Spatial heterogeneity in unintended pregnancy and its determinants in India.

BACKGROUND: Understanding the geographic variation of unintended pregnancy is crucial for informing tailored policies and programs to improve maternal and child health outcomes. Although spatial analyses of unintended pregnancy have been conducted in several developing countries, such research is lacking in India. This study addresses this gap by investigating the geographic distribution and determinants of unintended pregnancy in India. METHODS: We analysed data from the National Family Health Survey-5 encompassing 232,920 pregnancies occurring between 2014 and 2021 in India. We conducted a spatial analysis to investigate the distribution of unintended pregnancies at both state and district levels using choropleth maps. To assess spatial autocorrelation, Global Moran's I statistic was employed. Cluster and outlier analysis techniques were then utilized to identify significant clusters of unintended pregnancies across India. Furthermore, we employed Spatial Lag Model (SLM) and Spatial Error Model (SEM) to investigate the factors influencing the occurrence of unintended pregnancies within districts. RESULTS: The national rate of unintended pregnancy in India is approximately 9.1%, but this rate varies significantly between different states and districts of India. The rate exceeded 10% in the states situated in the northern plain such as Haryana, Delhi, Uttar Pradesh, Bihar, and West Bengal, as well as in the Himalayan states of Himachal Pradesh, Uttarakhand, Sikkim, and Arunachal Pradesh. Moreover, within these states, numerous districts reported rates exceeding 15%. The results of Global Moran's I indicated a statistically significant geographical clustering of unintended pregnancy rates at the district level, with a coefficient of 0.47 (p < 0.01). Cluster and outlier analysis further identified three major high-high clusters, predominantly located in the districts of Arunachal Pradesh, northern West Bengal, Bihar, western Uttar Pradesh, Haryana, Delhi, alongside a few smaller clusters in Odisha, Madhya Pradesh, Uttarakhand, and Himachal Pradesh. This geographic clustering of unintended pregnancy may be attributed to factors such as unmet needs for family planning, preferences for smaller family sizes, or the desire for male children. Results from the SEM underscored that parity and use of modern contraceptive were statistically significant predictors of unintended pregnancy at the district level. CONCLUSION: Our analysis of comprehensive, nationally representative data from NFHS-5 in India reveals significant geographical disparities in unintended pregnancies, evident at both state and district levels. These findings underscore the critical importance of targeted policy interventions, particularly in geographical hotspots, to effectively reduce unintended pregnancy rates and can contribute significantly to improving reproductive health outcomes across the country.

Wealth-based disparities in the prevalence of short birth interval in India: insights from NFHS-5.

BACKGROUND: Short birth interval (SBI) has profound implications for the health of both mothers and children, yet there remains a notable dearth of studies addressing wealth-based inequality in SBI and its associated factors in India. This study aims to address this gap by investigating wealth-based disparities in SBI and identifying the underlying factors associated with SBI in India. METHODS: We used information on 109,439 women of reproductive age (15-49 years) from the fifth round of the National Family Health Survey (2019-21). We assessed wealth-based inequality in SBI for India and its states using the Erreygers Normalised Concentration Index (ECI). Additionally, we used a multilevel binary logistic regression to assess the factors associated with SBI in India. RESULTS: In India, the prevalence of SBI was 47.8% [95% CI: 47.4, 48.3] during 2019-21, with significant variation across states. Bihar reported the highest prevalence of SBI at 61.2%, while Sikkim the lowest at 18.1%. SBI prevalence was higher among poorer mothers compared to richer ones (Richest: 33.8% vs. Poorest: 52.9%). This wealth-based inequality was visible in the ECI as well (ECI= -0.13, p < 0.001). However, ECI varied considerably across the states. Gujarat, Punjab, and Manipur exhibited the highest levels of wealth-based inequality (ECI= -0.28, p < 0.001), whereas Kerala showed minimal wealth-based inequality (ECI= -0.01, p = 0.643). Multilevel logistic regression analysis identified several factors associated with SBI. Mothers aged 15-24 (OR: 12.01, p < 0.001) and 25-34 (2.92, < 0.001) were more likely to experience SBI. Women who married after age 25 (3.17, < 0.001) and those belonging to Scheduled Caste (1.18, < 0.001), Scheduled Tribes (1.14, < 0.001), and Other Backward Classes (1.12, < 0.001) also had higher odds of SBI. Additionally, the odds of SBI were higher among mothers in the poorest (1.97, < 0.001), poorer (1.73, < 0.001), middle (1.62, < 0.001), and richer (1.39, < 0.001) quintiles compared to the richest quintile. Women whose last child had passed away were also significantly more likely to have SBI (2.35, < 0.001). Furthermore, mothers from communities with lower average schooling levels (1.18, < 0.001) were more likely to have SBI. Geographically, mothers from eastern (0.67, < 0.001) and northeastern (0.44, < 0.001) regions of India were less likely to have SBI. CONCLUSION: The significant wealth-based inequality in SBI in India highlights the need for targeted interventions focusing on economically disadvantaged women, particularly in states with high SBI prevalence. Special attention should be given to younger mothers and those from socially disadvantaged groups to enhance maternal and child health outcomes across the country.

