Evaluation of heavy metal accumulation and tolerance in oxalic acid-treated Phragmites australis wetlands for textile effluent remediation.

Water contamination with metals poses significant environmental challenges. The occurrence of heavy metals (HMs) prompts modifications in plant structures, emphasizing the necessity of employing focused safeguarding measures. Cadmium (Cd), lead (Pb), and chromium (Cr) emerge as particularly menacing toxins due to their high accumulation potential. Increasing the availability of organic acids is crucial for optimizing toxic metal removal via phytoremediation. This constructed wetland system (CWs) was used to determine how oxalic acid (OA) treatments of textile wastewater (WW) effluents affected morpho-physiological characteristics, antioxidant enzyme activity, oxidative stress, and HM concentrations in Phragmites australis. Multiple treatments, comprising the application of OA at a concentration of 10 mM and WW at different dilutions (25%, 50%, 75%, and 100%), were employed, with three replications of each treatment. WW stress decreased chlorophyll and carotenoid content, and concurrently enhanced HMs adsorption and antioxidant enzyme activities. Furthermore, the application of WW was found to elevate oxidative stress levels, whereas the presence of OA concurrently mitigated this oxidative stress. Similarly, WW negatively affected soil-plant analysis development (SPAD) and the total soluble proteins (SP) in both roots and shoots. Conversely, these parameters showed improvement with OA treatments. P. australis showed the potential to enhance HM accumulation under 100% WW stress. Specifically, there is an increase in root SP ranging from 9% to 39%, an increase in shoot SP from 6% to 91%, and an elevation in SPAD values from 4% to 64% compared to their respective treatments lacking OA inclusion. The OA addition resulted in decreased EL contents in the root and shoot by 10%-19% and 13%-15%, MDA by 9%-14% and 9%-20%, and H2O2 by 14%-21% and 9%-17%, in comparison to the respective treatments without OA. Interestingly, the findings further revealed that the augmentation of OA also contributed to an increased accumulation of Cr, Cd, and Pb. Specifically, at 100% WW with OA (10 mM), the concentrations of Cr, Pb, and Cd in leaves rose by 164%, 447%, and 350%, in stems by 213%, 247%, and 219%, and in roots by 155%, 238%, and 195%, respectively. The chelating agent oxalic acid effectively alleviated plant toxicity induced by toxins. Overall, our findings demonstrate the remarkable tolerance of P. australis to elevated concentrations of WW stress, positioning it as an eco-friendly candidate for industrial effluent remediation. This plant exhibits efficacy in restoring contaminants present in textile effluents, and notably, oxalic acid emerges as a promising agent for the phytoextraction of HMs.

HMs stress decreased the physiology and morphology of Phragmites australis L.OA improved the photosynthetic pigments and antioxidant enzymesHMs accumulation and bioavailability increased under OAPhragmites australis L. showed higher efficacy for textile effluent treatment under OA.

Microwave Irradiation and Glutamic Acid-Assisted Phytotreatment of Tannery and Surgical Industrial Wastewater by Sorghum.

We investigated how different doses of microwave irradiation (MR) affect seed germination in Sorghum, including the level of remediation against textile and surgical wastewater (WW) by modulating biochemical and morpho-physiological mechanisms under glutamic acid (GA) application. The experiment was conducted to determine the impact of foliar-applied GA on Sorghum under wastewater conditions. Plants were treated with or without microwave irradiation (30 s, 2.45 GHz), GA (5 and 10 mM), and wastewater (0, 25, 50, and 100). Growth and photosynthetic pigments were significantly decreased in plants only treated with various concentrations of WW. GA significantly improved the plant growth characteristics both in MR-treated and -untreated plants compared with respective controls. HMs stress increased electrolyte leakage (EL), hydrogen peroxide (H2O2), and malondialdehyde (MDA) content; however, the GA chelation significantly improved the antioxidant enzymes activities such as ascorbate oxidase (APX), superoxide dismutase (SOD), peroxidase (POD), and catalase (CAT) both in MR-treated and -untreated plants under WW stress compared with respective controls. The results suggested that the MR-treated plants accumulate higher levels of HMs under GA addition in comparison to the WW-only-treated and MR-untreated plants. The maximum increase in Cd accumulation was observed in the range of 14-629% in the roots, 15-2964% in the stems, and 26-4020% in the leaves; the accumulation of Cu was 18-2757% in the roots, 15-4506% in the stems, and 23-4605% in the leaves; and the accumulation of Pb was 13-4122% in the roots, 21-3588% in the stems, and 21-4990% in the leaves under 10 mM GA and MR-treated plants. These findings confirmed that MR-treated sorghum plants had a higher capacity for HMs uptake under GA and could be used as a potential candidate for wastewater treatment.

