Heavy metal and genetic diversity studies in three populations of Snail (Achatina achatina Linnaeus, 1758) from Southwest, Nigeria / Estudos de heavy metal e diversidade genética em três populações de Snail (Achatina achatina Linnaeus, 1758) do sudoeste da Nigéria

Environmental pollutants may often alter the genetic components of natural populations. In this study, heavy metals and genetic diversity in land snail (Achatina achatina) from three populations of south-western Nigeria were investigated, using the Atomic Absorption Spectrometry and DNA Sequencing technology respectively. Metal analysis revealed that the snails accumulated lead (Pb) and nickel (Ni) in high concentrations in two of the three states, while cadmium (Cd) was the least detected. Editing and alignment of the sequences of all snail accessions generated a range of 384bp to 419 bp. Analysis of Molecular Variance (AMOVA) in all 18 accessions was low at only 16%. The query coverage (QC) ranged between 96% and 100%, with 14 (77.8%) of the 18 accessions showing 100% identity. Pairwise comparison of the accessions studied also showed a high genetic similarity. The unweighted pair group method with arithmetic mean (UPGMA) generated two main clusters. Cluster I was unique and contain one sample (AaOy06) while the other cluster are very closely related and can be further sub-divided into sub-clusters. The similarity index of between the clusters is 0.5357. The close similarity among the accessions may be due to the geographical proximity of the three states. The uniqueness of accession AaOy06 in comparison to other accessions might be due to the negative influence of heavy metal, particularly lead. The determination of evolutionary relationships among snail populations may be useful towards the breeding efforts of the species in Nigeria.

Os poluentes ambientais podem frequentemente alterar os componentes genéticos das populações naturais. Neste estudo, metais pesados e diversidade genética em caramujos terrestres (Achatina achatina) de três populações do sudoeste da Nigéria foram investigados, usando a tecnologia de espectrometria de absorção atômica e sequenciamento de DNA, respectivamente. A análise dos metais revelou que os caramujos acumularam chumbo (Pb) e níquel (Ni) em altas concentrações em dois dos três estados, enquanto o cádmio (Cd) foi o menos detectado. A edição e o alinhamento das sequências de todos os acessos de caramujos geraram uma faixa de 384pb a 419pb. A análise de variância molecular (AMOVA) em todos os 18 acessos foi baixa em apenas 16%. A cobertura da consulta (QC) variou entre 96% e 100%, com 14 (77,8%) dos 18 acessos apresentando 100% de identidade. A comparação pareada dos acessos estudados também mostrou alta similaridade genética. O método de grupo de pares não ponderados com média aritmética (UPGMA) gerou dois clusters principais. O cluster I era único e contém uma amostra (AaOy06), enquanto o outro cluster está intimamente relacionado e pode ser subdividido em subclusters. O índice de similaridade entre os clusters é 0,5357. A grande semelhança entre os acessos pode ser devido à proximidade geográfica dos três estados. A singularidade do acesso AaOy06 em comparação com outros acessos pode ser devido à influência negativa de metais pesados, particularmente chumbo. A determinação das relações evolutivas entre as populações de caramujos pode ser útil para os esforços de reprodução da espécie na Nigéria.

Análisis de posibles peligros en leche materna donada. Revisión / Analysis of potential hazards in donated breast milk. Review

La leche materna donada es un recurso de alto valor que puede ser utilizado para la alimentación de neonatos hospitalizados y a término, por tanto, garantizar su inocuidad es imperativo. Esta revisión de literatura reúne los principales peligros de naturaleza física, química y microbiológica identificados en leche materna, con la intención de proveer una referencia que los consolide de tal forma que la información pueda ser utilizada por bancos de leche humana, gobiernos y agencias regulatorias para establecer mecanismos para su prevención y control. Se realizó una revisión de literatura entre agosto del 2021 y octubre del 2022, utilizando buscadores y descriptores específicos para peligros de transmisión alimentaria en leche materna. Se incluyeron estudios publicados en español o en inglés. Se identificaron 31 agentes biológicos patógenos incluyendo bacterias, virus y parásitos. Como peligros químicos se reportaron medicamentos, drogas, cafeína, infusiones herbales, micotoxinas, alérgenos, especias, suplementos nutricionales, contaminantes ambientales y desinfectantes. Se alerta sobre la presencia potencial de plástico y vidrio de tamaño menor a 7 mm proveniente del ambiente de extracción y recipientes. La presencia de peligros microbiológicos y químicos en leche materna puede darse por transmisión vertical, temperaturas inadecuadas durante el almacenamiento y contaminación en el proceso. La presencia de peligros físicos se relaciona con la manipulación de los implementos en etapas posteriores a la extracción. Se requiere prestar atención a los hábitos de la madre para prevenir peligros químicos, así como más investigación relacionada con micotoxinas en leche materna(AU)

Donated breast milk is a highvalue resource which can be used to feed hospitalized neonates and full-term infants, therefore, ensuring its safety is imperative. This literature review presents the main hazards of physical, chemical and microbiological nature identified in human milk, with the intention of providing a reference that consolidates the reported hazards reported, so the information can be used by human milk banks, governments and regulatory agencies to establish prevention and control mechanisms. A literature review was carried out between August 2021 and October 2022, using search engines and specific descriptors for foodborne hazards in breast milk. Studies published in Spanish and English were considered. 31 pathogenic biological agents including bacteria, viruses and parasites were identified. Medications, drugs, caffeine, herbal infusions, mycotoxins, allergens, spices, nutritional supplements, contaminants of environmental origin and disinfectants were reported as chemical hazards. No physical hazards were identified, however the potential presence of plastic and glass smaller than 7 mm from the extraction environment or containers is alerted. Presence of microbiological and chemical hazards can be due to vertical transmission, inadequate temperature of storing, contamination during extraction, packaging, and infant feeding. Whereas presence of physical hazards is related to implements handling after extraction. Attention to hygiene and habits of the mother to prevent chemical hazards and further research related to mycotoxins in human milk is required(AU)

Unidades RISC: una estrategia para evaluar riesgos de salud en la población infantil de comunidades contaminadas / CRCP units: a strategy to assess health risks in children in contaminated communities / Unidades RISC: uma estratégia para avaliar os riscos de saúde na população infantil de comunidades contaminadas