Alfvén pulse driven spicule-like jets in the presence of thermal conduction and ion-neutral collision in two-fluid regime.

We present the formation of quasi-periodic cool spicule-like jets in the solar atmosphere using 2.5-D numerical simulation in two-fluid regime (ions+neutrals) under the presence of thermal conduction and ion-neutral collision. The nonlinear, impulsive Alfvénic perturbations at the top of the photosphere trigger field aligned magnetoacoustic perturbations due to ponderomotive force. The transport of energy from Alfvén pulse to such vertical velocity perturbations due to ponderomotive force is considered as an initial trigger mechanism. Thereafter, these velocity perturbations steepen into the shocks followed by quasi-periodic rise and fall of the cool jets transporting mass in the overlying corona. This article is part of the theme issue 'Partially ionized plasma of the solar atmosphere: recent advances and future pathways'.

An investigation into the hybrid architecture of Mn-Co nanoferrites incorporated into a polyaniline matrix for photoresponse studies.

In this study, an enhanced photoresponse was observed in the Mn-Co Nanoferrites (MCFs)-Polyaniline (PANI) nanohybrid architecture due to the formation of interface between PANI and MCFs, which provided a conduction pathway for the movement of charge carriers, and these interfaces were observed in a high-resolution transmission electron micrograph (HR-TEM). X-ray photoelectron spectroscopy (XPS) suggests that the carbon (C 1s) of the MCF-PANI nanohybrid shows peaks at 287.80 eV for CO, 286.17 eV for C-O, 285.24 eV for C-N, 284.50 eV for the sp3 hybridized carbon (C-C/C-H) and 283.84 eV for the sp2 hybridized carbon (CC). Current-voltage (I-V) curves reveal an ohmic nature of the MCF-PANI nanohybrid photodetector device. The photoresponse measurements were analyzed using the trap depth concept, demonstrating that the conductive polymer increases the photoconduction mechanism efficiency of MCFs. The constructed photodetector device exhibits a high photoresponsivity of 22.69 A W-1, a remarkable detectivity of 1.36 × 1012 cm Hz1/2 W-1 and a fast rise/decay time of 0.7/0.8 s. The excellent performance of the as-fabricated photodetector device could be explained by the intimate interaction between MCFs and PANI at their interface.

Acquired Hypothyroidism in Children.

Acquired hypothyroidism is generally also referred to as juvenile hypothyroidism. Hypothyroidism is due to the deficient secretion of thyroid hormones causing metabolic and neurological sequelae at the cellular level. It can present as overt hypothyroidism wherein the thyroid hormones (T4 and T3) secretion fall and thyrotropin (TSH) rises. Acquired hypothyroidism frequently presents between 9 and 11 y of age and is rarely seen before 4 y of age. Approximately 80% of the children and adolescents are asymptomatic at the time of diagnosis. Children with moderate to severe hypothyroidism often present for evaluation of poor growth, constipation, lethargy and/or dry skin. A detailed history and examination will provide us with enough clues for diagnosing hypothyroidism. Primary hypothyroidism can be diagnosed with raised TSH with subnormal levels of T3 and T4. Titres of thyroid antibodies - Anti-thyroperoxidase (TPO) and anti-thyroglobulin (ATG) antibodies, will be high in autoimmune hypothyroidism. Subclinical hypothyroidism is diagnosed with mildly elevated or high normal levels of TSH with free T4 being in the normal range. Insufficient secretion of thyrotropin from the pituitary causes central hypothyroidism. Acquired hypothyroidism is treated by replacement with levothyroxine. Regular monitoring of thyroid profile is necessary for adjusting doses of levothyroxine. Close monitoring and individualization of levothyroxine therapy is essential for normal growth and development of the child.

