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Microplastics (MPs) (plastic particles <5 mm) are globally acknowledged as a serious emerging micropollutant, which passes through various pathways in natural habitats and eventually ends up in our food chain. In this context, the present study critically reviews recent advances in MPs sampling and detection, occurrence, fate, and removal in wastewater treatment plants (WWTPs) by delineating their characteristics that manifest toxicity in the environment via effluent discharge. While there is currently no standard protocol in place, this work examined and compared the latest approaches adopted for improved sampling, sample processing, and characterization of MPs via fluorescence imaging and certified reference materials for method validation. MPs concentration from different sources in the WWTPs varies considerably ranging between 0.28 and 18285 MPs/L (raw wastewater), 0.004-750 MPs/L (effluent), and 0.00023-10380 MPs/kg (sludge). Assessment of MPs removal efficiency across different treatment stages in various in WWTPs has been performed and elucidated their removal mechanisms. The overall MPs removal efficiency in primary, secondary, and tertiary treatment stages in WWTPs reported to be around 57-99%, 78.1-99.4%, and 90-99.2%, respectively. Moreover, the review covers advanced treatment methods for removing MPs, including membrane bioreactors, coagulation/flocculation, ultrafiltration, rapid sand filtration, ozonation, disc filtration, and reverse osmosis, which have been found to be highly effective (>99%). Membrane bioreactors have been proclaimed to be the most reliable secondary treatment technique for MPs removal. Coagulation (92.2-95.7%) followed by ozonation (99.2%) as a tertiary treatment chain has been demonstrated to be the most efficient in removing MPs from secondary-treated wastewater effluent. Further, the review delineates the effect of different treatment stages on the physical and chemical characteristics of MPs, associated toxicity, and potential impact factors that can influence the MPs removal efficiency in WWTPs. Conclusively, the merits and demerits of advanced treatment techniques to mitigate MPs pollution from the wastewater system, research gaps, and future perspectives have been highlighted.
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Ozônio , Poluentes Químicos da Água , Águas Residuárias , Microplásticos , Plásticos , Eliminação de Resíduos Líquidos , Poluentes Químicos da Água/química , Monitoramento AmbientalRESUMO
Antimony (Sb) has been classified as a high-priority contaminant in the environment. Sb contamination resulting from the use of antimony-containing compounds in industry necessitates the development of efficient methods to remove it from water and wastewater. Adsorption is a highly efficient and reliable method for pollutants removal owing to its availability, recyclability, and low cost. Recently, carbonaceous materials and their applications for the removal of Sb from the aqueous matrices have received special attention worldwide. Herein, this review systematically summarizes the occurrence and exposure of Sb in the environment and on human health, respectively. Different carbon-based adsorbents have been classified for the adsorptive removal of Sb and their adsorption characteristics have been delineated. Recent development in the adsorption performance of the adsorbent materials for improving the Sb removal from the aqueous medium has been outlined. Further, to develop an understanding of the effect of different parameters like pH, competitive ions, and dissolved ions for Sb adsorption and subsequent removal have been discussed. A retrospective analysis of literature was conducted to present the adsorption behavior and underlying mechanisms involved in the removal of Sb using various adsorbents. Moreover, this study has identified emerging research gaps and emphasized the need for developing modified/engineered carbonaceous adsorbents to enhance Sb adsorption from various aqueous matrices.