RESUMEN Las crisis humanitarias pueden presentarse en sitios afectados por amenazas químicas, físicas, biológicas y sociales, sobre todo cuando estas amenazas interaccionan entre sí y causan una sindemia. A fin de evitar las crisis, en estos sitios se hace necesario introducir medidas de mitigación que hemos enmarcado bajo el término de "escenarios humanitarios". Debido a su naturaleza, la implementación de dichas acciones de intervención requiere de la conformación de grupos operativos multidisciplinarios y de una estrategia de trabajo que permita integrarlos con la comunidad afectada. En el caso de la población infantil, el grupo operativo recibió el nombre de unidad de riesgos infantiles en sitios contaminados (RISC), es decir, en localidades impactadas por amenazas químicas, físicas o biológicas. La estrategia consta de las siguientes seis fases: i) planificación para el estudio y la visita al sitio; ii) participación de la comunidad para identificar amenazas, vulnerabilidades y rutas de exposición (el camino que deben seguir los contaminantes desde su fuente hasta la población receptora), así como para el trabajo conjunto en las siguientes fases; iii) priorización de riesgos identificados mediante el monitoreo ambiental y uso de biomarcadores de exposición y efectos; iv) prevención de riesgos a través de la creación de diversas capacidades y alternativas para la prevención ante amenazas sindémicas (CAPAS); v) promoción para implementar las CAPAS mediante la comunicación de riesgos y la capacitación local; y vi) protección con medidas que incluyen propuestas de telesalud, progreso social e innovación para mejorar la cobertura sanitaria. La estrategia ha sido aplicada en diferentes contextos, en algunos de los cuales, ha sido enriquecida con el análisis del respeto de los derechos humanos.

ABSTRACT Humanitarian crises can occur in places affected by chemical, physical, biological, and social threats, especially when these threats interact with each other and cause a syndemic. In order to avoid crises in these places, it is necessary to introduce mitigation measures that we have framed as "humanitarian scenarios". Due to their nature, implementation of these interventions requires the creation of multidisciplinary operational groups with a work strategy that integrates them into the affected community. In the case of the child population, the operational group was called the 'childhood risks in contaminated places' (CRCP) unit; contaminated places meaning localities impacted by chemical, physical, or biological threats. The strategy has six phases: (i) planning the survey and site visit; (ii) community involvement in identifying threats, vulnerabilities, and routes of exposure (the path of pollutants from their source to the receiving population), and in preparing joint work for the subsequent phases; iii) prioritization of risks identified through environmental monitoring and use of biomarkers of exposure and effects; iv) risk prevention through the creation of various 'capacities and alternatives for the prevention of syndemic threats'; (v) advocacy to implement these capacities and alternatives through risk communication and local training; and (vi) protection through measures that include telehealth, social progress, and innovation to improve health coverage. The strategy has been implemented in different contexts, and in some of them it has been enriched by analysis of respect for human rights.

RESUMO Crises humanitárias podem ocorrer em locais afetados por ameaças químicas, físicas, biológicas e sociais, principalmente quando essas ameaças interagem entre si e causam uma sindemia. Para evitar as crises, é necessário introduzir nesses locais medidas de mitigação que enquadramos no termo "cenários humanitários". Por sua natureza, a implementação de tais ações de intervenção exige a formação de grupos operacionais multidisciplinares e de uma estratégia de trabalho que permita integrá-los à comunidade afetada. No caso da população infantil, o grupo operacional recebeu o nome de Unidade de Riscos Infantis em Áreas Contaminadas (na sigla em espanhol, RISC), ou seja, em locais impactados por ameaças químicas, físicas ou biológicas. A estratégia consiste nas seis fases a seguir: i) planejamento para o estudo e visita ao local; ii) participação da comunidade para identificar ameaças, vulnerabilidades e rotas de exposição (caminho que os contaminantes devem seguir desde a sua fonte até a população receptora), bem como para o trabalho conjunto nas fases seguintes; iii) priorização dos riscos identificados por meio do monitoramento ambiental e uso de biomarcadores de exposição e efeitos; iv) prevenção de riscos por meio da criação de diversas capacidades e alternativas para a prevenção diante de ameaças sindêmicas (CAPAS); v) promoção da implantação das CAPAS por meio da comunicação de riscos e capacitação local; e vi) proteção com medidas que incluem propostas de telessaúde, progresso social e inovação para melhorar a cobertura de saúde. A estratégia foi aplicada em diferentes contextos, em alguns dos quais foi enriquecida com uma análise do respeito pelos direitos humanos.

Persistent organic pollutants distribution in plasma lipoprotein fractions / Distribuição persistente de poluentes orgânicos em frações de lipoproteínas plasmáticas

Abstract This study determines the associations among serum lipid profiles, risk of cardiovascular disease, and persistent organic pollutants. Using Gas chromatography technique, the intensity of toxic pollutant residues in serum samples of Hypertensive patients were measured. Based on statistical analysis, the effects of different covariates namely pesticides, age, systolic blood pressure, diastolic blood pressure, and lipid profile duration was checked using the logistic regression model. Statistical computation was performed on SPSS 22.0. The P-values of F-Statistic for each lipid profile class are greater than 0.01 (1%), therefore we cannot reject the null hypothesis for all cases. The estimated coefficients, their standard errors, Wald Statistic, and odds ratio of the binary logistic regression model for different lipid profile parameters indicate if pesticides increase then the logit value of different lipid profile parameters changes from -0.46 to -0.246 except LDL which increases by 0.135. The study reports a significantly increased threat of cardiovascular disease with increased concentrations of toxic pollutants.

Resumo Este estudo determina as associações entre o perfil lipídico sérico, o risco de doença cardiovascular e os poluentes orgânicos persistentes. Por meio da técnica de cromatografia gasosa, mediu-se a intensidade dos resíduos de poluentes tóxicos em amostras de soro de pacientes hipertensos. Com base na análise estatística, os efeitos de diferentes covariáveis ​​- ou seja, pesticidas, idade, pressão arterial sistólica, pressão arterial diastólica e duração do perfil lipídico - foram verificados usando o modelo de regressão logística. O cálculo estatístico foi realizado no SPSS 22.0. Os valores P da estatística F para cada classe de perfil lipídico são maiores que 0,01 (1%), portanto não podemos rejeitar a hipótese nula para todos os casos. Os coeficientes estimados, seus erros padrão, estatística de Wald e odds ratio do modelo de regressão logística binária para diferentes parâmetros do perfil lipídico indicam se os pesticidas aumentam, então o valor logit de diferentes parâmetros do perfil lipídico muda de -0,46 para -0,246, exceto LDL, que aumenta em 0,135. O estudo relata um aumento significativo da ameaça de doença cardiovascular com aumento das concentrações de poluentes tóxicos.

