Removal efficiencies of seven frequently detected antibiotics and related physiological responses in three microalgae species.

The main objective of this study is to investigate the effect of mixtures of seven widely used human antibiotics (ciprofloxacin, clarithromycin, erythromycin, metronidazole, ofloxacin, sulfamethoxazole, and trimethoprim) on the growth, pH, pigment production, and antibiotics removal of three microalgal species (Auxenochlorella protothecoides, Tetradesmus obliquus, and Chlamydomonas acidophila). Batch assays were conducted with media with antibiotic mixtures at 10, 50, and 100 µg L-1 for each antibiotic. The three microalgae species effectively removed the antibiotics without any growth inhibition, even when exposed to the highest antibiotic concentrations. Biosorption was reported as the primary mechanism for ciprofloxacin, clarithromycin, metronidazole, and ofloxacin, with up to 70% removal, especially in A. protothecoides and C. acidophila. A. protothecoides, a species never investigated for antibiotic removal, was the only microalgae exhibiting bioaccumulation and biodegradation of specific antibiotics, including sulfamethoxazole. Furthermore, in media with the highest antibiotic concentration, all three species exhibited increased chlorophyll (up to 37%) and carotenoid (up to 32%) production, accompanied by a pH decrease of 3 units. Generally, in the present study, it has been observed that physiological responses and the removal of antibiotics by microalgae are interlinked and contingent on the antibiotic levels and types.

Multifactorial Evaluation of Atenolol, Caffeine, Carbamazepine and Ibuprofen on Raphidocelis subcapitata and Chlorella vulgaris.

Micropollutants in aquatic resources have raised global concerns regarding the conservation of ecosystems. Although they are usually found in the environment at trace concentrations to a maximum of several µg/L, it is still necessary to address the potential risks these pollutants may represent to organisms. A multifactor analysis was conducted using two algae as bioindicators. Four different pharmaceuticals were chosen based on their occurrence in domestic wastewaters and persistency after biological treatment processes ranging from 1/8th to four-fold representative environmental concentrations over 96 h exposure. The present multifactor analysis evaluated cell size, photosynthetic capacity and growth rate. These data were later combined into a simplified single entity: "the index effect". The results obtained showed that, even at concentrations below the environmentally relevant concentrations (ERC), the pharmaceuticals' residues (PRs), caused a cellular behavioural variation in both organisms. In addition, the algae cultures' response to exposure to these stressors was generally dependent on the concentration over time. By examining four different PR over three different characteristics of two types of algal bioindicators, this work covers significant and specific responses on the algae exposure cycle. This is unique research since most studies do not consider multiple parameters in the assessment of the environment risk for bioindicators.

Chemical Fate and Partitioning Behavior of Antibiotics in the Aquatic Environment-A Review.

Antibiotics in the aquatic environment is a major problem because of the emergence of antibiotic resistance. The long-term ecological impact on the aquatic environment is unknown. Many sources allow entry of antibiotics into the environment, including wastewater-treatment plants (WWTPs), agricultural runoff, hospital effluent, and landfill leachate. Concentrations of antibiotics in the aquatic environment vary significantly; studies have shown fluoroquinolones, tetracycline, macrolides, sulfonamides, and penicillins to reach 2900, 1500, 9700, 21 400, and 1600 ng L-1 in wastewater effluent samples, respectively. However, concentrations are highly variable between different countries and depend on several factors including seasonal variation, prescription, and WWTP operating procedures. Likewise, the reported concentrations that cause environmental effects vary greatly between antibiotics, even within the same class; however, this predicted concentration for the antibiotics considered was frequently <1000 ngL-1 , indicating that when discharged into the environment along with treated effluent, these antibiotics have a potentially detrimental effect on the environment. Antibiotics are generally quite hydrophilic in nature; however, they can ionize in the aquatic environment to form charged structures, such as cations, zwitterions, and anions. Certain classes, particularly fluoroquinolones and tetracyclines, can adsorb onto solid matrices, including soils, sediment, and sludge, making it difficult to fully understand their chemical fate in the aquatic environment. The adsorption coefficient (Kd ) varies between different classes of antibiotics, with tetracyclines and fluoroquinolones showing the highest Kd values. The Kd values for fluoroquinolones, tetracyclines, macrolides, and sulfonamides have been reported as 54 600, 7600, 130, and 1.37 L kg-1 , respectively. Factors such as pH of the environment, solid matrix (sediment/soil sludge), and ionic strength can influence the Kd ; therefore, several values exist in literature for the same compound. Environ Toxicol Chem 2021;40:3275-3298. © 2021 SETAC.

Effect of eight common Brazilian drugs on Lemna minor and Salvinia auriculata growth.