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Poluentes Químicos da Água , Água , Humanos , Água/química , Águas Residuárias , Antimônio , Carbono , Estudos Retrospectivos , Poluentes Químicos da Água/análise , Monitoramento Ambiental , AdsorçãoRESUMO
Acute disseminated encephalomyelitis (ADEM) is a rare autoimmune disorder characterized by brain and spinal cord inflammation. In pediatric patients, ADEM presents unique challenges due to its potential for rapid progression and long-term neurological sequelae. Therapeutic plasma exchange (TPE) has emerged as a potential treatment option by targeting the underlying autoimmune process and modulating the inflammatory response. This comprehensive review evaluates the role of TPE in pediatric ADEM, synthesizing evidence from clinical studies and providing insights into its efficacy, safety, and potential benefits. The review highlights the variability in TPE efficacy based on disease severity and patient-specific factors. Implications for clinical practice include considering TPE as a therapeutic option, particularly in severe or refractory cases, and emphasizing the importance of early intervention. Recommendations for future research include long-term prospective studies, comparative effectiveness trials, and efforts to standardize TPE protocols. Overall, continued investigation and innovation in managing pediatric ADEM are essential for improving outcomes and quality of life for affected children and their families.
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BACKGROUND: The recent pandemic caused by the newly identified virus, SARS-Cov-2 is associated with thromboembolic events. Patients infected with COVID-19 have been found to have thrombocytopenia. A decrease in platelet count may be caused by increased destruction and consumption of platelets or by decreased production of platelets in the bone marrow. Immature platelet fraction (IPF) is a new platelet parameter that is an indicator for peripheral destruction and consumption of platelets. OBJECTIVES: To assess the immature platelet fraction (IPF) in patients infected with COVID-19. MATERIALS AND METHODS: The present study is a retrospective study where secondary data obtained from previous laboratory records of COVID-positive patients admitted at a tertiary care hospital in Delhi from 4 January to 4 February 2022 was analyzed. Sixty-eight COVID-positive patients were included. Platelet parameters included from the automated hematology analyzer Mindray were platelet count, mean platelet volume (MPV), immature platelet fraction (IPF), and platelet large cell ratio (P-LCR). Data was analyzed using SPSS Version 25. A P value less than 0.05 was considered statistically significant. RESULTS: In the present study mild thrombocytopenia was noted in 40% of the patients infected with COVID-19 admitted to the hospital. The median platelet count in these patients was found to be 91,000/mm3 (64,000-1,31,000). Low platelet count was associated with a significantly higher IPF, MPV, PDW, P-LCR, and a significantly lower PCT as compared to patients infected with COVID-19 with normal platelet count. There was a significant increase in IPF with a decrease in platelet count (P value < 0.05). A significant increase in IPF was noted with an increase in MPV and P-LCR (P value < 0.05). INTERPRETATION AND CONCLUSION: The present study suggests that thrombocytopenia in patients infected with COVID-19 may probably be due to peripheral destruction and consumption of platelets.
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Evidence of atmospheric microplastics (MPs) deposition in India is scarce though reports of MPs pollution in other environmental media exist. Henceforth, this study for the first time examines and compares the abundance, characteristics, transport, and source analysis of atmospheric MPs in the urban and peri-urban areas of Patna city, Bihar, India. Wet atmospheric fallout samples were collected and analyzed for MPs deposition rate. The results showed that the mean MPs concentrations at each site were 1959.6 ± 205 (urban) and 1320.4 ± 126 (peri-urban) MPs/m2/day. The deposited MPs were mainly transparent fibers and fragments with a mean size of 347.9 ± 189.2 µm. Polyethylene terephthalate and polypropylene were the most abundant polymer found at both sites. Morphological characteristics revealed surface degradation and deposition of metal contaminants on the identified MPs. Meteorological parameters (wind direction and rainfall intensity) were significantly associated with the distribution of atmospheric MPs in the study area. The cluster mean backward trajectory suggested vehicular emissions, construction activities, and waste mismanagement as the potential sources of MPs. Findings of the present work necessitates future studies in gaining a deeper understanding of the fate, movement, and potential health hazards associated with atmospheric MPs.