Efectos de la contaminación ambiental sobre la salud de la población mediante una revisión narrativa / Effects of environmental pollution on populations health through a narrative review

Mediante la disminución de los niveles de contaminación del aire los países pueden reducir la carga en morbilidad derivada de accidentes cerebrovasculares, cáncer de pulmón y neumopatías crónicas y agudas. Por lo tanto, el objetivo de esta investigación fue determinar los efectos a corto y largo plazo que tiene la contaminación ambiental sobre la salud de la población por medio de una revisión narrativa de tipo cualitativo y descriptivo. El método de búsqueda e identificación de los estudios se realizó por medio de las siguientes bases de datos electrónicas: Medline, Pubmed, Science Direct, entre otras; con un estado del arte de máximo 5 años posteriores a su fecha de publicación. De acuerdo con la búsqueda realizada en las bases de datos, se seleccionaron un total de 10 artículos en los cuales se encontraron diferentes efectos de la contaminación ambiental en la salud humana a nivel respiratorio, cardiovascular, hepático, neurológico, gestacional, inmunológico, entre otros sistemas a causa del material particulado encontrado en el ambiente como los son del PM 2.5, PM10 Y otros gases relacionados con la contaminación y los efectos sobre la salud. Los resultados de esta revisión narrativa confirman los efectos asociados a la contaminación ambiental a corto plazo y largo plazo del aumento de las concentraciones de las partículas contaminantes encontradas en el ambiente. Palabras claves: contaminación ambiental, partículas contaminantes, efectos corto plazo, efectos largo plazo, material particulado.

By lowering air pollution levels, countries can reduce the burden of disease from strokes, lung cancer, and chronic and acute lung diseases. Therefore, the objective of this research was to determine the short and long-term effects of environmental pollution on the health of the population through a qualitative and descriptive narrative review. The search and identification method of the studies was carried out through the following electronic databases: Medline, Pubmed, Science Direct, among others; with a state of the art of a maximum of 5 years after its publication date. According to the search carried out in the databases, a total of 10 were selected in which different effects of environmental pollution on human health were found at the respiratory, cardiovascular, liver, neurological, gestational, and immune levels, among other systems. due to particulate matter found in the environment such as PM 2.5, PM10 and other gases related to pollution and health effects. The results of this narrative review confirm the short-term and long-term effects associated with environmental pollution of increased concentrations of polluting particles found in the environment.

Poluição do ar e saúde respiratória / Air pollution and respiratory health

O aumento da prevalência de doenças respiratórias crônicas coincide com o da exposição aos poluentes atmosféricos pelo crescente processo de industrialização, aumento do tráfego veicular e migração da população para áreas urbanas. A poluição do ar é uma mistura complexa de poluentes e outros compostos químicos tóxicos e não tóxicos, e o efeito na saúde pode derivar dessa mistura e da interação com parâmetros meteorológicos. Apesar disso, busca-se estabelecer o papel de um poluente específico em separado e consideram-se os parâmetros meteorológicos como fatores de confusão. Há evidências de que a exposição aos poluentes contribui para maior morbidade e mortalidade por doenças respiratórias, especialmente nas crianças, mesmo em concentrações dentro dos padrões estabelecidos pela legislação. Identificar os efeitos dos poluentes no sistema respiratório, isoladamente e em associação, é um desafio, e os estudos têm limitações devido à variabilidade de resposta individual, a presença de doenças pré-existentes, aos fatores socioeconômicos, às exposições a poluentes intradomiciliares, ocupacionais e ao tabaco. A maioria das evidências sobre o efeito dos poluentes no sistema respiratório de crianças deriva de estudos que incluem desfechos de função pulmonar. Entretanto, esses estudos têm diferenças quanto ao desenho, ao método de avaliação de exposição aos poluentes, às medidas de função pulmonar, às covariáveis consideradas como capazes de alterar a resposta aos poluentes e aos tipos de modelos utilizados na análise dos dados. Considerar todas essas diferenças é fundamental na interpretação e comparação dos resultados dessas pesquisas com os dados já existentes na literatura.

The increase in the prevalence of chronic respiratory diseases coincides with that of exposure to air pollutants due to the growing industrialization process, increased vehicular traffic and population migration to urban areas. Air pollution is a complex mixture of pollutants and other toxic and non-toxic chemical compounds and its effect on health can derive from this mixture and the interaction with meteorological parameters. Despite this, it seeks to establish the role of a specific pollutant separately and considers the meteorological parameters as confounding factors. There is evidence that exposure to pollutants contributes to greater morbidity and mortality from respiratory diseases, especially in children, even at concentrations within the standards established by legislation. Identifying the effects of pollutants on the respiratory system, alone and in association, is a challenge and studies have limitations due to the variability of individual response, the presence of pre-existing diseases, socioeconomic factors, exposure to indoor, occupational and environmental pollutants as well tobacco. Most of the evidence on the effect of pollutants on the respiratory system of children comes from studies that include lung function outcomes. However, these studies differ in terms of design, method of assessing exposure to pollutants, measures of lung function, covariates considered capable of altering the response to pollutants, and types of models used in data analysis. Considering all these differences is fundamental in interpreting and comparing the results of these researches with data already existing in the literature.

Hormônios estrogênicos em matrizes aquáticas: revisão sistemática de literatura / Estrogen hormones in aquatic matrices: a systematic review of the literature