Trends in occupational injuries and diseases among Saudi and non-Saudi insured workers.

BACKGROUND: The ongoing industrial and infrastructural development in Saudi Arabia carries a high risk of occupational injuries/diseases. AIMS: To compare trends in occupational injuries and diseases among Saudi and non-Saudi insured workers. METHODS: We used the index values method and slope (S) calculation to analyse the occupational injuries/diseases trends from data in the annual statistical reports published by the General Organization for Social Insurance between 2004 and 2014. Data for 10 565 993 (18.5%) Saudi insured workers (SIWs) and 46 402 079 (81.5%) non-Saudi insured workers (NSIWs) and 896 627 occupational injuries/diseases were analysed. RESULTS: The distribution of incidences of occupational injuries/diseases among NSIWs (93.5%) was 14 times higher than that of SIWs (6.5%). Occupational injuries/diseases were more likely to increase among NSIWs than SIWs, particularly in the construction, trade, financing and real estate economic activities, and engineering, technicians and service workers occupations. There was a general decreasing trend in occupational injuries/diseases until 2013. CONCLUSIONS: Non-Saudi insured workers were at high risk of occupational injuries/diseases, therefore, implementation of an effective injury prevention programme is required.

A comparative study of dynamic soft tissue mobilization vs. passive stretching technique to improve the flexibility of hamstrings in cricket players.

Different therapies are available for correcting the tightness of hamstring muscles. Objective of this study was to compare the effectiveness of Dynamic Soft Tissue Mobilization DSTM technique and Passive Stretching PS to improve the flexibility of tight hamstrings in cricket players. A total of 120 cricket players having tightness of hamstrings were enrolled and randomized into two groups A and B using lottery method. Group-A was treated with DSTM and group-B with PS to improve the flexibility of hamstrings. Active Knee Extension Angle AKEA test was used to measure the hamstring tightness as it is a gold standard test for this purpose. The mean value of AKEA, pre-treatment score deficient to 180 degrees for DSTM was 25.66 ± 6.90, and that of PS was 25.46 ± 6.89, while the post-treatment score was 10.81 ± 4.30, and 18.63 ± 7.06 respectively. Post-treatment score for DSTM was statistically lower than PS. (p-value < 0.05). So it was concluded that it is better to use DSTM for acquiring better results.

Treatment of marble industry wastewater by Brassica napus (L.) under oxalic acid amendment: efficacy as fodder and carcinogenic risk assessment.

In the present study, Brassica napus, a food plant, was grown for phytoextraction of selected heavy metals (HMs) from marble industry wastewater (WW) under oxalic acid (OA) amendment. The hydroponic experiment was performed under different combination of WW with OA in complete randomized design. Photosynthetic pigments and growth reduction were observed in plants treated with WW alone amendments. The combination of OA in combination with WW significantly enhanced the growth of plants along with antioxidant enzyme activities compared with WW-treated-only plants. HM stress alone enhanced the hydrogen peroxide, electrolyte leakage, and malondialdehyde contents in plants. OA-treated plants were observed with enhanced accumulation of cadmium (Cd), copper (Cu), and lead (Pb) concentrations in the roots and shoots of B. napus. The maximum concentration and accumulation of Cd in root, stem, and leaves was increased by 25%, 30%, and 30%; Cu by 42%, 24%, and 17%; and Pb by 45%, 24%, and 43%, respectively, under OA amendment. Average daily intake and hazard quotient (HQ) were calculated for males, females, and children in two phases of treatments in phytoremediation of metals before and after accumulation into B. napus leaves and stems. HQ of metals in the leaves and stem was < 1 before metal accumulation, whereas > 1 was observed after HM accumulation for all males, females, and children. Similarly, the hazard index of the three study types was found > 1. It was observed that the estimated excess lifetime cancer risk was of grade VII (very high risk), not within the accepted range of 1 × 10-4 to 1 × 10-6. Based on the present study, the increased levels of HMs up to carcinogenicity was observed in the B. napus which is not safe to be consumed later as food.