Cyclic volatile methyl siloxanes (D4, D5, and D6) as the emerging pollutants in environment: environmental distribution, fate, and toxicological assessments.

Cyclic volatile methyl siloxanes (cVMS) have now become a subject of environmental contamination and risk assessment due to their widespread use and occurrence in different environmental matrices. Due to their exceptional physio-chemical properties, these compounds are diversely used for formulations of consumer products and others implying their continuous and significant release to environmental compartments. This has captured the major attention of the concerned communities on the grounds of potential health hazards to human and biota. The present study aims at comprehensively reviewing its occurrence in air, water, soil, sediments, sludge, dusts, biogas, biosolids, and biota and their environmental behavior as well. Concentrations of cVMS in indoor air and biosolids were higher; however, no significant concentrations were observed in water, soil, and sediments except for wastewaters. No threat to the aquatic organisms has been identified as their concentrations do not exceed the NOEC (maximum no observed effect concentration) thresholds. Mammalian (rodents) toxicity hazards were not very evident except for the occurrence of uterine tumors in very rare cases under long-term chronic and repeated dose exposures in laboratory conditions. Human relevancy to rodents were also not strongly enough established. Therefore, more careful examinations are required to develop stringent weight of evidences in scientific domain and ease the policy making with respect to their production and use so as to combat any environmental consequences.

Growth performance of different forestry species irrigated with moderately saline wastewater.

A seven month, pot study was conducted to evaluate the impact of moderately saline wastewater on the growth potential of six forestry plant species viz., Eucalyptus calmaldulensis, Dendrocalamus strictus, Casurina equisetfolia, Cassia fistula, Melia dubia, and Bambusa arundinacea under different drainage conditions namely, well-drained saline (WDS) condition and poor-drained saline condition (PDS) and the control with well-drained non-saline condition. WDS treatment resulted in no mortality whereas PDS treatment resulted in mortality in the range of 33-66%. The plant height and root dry biomass increased in the range of 145% to 221.6% and 4.3-37.1 g respectively in WDS treatment, however, 23.60% to 173.4% and 4.1-10.1 g in PDS treatment. Among all, Eucalyptus camaldulensis and Dendrocalamus strictus showed high Na+ accumulation in roots (2.16 ± 0.02% and 1.13 ± 0.01%), shoots (1.98 ± 0.01% and 0.74 ± 0.01%) and leaves (1.27 ± 0.02% and 0.86 ± 0.01%) in WDS treatment and in case of PDS treatment root (1.01 ± 0.01% and 0.23 ± 0.01%), shoot (1.12 ± 0.02% and 0.11 ± 0.01%), and leaf (0.07 ± 0.01% and 0.1 ± 0.02). The overall performance of both Eucalyptus camaldulensis and Dendrocalamus strictus was highest in WDS treatment. Therefore, it was concluded, that both plants had better performance than other plant species, a proper drainage system defines the overall productivity and treatment efficiency.

Forestry is not only a necessity for increasing tree cover and decreasing pressure on natural forests but also a most desired land use plan especially for reclaiming and rehabilitating the degraded lands. This study concluded that salt-affected and waterlogged areas and moderately saline waters can be utilized satisfactorily in raising forests using suitable plant species. Eucalyptus camaldulensis and Dendrocalamus strictus which showed good performance for salt tolerance and survival can be effectively used to mitigate the problems of waterlogged conditions and soil salinity remediation. Utilizing these species extensively can be a sustainable and suitable approach to promote afforestation and mitigate the problems of waterlogged conditions and for green belt development.

Menstrual hygiene practices among adolescent women in rural India: a cross-sectional study.