The growth of two species of macrophytes (Lemna minor and Salvinia auriculata) under the effect of a mixture of amoxicillin, caffeine, carbamazepine, dipyrone, ibuprofen, losartan, omeprazole, and tenivastatin was investigated by bioassay. Three concentration levels were utilized in this study (10, 200, and 500 µg L-1) using a growth inhibition test based on the OECD 221/2006 guidelines. The frond number, total area, and chlorophyll a level were selected as suitable end points. For L. minor, at all concentrations, a significant difference in the total frond number was observed and the growth inhibition varied from 30 to 70% at the low and high concentrations, respectively. No significant growth change was observed to S. auriculata exposed to the mixture of drugs. Thus, individual drug tests were performed for L. minor which demonstrated stimulation in growth, when exposed to most drugs individually, except tenivastatin which was identified as the drug responsible for the significant growth inhibition seen in the mixture. The L. minor enhanced growth was probably caused by N molecule transformation to ammonium and nitrate, essential nutrients for plants.

Pharmaceuticals effect and removal, at environmentally relevant concentrations, from sewage sludge during anaerobic digestion.

This paper investigates the performance of AD in the presence of high-risk pharmaceuticals found in sewage sludge and its removal capacity. The digestion process of synthetic sewage sludge was observed in two 7L glass reactors (D1 and D2) at 38 °C (OLR 1.3 gVS L-1 d-1 and HRT 43 d). Environmentally relevant pharmaceuticals (clarithromycin, clotrimazole, erythromycin, fluoxetine, ibuprofen, sertraline, simvastatin and tamoxifen) were added in D2 at predicted environmental (sludge) conditions. The results demonstrated that long-term presence of pharmaceuticals can affect AD and induce instability resulting in an accumulation of VFAs. This study showed a concurrent effect on AD microbial composition, increasing the percentage of Firmicutes (>70%) and decreasing the percentages of Bacteroidetes and Euryarchaeota (<5%), which seems to be the cause of VFA accumulation and resultant the decrease in the biogas production. However, it seems that anaerobic microorganisms offer enhanced removal of the antibiotics clarithromycin and erythromycin over aerobic techniques.

Amoxicillin removal by pre-denitrification membrane bioreactor (A/O-MBR): Performance evaluation, degradation by-products, and antibiotic resistant bacteria.

Membrane bioreactors (MBRs) are one of the treatment technologies with the potential to remove emerging compounds from wastewater. The present work evaluated the efficiency of an MBR pilot system in removing amoxicillin from synthetic wastewater using a continuous flow pre-denitrification MBR (A/O-MBR) pilot unit. The system operated in three phases: (1) synthetic wastewater and hydraulic retention time (HRT) of 40 h; (2) adding amoxicillin 100 µg L-1 to the influent, and (3) varying flowrate to HRT of 20 h. Liquid chromatography coupled to high resolution mass spectrometry analysis confirmed the presence of five amoxicillin degradation by-products in the effluent. The addition of amoxicillin did not affect chemical oxygen demand (COD) or dissolved organic carbon (DOC) removal efficiencies. Respirometry showed that amoxicillin level did not inhibit heterotrophic bacteria metabolism. The change in HRT reduced the DOC removal (from 84% to 66%) but did not influence COD (>94%) or total nitrogen (>72%). The amoxicillin and by-products removal decreased from 80% to 54% with HRT change. Adsorption and biodegradation represented the largest removed fraction of the antibiotic in the A/O-MBR system (68%). Ecotoxicity assays showed P. fluorescens was more resistant and E. coli less resistant to amoxicillin residues at effluent sample matrix.

Mechanistic and ecotoxicological studies of amoxicillin removal through anaerobic degradation systems.

Many studies have been conducted on the evaluation and monitoring of micropollutants and by-products in wastewater treatment plants. Considering the increase in the production and consumption of emerging contaminants, such as drugs, personal care products, and plasticisers, it is necessary to conduct studies that support the elaboration of laws and regulations that promote the environmentally sustainable use of sludge and effluents. In this work, the biological degradation of amoxicillin was studied under two anaerobic conditions: i) using a 6 L reactor operated under semi-continuous flow; and ii) a batch system with 100 mL sealed glass syringes. According to the statistical analysis, amoxicillin was completely removed from the systems, but biogas production inhibition was observed (p < 0.05). Liquid chromatography-high-resolution mass spectrometry analysis identified amoxicillin penicilloic acid, amoxilloic acid, amoxicillin diketopiperazine and phenol hydroxypyrazine as by-products under anaerobic conditions. Ecotoxicity tests on effluent treated under the batch conditions showed that the addition of higher amounts of amoxicillin inhibited the target species Aliivibrio fischeri and Raphidocelis subcaptata, causing functional decreases of 28.5% and 22.2% when the antibiotic concentration was 2500 µg L-1. A. fischeri was the most sensitive organism to effluent treated under semi-continuous flow conditions; a continuous reduction in bioluminescence of up to 88.8% was observed after 39 days of feeding, which was associated with by-products accumulation due to unbalanced conditions during anaerobic digestion. Changes in the physico-chemical characteristics of the effluent caused the accumulation and removal of AMX-DKP IV and modified the toxicity to Lactuca sativa and R. subcapitata.

