Distribution and bioaccumulation status of polycyclic aromatic hydrocarbons (PAHs) in Veraval coastal waters using copepods as bio-indicators.

The study investigates the pollution characteristics of 16 priority PAHs, accumulated in copepods from a major fishing harbour and its adjacent coastal waters of Veraval, west coast of India. The total PAH accumulation is in the range of 922.16-27,807.49 ng g-1 dw, with the mean concentration of 5776.59 ng g-1 dw. High concentrations of PAHs were present in the copepod samples from inside the harbour. Notably, there was no significant correlation between the lipid content of copepods and the accumulation of PAHs. The molecular diagnostic ratio method (MDR) indicates that the PAH sources are petrogenic in origin, while principal component analysis (PCA) points to petroleum, coal combustion and vehicular emission sources. Total cancerous PAHs (C-PAHs) in the study area dominate by 40% of the total PAHs identified; moreover, the bioaccumulation factor (BAF) is very high in the offshore area, which is also a fishing ground. The global relevance and magnitude of the present study in the Veraval, one of the prime seafood exporting hubs in India, should be dealt with utmost avidity as the accumulation status of PAHs in the zooplankton has never been explored in the Indian coastal waters. Moreover, the current study gives the foremost data on the bioaccumulation status of PAHs in copepods from the tropical waters of India.

Active deprescribing program in chronic kidney disease patients undergoing haemodialysis.

BACKGROUND: Deprescribing is gaining attention of medical community to address polypharmacy. Existing deprescribing tools were not validated in haemodialysis population. We designed this study to assess the pill burden of patients undergoing haemodialysis and to measure the outcome after implementation of an active deprescribing program. METHODS: An evidence based deprescription tool was formulated. All patients who were on dialysis for 3 months or more were eligible to participate. Medication reconciliation followed by medication list evaluation for appropriateness was done for all patients. All inappropriate medications were discontinued followed by monitoring for 6 months for complications. Primary outcome was the average number of medications and pills per patient before and 12 weeks after implementation of deprescribing program. RESULTS: We enrolled 150 patients to the active deprescribing program. Mean age was 60.4 ± 10.9 years. After deprescription, there were significant reduction in the number of medications from 11 (Interquartile range 8-13.25) to 8 (IQR 6-9) (p < .001) and reduction in the number of pills from 16 (IQR 12.75-21.25) to 11 (IQR 8-14.25) (p < .001). Pill burden accessed using Living with Medication Questionnaire-Visual Analogue Scale score also had a significant reduction from 7 (IQR 5-8) to 4 (IQR 3-5) (p < .001). CONCLUSION: Polypharmacy is a significant problem in haemodialysis patients, which can lead to poor quality of life and health hazards due to side effects of medications. Implementation of a proactive deprescribing program can cut down polypharmacy to a significant extent.

Occurrence, sources and risk assessment of polycyclic aromatic hydrocarbons in the coral reef waters of the Lakshadweep Archipelago, Arabian Sea.

The compound effects of anthropogenic disturbances on global and local scales threaten coral reef ecosystems of the Arabian Sea. The impacts of organic pollutants on the coral reefs and associated organisms have received less attention and are consequently less understood. This study examines the background levels, sources, and ecological implications of polycyclic aromatic hydrocarbons (PAHs) in the coral reef ecosystems of Lakshadweep Archipelago. Water and particulate matter were collected from four coral Islands (Kavaratti, Agatti, Bangaram and Perumal Par) of Lakshadweep Archipelago during January and December 2022 and analysed for 15 PAHs priority pollutants. The 15 PAHs congeners generally ranged from 2.77 to 250.47 ng/L in the dissolved form and 0.44 to 6469.86 ng/g in the particulate form. A comparison of available data among the coral reef ecosystems worldwide revealed relatively lower PAHs concentrations in the Lakshadweep coral ecosystems. The isomeric ratios of individual PAH congeners and principal component analysis (PCA) indicate mixed sources of PAHs in the water column derived from pyrogenic, low-temperature combustion and petrogenic. The risk quotient (RQ) values in the dissolved form indicate moderate risk to the aquatic organisms, while they indicate moderate to severe risk in the particulate form.