D membranes to MPs removal was also conducted. In addition, the influencing factors regulate MPs removal performance of membranes by impacting their two main operating routes (filtration and adsorption). Finally, significant limitations, research gaps, and future prospects of 2D material-based membranes for effectively removing MPs are also proposed. The conclusion is that the success of 2D material is strongly linked to the types, size of MPs, and characteristics of aqueous media. Future perspectives talk about the problems that need to be solved to get 2D material-based membranes out of the lab and onto the market.

Coating of chitosan on poly D,L-lactic-co-glycolic acid thymoquinone nanoparticles enhances the anti-tumor activity in triple-negative breast cancer

Breast cancer is the second most common cancer around the world. Triple-negative breast cancer (TNBC) is characterized by the absence of three receptors: progesterone, estrogen, and human epidermal growth factor-2 receptor (HER2). Various synthetic chemotherapies have gained attention but they caused unwanted side effects. Therefore, some secondary therapies are now becoming famous against this disease. For instance, natural compounds have been extensively researched against many diseases. However, enzymatic degradation and low solubility remain a major concern. To combat these issues, various nanoparticles have been synthesized and optimized from time to time, which increases its solubility and hence therapeutic potential of a particular drug increases. In this study, we have synthesized Poly D,L-lactic-co-glycolic acid (PLGA) loaded thymoquinone (TQ) nanoparticle (PLGA-TQ-NPs) and then coated them by chitosan (CS) (PLGA-CS-TQ-NPs), which was characterized by different methods. Size of non-coated NPs was 105 nm with PDI value of 0.3 and the size of coated NPs was 125 nm with PDI value of 0.4. Encapsulation efficiency (EE%) and Drug loading (DL%) was found to be 70.5 ± 2.33 and 3.38 for non-coated and 82.3 ± 3.11 and 2.66 for coated NPs respectively. We have also analysed their cell viability against MDA-MB-231 and SUM-149 TNBC cell lines. The resultant, nanoformulations exhibit anti-cancerous activity in a dose and time-dependent manner for MDA-MB-231 and SUM-149 cell lines with an IC₅₀ value of (10.31 ± 1.15, 15.60 ± 1.25, 28.01 ± 1.24) and (23.54 ± 1.24, 22.37 ± 1.25, 35 ± 1.27) for TQ free, PLGA-TQ-NPs and PLGA-CS-TQ-NPs respectively. For the first time, we have developed a nanoformulations of PLGA loaded TQ coated with CS NPs (PLGA-CS-TQ-NPs) against TNBC which led to their enhanced anti-cancerous effects.

Impacts of microplastic-petroleum pollution on nutrient uptake, growth, and antioxidative activity of Chlorella vulgaris

As one of the emerging pollutants, microplastics (MPs; <5 mm) can interact with co-contaminants such as petroleum in marine aquatic systems, and their combined toxicity has not been fully investigated. Therefore, this study focused on pollutants such as micro-sized polyethylene (mPE) and petroleum, aiming to explore their single and combined toxicities to microalga Chlorella vulgaris in terms of the cell growth, antioxidative enzymes, and nutrients utilization. The results showed that the MPs alone (particle sizes (i.e., 13, 165, 550 μm), concentrations (i.e., 0.01, 0.1, and 1 g/L), and aging degrees (i.e., aged for 0 d and 90 d under UVA)), and petroleum alone (5% water accommodated fraction, WAF), and their combinations (i.e., 5% WAF + 165 μm-0.1 g/L-aged 0 d mPE, 5% WAF + 165 μm-0.1 g/L-aged 90 d mPE) all posed toxicities risk to C. vulgaris, following an increase in oxidative stress. The cellular utilization of elements such as Fe, Si, Ca, and Mg was inhibited, whereas the uptake of Mn, NO₃^--N, and PO₄^3--P increased as compared to the control experiments. Furthermore, the relationship between nutrients and growth indicators was analyzed using a structural equation model. The results indicated that Fe and Mn directly affected the indirect NO₃^--N absorption by C. vulgaris, which indirectly affected the dry cell weight (DCW) of the microalgae. The path coefficient of Fe and Mn affecting nitrate was 0.399 and 0.388, respectively. The absorption of N was the key step for C. vulgaris resist stress. This study provides a novel analysis of the effects of MPs on the growth of microalgae from the perspective of nutrient elements, thereby providing a useful basis for further exploration of the associated mechanisms.

Biochar application for remediation of organic toxic pollutants in contaminated soils; An update

Bioremediation of organic contaminants has become a major environmental concern in the last few years, due to its bio-resistance and potential to accumulate in the environment. The use of diverse technologies, involving chemical and physical principles, and passive uptake utilizing sorption using ecofriendly substrates have drawn a lot of interest. Biochar has got attention mainly due to its simplicity of manufacturing, treatment, and disposal, as it is a less expensive and more efficient material, and has a lot of potential for the remediation of organic contaminants. This review highlighted the adverse impact of persistent organic pollutants on the environment and soil biota. The utilization of biochar to remediate soil and contaminated compounds i.e., pesticides, polycyclic aromatic hydrocarbons, antibiotics, and organic dyes has also been discussed. The soil application of biochar has a significant impact on the biodegradation, leaching, and sorption/desorption of organic contaminants. The sorption/desorption of organic contaminants is influenced by chemical composition and structure, porosity, surface area, pH, and elemental ratios, and surface functional groups of biochar. All the above biochar characteristics depend on the type of feedstock and pyrolysis conditions. However, the concentration and nature of organic pollutants significantly alters the sorption capability of biochar. Therefore, the physicochemical properties of biochar and soils/wastewater, and the nature of organic contaminants, should be evaluated before biochar application to soil and wastewater. Future initiatives, however, are needed to develop biochars with better adsorption capacity, and long-term sustainability for use in the xenobiotic/organic contaminant remediation strategy.