Os disruptores endócrinos apresentam riscos à saúde humana e ambiental mesmo em concentrações a níveis de traços. Os hormônios femininos naturais, estradiol, estriol e estrona, e o sintético etinilestradiol, fazem parte desse grupo de agentes. Nesse contexto, o presente trabalho teve como objetivo realizar uma revisão sistemática da literatura sobre estudos produzidos com o intuito de detectar e quantificar a presença dessas substâncias em matrizes aquáticas. Para tanto, foi realizada uma busca sistemática de evidências científicas em três bases de dados: Scopus, Web of Science e Biblioteca Virtual em Saúde (BVS). A busca foi realizada no período de janeiro de 2015 a janeiro de 2021, utilizando a string "(estrone OR estriol OR estradiol OR ethinylestradiol) AND (wastewater OR sewage OR river OR surface water OR drinking water OR potable water) AND (LC-MS/MS OR GC-MS/MS OR UPLC OR HPLC)". A busca resultou em 380 estudos, sendo: 61 da Scopus, 124 da Web of Science e 195 da BVS. Após a aplicação dos testes de relevância, 91 estudos foram definitivamente selecionados para extração de dados. A maioria dos artigos se dedicou à busca de estrogênios em águas superficiais, provavelmente pela importância dessa matriz. Os países asiáticos, como China e Índia, foram os que apresentaram as maiores concentrações de estrogênios naturais (E1, E2 e E3), em água potável. Altas concentrações de E1, E2 e EE2 foram verificadas em águas residuais do Brasil, Espanha e Irã; além de E1, E2 e E3 em águas superficiais da China e da África do Sul, mais precisamente da Cidade do Cabo. Nos últimos anos, os países desenvolvidos e em desenvolvimento foram os que mais investiram em pesquisas voltadas ao monitoramento dos efeitos desses contaminantes, principalmente no corpo humano. Porém, apenas a União Europeia e os Estados Unidos possuem regulamentação e estudos aprofundados com o propósito de se determinar os limites máximos aceitáveis para esses contaminantes na água. Disso, nota-se a necessidade de adoção de tecnologias de tratamento de efluentes capazes de eliminar os disruptores endócrinos e que sejam economicamente acessíveis para países em desenvolvimento e subdesenvolvidos. O que se propõe é o aprimoramento de uma medida preventiva, cuja implementação, além de promover melhoria na qualidade de vida da população - que é o que mais importa - e do meio ambiente, permita a economia de recursos públicos por minimizar a incidência de diversas doenças como cânceres, obesidade, entre outras

Endocrine disruptors pose risks to human and environmental health even at low concentrations. The natural female hormones, estradiol, estriol and estrone, and the synthetic ethinylestradiol, are part of this group of agents. In this context, the present work aimed to carry out a systematic review of the literature on studies produced with the aim of detecting and quantifying the presence of these substances in aquatic matrices. Therefore, a systematic search for scientific evidence was carried out in three databases: Scopus, Web of Science and Biblioteca Virtual em Saúde (BVS). The search was carried out from January 2015 to January 2021, using the string "(estrone OR estriol OR estradiol OR ethinylestradiol) AND (wastewater OR sewage OR river OR surface water OR drinking water OR potable water) AND (LC-MS/MS OR GC-MS/MS OR UPLC OR HPLC)". The search resulted in 380 studies, being: 61 from Scopus, 124 from Web of Science and 195 from BVS. After applying the relevance tests, 91 studies were definitively selected for data extraction. Most articles were dedicated to the search for estrogens in surface water, probably due to the importance of this matrix. Asian countries, such as China and India, were the ones with the highest concentrations of natural estrogens (E1, E2 and E3) in drinking water. High concentrations of E1, E2 and EE2 were found in wastewater from Brazil, Spain and Iran; in addition to E1, E2 and E3 in surface waters in China and South Africa, more precisely in Cape Town. In recent years, developed and developing countries have invested the most in research aimed at monitoring the effects of these contaminants, mainly on the human body. However, only the European Union and the United States have regulations and in-depth studies aimed at determining the maximum acceptable limits for these contaminants in water. From this, there is a need to adopt effluent treatment technologies capable of eliminating endocrine disruptors and that are affordable for developing and underdeveloped countries. What is proposed is the improvement of a preventive measure, whose implementation, in addition to promoting an improvement in the quality of life of the population - which is what matters most - and of the environment, allows the economy of public resources by minimizing the incidence of various diseases such as cancer, obesity, among others

Ambient air pollutants relate to hospital admissions for chronic obstructive pulmonary disease in Ganzhou, China

ABSTRACT OBJECTIVE To evaluate the relationship between ambient air pollutants and chronic obstructive pulmonary disease in relatively low-polluted areas in China. METHODS Atmospheric pollutants levels and meteorological data were obtained from January 2016 to December 2020. The medical database including daily hospital admissions for chronic obstructive pulmonary disease (ICD10: J44) was derived from the First Affiliated Hospital of Gannan Medical University. The generalized additive model was used to analyze the percentage change with 95% confidence interval in daily hospital admissions for chronic obstructive pulmonary disease associated with a 10 µg/m3 increase in atmospheric pollutants levels. RESULTS In total, occurred 4,980 chronic obstructive pulmonary disease hospital admissions (not including emergency department visits) during 2016-2020. The mean concentrations of daily PM2.5, PM10, SO2, NO2, O3, and CO were 37.5 μg/m3, 60.1 μg/m3, 18.7 μg/m3, 23.5 μg/m3, 70.0 μg/m3, and 1.2 mg/m3 in Ganzhou. Each 10 µg/m3 increment of PM2.5, PM10, NO2, and O3 were significantly associated with 2.8% (95%CI: 1.0-4.7), 1.3% (95%CI: 0.3-2.4), 2.8% (95%CI: 0.4-5.4), and 1.5% (95%CI: 0.2-2.7) elevation in daily chronic obstructive pulmonary disease hospital admissions. The estimates of delayed effects of PM2.5, PM10, NO2, and O3 were observed at lag6, lag6, lag8, lag1, respectively. The health effects of particulate pollutants (PM2.5 and PM10) may be independent of other pollutants. The adverse effects of air pollutants were more evident in the warm season (May-Oct) than in the cold season (Nov-Apr). CONCLUSION Our study demonstrated that elevated concentrations of atmospheric pollutant (PM2.5, PM10, NO2, and O3), especially particulate pollutants, can be associated with increased daily count of hospital admissions for chronic obstructive pulmonary disease , which may promote further understanding of the potential hazards of relatively low levels of air pollution on chronic obstructive pulmonary disease and other respiratory disorders.