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Sewage treatment plants (STPs) are considered as a prominent source for releasing microplastics (MPs) into the riverine systems. Though MPs abundance and removal efficacy in different secondary treatment technique-based STPs have been extensively studied worldwide, such studies are scarce in Indian conditions. Herein, this study comprehensively assesses MPs abundance, characterization, and their removal in the selected secondary treatment technique-based STPs discharging into the middle stretch of the Ganga River in India. MPs concentration (n/L) in influent and effluent of the STPs varied between 42 ± 10 to 150 ± 19 and 3 ± 1 to 22 ± 5, respectively. Overall, the primary treatment stage was observed to remove MPs by 23-42 %, while the secondary treatment stage removed MPs by 67-90 %. Selected technique-based STPs exhibited varying MPs removal efficacies as follows: SBR (94 %), TF (90 %), AL (88 %), UASB (87 %), ASP (85 %), FAB (84 %), and Bio-tower (77 %). MPs ranging from 50 to 250 µm were the dominant sizes, with PP, PE, and PS being the prevalent polymers. The Ganga River receives about 3 × 108 MPs/day from STP effluents, and an estimated 4.5 × 107 MPs/day are released via the sludge. This comprehensive assessment of MPs abundance and removal from different technology-based Indian STPs will allow the comparison of the generated dataset with similar studies worldwide.
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Microplásticos , Poluentes Químicos da Água , Esgotos/análise , Plásticos , Rios , Monitoramento Ambiental , Índia , Poluentes Químicos da Água/análise , Eliminação de Resíduos LíquidosRESUMO
Coagulation-flocculation-sedimentation (CFS) system has been identified as one of the favored treatment technique in water/wastewater treatment systems and hence, it is crucial to comprehend the efficacy of different coagulants used in removing microplastics (MPs) from aqueous matrices. Henceforth, this study critically reviews the recent progress and efficacy of different coagulants used to date for MPs removal. This includes laboratory and field-scale studies on inorganic and organic coagulants, as well as laboratory-scale studies on natural coagulants. Inorganic and organic coagulants have varying MPs removal efficiencies such as: Fe/Al-salts (30 %-95 %), alum (99 %), and poly aluminum chloride (13 %-97 %), magnesium hydroxide (84 %), polyamine (99 %), organosilanes (>95 %), and polyacrylamide (85 %-98 %). Moreover, studies have highlighted the use of natural coagulants, such as chitosan, protein amyloid fibrils, and starch has shown promising results in MPs removal with sevral advantages over traditional coagulants. These natural coagulants have demonstrated high MPs removal efficiencies with chitosan-tannic acid (95 %), protein amyloid fibrils (98 %), and starch (>90 %). Moreover, the MPs removal efficiencies of natural coagulants are compared and their predominant removal mechanisms are determined. Plant-based natural coagulants can potentially remove MPs through mechanisms such as polymer bridging and charge neutralization. Further, a systematic analysis on the effect of operational parameters highlights that the pH affects particle surface charge and coagulation efficiency, while mixing speed affects particle aggregation and sedimentation. Also, the optimal mixing speed for effective MPs removal depends on coagulant type and concentration, water composition, and MPs characteristics. Moreover, this work highlights the advantages and limitations of using different coagulants for MPs removal and discusses the challenges and future prospects in scaling up these laboratory studies for real-time applications.