Next-generation graphene oxide additives composite membranes for emerging organic micropollutants removal: Separation, adsorption and degradation

In the past two decades, membrane technology has attracted considerable interest as a viable and promising method for water purification. Emerging organic micropollutants (EOMPs) in wastewater have trace, persistent, highly variable quantities and types, develop hazardous intermediates and are diffusible. These primary issues affect EOMPs polluted wastewater on an industrial scale differently than in a lab, challenging membranes-based EOMP removal. Graphene oxide (GO) promises state-of-the-art membrane synthesis technologies and use in EOMPs removal systems due to its superior physicochemical, mechanical, and electrical qualities and high oxygen content. This critical review highlights the recent advancements in the synthesis of next-generation GO membranes with diverse membrane substrates such as ceramic, polyethersulfone (PES), and polyvinylidene fluoride (PVDF). The EOMPs removal efficiencies of GO membranes in filtration, adsorption (incorporated with metal, nanomaterial in biodegradable polymer and biomimetic membranes), and degradation (in catalytic, photo-Fenton, photocatalytic and electrocatalytic membranes) and corresponding removal mechanisms of different EOMPs are also depicted. GO-assisted water treatment strategies were further assessed by various influencing factors, including applied water flow mode and membrane properties (e.g., permeability, hydrophily, mechanical stability, and fouling). GO additive membranes showed better permeability, hydrophilicity, high water flux, and fouling resistance than pristine membranes. Likewise, degradation combined with filtration is two times more effective than alone, while crossflow mode improves the photocatalytic degradation performance of the system. GO integration in polymer membranes enhances their stability, facilitates photocatalytic processes, and gravity-driven GO membranes enable filtration of pollutants at low pressure, making membrane filtration more inexpensive. However, simultaneous removal of multiple contaminants with contrasting characteristics and variable efficiencies in different systems demands further optimization in GO-mediated membranes. This review concludes with identifying future critical research directions to promote research for determining the GO-assisted OMPs removal membrane technology nexus and maximizing this technique for industrial application.

Targeted metabolomics reveals fatty acid abundance adjustments as playing a crucial role in drought-stress response and post-drought recovery in wheat

Drought stress is one of the abiotic stresses restricting plant development, reproductive growth, and survival. In the present study, the effect of drought stress and post-drought recovery for the selected local wheat cultivar, Atta Habib, was studied. Wheat was grown for 16 days followed by drought stress for 7 days and allowed to recover for 7 days after the removal of the drought stress. Same-aged untreated plants were also grown as a control. The effect of drought stress and post-drought recovery on morphology (root length, shoot length, root weight, and shoot weight), enzymatic activity, and fatty acid profile were analyzed. The results showed that shoot weight (93.1 mg), root weight (85.2 mg), and shoot length (11.1 cm) decreased in the stressed plants but increased steadily in the recovered plants compared to the same-aged control plants, while root length showed a higher increase (14.0 cm) during drought stress and tended to normalize during the recovery phase (13.4 cm). The ascorbate peroxidase activity increased in the stressed plants (5.44 unit/mg protein) compared to the control, while gradually normalizing in the recovery phase (5.41 unit/mg protein). Gas chromatography coupled mass spectrometric analysis revealed abundance changes in important fatty acids, such as palmitic acid, stearic acid, oleic acid, linoleic acid, and linolenic acid. Palmitic acid (39.1%) and oleic acid (2.11%) increased in the drought-stressed plants, while a reduction in linoleic acid (6.85%) and linolenic acid (51.18%) was observed compared to the same-aged control plants, i.e., palmitic (33.71%), oleic (0.95%), linoleic (7.52%), and linolenic acid (55.23%). The results suggest that wheat tries to recover in the post-drought stage by repairing oxidative damage through ascorbate peroxidase, and by adjusting fatty acid abundances under drought stress and during the post-drought phase in an effort to maintain membranes' integrity and a suitable fat metabolism route, thus helping recovery. Targeted metabolomics may be further used to explore the role of other metabolites in the drought-stress response mechanism in wheat. Furthermore, this relatively little explored avenue of post-drought recovery needs more detailed studies involving multiple stress durations.

Transformation mechanism and fate of dissolved organic nitrogen (DON) in a full-scale drinking water treatment

Dissolved organic nitrogen (DON) has attracted much attention in drinking water treatment due to its potential to produce nitrogenous disinfection by-products (N-DBPs). This work was designed to explore the transformation and fate of DON and dissolved inorganic nitrogen (DIN) in drinking water treatment. The changes of DON and formation of N-DBPs were evaluated along the water treatment route (i.e., pre-ozonation and biological-contact oxidation, delivery pipes' transportation, coagulation-sedimentation, sand filtration, post-ozonation, biological activated carbon, ultrafiltration and disinfection) of drinking water treatment plant (DWTP). The transformation mechanism of DON was comprehensively investigated by molecular weight fractionation, three-dimensional fluorescence, LC-OCD (Liquid Chromatography-Organic Carbon Detection), total free amino acids. A detailed comparison was made between concentrations and variations of DON and DIN affected by seasons in the drinking water treatment. Regardless of seasonal variation in raw water concentration, the DON removal trends between different treatment processes remain constant in the present study. Compared to other treatment processes, pre-ozonation and coagulation-sedimentation exhibited the dominant DON removal in different seasons, i.e., 11.13%-14.45% and 14.98%-22.49%, respectively. Contrary, biological-contact oxidation and biological activated carbon negatively impacted the DON removal, in which DON increased by 1.76%-6.49% in biological activated carbon. This may be due to the release of soluble microbial products (SMPs) from bacterial metabolism, which was further validated by the rise of biopolymers in LC-OCD.