Sleep deprivation and its consequences on house officers and postgraduate trainees.

OBJECTIVE: To determine sleep deprivation and its consequences on doctors in tertiary care hospitals. METHODS: The cross-sectional study was conducted from February to May 2012 and comprised house officers and postgraduate trainees at 4 public and 1 private tertiary care hospitals in Karachi. The subjects were posted in wards, out-patient departments and emergencies. A proforma was designed with questions about duration of duty hours, sleep deprivation and its effects on quality of performance, and presence of anxiety, depression, medical errors, frequent cold and infections, accidents, weight changes, and insomnia. Duration of 1 hour was given to fill the proforma. SPSS 20 was used for data analysis. RESULT: The study comprised 364 subjects: 187 (51.37%) house officers and 177 (48.62%) postgraduate trainees. There were 274 (75.27%) females and 90 (24.72%) males. Of those who admitted to being sleep deprived (287; 78.84%), also complained of generalised weakness and poor performance (n = 115; 40%), anxiety (n = 110; 38%), frequent cold and infections (n = 107; 37%), personality changes (n = 93; 32%), depression (n = 86; 30%), risk of accidents (n = 68; 23.7%), medical errors (n = 58; 20%) and insomnia (n = 52; 18%). CONCLUSION: Having to spend 80-90 hours per week in hospitals causes sleep deprivation and negative work performance among doctors. Also, there is anxiety, depression and risk of accidents in their personal lives.

Advanced biotechnology strategies for detoxification of persistent organic pollutants and toxic elements in soil.

This paper aims to comprehensively examine and present the current state of persistent organic pollutants (POPs) and toxic elements (TEs) in soil. Additionally, it seeks to assess the viability of employing advanced biotechnology, specifically phytoremediation with potent microbial formulations, as a means of detoxifying POPs and TEs. In the context of the "global treaty," which is known as the Stockholm Convention, we analyzed the 3D chemical structures of POPs and its prospects for living organisms which have not been reviewed up to date. The obstacles associated with the phytoremediation strategy in biotechnology, including issues like slow plant growth and limited efficiency in contaminant uptake, have also been discussed and demonstrated. While biotechnology is recognized as a promising method for detoxifying persistent organic pollutants (POPs) and facilitating the restoration of contaminated and degraded lands, its full potential in the field is constrained by various factors. Recent advances in biotechnology, such as microbial enzymes, designer plants, composting, and nanobiotechnology techniques, have opened up new avenues for mitigating persistent organic pollutants (POPs) and toxic elements (TEs). The insights gained from this review can contribute to the development of innovative, practical, and economically viable approaches for remediating and restoring soils contaminated with persistent organic pollutants (POPs) and toxic elements (TEs). The ultimate aim is to reduce the risks to both human and environmental health.

Efficacy of marigold (Tagetes erecta L.) for the treatment of tannery and surgical industry wastewater under citric acid amendment: a lab scale study.

Contamination of land and aquatic ecosystems with heavy metals (HMs) is a global issue having the persistent potential to damage the quality of food and water. In the present study, Tagetes erecta L. plants were used to assess their potential to uptake HMs from wastewater. Plants were grown in soil for 20 days and then transplanted in hydroponic system containing Hoagland nutrient solution. After more than 15 days of growth, plants were then subjected to wastewater from tannery and surgical industries in different concentrations ranging from 25 to 100% in combination of citric acid (5 and 10 mM). After 6 weeks of treatment, plants were collected and segmented into roots, stem, and leaves for characterizing the morphological properties including plant height, roots length, fresh and dry mass of roots, stem, and leaves. For evaluation of the effect of wastewater on the plants, photosynthetic pigments; soluble proteins; reactive oxygen species (ROS); antioxidant enzymes SOD, POD, CAT, and APX; and metal accumulation were analyzed. Application of industrial wastewater revealed a significant effect on plant morphology under wastewater treatments. Overall growth and physiological attributes of plant decreased, and metal accumulation enhanced with increasing concentration of wastewater. Similarly, the production of ROS and antioxidant enzymes were also increased. Chlorophyll, protein content, and enzyme production enhanced with CA (5 and 10 mM) mediation; however, ROS production and EL were reduced. Metals analysis showed that the maximum accumulation of Pb was in roots, while Cr and Ni in the stem which further increased under CA mediation. Overall, the metal accumulation ability was in the order of Pb > Ni > Cr under CA.