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Quitosana , Purificação da Água , Microplásticos , Eliminação de Resíduos Líquidos/métodos , Plásticos , Amiloide , Floculação , Purificação da Água/métodos , ÁguaRESUMO
The presence of arsenic (As) and other inorganic contaminants in groundwater is a key public health issue in India and many other parts of the world. Whilst a broad range of remediation technologies exist, performance can be highly variable, and appropriate selection and management of remediation approaches remains challenging. Here, we have identified and tested the performance of a range of small-scale remediation technologies (e.g. sand filters, multi-stage filtration and reverse osmosis (RO)-based systems; n = 38) which have been implemented in Bihar, India. We have undertaken spot-assessments of system performance under typical operating conditions in household and non-household (e.g. community, hospital, hostel/hotel) settings. The removal of As and other inorganic contaminants varied widely (ranging from ~0-100%), with some solutes generally more challenging to remove than others. We have evaluated the relative importance of technology type (e.g. RO-based versus non-RO systems), implementation setting (e.g. household versus non-household) and source water geochemistry (particularly concentrations and ratios of As, Fe, P, Si and Ca), as potential controls on remediation effectiveness. Source water composition, particularly the ratio ([Fe] - 1.8[P])/[As], is a statistically significant control on As removal (p < 0.01), with higher ratios associated with higher removal, regardless of technology type (under the site-specific conditions observed). This ratio provides a theoretical input which could be used to identify the extent to which natural groundwater composition may be geochemically compatible with higher levels of As removal. In Bihar, we illustrate how this ratio could be used to identify spatial patterns in theoretical geochemical compatibility for As removal, and to identify where additional Fe may theoretically facilitate improved remediation. This geochemical approach could be used to inform optimal selection of groundwater remediation approaches, when considered alongside other important considerations (e.g. technical, managerial and socio-economic) known to impact the effective implementation and sustainability of successful groundwater remediation approaches.
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Arsênio , Água Subterrânea , Poluentes Químicos da Água , Purificação da Água , Arsênio/análise , Filtração , Água Subterrânea/química , Água , Poluentes Químicos da Água/análiseRESUMO
Background and objective Several studies have indicated an escalation in the stress and anxiety levels among all sections of the population at large during the ongoing coronavirus disease 2019 (COVID-19) pandemic. In this challenging environment, meditation or yoga can help in maintaining the quality of life. This pilot study aimed to assess the willingness to practice meditation as a tool to manage anxiety, perceived stress levels, and psychological well-being (quality of life) during the COVID-19 pandemic in India. Materials and methods Bivariate and multivariate logistic regression models were employed to characterize the attitude of healthy Indian adults toward meditation as a stress management tool and its impact on psychological well-being. Primary data of 241 participants were collected using Google Forms circulated via email and social media platforms through the snowball sampling technique. The self-reported data on four different psychosocial scales, viz., for anxiety measurement [the Seven-Item Generalized Anxiety Disorder Scale (GAD-7) and Coronavirus Anxiety Scale (CAS)], for stress measurement [Perceived Stress Scale (PSS)], and to quantify well-being levels [the Five-Item World Health Organization Well-Being Index (WHO-5)], along with those on their perception toward meditation were obtained. Results Our findings suggest that the anxiety and perceived stress scores are lower among those practicing some form of relaxation or meditation than those not practicing it, along with those who already report better psychological well-being and perceived stress. The bivariate results indicated that willingness to meditate among those who were practicing some form of meditation and those not mediating significantly differed based on their age, presence of comorbidities, and GAD and PSS levels. The multivariate logistic regression showed that only those individuals aged 35 years and above and those who have some comorbidity symptoms showed a significant level of willingness to opt for meditation. Conclusions In order to attain proper relief from psychological issues during a pandemic situation such as the current one, a more specific remedial module for meditation procedure needs to be devised as an intervention, and it should be kept in mind that age and comorbidity status also play a significant role with respect to individuals' attitude toward meditation as a tool for psychological relief.