Oil tea shell synthesized biochar adsorptive utilization for the nitrate removal from aqueous media

Various reported methods are devoted to nitrate removal from water over the years. However, recently researchers are focusing on developing the materials that offer bio-based, non-toxic, inexpensive and yet an efficient solution for water treatment. In this study, removal of nitrates from water was carried out using oil tea shells (OTS) as a biosorbent. OTS powder was impregnated with ZnCl₂ and biochar was prepared which was further treated with Cetyltrimethylammonium bromide (CTAB), a cationic surfactant. Both the Langmuir and the Freundlich models were satisfied by the nitrate adsorption of OTS biochar. The adsorption capacity was measured at 15.6 mg/g when the circumstances were at their best. The pseudo-second-order model provided an accurate description of the kinetic data that were collected from batch trials. The adsorption yield goes up when by usage of more adsorbent, but it goes down when adsorption start with a higher concentration of nitrate. The strong basis of analytical equipments were used to characterize the OTS biosorbent. According to the findings of the research, surface-modified OTS biochar is an effective material for the removal of nitrate from aqueous solutions. This means that it has the potential to be utilized in water treatment as an adsorbent that is both inexpensive and kind to the natural environment. Removal of heavy metals and other organic pollutants, both from groundwater and wastewater using OTS biochar seems like a promising and interesting area of study.

Lockdown Amid COVID-19 Ascendancy over Ambient Particulate Matter Pollution Anomaly

Air is a diverse mixture of gaseous and suspended solid particles. Several new substances are being added to the air daily, polluting it and causing human health effects. Particulate matter (PM) is the primary health concern among these air toxins. The World Health Organization (WHO) addressed the fact that particulate pollution affects human health more severely than other air pollutants. The spread of air pollution and viruses, two of our millennium's most serious concerns, have been linked closely. Coronavirus disease 2019 (COVID-19) can spread through the air, and PM could act as a host to spread the virus beyond those in close contact. Studies on COVID-19 cover diverse environmental segments and become complicated with time. As PM pollution is related to everyday life, an essential awareness regarding PM-impacted COVID-19 among the masses is required, which can help researchers understand the various features of ambient particulate pollution, particularly in the era of COVID-19. Given this, the present work provides an overview of the recent developments in COVID-19 research linked to ambient particulate studies. This review summarizes the effect of the lockdown on the characteristics of ambient particulate matter pollution, the transmission mechanism of COVID-19, and the combined health repercussions of PM pollution. In addition to a comprehensive evaluation of the implementation of the lockdown, its rationales-based on topographic and socioeconomic dynamics-are also discussed in detail. The current review is expected to encourage and motivate academics to concentrate on improving air quality management and COVID-19 control.

Elucidating the negatively influential and potentially toxic mechanism of single and combined micro-sized polyethylene and petroleum to Chlorella vulgaris at the cellular and molecular levels

Although microplastics (MPs; <5 mm) may interact with co-contaminants (e.g., petroleum) in marine aquatic systems, little is known about their combined toxicity. Therefore, this study explored the toxicities and their mechanisms of micro-sized polyethylene (mPE) and their combination with petroleum to Chlorella vulgaris. The single MPs at various particle sizes, concentrations, and aging degree, single petroleum, and their combinations, were found to pose toxicities to C. vulgaris. This study also found the microcosm's microbial diversity changed. The microbial communities in the C. vulgaris biotopes were altered under exposure to mPE and petroleum, and were disturbed by external factors such as MPs particle size, concentration, aging time, and the combination with petroleum. Furthermore, as compared with the toxicity of petroleum on microalgal transcriptional function, mPE caused less toxic to C. vulgaris, and only impact the posttranslational modification, protein turnover, and signal transduction processes. Most importantly, mPE reduced petroleum toxicity in C. vulgaris via regulating the ABC transporter, eukaryotic ribosome synthesis, and the citrate cycle metabolic pathways. Overall, our findings could fundamentally provide insights into the joint ecotoxicological effects of MPs and petroleum, and highlight the potential risks of co-exsiting pollutants.

Distribution and ecological risk assessment of trace elements in the paddy soil-rice ecosystem of Punjab, Pakistan

Trace elements (TEs) contamination of agricultural soils requires suitable criteria for regulating their toxicity limits in soil and food crops, which depends on their potential ecological risk spanning regional to global scales. However, no comprehensive study is available that links TE concentrations in paddy soil with ecological and human health risks in less developed regions like Pakistan. Here we evaluated the data set to establish standard guidelines for defining the hazard levels of various potentially toxic TEs (such as As, Cd, Co, Cu, Cr, Fe, Mn, Ni, Pb, Se, Zn) in agricultural paddy soils of Punjab, Pakistan. In total, 100 topsoils (at 0-15 cm depth) and 204 rice plant (shoot and grain) samples were collected from five ecological zones of Punjab (Gujranwala, Hafizabad, Vehari, Mailsi, and Burewala), representing the major rice growing regions in Pakistan. The degree of contamination (C_d) and potential ecological risk index (PERI) established from ecological risk models were substantially higher in 100% and 97% of samples, respectively. The positive matrix factorization (PMF) model revealed that the elevated TEs concentration, notably Cd, As, Cr, Ni, and Pb, in the agricultural paddy soil was attributed to the anthropogenic activities and groundwater irrigation. Moreover, the concentration of these TEs in rice grains was higher than the FAO/WHO's safe limits. This study provided a baseline, albeit critical knowledge, on the impact of TE-allied ecological and human health risks in the paddy soil-rice system in Pakistan; and it opens new avenues for setting TEs guidelines in agro-ecological zones globally, especially in underdeveloped regions.