Oxidative stress responses and cellular energy allocation changes in microalgae following exposure to widely used human antibiotics.

The individual effect of four human antibiotics on the microalgae Raphidocelis subcapitata was investigated following a 120-h exposure. The effects were assessed by analyzing growth, and biochemical parameters related with: 1) antioxidant capacity and oxidative damage by measuring superoxide dismutase (SOD) activity and lipid peroxidation (LPO) levels; and 2) cellular energy allocation (CEA) by quantifying the content in energy reserves, which represents the energy available (Ea), and the electron transport system activity that represents a measure of oxygen and cellular energy consumption (Ec). Growth yield inhibitory concentrations of sulfamethoxazole (18-30%), clarithromycin (28.7%), ciprofloxacin (28%) and erythromycin (17-39%) were found to elicit a considerable increase in Ec, thereby causing a significant decrease in the CEA. The elevated Ec can be a result of the need to respond to oxidative stress occurring under those conditions given the significant increase in SOD activity at these levels. For sulfamethoxazole, erythromycin and ciprofloxacin, the antioxidant responses do not seem to be enough to cope with the reactive oxygen species and prevent oxidative damage, given the elevated LPO levels observed. A stimulatory effect on growth yield was observed (up to 16%) at ciprofloxacin lowest concentration, which highly correlated with the increase in CEA. Based on the no observed effect concentration (NOECs) and/or effective concentration (EC10) results, Ec, SOD and CEA were more sensitive than the classical endpoint of growth rate for all the tested antibiotics. By revealing the antibiotic stress effects in R. subcapitata at the cellular level, this study suggests CEA as a more reliable indicator of the organisms' physiological status.

Identification of the acid-induced degradation products of omeprazole and 5-hydroxyomeprazole by high-resolution mass spectrometry.

RATIONALE: Omeprazole is used to treat gastric disorders and is one of the most commonly consumed drugs in the western world. It forms several metabolites but is mostly excreted unchanged and as 5-hydroxyomeprazole. Since omeprazole is widely prescribed, its excretion from the body has a potential environmental effect. After excretion it will enter the wastewater system and if not adequately removed during wastewater treatment will be discharged into rivers in the wastewater effluent. It is important to consider not only the parent drug, but also the main metabolite (5-hydroxyomeprazole) and their degradation products to fully understand the fate of this drug during wastewater treatment. In order to do this potential degradation products need to be determined. METHODS: Acid was used to artificially accelerate the degradation of omeprazole and 5-hydroxyomeprazole. A Q-Exactive Orbitrap mass spectrometer with an electrospray ionisation source was used to determine precursor and product ion data for the degradation products. RESULTS: Both starting materials quickly degrade under acidic conditions and the main degradation product formed in each case was a re-arranged monomer. Other species identified were doubly and singly charged dimers with varying numbers of sulphur atoms in the dimer bridge. Careful inspection of the accurate mass, isotope pattern, isotope abundance and product ion spectra was used to interpret the data. CONCLUSIONS: The resultant degradants from omeprazole and 5-hydroxyomeprazole were analogous to each other, differing only by an oxygen atom. This investigation determined the degradation products of omeprazole and 5-hydroxyomeprazole and proposed structures based on the accurate mass and isotope information. The product ions from the degradation products are also reported.

Ranking prescribed pharmaceuticals in terms of environmental risk: Inclusion of hospital data and the importance of regular review.

A newly available dataset on pharmaceuticals used in Scottish hospitals enabled an environmental risk assessment that includes hospital consumption of pharmaceuticals, as previous United Kingdom rankings have been based on community prescriptions only. Although health and the environment are devolved issues for the Scottish government, it is merited to consider a Scottish ranking separately; regional differentiation is particularly relevant in the spatial context of the European Commission's Water Framework Directive. Nine pharmaceuticals are identified as having a risk quotient greater than 1. Four of these, the antibacterials piperacillin, tazobactam, flucloxacillin, and ciprofloxacin, had high hospital contributions and had not been highlighted previously in rankings based on community prescriptions. Some drugs with a risk quotient < 0.1 are used almost exclusively in hospitals and could be more concentrated near effluents carrying hospital wastewater, where they may be of local concern. Although treating hospital effluents separately is a policy option, specifically including hospital consumption is important. Continually increasing the availability of ecotoxicological data and trends in consumption further contributes to a substantially different prioritization than in previous rankings. This leads the authors to conclude that regular review of risk is necessary.