Non-invasive detection of cardiac allograft rejection among heart transplant recipients using an electrocardiogram based deep learning model.

Aims: Current non-invasive screening methods for cardiac allograft rejection have shown limited discrimination and are yet to be broadly integrated into heart transplant care. Given electrocardiogram (ECG) changes have been reported with severe cardiac allograft rejection, this study aimed to develop a deep-learning model, a form of artificial intelligence, to detect allograft rejection using the 12-lead ECG (AI-ECG). Methods and results: Heart transplant recipients were identified across three Mayo Clinic sites between 1998 and 2021. Twelve-lead digital ECG data and endomyocardial biopsy results were extracted from medical records. Allograft rejection was defined as moderate or severe acute cellular rejection (ACR) based on International Society for Heart and Lung Transplantation guidelines. The extracted data (7590 unique ECG-biopsy pairs, belonging to 1427 patients) was partitioned into training (80%), validation (10%), and test sets (10%) such that each patient was included in only one partition. Model performance metrics were based on the test set (n = 140 patients; 758 ECG-biopsy pairs). The AI-ECG detected ACR with an area under the receiver operating curve (AUC) of 0.84 [95% confidence interval (CI): 0.78-0.90] and 95% (19/20; 95% CI: 75-100%) sensitivity. A prospective proof-of-concept screening study (n = 56; 97 ECG-biopsy pairs) showed the AI-ECG detected ACR with AUC = 0.78 (95% CI: 0.61-0.96) and 100% (2/2; 95% CI: 16-100%) sensitivity. Conclusion: An AI-ECG model is effective for detection of moderate-to-severe ACR in heart transplant recipients. Our findings could improve transplant care by providing a rapid, non-invasive, and potentially remote screening option for cardiac allograft function.

Phytoremediation of contaminated industrial wastewater by duckweed (Lemna minor L.): Growth and physiological response under acetic acid application.

Extensive usage of heavy metals (HMs) in chemical reactions and processes eventually contaminate the environmental segments and is currently a major environmental concern. HMs such as cadmium (Cd), copper (Cu), lead (Pb), chromium (Cr) and nickel (Ni) are considered the most harmful pollutants as they have adequate potential of bioaccumulation. The current research was carried out to assess the HMs toxicity of textile and tannery wastewater and effect of acetic acid (AA) on phytoextraction of HMs by duckweed (Lemna minor L.) in a hydroponic system. Plants were treated with different treatments having different hydroponic concentrations of AA (5 and 10 mM) and textile and tannery effluents, where these two effuents were equally mixed and then diluted with good quality water with different ratios (25, 50, 75, and 100%) along with three replications of each treatment. Results were recorded for growth attributes, chlorophylls, antioxidant enzymes, electrolytic leakage, reactive oxygen species and HMs accumulation in plants. HMs accumulation disrupts the growth parameters, chlorophyll contents and carotenoids contents along with increased activities of antioxidant enzyme such as catalases (CAT), superoxide dismutase (SOD), peroxidases (POD) and ascorbate peroxidase (APX). Addition of AA in the hydroponic experimental system significantly improves the antioxidant defense mechanism and alleviated the HM induced toxicity in plants. Cr, Cd, Pb, Cu and Ni concentrations were maximally increased up to 116 & 422%, 106 & 416%, 72 & 351%, 76 & 346%, and 41 & 328% respectively under AA (10 mM) application. The results revealed that duckweed can be applied as potential phyto-remedy to treat industrial wastewater.

Epidemiology of occupational injuries among insured workers in Saudi Arabia between 2004 and 2016.