Aging of biodegradable blended plastic generates microplastics and attached bacterial communities in air and aqueous environments

The use of biodegradable plastics (BPs) has been widely promoted in recent years, but before their complete degradation, the phase of microplastics (MPs) is inevitable. However, little information concerning the production of MPs from blended polymers is available. This study aimed to explore the characteristics of MPs produced from blended plastics and the development of biofilms on plastic surfaces under long-term aging. Here, three blended materials (i.e., PBAT (53%)+PLA (10%)+Starch (20%), PBAT (80%)+Starch (20%), HDPE (60%)+CaCO₃ (40%)) were aged for 90 days in air, deionized (DI) water and seawater. The results showed massive production of MPs (9653 ± 3920-20,348 ± 5857 items/g) from blended plastics accompanied by a large quantity of flocculent substances during 90 days aging period. Furthermore, the richness of bacteria communities on hydrophobic plastics (i.e., PBAT (53%)+PLA (10%)+Starch (20%), PBAT (80%)+Starch (20%)) was higher than hydrophilic plastics (i.e., HDPE (60%)+CaCO₃ (40%)), and bacterial communities attached to blended plastics exhibited significantly variation with aging times. Overall, promoting the marketable application of blended plastics is risky if their environmental behavior is not effectively addressed.

Why is inhalation the most discriminative route of microplastics exposure?

Recent research suggests a definite distinction between indoor and outdoor microplastics (MPs). However, knowledge of different MP kinds and relative exposure via inhalation to humans in outdoor and indoor locations is lacking. Notably, MPs formed from various plastic types could have distinct features, and the relative health risk varies by environment. For example, outdoor polyethylene (PE) goods have recently become more popular. These products are generally of poor structure and recycled material, making them more susceptible to decay. Particularly in the outdoor environment, the constant exposure to an open-air environment increases the risk of fragmentation and atmospheric mixing and thus facilitates MP's availability. Using PE as an example, we aimed to emphasize the importance of explicitly defining exposure intensity and the health risk of each MP type, especially in contrasting situations such as indoor and outdoor. Unchecked and excessive use of these materials can be hazardous, whereas lowering or replacing PE with alternative plastics can significantly reduce potential health hazards.

Rice: a potential vehicle for micronutrient fortification

The choices of consumer towards food have been changed. Consumer prefers to eat food which is not only safe but also nutritious. Now a day, they like to eat the food which promote their health and help in minimizing nutrition related health hazards. Rice is a staple food in many countries, but most emerging issue is that rice is deficit in minerals. Rice ranks second among cereals in dietary uses around the world. Rice is deficit in iron (Fe) zinc (Zn) and these are important micronutrients for infants, men and women. Fortification of rice with iron and zinc would help to minimize nutrient deficient disorders among humans. Present study is aimed to introduce nutrients rich rice for consumers and also to encourage food-fortification organizations for diverting their focus on rice fortification. In south Asian countries, micronutrient deficiency especially Fe and Zn deficiency is very common. The rice because of its use as a staple food can be utilized as a carrier medium for transporting micronutrients from plants sources to human beings. Hence, rice fortification with microminerals can prove as a miracle for the virtual eradication of nutrition related diseases in humans.

PHYSIOCHEMICAL, RHEOLOGICAL AND ORGANOLEPTIC ASSESSMENT OF CAMEL MILK YOGURT PREPARED FROM VARIOUS LOCATIONS OF PUNJAB- PAKISTAN

The current study was planned to prepare the camel milk yogurt (CMY) collected from different ecological zones of Punjab province (Pakistan).CMY was prepared with the addition of stabilizers and stored for 21 days at refrigeration temperature to evaluate the effect on physicochemical (pH, titratable acidity, total solids, fat, solids not fat, crude protein, ash, minerals, fatty acids, insulin, organic acids), rheological (viscosity, syneresis, color, textural, water holding capacity) and organoleptic characteristics (color, body & texture, flavor, appearance, mouth feel, overall acceptability). The overall comparison of CMY composition for 21 days storage exhibited that all the parameters, except acidity, had maximum components at the start of storage study and decreased gradually throughout the storage span. The data regarding rheological properties of CMY showed that viscosity, water holding capacity and texture was high on the start of storage period that gradually decreased during storage in comparison to syneresis that increased throughout the storage span. A significant effect of the source of camel milk was also observed on the insulin content of yogurt. The mean values of the sensory parameters depicted highly significant (P<0.01) effect for the sources of camel milk yogurt and storage days.

Polyethylene scaffold net and synthetic grass fragmentation: a source of microplastics in the atmosphere?

Microplastics (MPs) implications in the atmosphere are of current global concern. Currently, there is a growing interest regarding source appointment, fate, level of toxicity, and exposure intensity of ambient air MPs. Recent data suggest that polyethylene (PE) dominates ambient MPs in China's megacities. Albeit understanding of PE sources is limited and restricted to typical sources polluting terrestrial and marine environments. However, the air is a distinct environmental component and may have some separate pollution sources as well as the relative contribution of different sources could also contrast in different environments. Urbanization and fast construction activity resulting from increased economic growth in these places might be a potential source of ambient PE. Recently, the use of scaffold netting on construction sites and synthetic grass as land covering sheets has been on the rise. Generally, these PE items are often inferior and composed of recycled material, making them more prone to degradation. Also, because these items were continually exposed to open air, there is a considerable risk of fragmentation and atmospheric mixing. Therefore, unchecked and excessive usage of these materials can be risky. Here, PE's physical and chemical characteristics, transport and health risks in urban air are discussed here.