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Groundwater security is a pressing environmental and societal issue, particularly due to significantly increasing stressors on water resources, including rapid urbanization and climate change. Groundwater arsenic is a major water security and public health challenge impacting millions of people in the Gangetic Basin of India and elsewhere globally. In the rapidly developing city of Patna (Bihar) in northern India, we have studied the evolution of groundwater chemistry under the city following a three-dimensional sampling framework of multi-depth wells spanning the central urban zone in close proximity to the River Ganges (Ganga) and transition into peri-urban and rural areas outside city boundaries and further away from the river. Using inorganic geochemical tracers (including arsenic, iron, manganese, nitrate, nitrite, ammonium, sulfate, sulfide and others) and residence time indicators (CFCs and SF6), we have evaluated the dominant hydrogeochemical processes occurring and spatial patterns in redox conditions across the study area. The distribution of arsenic and other redox-sensitive parameters is spatially heterogenous, and elevated arsenic in some locations is consistent with arsenic mobilization via reductive dissolution of iron hydroxides. Residence time indicators evidence modern (<~60-70 years) groundwater and suggest important vertical and lateral flow controls across the study area, including an apparent seasonal reversal in flow regimes near the urban center. An overall arsenic accumulation rate is estimated to be ~0.003 ± 0.003 µM.yr-1 (equivalent to ~0.3 ± 0.2 µg.yr-1), based on an average of CFC-11, CFC-12 and SF6-derived models, with the highest rates of arsenic accumulation observed in shallow, near-river groundwaters also exhibiting elevated concentrations of nutrients including ammonium. Our findings have implications on groundwater management in Patna and other rapidly developing cities, including potential future increased groundwater vulnerability associated with surface-derived ingress from large-scale urban abstraction or in higher permeability zones of river-groundwater connectivity.
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Compostos de Amônio , Arsênio , Água Subterrânea , Poluentes Químicos da Água , Arsênio/análise , Monitoramento Ambiental , Humanos , Índia , Ferro/análise , Poluentes Químicos da Água/análiseRESUMO
The COVID-19 pandemic has reemphasized the indispensable role of plastics in our daily life. Plastics in terms of personal protective equipment (PPEs) and other single-use medical equipment along with packaging solutions owing to their inherent properties have emerged as a life-savior for protecting the health and safety of the frontline health workers and the common citizens during the pandemic. However, plastics have been deemed as evil polluter due to their indiscriminate littering and mismanagement amid increased plastic usage and waste generation during this unprecedented crisis. This article reviews and assesses to dwell upon whether plastics in the time of pandemic are acting as protector of the public health or polluter of the environment. Considering the utilities and limitations of plastic along with its management or mismanagement, and the fate, an equitable appraisal suggests that the consumers' irresponsible behavior, and attitude and poor awareness, and the stress on waste management infrastructure in terms of collection, operation, and financial constraints as the major drivers, leading to mismanagement, turn plastic into an evil polluter of the environment. Plastic can be a protector if managed properly and complemented by the circular economy strategies in terms of reduction, recycle and recovery, and thereby preventing leakage into the environment. To safeguard the supply chain of PPEs, several decontamination techniques have been adopted worldwide ensuring their effective reprocessing to prioritize the circular economy within the system. Policy guidelines encouraging to adopt safer practices and sustainable technical solutions along with consumers' education for awareness creation are the need of the hour for preventing plastic to turn from protector with high utility to polluter.
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COVID-19 , Pandemias , Humanos , Equipamento de Proteção Individual , Plásticos , Reciclagem , SARS-CoV-2RESUMO
Aquatic pollution from emerging organic contaminants (EOCs) is of key environmental importance in India and globally, particularly due to concerns of antimicrobial resistance, ecotoxicity and drinking water supply vulnerability. Here, using a broad screening approach, we characterize the composition and distribution of EOCs in groundwater in the Gangetic Plain around Patna (Bihar), as an exemplar of a rapidly developing urban area in northern India. A total of 73 EOCs were detected in 51 samples, typically at ng.L-1 to low µg.L-1 concentrations, relating to medical and veterinary, agrochemical, industrial and lifestyle usage. Concentrations were often dominated by the lifestyle chemical and artificial sweetener sucralose. Seventeen identified EOCs are flagged as priority compounds by the European Commission, World Health Organisation and/or World Organisation for Animal Health: namely, herbicides diuron and atrazine; insecticides imidacloprid, thiamethoxam, clothianidin and acetamiprid; the surfactant perfluorooctane sulfonate (and related perfluorobutane sulfonate, perfluorohexane sulfonate, perfluorooctanoic acid and perfluoropentane sulfonate); and medical/veterinary compounds sulfamethoxazole, sulfanilamide, dapson, sulfathiazole, sulfamethazine and diclofenac. The spatial distribution of EOCs varies widely, with concentrations declining with depth, consistent with a strong dominant vertical flow control. Groundwater EOC concentrations in Patna were found to peak within â¼10 km distance from the River Ganges, indicating mainly urban inputs with some local pollution hotspots. A heterogeneous relationship between EOCs and population density likely reflects confounding factors including varying input types and controls (e.g. spatial, temporal), wastewater treatment infrastructure and groundwater abstraction. Strong seasonal agreement in EOC concentrations was observed. Co-existence of limited transformation products with associated parent compounds indicate active microbial degradation processes. This study characterizes key controls on the distribution of groundwater EOCs across the urban to rural transition near Patna, as a rapidly developing Indian city, and contributes to the wider understanding of the vulnerability of shallow groundwater to surface-derived contamination in similar environments.