Calidad del aire interior mediante indicadores ecológicos y sociales asociados a la inmisión de material particulado (PM10) en la zona este 2 / Indoor air quality through ecological and social indicators associated with the immission of particulate matter (PM10) in the eastern zone 2

El material particulado (PM) es uno de los contaminantes más importantes presentes en el aire, representando un riesgo medioambiental para la salud. Las partículas con un diámetro de 10 micrones o menos (PM10), al ser inhalables, pueden penetrar y alojarse profundamente en los pulmones, contribuyendo al riesgo de desarrollar enfermedades cardiovasculares y respiratorias, así como cáncer de pulmón, enfermedades mentales, dermatitis, daño ocular e incluso al aumento en las tasas de mortalidad. Se estableció como objetivo determinar la calidad del aire interior asociada a la inmisión de material particulado (PM10) en la zona este 2, un sector industrial ubicado en los distritos san juan de Lurigancho y Lurigancho-Chosica, Perú. Para tal fin, se propone el uso de indicadores duales: ecológicos y sociales. De acuerdo a los indicadores ecológicos explorados, la concentración media de PM10 en el aire exterior (CME) superó el límite de 100 µg/m3 establecido por MINAM. Aunque la mediana de CME (93,7µg/m3; IC 95%=89,07-98,33) estuvo por debajo de este límite, el cuartil superior lo superó, entendido por elevaciones puntuales de hasta 131 µg/m3 (Figura 2), potencialmente dañinos para la salud humana. El coeficiente de correlación de Spearman de 0,921, obtenido del análisis bivariado entre los valores de concentración media diaria de PM10 exterior e interior, previo a la instalación de filtros en los sistemas de ventilación, es sugerente del efecto que puede tener la inmisión de aire ambiental con material particulado como vector de la contaminación del aire interior. al considerar los valores de la concentración media diaria, obtenidos en los 15 días posteriores a la instalación de los filtros (CMIFI), se observa que la concentración media de PM10 en el interior disminuyó en relación a la quincena anterior. El coeficiente de correlación de Spearman de 0,869 entre los indicadores CMIFI y CME, permite proponer que, en esta segunda fase, la calidad del aire interior fue influenciada en menor proporción por la contaminación de material particulado del aire ambiental, es decir que se presentó menos inmisión de PM10, gracias al proceso de filtrado, lo que disminuye el riesgo para la salud de los trabajadores(AU)

Particulate matter (PM) is one of the most important pollutants present in the air, representing an environmental risk to health. Particles with a diameter of 10 microns or less (PM10), being inhalable, can penetrate and lodge deep in the lungs, contributing to the risk of developing cardiovascular and respiratory diseases, as well as lung cancer, mental illness, dermatitis, eye damage and even increased mortality rates. The objective was to determine the indoor air quality associated with the immission of particulate matter (PM10) in East Zone 2, an industrial sector located in the districts of San Juan de Lurigancho and Lurigancho-Chosica, Peru. To this end, the use of dual indicators is proposed: ecological and social. According to the ecological indicators explored, the average concentration of PM10 in outdoor air (CME) exceeded the limit of 100 µg/m3 established by MINAM. Although the CME median (93.7µg/m3; 95% CI=89.07-98.33) was below this limit, the upper quartile exceeded it, understood as point elevations of up to 131µg/m3 (Figure 2 ), potentially harmful to human health. Spearman's correlation coefficient of 0.921, obtained from the bivariate analysis between the daily average concentration values of outdoor and indoor PM10, prior to the installation of filters in the ventilation systems, is suggestive of the effect that the immission of ambient air can have with particulate matter as a vector of indoor air pollution. When considering the values of the average daily concentration, obtained in the 15 days after the installation of the filters (CMIFI), it is observed that the average concentration of PM10 in the interior decreased in relation to the previous fortnight. Spearman's correlation coefficient of 0.869 between the CMIFI and CME indicators allows us to propose that, in this second phase, indoor air quality was influenced to a lesser extent by particulate matter contamination in the ambient air, that is, there was less PM10 immission, thanks to the filtering process, which reduces the risk to the health of workers(AU)

Morphological alterations in human skeletal muscle cells exposed to di-(2-Ethylhexyl) Phthalate (dehp) in primary cell culture conditions / Alteraciones morfológicas en células musculares esqueléticas humanas expuestas a Ftalato de di-(2-etilhexilo) (dehp) en condiciones de cultivo celular primario

SUMMARY: Di-(2-ethylhexyl) phthalate (DEHP) is among the most common plasticizer additives that humans are in contact with daily. DEHP can be released from plastic and enter the human body, whereby it is metabolized and transformed into oxidative hydrophilic molecules. Clinical follow-ups in patients exposed to this phthalate and investigations in cultures of several cell types have provided information on its effects. For example, it is associated with inhibition of diploid human cell development and morphological changes in cultured germ cells. Although skeletal muscle represents around 50 % of the human body mass, knowledge about the effects of DEHP on this tissue is poor. Cultured skeletal muscle cells were exposed to DEHP (1 mM) for 13 days with the aim of exploring and evaluating some of the potential morphological effects. Three culture development parameters and nine cell characteristics were monitored during the bioassay. At 13 days, growth area, cell viability, and concentration of total proteins were lower in DEHP exposed than in control cells. Cell width and area, as well as the diameter of the nucleus and nucleolus, were greater in exposed cells than in control cells. These are interpreted as signs of cytotoxicity and suggest potential adverse effects on the development of skeletal muscle cells from DEHP exposure, as reported for other cell types.

RESUMEN: Diariamente los seres humanos tenemos contacto con aditivos plastificantes, el di-(2-etilhexil) ftalato (DEHP) se encuentra entre los más comunes. El DEHP puede liberarse del plástico e ingresar al cuerpo humano, donde es metabolizado y transformando en moléculas hidrofílicas oxidativas. Seguimientos en pacientes expuestos a este ftalato e investigaciones en cultivos de varios tipos celulares han aportado información sobre sus efectos. El DEHP es asociado con la inhibición del desarrollo de células humanas diploides y cambios morfológicos en células germinales en cultivo. Sin embargo, aún es poco lo que se sabe sobre los efectos en el músculo esquelético, a pesar de que este tejido representa alrededor del 50 % de la masa corporal del humano. Para explorar y evaluar algunos efectos morfológicos en células de músculo esquelético, cultivos primarios fueron expuestos a DEHP (1 mM) durante 13 días. Se dio seguimiento a tres parámetros de desarrollo del cultivo y nueve características celulares. Al término de 13 días de exposición, los valores del área de crecimiento, viabilidad celular y concentración de proteínas totales fueron inferiores con respecto a los cultivos control. Se observaron cambios morfométricos en las células expuestas. Particularmente, el ancho y área celular, así como los diámetros del núcleo y nucleolos, fueron mayores a los registros en las células control. Estos resultados se interpretan como signos de citotoxicidad y sugieren efectos potencialmente adversos en el desarrollo de las células del músculo esquelético ante una exposición al DEHP, como se ha registrado para otros tipos celulares.