Insight into urban PM2.5 chemical composition and environmentally persistent free radicals attributed human lung epithelial cytotoxicity

Fine particulate matter (PM2.5) is detrimental to the human respiratory system. However, the toxicity of PM2.5 and its associated potentially harmful species, notably novel pollutants like environmentally persistent free radicals (EPFRs), remains unclear. Therefore, one-year site monitoring and ambient air PM2.5 sampling in the Nanjing urban area was designed to investigate the relationships between chemical compositions (carbon fractions, metallic elements, and water-soluble ions) and EPFRs, and change in cytotoxicity with varying PM2.5 components. Oxidative stress (reactive oxygen species, ROS), inflammatory injury (IL-6 and TNF-α), and membrane injury (LDH) of human lung epithelial cells (A549) induced by PM2.5 were analyzed using in vitro cytotoxicity test. Both the composition and toxicity of PM2.5 from different seasons were compared. The average daily exposure of urban PM2.5 associated EPFRs load in Nanjing were 2.29 × 1011 spin m-3. Their exposure concentration and cytotoxic damage ability were stronger in the cold season than warm. The particle compositions of metals and carbon fractions were significantly positively correlated with EPFRs. The airborne EPFRs, organic carbon (OC), and heavy metal Cu, As, and Pb may pose principal cell damage ability, which is worthy of further study interlinking aerosol pollution and health risks.

Prediction of COVID-19 severity from clinical and biochemical markers: a single-center study from Saudi Arabia

OBJECTIVE

It is known that the severity of COVID-19 is linked to the prognosis of patients; therefore, an early identification is required for patients who are likely to develop severe or critical COVID-19 disease. The purpose of this study is to propose a statistical method for identifying the severity of COVID-19 disease by using clinical and biochemical laboratory markers.

PATIENTS AND METHODS

A total of 48 clinically and laboratory-confirmed cases of COVID-19 were obtained from King Fahad Hospital, Medina (KFHM) between 27th April 2020 to 25th May 2020. The patients' demographics and severity of COVID-19 disease were assessed using 39 clinical and biochemical features. After excluding the demographics, 35 predicting features were included in the analysis (diabetes, chronic disease, viral and bacterial co-infections, PCR cycle number, ICU admission, clot formation, cardiac enzymes elevation, hematology profile, sugar levels in the blood, as well as liver and kidney tests, etc.). Logistic regression, stepwise logistic regression, L-2 logistic regression, L-2 stepwise logistic regression, and L-2 best subset logistic regression were applied to model the features. The consistency index was used with kernel Support-Vector Machines (SVM) for the identification of associated markers.

RESULTS

L-2 best subset logistic regression technique outperformed all other fitted models for modeling COVID-19 disease severity by achieving an accuracy of 88% over the test data. Consistency index over L-2 best subset logistic regression identified 14 associated markers that can best predict the COVID-19 severity among COVID-19 patients.

CONCLUSIONS

By combining a variety of laboratory markers with L-2 best subset logistic regression, the current study has proposed a highly accurate and clinically interpretable model of predicting COVID-19 severity.

Drinking water quality of various sources in Peshawar, Mardan, Kohat and Swat districts of Khyber Pakhtunkhwa province, Pakistan

Abstract The present study involves the chemical and bacteriological analysis of water from different sources i.e., bore, wells, bottle, and tap, from Peshawar, Mardan, Swat and Kohat districts of Khyber Pakhtunkhwa (KP) province, Pakistan. From each district, 50 water samples (10 samples from each source), regardless of urban and rural status, were collected from these sources and analysed for sulphates, nitrates, nitrites, chlorides, total soluble solids and coliforms (E. coli). Results indicated that majority of the water sources had unacceptable E. coli count i.e.> 34 CFU/100mL. E. coli positive samples were high in Mardan District, followed by Kohat, Swat and Peshawar district. Besides this, the some water sources were also chemically contaminated by different inorganic fertilizers (nitrates/nitrites of sodium, potassium) but under safe levels whereas agricultural and industrial wastes (chloride and sulphate compounds) were in unsafe range. Among all districts, the water quality was found comparatively more deteriorated in Kohat and Mardan districts than Peshawar and Swat districts. Such chemically and bacteriologically unfit water sources for drinking and can cause human health problems.

The potential of microbes and sulfate in reducing arsenic phytoaccumulation by maize (Zea mays L.) plants

Arsenic (As) contamination in soil-plant system is an important environmental, agricultural and health issue globally. The microbe- and sulfate-mediated As cycling in soil-plant system may depend on soil sulfate levels, and it can be used as a potential strategy to reduce plant As uptake and improve plant growth. Here, we investigated the role of soil microbes (SMs) to examine As phytoaccumulation using maize as a test plant, under varying sulfate levels (S-0, S-5, S-25 mmol kg^-1) and As stress. The addition of sulfate and SMs promoted maize plant growth and reduced As concentration in shoots compared to sulfate-treated plants without SMs. Results revealed that the SMs-S-5 treatment proved to be the most promising in reducing As uptake by 27% and 48% in root and shoot of the maize plants, respectively. The SMs-S treatments, primarily with S-5, enhanced plant growth, shoot dry biomass, Chl a, b and total Chl (a + b) contents, and gas exchange attributes of maize plants. Similarly, the antioxidant defense in maize plants was increased significantly in SMs-S-treated plants, notably with SMs-S-5 treatment. Overall, the SMs-S-5-treated plants possessed improved plant growth, dry biomass, physiology and antioxidant defense system and decrease in plant shoot As concentration. The outcomes of this study suggest that sulfate supplementation in soil along with SMs could assist in reducing As accumulation by maize plants, thus providing a sustainable and eco-friendly bioremediation strategy in limiting As exposure.