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Água Subterrânea , Poluentes Químicos da Água , Animais , Cidades , Monitoramento Ambiental , Índia , Estilo de Vida , Poluentes Químicos da Água/análiseRESUMO
BACKGROUND: The COVID-19 pandemic has brought to light the lacunae in the preparedness of healthcare systems across the globe. This preparedness also includes the safety of healthcare providers (HCPs) at various levels. Sudden spread of COVID-19 infection has created threatening and vulnerable conditions for the HCPs. The current pandemic situation has not only affected physical health of HCPs but also their mental health. OBJECTIVE: This study aims to understand the prevalence and severity of secondary traumatic stress, optimism parameters, along with states of mood experienced by the HCPs, viz., doctors, nurses and allied healthcare professionals (including Physiotherapist, Lab technicians, Phlebotomist, dieticians, administrative staff and clinical pharmacist), during the COVID-19 lockdown in India. METHODOLOGY: The assessment of level of secondary traumatic stress (STS), optimism/pessimism (via Life Orientation Test-Revised) and current mood states experienced by Indian HCPs in the present COVID-19 pandemic situation was done using a primary data of 2,008 HCPs from India during the first lockdown during April-May 2020. Data was collected through snow-ball sampling technique, reaching out to various medical health care professionals through social media platforms. RESULT: Amongst the study sample 88.2% of doctors, 79.2 of nurses and 58.6% of allied HCPs were found to have STS in varying severity. There was a female preponderance in the category of Severe STS. Higher optimism on the LOTR scale was observed among doctors at 39.3% followed by nurses at 26.7% and allied health care professionals 22.8%. The mood visual analogue scale which measures the "mood" during the survey indicated moderate mood states without any gender bias in the study sample. CONCLUSION: The current investigation sheds light on the magnitude of the STSS experienced by the HCPs in the Indian Subcontinent during the pandemic. This hitherto undiagnosed and unaddressed issue, calls for a dire need of creating better and accessible mental health programmes and facilities for the health care providers in India.
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Fadiga de Compaixão/psicologia , Pessoal de Saúde/psicologia , Otimismo/psicologia , Ansiedade/epidemiologia , COVID-19/epidemiologia , Controle de Doenças Transmissíveis , Fadiga de Compaixão/epidemiologia , Feminino , Humanos , Índia/epidemiologia , Masculino , Saúde Mental , Pandemias , Prevalência , SARS-CoV-2/patogenicidade , Índice de Gravidade de Doença , Estresse Psicológico/epidemiologia , Inquéritos e QuestionáriosRESUMO
Coronary stent fracture is a known complication of coronary arterial stent placements. Multiple long-term risks are also associated with drug eluting stents. 64-slice multidetector CT (MDCT) coronary angiography has been shown to detect poststent complications such as instent stenosis, thrombosis, stent migration and stent fractures. We report a case of stent fracture in a patient who underwent RCA stenting with associated RCA perforation and almost complete thrombosis of the RCA and peristent fibrinoid collection. This is a rare case of stent fracture with perforation of the RCA. The paper highlights the role of 64-row multidetector computed tomography (MDCT) in evaluation of such poststent placement complications.