Documento técnico de registro y codificación de la atención en la consulta externa a personas expuestas a metales pesados, metaloides y otras sustancias químicas, por curso de vida. Sistema de información HIS / Technical document for registration and coding of outpatient care for people exposed to heavy metals, metalloids and other chemical substances, by lifetime. HIS information system

La publicación describe la información actualizada de las atenciones integrales de salud realizadas a las personas expuestas a metales pesados, metaloides y otras sustancias químicas, por curso de vida. El Perú es un país de gran diversidad geográfica, geológica, étnica y cultural, con una variedad de actividades productivas, extractoras y de servicios (formales e informales) que generan, aparte de sus beneficios, agentes contaminantes y desechos, pasivos ambientales y otros focos de contaminación que vierten al ambiente elementos tóxicos tales como el plomo, mercurio, cadmio, arsénico, aluminio, bario, cromo, cobre, hierro, que se dispersan en el ambiente y llegan a los cuerpos de agua superficiales y subterráneas directa o indirectamente; los cuales pueden alterar procesos bioquímicos y/o fisiológicos en el organismo, por lo que brindar de manera oportuna atención integral de salud a personas expuestas a metales pesados, metaloides y otras sustancias químicas y el registro en el HIS de toda acción y/o actividad realizada desde un tamizaje clínico, apoyo al diagnóstico con laboratorio por medio de un dosaje, entrega y evaluación de resultados, diagnóstico, tratamiento, y seguimiento, contribuirá a obtener información valiosa y exacta de la atención clínica

Exposure to indoor air pollution/outdoor air pollution: the silent killers ­ A pilot study / Exposição à poluição do ar interno/poluição do ar externo: os assassinos silenciosos ­ Estudo piloto

Objective: To identify possible risks factors of exposure to indoor air pollution (IAP)/outdoor air pollution (OAP) and their relationship with noncommunicable diseases in men and women treated by primary care physicians. Method: In total, 551 patients (382 women) attended three basic health units in Uruguaiana, Brazil, for various complaints, and completed a questionnaire about risk factors for exposure to IAP/OAP. Results: Women were significantly more exposed to wood-burning pollutants (79.6% vs. 52.7%, p < 0.0001) for having more housework-related activities; men had more outdoor activities and spent extended periods in traffic (47.3% vs. 18.8%, p < 0.0001). Arterial hypertension (AH)/ chronic respiratory disease (CRD) were more frequent among women. Patients with AH/CRD were more exposed to OAP because of their work (18.1% vs. 11%, p = 0.02) or for living near a source of air pollution (45.6% vs. 29.6%, p = 0.0002) or on a street with heavy traffic (41.7% vs. 33%, p = 0.04). Passive smoking, active smoking, using wood, charcoal, or firewood for cooking, heating, or drying, or burning charcoal indoors were not associated with a higher prevalence of AH/CRD. Conclusion: Exposure to OAP was associated with AH/CRD. Women were more exposed to IAP from burning firewood, and men were more exposed to fossil fuel burning. Knowledge of these behaviors should be directed to primary care physicians and all health professionals so that preventive and educational measures can be implemented.

Objetivo: Identificar possíveis fatores de risco da exposição à poluição intradomiciliar (PID) e extradomiciliar (PED) e sua relação com doenças não transmissíveis (DNT) em homens e mulheres tratados por médicos de atenção primária. Método: Quinhentos e cinquenta e um pacientes (382 mulheres) atendidos em três unidades básicas de saúde em Uruguaiana, Brasil, por queixas diversas, responderam a um questionário sobre os fatores de risco para exposição à PID/PED. Resultados: As mulheres foram significantemente mais expostas aos poluentes da queima de lenha (79,6% vs. 52,7%, p < 0,0001) por terem mais atividades domésticas; os homens praticaram mais atividades ao ar livre e passaram longos períodos no trânsito (47,3% vs. 18,8%, p < 0,0001). Hipertensão arterial (HA) / Doença respiratória crônica (DRC) foram mais frequentes entre as mulheres. Pacientes com HA/DRC foram mais expostos à PED devido ao trabalho (18,1% vs. 11%, p = 0,02), ou por viver perto de uma fonte de poluição do ar (45,6% vs. 29,6%, p = 0,0002), ou em uma rua com trânsito intenso (41,7% vs. 33%, p = 0,04). O fumo passivo, o fumo ativo, o uso de lenha ou carvão para cozinhar, aquecer ou secar ou queimar carvão em ambientes fechados não foram associados a maior prevalência de HA/DRC. Conclusão: A exposição à PED foi associada a HA/CRD. As mulheres foram mais expostas à PID pela queima de lenha, e os homens foram mais expostos à queima de combustíveis fósseis. O conhecimento destes comportamentos deve ser direcionado aos médicos da atenção básica e a todos os profissionais da saúde, para que medidas preventivas e educacionais possam ser implementadas.

La obesidad y la contaminación ambiental: paradigmas y revoluciones científicas / Obesity and environmental pollution: paradigms and scientific revolutions

Kuhn in 1962 establishes the revolutionary character of science: "new scientific theories are not born by verification or falsification, but by substitution." The objective of this review was to analyze the ideas and paradigms through which studies on obesity and its relationship with environmental pollutants, diet and epigenetics have passed, in order to illustrate the current situation of this object of study. Articles were managed in December 2020 from the Web of Science. The strategy was Obesity AND (pollution OR contamination) in the Title field, AND (epigenetic* OR obesity OR food OR nutrition OR diet) in the Themes field. 654 articles were obtained: 577 original investigations and 77 reviews. The documents were exported in BibTeXformat to be quantitatively analyzed with the Bibliometrix program. For the qualitative analysis, review articles were selected in whose titles, keywords and/or abstract, carried the word paradigm*, identifying 19 who underwent content analysis. From 1980 to 2020, four periods were recognized, the first and third are classified as normal science; the second and the fourth, crisis of knowledge or revolution. The evolution of the studies has been differentiated. First, the central theme was environmental pollution and secondarily, obesity. For the second and third period, the epigenetics related to environmental pollution and that associated with obesity are investigated separately and at present, causal relationships between environmental pollutants and obesity, nutrients and epigenetics are hypothesized.