The potential of microbes and sulfate in reducing arsenic phytoaccumulation by maize (Zea mays L.) plants

Arsenic (As) contamination in soil-plant system is an important environmental, agricultural and health issue globally. The microbe- and sulfate-mediated As cycling in soil-plant system may depend on soil sulfate levels, and it can be used as a potential strategy to reduce plant As uptake and improve plant growth. Here, we investigated the role of soil microbes (SMs) to examine As phytoaccumulation using maize as a test plant, under varying sulfate levels (S-0, S-5, S-25 mmol kg^-1) and As stress. The addition of sulfate and SMs promoted maize plant growth and reduced As concentration in shoots compared to sulfate-treated plants without SMs. Results revealed that the SMs-S-5 treatment proved to be the most promising in reducing As uptake by 27% and 48% in root and shoot of the maize plants, respectively. The SMs-S treatments, primarily with S-5, enhanced plant growth, shoot dry biomass, Chl a, b and total Chl (a + b) contents, and gas exchange attributes of maize plants. Similarly, the antioxidant defense in maize plants was increased significantly in SMs-S-treated plants, notably with SMs-S-5 treatment. Overall, the SMs-S-5-treated plants possessed improved plant growth, dry biomass, physiology and antioxidant defense system and decrease in plant shoot As concentration. The outcomes of this study suggest that sulfate supplementation in soil along with SMs could assist in reducing As accumulation by maize plants, thus providing a sustainable and eco-friendly bioremediation strategy in limiting As exposure.

A review on plant-microbial interactions, functions, mechanisms and emerging trends in bioretention system to improve multi-contaminated stormwater treatment

Management and treatment of multi-polluted stormwater in bioretention system have gained significant attraction recently. Besides nutrients, recent source appointment studies found elevated levels of Potentially toxic metal(loid)s (PTMs) and contaminants of emerging concern (CECs) in stormwater that highlighted many limitations in conventional media adsorption-based pollutant removal bioretention strategies. The substantial new studies include biological treatment approaches to strengthen pollutants degradation and adsorption capacity of bioretention. The knowledge on characteristics of plants and their corresponding mechanisms in various functions, e.g., rainwater interception, retention, infiltration, media clogging prevention, evapotranspiration and phytoremediation, is scattered. The microorganisms' role in facilitating vegetation and media, plant-microorganism interactions and relative performance over different functions in bioretention is still unreviewed. To uncover the underneath, it was summarised plant and microbial studies and their functionality in hydrogeochemical cycles in the bioretention system in this review, contributing to finding their interconnections and developing a more efficient bioretention system. Additionally, source characteristics of stormwater and fate of associated pollutants in the environment, the potential of genetical engineered plants, algae and fungi in bioretention system as well as performance assessment of plants and microorganisms in non-bioretention studies to propose the possible solution of un-addressed problems in bioretention system have been put forward in this review. The present review can be used as an imperative reference to enlighten the advantages of adopting multidisciplinary approaches for the environment sustainability and pollution control.

Organics removal and microbial interaction attributes of zeolite and ceramsite assisted bioretention system in copper-contaminated stormwater treatment

Bioretention has been increasingly used recently to treat heavy metals contaminated stormwater. However, less is known about how metal accumulation influences microbial performance and organics removal mechanisms in different layers of the bioretention system. Two lab-scale bioretention columns (i.e., control and Cu treatment) were designed and filled with soil and fillers (zeolite and ceramsite). The results obtained from the time-series experiment of 121 days showed that the removal of organics markedly affected by Cu accumulation and microbial activities, varied between soil and filler layers of bioretention system. The overall organics removal rate was higher in filler than soil. However, at the individual level, the chemical oxygen demand (COD) removal rate was higher than total organic carbon (TOC) in the soil, while the opposite trend was observed in fillers. Mixed media (soil + fillers) significantly reduced the bio-available and labile fractions of Cu from 33.5 to 8% and 67.5 to 33.4%, respectively. The bioretention column treated with Cu lost 14% more microbial biomass in soil than filler over the 121 days study period. Therefore mixed media in bioretention system can offset the substantial negative impacts of long-term metal accumulation on pollutant removal and microbial degradation function in the bioretention. The present study advanced our understanding to resolve the complex metals-impacted microbial pollutant biodegradation mechanisms and highlight importance of mixed media in the long-term maintenance of the bioretention system, which is imperative for developing effective and stormwater-specific remediation strategies.

Microencapsulation: a pragmatic approach towards delivery of probiotics in gut

Probiotics confer numerous health benefits and functional foods prepared with these microbes own largest markets. However, their viability during transit from gastrointestinal tract is a concerning issue. Microencapsulation of probiotics is a novel technique of major interest to increase their survivability in GIT and food matrices by providing a physical barrier to protect them under harsh conditions. This article contributes the knowledge regarding microencapsulation by discussing probiotic foods, different methods and approaches of microencapsulation, coating materials, their release mechanisms at the target site, and interaction with probiotics, efficiency of encapsulated probiotics, their viability assessment methods, applications in food industry, and their future perspective. In our opinion, encapsulation has significantly got importance in the field of innovative probiotic enriched functional foods development to preserve their viability and long-term survival rate until product expiration date and their passage through gastro-intestinal tract. Previous review work has targeted some aspects of microencapsulation, this article highlights different methods of probiotics encapsulation and coating materials in relation with food matrices as well as challenges faced during applications: Gut microbiota; Lactic acid bacteria; Micro-encapsulation; Stability enhancement; Cell's release, Health benefits.