BACKGROUND: Exclusive use of hygienic methods (sanitary napkins, locally prepared napkins, tampons, and menstrual cups) to prevent the visibility of bloodstains during menstruation is still considerably low among adolescent women in rural India. However, no prior research has explored the prevalence and determinants of exclusive hygienic methods among rural Indian adolescent women. To address this gap, this study examines the factors affecting adolescent women's exclusive use of hygienic methods in rural India. Additionally, this study explores state- and district-level geographical disparities in the exclusive use of hygienic methods among adolescent women in rural India. METHODS: Information on 95,551 adolescent women from rural India from the latest round of National Family Health Survey (NFHS-5) was analyzed. Bivariate statistics and multilevel logistic regression analysis were used to assess the Individual- and community-level factors associated with exclusive use of hygienic methods among adolescent women in rural India. Choropleth maps were used to discern the geographical disparities in the exclusive use of hygienic methods. RESULTS: In rural India, only 42% of adolescent women exclusively used hygienic methods, with substantial geographic disparities at the state and district levels. At the state level, the exclusive use of hygienic methods varied from 23% in Uttar Pradesh to 85% in Tamil Nadu. Even greater variation was observed at the district level. There was a clear north-south divide in the exclusive use of hygienic methods among adolescent women in rural India. The results of multilevel logistic regression indicated a considerable amount of variation in the exclusive use of hygienic methods at community level which further reduced when controlled for individual and community-level factors. Rural Indian adolescent women with higher education (AOR:3.20, 95% CI: 2.81-3.64), from general category (AOR: 1.14, 95% CI: 1.07-1.21), with medium mass media exposure (AOR: 1.43, 95% CI: 1.35-1.51), and from richest wealth quintile (AOR: 3.98, 95% CI: 3.69-4.30) were more likely to use hygienic methods exclusively. CONCLUSION: Wide differential across biodemographic and socioeconomic groups, and substantial geographic disparities at state- and district-level in the exclusive use of hygienic methods suggests a need to adopt context-specific interventions for adolescent women in rural India. Distribution of subsidized or free menstrual hygiene methods to disadvantaged adolescent women, and in the low-prevalence districts may increase the level of exclusive use of hygienic methods remarkably.

A Case of Leishmaniasis Infantum Kala-Azar in an Immunocompetent 49-Year-Old Man.

An immunocompetent 45-year-old Cuban-American man presented with worsening knee pain and swelling despite antibiotic therapy. On physical examination, the patient was ill-appearing, cachectic, with a protuberant abdomen and massive splenomegaly. In addition, he had a 10 cm area of peripheral hyperemia with central necrosis in the medial left knee that was non-tender and non-fluctuant. Initial lab work demonstrated pancytopenia, hyponatremia, hypoalbuminemia, and anemia of chronic inflammation. Peripheral smear showed microcytic, hypochromic red blood cells with mild anisopoikilocytosis. and leukopenia with slight left shift and metamyelocytes. Bone marrow biopsy demonstrated amastigotes and kinetoplasts within white blood cells and extracellular space consistent with leishmaniasis. Centers for Disease Control and Prevention (CDC) testing with PCR returned positive for Leishmaniasis infantum. The patient received two courses of amphotericin B lipid complex (ABLC) with a 28-day course of miltefosine, which resulted in clinical improvement. This case illustrates the unique pathology that can affect immigrants and highlights the need to increase health provider awareness of foreign pathologies in areas with large migrant populations.

Use of enzymatic biomarkers of Labeo rohita to study the effect of polybrominated diphenyl ether (BDE- 209) via dietary exposure in laboratory conditions.