Kuhn en 1962 establece el carácter revolucionario de la ciencia: "las nuevas teorías científicas no nacen por verificación ni por falsación, sino por sustitución". El objetivo de esta revisión fue analizar las ideas y los paradigmas por los que han transitado los estudios sobre obesidad, y su relación con contaminantes ambientales, alimentación y epigenética, con el propósito de ilustrar la situación actual de este objeto de estudio. Se gestionaron artículos en diciembre de 2020 de la Web of Science. La estrategia fue Obesity AND (pollution OR contamination) en el campo Title, AND (epigenetic* OR obesity OR alimentation OR nutrition OR diet) en el campo Themes. Se obtuvieron 654 artículos: 577 investigaciones originales y 77 revisiones. Los documentos se exportaron en formato BibTeX para ser analizados cuantitativamente con el programa Bibliometrix. Para el análisis cualitativo se seleccionaron artículos de revisión en cuyos títulos, palabras clave o resumen llevaran la palabra paradigm*, con lo que se identificaron 19, a los que se les realizó análisis de contenido. De 1980 a 2020 se reconocieron cuatro períodos; el primero y el tercero se clasifican como ciencia normal; el segundo y el cuarto, como crisis de conocimiento o revolución. La evolución de los estudios ha sido diferenciada. Primero, la temática central fue la contaminación ambiental y, de manera secundaria, la obesidad. Para el segundo y el tercer período se investigan por separado la epigenética relacionada con la contaminación ambiental y la asociada con la obesidad, y en la actualidad, se plantean hipótesis de relaciones causales entre contaminantes ambientales y obesidad, nutrientes y epigenética.

Daños de salud respiratoria en comunas expuestas a centrales termoeléctricas a carbón en el norte de Chile: análisis de datos secundarios / Respiratory health damage in communes exposed to coal-fired power plants in northern Chile

INTRODUCCIÓN: En Chile, el funcionamiento de las Centrales Termoeléctricas de Carbón (CTEC) representan un problema de salud pública debido a las consecuencias sanitarias que tienen en la población. Se han notificado daños en el sistema respiratorio. Materiales y MÉTODOS: Se realizó un estudio ecológico, para evaluar los egresos hospitalarios de las personas que viven en las ciudades donde operan las CTEC (Tocopilla y Huasco), se comparó con una ciudad de control sin CTEC (Caldera), las comunas evaluadas tienen condiciones sociodemográficas similares. Se calcularon las tasas de morbilidad y tasas de morbilidad estandarizadas (SMR). RESULTADOS: La tasa de morbilidad por enfermedades respiratorias en Tocopilla (2016) fue de 152,5 por 10.000 habitantes (habs) y para Huasco es de 135,2 por 10.000 habs. En la ciudad control, Caldera, la tasa es de 40,9 por 10.000 habs. Además, los habitantes de Tocopilla tienen 2,42 más riesgo de padecer bronquitis o bronquiolitis, 90% más riesgo de presentar enfermedades crónicas de las vías respiratorias bajas y 2,14 veces más riesgo de enfermar por asma. En Huasco, la población tiene 2,49 veces más riesgo de padecer enfermedades de las vías respiratorias inferiores con respecto a la región y 3,19 veces más riesgo de presentar asma. CONCLUSIONES: El asma y la bronquitis, son las patologías que mostraron mayores riesgos en las ciudades de Tocopilla y Huasco. Nuestros hallazgos son similares a otras investigaciones realizadas en comunidades expuestas a centrales termoeléctricas de carbón. Es necesario tomar medidas urgentes para proteger la salud de la población.

INTRODUCTION: In Chile, coal-fired power plants (CTEC) operate represents public health problems due to the health consequences for the population. Damage to the respiratory system is reported. MATERIALS AND METHODS: Ecological study to evaluate hospital discharges in people living in cities where CTEC operates (Tocopilla and Huasco) were compared to a control city without CTEC (Caldera), all of them with similar sociodemographic conditions. Morbidity rates and Standardized Morbidity Ratios (SMR) were calculated. RESULTS: The respiratory disease morbidity rate in Tocopilla (2016) was 152.5 per 10,000 inhabitants (habs) and for Huasco it is 135.2 per 10,000 inhabitants. In the control city, Caldera, the rate is 40.9 per 10,000 habs. In addition, the inhabitants of Tocopilla have a 2.42 times increased risk of bronchitis or bronchiolitis, 90% higher risk of chronic lower respiratory diseases and 2.14 times more risk of asthma sickness. In Huasco, the population is 2.49 times more at risk of lower respiratory diseases compared to the region and 3.19 times more at risk of asthma. CONCLUSIONS: Asthma and bronchitis are the pathologies that showed the greatest risks in the cities of Tocopilla and Huasco. Our findings are similar to other research conducted in communities exposed to coal-fired power plants. Urgent action is needed to protect the health of the population.

How do pesticides affect bats? - A brief review of recent publications / Como os pesticidas afetam os morcegos? - Uma breve revisão de publicações recentes

Increased agricultural production has been increased use of pesticides worldwide, which poses a threat to both human and environmental health. Recent studies suggest that several non-target organisms, from bees to mammals, show a wide variety of toxic effects of pesticides exposure, including impaired behavior, development and reproduction. Among mammals, bats are usually a neglected taxon among ecotoxicological studies, although they play important ecological and economical roles in forest ecosystems and agriculture through to seed dispersal and insect population control. Considering their wide variety of food habits, bats are exposed to environmental pollutants through food or water contamination, or through direct skin contact in their roosting areas. In order to better understand the risk posed by pesticides to bats populations, we compiled studies that investigated the main toxicological effects of pesticides in bats, aiming at contributing to discussion about the environmental risks associated with the use of pesticides.

O aumento da produção agrícola tem levado ao aumento do uso de pesticidas em todo o mundo, o que representa uma ameaça para a saúde humana e ambiental. Estudos recentes sugerem que vários organismos não-alvo, de abelhas a mamíferos, apresentam uma grande variedade de efeitos tóxicos após a exposição aos pesticidas a pesticidas, incluindo alterações de comportamento, no desenvolvimento e na reprodução. Entre os mamíferos, os morcegos geralmente são negligenciados entre os estudos ecotoxicológicos, embora desempenhem importantes papéis ecológicos e econômicos nos ecossistemas florestais e na agricultura por meio do controle de dispersão de sementes e de populações de insetos. Considerando sua ampla variedade de hábitos alimentares, eles estão expostos a poluentes ambientais através da contaminação de alimentos ou água, ou através do contato direto com a pele em suas áreas de descanso. Para entender melhor o risco que os agrotóxicos representam para as populações de morcegos, compilamos estudos que investigaram os principais efeitos toxicológicos de agrotóxicos em morcegos, visando à discussão sobre os riscos ambientais associados ao uso de agrotóxicos.