Dynamic Magnetic Resonance Imaging: An Aid To Preoperative-Planning Of Pelvic Organ Prolapse

BACKGROUND

Magnetic resonance imaging (MRI) has been commonly used in the assessment of preoperative pelvic organ prolapse to evaluate anatomical defects prior to surgery. This study aimed at evaluating the dynamic MRI reliability in the determination of pelvic organ prolapse and to assess its compliance with the physical examination for preoperative planning of women.

METHODS

A prospective cross-sectional study was performed at the radiology department of the Jinnah Postgraduate Medical Centre Karachi from April-October 2019. All women irrespective of age and parity status having obstructed defecation, constipation, organ prolapse, pelvic pain, or stress urinary incontinence undergoing dynamic pelvic MRI were consecutively enrolled. A brief history was obtained followed by a physical examination for pelvic organ prolapse followed by MRI examination. Kappa coefficient was applied to see the agreement of physical examination with MRI finding.

RESULTS

A total 38 women were included. A significantly moderate agreement was observed between MRI and physical exam findings with respect to the presence or absence of cystocele (K=0.554, p<0.001), rectocele (K=0.632, p<0.001), and enterocele (K=0.587, p<0.001). However, agreement with respect to the MRI and physical examination findings on uterine descent was non-significant (K=0.130, p 0.421).

CONCLUSIONS

MRI examination is an effective diagnostic modality in determination of the pelvic organ prolapse in suspected symptomatic patients. MRI could add value primarily in research areas, taking into account its ability to examine the entire pelvis.

Automated detection of diabetic retinopathy using machine learning classifiers

OBJECTIVE

Diabetic Retinopathy (DR) is a highly threatening microvascular complication of diabetes mellitus. Diabetic patients must be screened annually for DR; however, it is practically not viable due to the high volume of patients, lack of resources, economic burden, and cost of the screening procedure. The use of machine learning (ML) classifiers in medical science is an emerging frontier and can help in assisted diagnosis. The few available proposed models perform best when used in similar population cohorts and their external validation has been questioned. Therefore, the purpose of our research is to classify the DR using different ML methods on Saudi diabetic data, propose the best method based on accuracy and identify the most discriminative interpretable features using the socio-demographic and clinical information.

PATIENTS AND METHODS

This cross-sectional study was conducted among 327 diabetic patients in Almajmaah, Saudi Arabia. Socio-demographic and clinical data were collected using a systematic random sampling technique. For DR classification, ML algorithm including, linear discriminant analysis, support vector machine, K nearest neighbor, random forest and its variate ranger random forest classifiers were used through cross-validation resampling procedure.

RESULTS

In classifying DR, ranger random forest outperforms the other methods by accurately classifying 86% of the DR patients on the test data. HbA1c (p<0.001) and duration of diabetes (p<0.001) were the most influential risk factor that best discriminated the DR patients. Other influential risk factors were the body mass index (p<0.001), age-onset (p<0.001), age (p<0.001), systolic blood pressure (p<0.05), and the use of medication (p<0.05) that significantly discriminated the DR patients.

CONCLUSIONS

Based on the present study findings, integrating ophthalmology and ML can transform diagnosing the disease pattern that can help generate a compelling clinical effect. ML can be used as an added tool for clinical decision-making and must not be the sole substitute for a clinician. We will work to examine the classification performance of multi-class data using more sophisticated ML methods.

Nitrous oxide emission from agricultural soils: Application of animal manure or biochar? A global meta-analysis

Organic amendments (animal manure and biochar) to agricultural soils may enhance soil organic carbon (SOC) contents, improve soil fertility and crop productivity but also contribute to global warming through nitrous oxide (N₂O) emission. However, the effects of organic amendments on N₂O emissions from agricultural soils seem variable among numerous research studies and remains uncertain. Here, eighty-five publications (peer-reviewed) were selected to perform a meta-analysis study. The results of this meta-analysis study show that the application of animal manure enhanced N₂O emissions by 17.7%, whereas, biochar amendment significantly mitigated N₂O emissions by 19.7%. Moreover, coarse textured soils increased [lnRR‾ = 182.6%, 95% confidence interval (CI) = 151.4%, 217.7%] N₂O emission after animal manure, in contrast, N₂O emission mitigated by 7.0% from coarse textured soils after biochar amendment. In addition, this study found that 121-320 kg N ha^-1 and ⩽ 30 T ha^-1 application rates of animal manure and biochar mitigated N₂O emissions by 72.3% and 22.5%, respectively. Soil pH also played a vital role in regulating the N₂O emissions after organic amendments. Furthermore, > 10 soil C: N ratios increased N₂O emissions by 121.4% and 27.6% after animal and biochar amendments, respectively. Overall, animal manure C: N ratios significantly enhanced N₂O emissions, while, biochar C: N ratio had not shown any effect on N₂O emissions. Overall, average N₂O emission factors (EFs) for animal manure and biochar amendments were 0.46% and -0.08%, respectively. Thus, the results of this meta-analysis study provide scientific evidence about how organic amendments such as animal manure and biochar regulating the N₂O emission from agricultural soils.