This is a retrospective analysis of annual reports on occupational injuries issued by the national social insurance agency of the Kingdom of Saudi Arabia (KSA) for the years 2004 through 2016. For each criterion we calculated an index based on the equation NY/Nref x100, where NY is the number of occupational injuries by a specific criterion in a specific year Y, and Nref is the number of injuries in the corresponding criterion in the reference year, i.e. 2004. We also calculated the number of injuries to number of workers ratio (Ni/Nw ) for different occupations and economic sectors to get a clearer idea of the injury trends per worker. In terms of occupational injury rates (with respect to 2004), we observed increases in construction, financing & real estate (economic sectors), among engineers and technicians (occupations), in infections and secondary contusions (injury type), for upper and lower limbs (affected body parts), over falls and "other" causes. Most injuries occurred on Fridays, which is a weekend day in Saudi Arabia. We also observed increased recovery without disability (injury status). However, if we look at the number of occupational injuries per worker, we can see a decreasing trend over time for all occupations and economic sectors, most likely thanks to improved labour law and safety at work practices for insured workers. Our findings are similar to reports from other Persian Gulf countries and reflect current labour health and safety issues in the area.

Oxygen Gas and UV Barrier Properties of Nano-ZnO-Coated PET and PHBHHx Materials Fabricated by Ultrasonic Spray-Coating Technique.

Ultrasonic spray-coating (USSC)-a wet chemical deposition method to deposit ultrathin (down to 20 nm) coatings-is being applied as a promising alternative deposition method for functional coatings due to an economical, simple, and precise coating process with easy control over its operating parameters. In this research, zinc oxide nanoparticles (ZnO NPs) were ultrasonically spray-coated on commercial-grade polyethylene terephthalate (PET) and poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) (PHBHHx) films. The most suitable parameters for the ink composition, the ultrasonic spray-coating process, and the number of coating passes (up to 50×) were selected on the basis of a series of experiments. The oxygen gas barrier properties in terms of the oxygen transmission rate (OTR) of neat PET, and 3×, 5×, 10×, and 50× ZnO NP-coated PET and PHBHHx substrates were investigated. The OTR values for neat PET, and 3×, 5×, and 10× ZnO NP-coated PET substrates were found to be the same; however, a 5% reduction in OTR for 50× ZnO NP-coated PET substrate was observed compared to the neat PET substrate. No reduction in OTR was found for any above number of coating passes on PHBHHx substrates against the neat PHBHHx substrate. However, the ultraviolet (UV) tests of 3×, 5×, and 10× ZnO NP-coated PET and PHBHH× substrates revealed a significant decrease in percentage transmission for 10× coated PET and PHBHHx substrates as compared to their 3× and 5× ZnO NP-coated substrates, respectively. It was revealed from the study that the 50× ZnO NP coating of the PET substrate created a slight difference in OTR as compared to the reference substrate. However, the ultrasonic spray-coating method created a significant UV barrier effect for 3×, 5×, and 10× ZnO NP-coated PET and PHBHHx substrates, which demonstrates that the optimized coating method cannot be used to create a high oxygen barrier but can certainly be applied for UV barrier applications in food packaging. It is concluded that ultrasonic spray deposition of ZnO NPs on PET and PHBHHx materials has shown promising results for UV barrier properties, demonstrating the advantages of using this method compared to other coating methods with regard to cost-effectiveness, precise coating, and better process control.

Mechanism and role of seeded native grasses to immobilize nitrogen on harvested blanket peat forests for protection of water courses.

Forest harvesting activities on peatlands have long been associated with nutrient leaching and deterioration of downstream water quality. This study aims to assess the effect of grass seeding practice on harvested blanket peatlands to immobilize N and reduce its export to water courses. First, a plot-scale field experiment was conducted by seeding with two grass species (Holcus lanatus and Agrostis capillaris) to study the N uptake potential from a harvested area. Secondly, a simulated rainfall experiment was conducted to study the effect of these grasses on reducing N leaching from surface peat using laboratory flume approach. In the end, the role of seeded grasses in removing N from nutrient-rich throughflow water was assessed using simulated overland flow experiment. The results showed that the seeded grasses had the potential to uptake over 30 kg ha-1 of N in the first year after seeding on harvested peatlands, whereas it takes over 2.5 years to establish the same level of N uptake by natural re-vegetation (non-grassed). In the simulated rainfall experiment, the inorganic N (NH4+-N and NO3--N) leaching in surface runoff from grassed flumes was 72% lower (453 mg m-2) than non-grassed flumes (1643 mg m-2). In the simulated overland flow experiment, the N retention by grassed flumes was significantly higher (98%) as compared to non-grassed flumes (70%) in the simulated overland flow experiment. Comparatively higher concentrations of NH4+-N and NO3--N in soil porewaters of non-grassed flumes suggest that this N retention by non-grassed flumes is less sustainable and is likely to be leached in runoff in subsequent flow events. The results from all three experiments in this study suggest that seeded grasses are a major sink of N on harvested blanket peatland forests. Immobilization of N onsite using the grass seeding and mini-buffer practice could be an efficient and a feasible mean of reducing N export from harvested blanket peatland forests in order to protect the sensitive water courses. However, the sustainability of retention and immobilization of N by grasses needs to be studied further in long-term field-scale experiments on multiple peatland sites.