Fishes have been widely used as a representative to estimate the health of an aquatic ecosystem. In the present study, Labeo rohita was selected for biomarker study against decabromodiphenyl ether (BDE-209), a persistent organic pollutant (POP), as it is a widely used Indian carp. The results suggested significant effects on the optimum metabolism of Labeo rohita. After 48 to 72 h of exposure, most of the biomarkers such as lactate dehydrogenase (LDH), creatine kinase (CK), serum glutamic pyruvic transaminase (SGPT), serum glutamic oxaloacetic transaminase (SGOT), and hepatosomatic index (HSI) increased drastically indicating the higher index of tissue and liver damage. On the contrary, succinic dehydrogenase (SDH), acetylcholinesterase (AChE), and alkaline phosphatase (ALP) showed a reverse trend suggesting the shifting of fish metabolism towards anaerobic respiration mode because of induced stress. Increased catalase (CAT) activity was also observed, which indicated increased abundance of reactive hydroxyl species and therefore a possible oxidative stress in fishes. It is further suggested to understand and examine the biotransformation characteristics and degradation pathways of polybrominated diphenyl ether (PBDE)s, which would be useful to comprehend their environmental fate.

Earth-abundant and environmentally benign Ni-Zn iron oxide intercalated in a polyaniline based nanohybrid as an ultrafast photodetector.

Nickel-zinc iron oxide (NZF) was introduced into a polyaniline (PANI) matrix by an in situ chemical oxidation polymerization approach. The surface composition and chemical states were investigated by X-ray photoelectron spectroscopy (XPS), which revealed an Fe 2p spectrum with the two peak positions of Fe 2p3/2 and Fe 2p1/2 at 711.00 and 724.48 eV, respectively. Deconvolution of the Fe 2p3/2 peak revealed two components with binding energies of 713.98 and 718.16 eV, corresponding to the presence of Fe cations in the octahedral and tetrahedral sites. Additionally, the Rietveld refinement of NZF showed a cubic system with the Fd3m space group. High-resolution transmission electron microscopy (HRTEM) analysis showed that the NZF material strongly interacts with polyaniline, while the selected area electron diffraction (SAED) pattern perfectly matched with the XRD data. Lognormal distribution was used to determine the particle size, which was found to be in the range of 1-100 nm. A flexible photodetector device utilizing the NZF-PANI nanohybrid was fabricated on an environmentally friendly, biodegradable cellulose paper substrate and the device exhibited excellent performance, i.e., a responsivity of 0.069 A W-1 and detectivity of 7.258 × 1010 Jones at a very low voltage of 0.1 V. The non-stretched device showed a responsivity of 24.980 A W-1 at 5 V, whereas at 2 cm-1 bending curvature, the device showed a responsivity of 20.175 A W-1, which was much higher than the responsivity of a commercial photodetector (<0.5 A W-1).

Effect of Different Organic Substrates on Selected Life History Traits and Nutritional Composition of Black Soldier fly (Hermetia illucens).

Black soldier fly (Hermetia illucens L. [Diptera: Stratiomyidae]) has gained huge popularity in different industrial and commercial sectors because of its excellent potential to treat organic waste and high biomass production. As the industrial application of BSF is expanding at accelerated rates, there is a need to optimize its mass scale production where the organic substrates play a very crucial role in optimal growth and development. The present study deals with the investigation of different life history attributes of BSF such as larval and adult weights, survival, pupation rate, and the development time as the function of different organic substrates [fruits and vegetable mix (T1); wheat bran, soy, and corn meal mix (T2); and the dairy manure (T3)]. The larval, pupal, and adult weights differed across all three treatments (P < 0.05). There was no significant difference in the survival rate of larvae among T1 and T2 however, T3 differed significantly from T1 and T2. Likewise, the pupation rate and the development time differed significantly between the three treatments. Results indicated that the BSF development was least in dairy manure treatment and therefore, higher percent mortality and higher development time were observed. However, to deal with the problems of waste management and treatment, BSF larvae can be successfully employed for the treatment of any type of waste since it showed significant treatment efficiencies.

A Modified Lysimeter Study for Phyto-Treatment of Moderately Saline Wastewater Using Plant-Derived Filter Bedding Materials.