Nexus on climate change: agriculture and possible solution to cope future climate change stresses

The changing climate scenarios harshen the biotic stresses including boosting up the population of insect/pest and disease, uplifting weed growth, declining soil beneficial microbes, threaten pollinator, and boosting up abiotic stresses including harsh drought/waterlogging, extremisms in temperature, salinity/alkalinity, abrupt rainfall pattern)) and ulitamtely  affect the plant in multiple ways. This nexus review paper will cover four significant points viz (1) the possible impacts of climate change; as the world already facing the problem of food security, in such crucial period, climatic change severely affects all four dimensions of food security (from production to consumption) and will lead to malnutrition/malnourishment faced by low-income peoples. (2) How some major crops (wheat, cotton, rice, maize, and sugarcane) are affected by stress and their consequent loss. (3) How to develop a strategic work to limit crucial factors, like their significant role in climate-smart breeding, developing resilience to stresses, and idiotypic breeding. Additionally, there is an essence of improving food security, as much of our food is wasted before consumption for instance post-harvest losses. (4) Role of biotechnology and genetic engineering in adaptive introgression of the gene or developing plant transgenic against pests. As millions of dollars are invested in innovation and research to cope with future climate change stresses on a plant, hence community base adaptation of innovation is also considered an important factor in crop improvements. Because of such crucial predictions about the future impacts of climate change on agriculture, we must adopt measures to evolve crop.

CURRENT PRACTICES OF PERSONAL PROTECTIVE EQUIPMENT IN OPERATION THEATERS: A CROSS SECTIONAL STUDY

Objective: To evaluate the prevailing practices regarding personal protective equipment in operation theaters. Study Design: Cross-sectional study. Place and Duration of Study: Pakistan Naval Ship Shifa Hospital, Karachi, from May to Jun 2020. Methodology: After the approval of the approval of the hospital ethical committee, 300 online forms were send. A total of 227 respondents returned the 22 questions survey forms. Data was collected and analyzed using online site www.surveyplanet.com. Results: A total of 203 forms were included in our final analysis. Most 128 (63.1%) were males with 90 (44.3%)common aged between 31-40 years and 168 (82.8%) working in tertiary care hospitals. One hundred and fiftyeight (77.8%) were routinely managing known Covid cases per-operatively. One hundred and seventy four(85.7%) reported that personal protective equipment was being provided by the hospital administration; 55(27.1%) have bought part of full protective equipment at their own expense; 72 (35.5%) re-using protective equipment; 167 (82.3%) being provided with N-95 masks and 120 (59.1%) re-using N-95 masks. One hundred and twenty one (59.6%) wearing level III protective gear during all surgeries. 192 (94.6%) respondents reportedmaintaining hand hygiene after each patient. Only 65 (32%) taking shower at the hospital at the end of their shift. Conclusion: Most of the operation theaters were providing protective equipment to their staff with nearly half reusing protective gear and N-95 masks.

Compost-mediated arsenic phytoremediation, health risk assessment and economic feasibility using Zea mays L. in contrasting textured soils

Maize (Zea mays L.) is considered as a potential energy-yielding crop which may respond to compost application for arsenic (As) phytoremediation depending on soil type and compost application levels in soil. Here, we explored compost-mediated As phytoremediation potential of maize in the two different textured soils (sandy loam soil and clay loam soil) at varying As (0-120 mg kg^-1) and compost (0-2.5%) levels under glasshouse conditions. Results revealed that in the absence of compost maize plants grown at different soil As levels (0-120 mg kg^-1) accumulated 1.20-1.71 times more As from sandy loam soil than that of clay loam soil. The compost addition in soil at all levels, with 120 mg kg^-1As enhanced As accumulation in maize plants in the clay loam soil by 13%, while it reduced As phyto-uptake by 27% in sandy loam soil. This may be due to an increase in phosphate-extractable (bioavailable) soil As content from 2.7 to 3.8 mg kg^-1 in clay loam soil. The estimated daily intake (EDI) of As (0.03-0.15 μg g^-1 of body weight day^-1) was above the US EPA's standard value. Arsenic phytoremediation potential of the maize plants was found to be economical for sandy loam soil with 1% compost level and for clay loam soil at 2.5% compost level, suggesting soil type specific dose dependence of compost for As phytoremediation programs. Novelty statement: To our knowledge, the role of compost in economic feasibility of energy crops at contaminated soils in general, and in the growing of maize at As-contaminated soil in particular, has not been addressed, so far. Moreover, it is the first time to evaluate environmental and health risk of compost-mediated As phytoremediation in different soil types.This study provided new insights of economic evaluation and risk assessment in the phytoremediation and mechanisms of compost in biomass production of energy crop at different As concentration. These aspects in phytoremediation studies are imperative to understand for developing safe, cost-effective and soil specific remediation strategies.

Review on polycyclic aromatic hydrocarbons (PAHs) migration from wastewater

Rapidly increasing global population and increased civilization has increased burden on potable water resources and results in larger volumes of wastewater. Physical wastewater management techniques has advanced for domestic usage and commercial effluent new conceptions about imminent wastewater treatment have been acclaimed for highly carcinogenic polycyclic aromatic hydrocarbon (PAH) compounds. The present review study emphasis on the assessment of several accessible PAHs treatment methods used in wastewater management. The elementary principles, contextual remediation mechanisms and recent development in PAHs removal practices have also been precisely explained. The comprehensive information regarding sources, dispersal, classification, physicochemical properties, PAHs toxicity for humans and aquatics life, conventional treatment procedures, and advanced oxidation processes specified can assist us to identify the PAHs problem and their intensity. The performance evaluation of different removal techniques are discussed in details and found that highest PAHs' reduction for 5-or 6-ring (99%,) while 3-ring (79% reduction) with oxidant dose of 1.64 mL/L using titanium catalyst. In case of MWTPs, with secondary techniques, the average removal efficiency found in the range of 81.1-92.9% while for AOPs are 32-99.3%. Here, overall yield through AOPs most suitable if process used with some catalyst enhanced the yield as well and suitable for high ring as well as low ring PAHs. Among various processes, advanced oxidation and catalytic oxidation processes are the most valuable and promising techniques for PAHs removal. Based on the given evidences, the AOPs coupled with catalysts have been decided as the most competent design for wastewater PAHs treatment.