(Bio)polymer/ZnO Nanocomposites for Packaging Applications: A Review of Gas Barrier and Mechanical Properties.

Nanotechnology is playing a pivotal role in improving quality of life due to its versatile applications in many areas of research. In this regard, nanoparticles have gained significant importance. Zinc oxide nanoparticles (ZnO NPs) amongst other nanoparticles are being used in producing nanocomposites. Methods like solvent casting, solution casting, solvent volatilization, twin-screw extrusion, melt compounding and extrusion blow molding have been applied to produce ZnO NPs based (bio)polymer composites. These composites are of great interest in the research area of food packaging materials due to their improved multifunctional characteristics like their mechanical, barrier and antimicrobial properties. This paper gives an overview of the main methods to synthesize ZnO NPs, methods to incorporate ZnO NPs in (bio)polymers, and finally, the gas barrier and mechanical properties of the nanocomposites. As a conclusion, a maximum decline in oxygen, carbon dioxide and water vapor permeability was reported as 66%, 17% and 38% respectively, while tensile strength and young's modulus were observed to increase by 32% and 57% respectively, for different (bio)polymer/ZnO nanocomposites.

Delayed Presentation of Forgotten Thyroid Goiter - 25 Years After Thyroidectomy.

Forgotten goiter is a rare occurrence (2 - 16% of retrosternal thyroid cases) that depicts recurrence of retrosternal thyroid mass due to growth of remnant thyroid tissue overlooked during an initial thyroidectomy. The patient is a 59-year female who presented with dyspnea and stridor 25 years after total thyroidectomy. She was diagnosed as having a mediastinal mass on radiographic imaging. There were only localized pressure symptoms due to mass effect. The mass was excised employing an extra-cervical approach and using a partial sternotomy. The profuse extension of thyroid tissue, adherent to vital structures in the thorax and the extra-cervical thyroidectomy was a novel experience. The mass was completely excised and the patient's symptoms alleviated after the surgery. The patient recovered without any complications and there was no recurrence at 1 year of follow-up.

Trend of Occupational Injuries/Diseases in Pakistan: Index Value Analysis of Injured Employed Persons from 2001-02 to 2012-13.

BACKGROUND: The present study aimed to analyze the index value trends of injured employed persons (IEPs) covered in Pakistan Labour Force Surveys from 2001-02 to 2012-13. METHODS: The index value method based on reference years and reference groups was used to analyze the IEP trends in terms of different criteria such as gender, area, employment status, industry types, occupational groups, types of injury, injured body parts, and treatment received. The Pearson correlation coefficient analysis was also performed to investigate the inter-relationship of different occupational variables. RESULTS: The values of IEP increased at the end of the studied year in industry divisions such as agriculture, forestry, hunting, and fishing, followed by in manufacturing and construction industry divisions. People associated with major occupations (such as skilled agricultural and fishery workers) and elementary (unskilled) occupations were found to be at an increasing risk of occupational injuries/diseases with an increasing IEP trend. Types of occupational injuries such as sprain or strain, superficial injury, and dislocation increased during the studied years. Major injured parts of body such as upper limb and lower limb found with increasing trend. Types of treatment received, including hospitalization and no treatment, were found to decrease. Increased IEP can be justified due to inadequate health care facilities, especially in rural areas by increased IEP in terms of gender, areas, received treatment, occupational groups and employment status as results found after Pearson correlation coefficient analysis. CONCLUSION: The increasing trend in the IEP% of the total employed persons due to agrarian activities shows that there is a need to improve health care setups in rural areas of Pakistan.