The present study focuses on determining the phyto-treatment efficiency for treatment of moderately saline wastewater using organic raw materials, such as rice husk, coconut husk, rice straw, and charcoal. The moderately saline wastewater with total dissolved solids (TDS) concentration up to 6143.33 ± 5.77 mg/L was applied to the lysimeters at the rate of 200 m3 ha-1 day-1 in five different lysimeter treatments planted with Eucalyptus camaldulensis (T1, T2, T3, T4, and T5). T1 was a control without any filter bedding material, whereas rice straw, rice husk, coconut husk, and charcoal were used as filter bedding materials in the T2, T3, T4, and T5 treatment systems, respectively. Each treatment showed significant treatment efficiency wherein T3 had the highest removal efficiency of 76.21% followed by T4 (67.57%), T5 (65.18%), T2 (46.46%), and T1 (45.5%). T3 and T4 also showed higher salt accumulation, such as sodium (Na) and potassium (K). Further, the pollution load in terms of TDS and chemical and biological oxygen demand significantly reduced from leachate in the T3 and T4 treatments in comparison with other treatments. Parameters of the soil, such as electrical conductivity, exchangeable sodium percentage, and cation exchange capacity did not show values corresponding to high salinity or sodic soils, and therefore, no adverse impact on soil was observed in the present study. Also, Eucalyptus camaldulensis plant species showed good response to wastewater treatment in terms of growth parameters, such as root/shoot weight and nitrogen, phosphorus, and potassium (NPK) uptake, plant height, biomass, and chlorophyll content. Root and shoot dry weight were in the order T3 (51.2 and 44.6 g)>T4 (49.3 and 43.5 g) > T5 (47.6 and 40.5 g) > T2 (46.9 and 38.2 g) > T1 (45.6 and 37.1 g). Likewise, the total chlorophyll content was highest in T3 (12.6 µg/g) followed by T4 (12.3 µg/g), T5 (11.9 µg/g), T2 (11.5 µg/g), and the control, that is, T1 (11.0 µg/g). However, the most promising results were obtained for T3 and T4 treatments in comparison with the control (T1), which implies that, among all organic raw materials, coconut and rice husks showed the highest potential for salt accumulation and thereby wastewater treatment. Conclusively, the findings of the study suggest that organic raw material-based amendments are useful in managing the high salts levels in both plants and leachates.

In-silico identification of frequently mutated genes and their co-enriched metabolic pathways associated with Prostate cancer progression.

Prostate cancer (PCa) has emerged as a significant health burden in men globally. Several genetic anomalies such as mutations and also epigenetic aberrations are responsible for the heterogeneity of this disease. This study identified the 20 most frequently mutated genes reported in PCa based on literature and database survey. Further gene ontology and functional enrichment analysis were conducted to determine their co-modulated molecular and biological pathways. A protein-protein interaction network was used for the identification of hub genes. These hub genes identified were then subjected to survival analysis. The prognostic values of these identified genes were investigated using GEPIA and HPA. Gene Ontology analysis of the identified genes depicted that these genes significantly contributed to the cell cycle, apoptosis, angiogenesis and TGF-ß receptor signalling. Further, the research showed that high expressions of identified mutated genes led to a reduction in the long-term survival of PCa patients, which was supported by immunohistochemical and mRNA expression level data. Our results suggest that identified panel of mutated genes viz., CTNNB1, TP53, ATM, AR and KMT2D play crucial roles in the onset and progression of PCa, thereby providing candidate diagnostic markers for PCa for individualised treatment in the future.

Organic waste amendments for restoration of physicochemical and biological productivity of mine spoil dump for sustainable development.

Rehabilitation of degraded lands due to mining and other activities requires rebuilding of the appropriate soil structure and microbial integrity. Organic wastes, in particular plant-based materials, play a vital role in restoration of degraded land when used as amendments for topsoil integrated with microbe-assisted phytoremediation. In this present study, a biotechnological approach using the combination of organic waste amendments, i.e., ETP (effluent treatment plant), sludge from sugarcane and paper industry, and the press mud respectively along with microbial and fungal inoculum isolated from the soil rhizosphere have been applied to study the influence on fertility and productivity of mine spoil from manganese and coal dumps. The organic amendments applied as 100-ton ha-1 and application of biofertilizers boosted the survival of plants such as Tectona grandis (Teak), Dalbergia sisso (North Indian rosewood), Phyllanthus emblica (Indian gooseberry), Gmelina arborea (Gamhar), and Acacia auriculiformis (Earpod wattle) from 80 to 100% with robust growth and development during the short span of 25 years. The physicochemical attributes of soil and the microbial count also increased significantly. The pH of mine soil dumps slightly shifted toward alkaline conditions (7.4 to 7.8) whereas bulk density, porosity, and the water holding capacity were greatly improved. Other than this, the nutrient status of mine dump soil and the plants such as available nitrogen, phosphorus, potassium and the organic carbon content in soil were improvised to a greater extent simultaneously decreasing the available manganese concentration. The findings of the study assure a better land reclamation and restoration approach.