Contaminación atmosférica en América Latina: impacto en la salud Y regulación actual - reporte del grupo del Comité de Aerobiología de la Sociedad Latinoamericana de Asma, Alergia e Inmunología / Atmospheric pollution in Latin America: impact on health and current regulation - report of the Aerobiology Committee of the Latin American Society of Asthma, Allergy and Immunology

La contaminación ambiental, en todas sus vertientes, tiene un efecto de enormes dimensiones no sólo sobre la existencia del planeta, sino también sobre la salud de la humanidad. América Latina es una región privilegiada ambientalmente, debido a su gran acervo de patrimonio natural, biodiversidad y posibilidades de provisión de servicios ambientales. Pero, a su vez, es una de las regiones más urbanizadas del orbe, con las afectaciones y presión al medio ambiente que esto implica, principalmente en la calidad del aire que se respira, derivadas de antiguos patrones productivos y de ocupación territorial, que se han agudizado como consecuencia del modelo de desarrollo predominante. Los efectos sobre la salud humana de diversas sustancias contaminantes están relacionados a procesos inflamatorios sobre mucosas y al aumento de la morbimortalidad en personas con enfermedades preexistentes, principalmente de los sistemas neurológico, cardiaco y respiratorio, en particular las enfermedades alérgicas respiratorias. La región latinoamericana enfrenta importantes problemas ambientales, determinados por los patrones de uso de sus recursos naturales, los sistemas de producción, los hábitos de consumo de las poblaciones humanas y la regulación gubernamental ambiental, que en muchos casos es laxa o pobremente implementada por los gobiernos en turno.

Air quality, in all its dimensions, has a major effect not only on the existence of the planet, but also on human health. Latin America is an environmentally privileged region, due to its great wealth of natural heritage, biodiversity and possibilities of provision of environmental services. But, at the same time, it is one of the most urbanized regions in the world, with the effects and pressure on the environment that this implies, mainly in the air quality, due to patterns of production and of territorial occupation, which they have exacerbated as a result of the predominant development model. The effects of diverse pollutant substances on the human health are related to inflammatory processes on mucous membranes and to increased morbidity and mortality in people with pre-existing diseases, especially of the neurological, cardiac and respiratory systems, in particular respiratory allergic illnesses. The Latin American region faces important environmental problems determined by the patterns of use of its natural resources, systems of production, habits of consumption of the human populations, and environmental governmental regulation, which is often lax or poorly implemented by the local authorities.

Air pollution: Health effects / contaminación del aire: efectos en la salud

Abstract Background: Air contamination happens when unsafe or inordinate amounts of substances including gases, particles, and organic atoms are brought into Earth's climate. Objective: This review article defines air pollution, describes the types of pollutants, enumerates the various causative factors, enumerates the ways it impacts human health and suggests preventive measures to reduce the impact of air pollution on human health. Methods: Literature was studied extensively and effects of air pollution on human health have been described. Results and Conclusion: Air pollution has tremendous effects on human health in the form of respiratory diseases and aggravations in the form of asthma and lung cancer, cardiovascular dysfunctions, and malignant growth. An affiliation has been found to exist between male infertility and air pollution and a relationship has been established between air contamination and higher danger of immune dysfunction, neuroinflammation, neurobehavioral hyperactivity, crime, age-unseemly behaviours, Alzheimer's and Parkinson's disease. Traffic-related air pollutants have been found to affect skin aging and cause pigmented spots on the face. An association exists between air pollution and irritation of the eyes, dry eye syndrome, risk for retinopathy and adverse ocular outcomes. Chronic exposure to air pollutants during pregnancy has been associated with adverse effects on the developing foetus in the form of low birth weight and still birth. Air contamination has been seen as a significant supporter of the expanded predominance of allergic diseases in children.

La determinación social de la enfermedad renal crónica de causas no tradicionales (ERCnT) en Guatemala / The social determination of chronic kidney disease of non-traditional causes (CKDnT) in Guatemala

La Enfermedad Renal Crónica de Causas no Tradicionales (ERCnT) ha aumentado en los últimos 20 años, convirtiéndose en un problema de salud pública importante que se observa principalmente en países de Centroamérica y Asia, afectando especialmente a trabajadores agrícolas jóvenes. La presencia de factores de riesgo relacionados con toxinas, medio ambiente y condiciones laborales sugiere una causa multifactorial, la cual puede que involucre la exposición a agroquímicos, contaminantes ambientales, y episodios repetidos de deshidratación. La comprensión de las condiciones sociales que unen estos factores en grupos específicos de población es fundamental para el desarrollo de programas de salud pública tendientes a la prevención de esta epidemia devastadora. Luego de presentar brevemente los antecedentes, este ensayo discute el paradigma de causalidad de la enfermedad implícito en la literatura disponible sobre ERCnT, concretamente la "multicausalidad", sitúa el enfoque en su contexto histórico, y presenta sus fortalezas y limitaciones. Luego, el ensayo presenta dos paradigmas de causalidad que podrían ayudar a avanzar en la investigación sobre las causas de la enfermedad, específicamente los enfoques socioecológico y de determinación social de la salud. El ensayo concluye con recomendaciones para una agenda de investigación e intervención que enfoque en explicar las causas de la ERCnT.

Chronic Kidney Disease of non-Traditional Causes (CKDnT) has increased over the past 20 years, becoming a significant public health issue observed mainly in countries in Central America and Asia, primarily affecting young male agricultural workers. The presence of toxin-, environmental-, and work-related risk factors in the affected communities suggests a multifactorial cause, which may involve exposure to agrochemicals, environmental contaminants, and repeated episodes of dehydration. An understanding of the social conditions that bring these factors together in specific groups is essential for the development of public health programs to prevent this devastating epidemic. After a brief background, this essay discusses the paradigm of disease causality implied in the available literature on CKDnT, namely "multicausality", puts it in its historical context, and presents its strengths and limitations. The essay then presents two causality paradigms that could help move forward research about the causes of this disease, specifically the socioecological and the social determination of health approaches. The essay concludes with recommendations for a research and intervention agenda that focuses on explaining the causes of CKDnT.

Caffeine Adsorption onto Bentonite Clay in Suspension and Immobilized

Abstract This study describes the use of bentonite in suspension for the caffeine adsorption (pollutant of emerging concern) by taking different conditions of the pH, adsorbent mass, adsorbent calcination temperature and interferents into account. The results were compared with those obtained using bentonite immobilized in alginate beads. The acid medium has a greater efficiency for the caffeine adsorption and the adsorbent calcination temperature exerts, due to structural changes. Caffeine removal higher than 90% was obtained at optimized conditions. The Langmuir model indicated a better fit of the data and the adsorption capacity of caffeine onto bentonite. The bentonite immobilized led to a slower adsorption process in relation to the suspended.