Current available treatment technologies for saline wastewater and land-based treatment as an emerging environment-friendly technology: A review.

Different industrial activities such as agro-food processing and manufacturing, leather manufacturing, and paper and pulp production generate highly saline wastewater. Direct discharge of saline wastewater has resulted in pollution of waterbodies by very high magnitudes. Consequently, an enormous number of pollutants such as heavy metals, salts, and organic matter are also released into the environment threatening the survival of human and biota. Saline wastewater also has significant effects on survival of plants, agricultural activities, and groundwater systems. Several treatments and disposal technologies are available for saline wastewater, but the selection of the most appropriate treatment and disposal technology still remains a major challenge with respect to the economic or technical constraints. Considering the sustainable management of saline wastewater, the present review is an attempt to compile the existing and emerging technologies for the treatment of saline wastewater. Among all the individual and hybrid technologies, land-based treatment systems are proven to be the most efficient technologies considering the energy demands, economic, and treatment efficiencies. Likewise, new and sustainable technologies are the need of hour integrating both the treatment and management and the resource recovery factors along with the ultimate goal of the protection in terms of human health and environmental aspect. PRACTITIONER POINTS: Physico-chemical treatment technologies for saline wastewater. Combined/Hybrid technologies for the treatment of saline wastewater. Land-based treatments as the environment friendly and sustainable method for saline wastewater treatment and disposal. Role of phytoremediation in land-based treatment.

Determining the Black Soldier fly larvae performance for plant-based food waste reduction and the effect on Biomass yield.

Management of Municipal solid waste in low-income countries with high population densities such as India has always been a strenuous task. With perpetual advancements, there are many available technologies dealing with waste management such as incineration, pyrolysis and landfill operations. But such technologies are often accompanied with some limitations (operational and maintenance problems) and have negative environmental impacts. In this regard, continuous efforts are currently spent to develop the sustainable technologies for coping with the problems of waste management. Confronted with such problems, BSF larval composting has emerged as a green approach for waste management which outshines the various current technologies. However, it is not widely explored and therefore in the present study, BSF larval treatment efficiency has been tested against different types of food waste treatments viz., mix food waste (T1), restaurant waste (T2), fruit waste (T3), and vegetable waste (T4). We have also evaluated the Biomass Conversion Ratio (BCR) of BSF larvae. The waste reduction efficiency was found to be 72% for T1 followed by T3 and T2 whereas the efficiency was least for T4 corresponding to lower BCR comparatively. BCR obtained for T1 treatment was almost 25% which was exceptionally high in comparison to other published studies. The highest waste reduction efficiency and the BCR values for T1 may be attributed to appropriately balanced food nutrition and C/N ratio Therefore, it may be concluded that substrate type and its nutritional value strongly determines the growth and development of larva influencing the waste ingestion rate.

Rare Complication of Pneumomediastinum and Pneumopericardium in a Patient with COVID-19 Pneumonia.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a recently discovered coronavirus which has caused a global outbreak of severe pneumonia with complications leading to hypoxic respiratory failure, acute respiratory distress syndrome (ARDS), cytokine storm, disseminated intravascular coagulation (DIC), and even gastrointestinal symptoms. While ground-glass opacity (GGO) is a typical radiographic finding associated most frequently with COVID-19 pneumonia, other less commonly noted atypical radiographic lung features include isolated lobar or segmental consolidation without GGO, discrete small nodules (centrilobular, "tree-in-bud"), lung cavitation, and smooth interlobular septal thickening with pleural effusion. Pneumomediastinum in COVID-19 patients has rarely been reported. A finding of pneumopericardium is unusual too. This report discusses the case of a young male with COVID-19 pneumonia who was found to have both these features on computed tomographic (CT) scans of his chest on presentation.