Selecting land-based mitigation practices to reduce GHG emissions from the rural land use sector: a case study of North East Scotland.

The Climate Change (Scotland) Act 2009 commits Scotland to reduce GHG emissions by at least 42% by 2020 and 80% by 2050, from 1990 levels. According to the Climate Change Delivery Plan, the desired emission reduction for the rural land use sector (agriculture and other land uses) is 21% compared to 1990, or 10% compared to 2006 levels. In 2006, in North East Scotland, gross greenhouse gas (GHG) emissions from rural land uses were about 1599 ktCO2e. Thus, to achieve a 10% reduction in 2020 relative to 2006, emissions would have to decrease to about 1440 ktCO2e. This study developed a methodology to help selecting land-based practices to mitigate GHG emissions at the regional level. The main criterion used was the "full" mitigation potential of each practice. A mix of methods was used to undertake this study, namely a literature review and quantitative estimates. The mitigation practice that offered greatest "full" mitigation potential (≈66% reduction by 2020 relative to 2006) was woodland planting with Sitka spruce. Several barriers, such as economic, social, political and institutional, affect the uptake of mitigation practices in the region. Consequently the achieved mitigation potential of a practice may be lower than its "full" mitigation potential. Surveys and focus groups, with relevant stakeholders, need to be undertaken to assess the real area where mitigation practices can be implemented and the best way to overcome the barriers for their implementation.

First5®--a UK initiative relevant to the global general practice community.

In 2009, the Royal College of General Practitioners (RCGP) in the UK created the First5® initiative to support new GPs through the first years of independent practice. For new GPs, finishing training and taking the first steps into a career in family medicine is an exciting but also challenging time. The RCGP and fellow Wonca organizations are well placed to support young colleagues through this transition period. The First5® initiative is based around five key pillars, which help to support new GPs by ensuring they are well represented, supported and encouraged by their member organization. Peer support, mentoring, career guidance, revalidation and tailored continuing professional development are just some aspects of the programme. This article describes the origins and key components of the concept then explores the progress which has been made to date. The challenges faced by new practitioners are not unique to the UK, or indeed to general practice, and we hope that the First5® initiative will inspire colleagues across Europe and around the world.

The development and application of water management sustainability indicators in Brazil and Scotland.

This paper reports the formulation and application of a framework of catchment-level water resource management indicators designed to integrate environmental, economic and social aspects of sustainability. The framework of nine indicators was applied to the River Dee and River Sinos catchments in Scotland and Brazil, respectively, following an indicator selection process that involved inputs from water management professionals in both countries, and a pilot exercise in Scotland. The framework was found to capture a number of key sustainability concerns, and was broadly welcomed by water resource managers and experts as a means of better understanding sustainable water resource management. Issues relating to poor water quality and public water supply were particularly prominent in the findings for the Sinos, while findings for the Dee suggested that more attention might be focused on building institutional capacity and public participation in catchment management. The use of some proxy indicators was required in both catchments due to poor data availability, and this problem may hinder the further development of indicator frameworks that attempt to better integrate environmental, economic and social dimensions of sustainability.

The feminization of the medical work force, implications for Scottish primary care: a survey of Scottish general practitioners.

BACKGROUND: The number of women working in general practice internationally has been steadily rising. In Scotland there have been concerns that such a change may lead to increased part-time working and subsequently to a fall in available general practice manpower despite an apparently rising overall number of general practitioners. However, there is very little information on the actual hours worked by men and women general practitioners or on the types of work they are undertaking. METHODS: Anonymous workload questionnaires of all Scottish general practitioner principals and non-principals RESULTS: Response rates for general practice principals and non-principals were 67.2% and 65.2% respectively. Male principals spent on average 18% more time on general medical services (GMS) and 50% more time on non-GMS activities (such as teaching, specialist sessions, administration and research) than women (both p <0.01). This difference was similar for non-principals. In no age group did the hours worked by women doctors approach that of male doctors. CONCLUSION: Women doctors in primary care in Scotland work fewer hours in all age groups than their male counterparts. The rapidly increasing proportion of women in general practice may lead to an increasing shortfall of medical availability in the future if current work patterns are maintained. Further longitudinal research is required to establish this and man-power planning is required now to address this. More worryingly auxiliary activities such as teaching and administrative duties are not being taken up by women. This may have serious implications for the future development of the specialty in Scotland.

A video-based movement analysis system to quantify behavioral stress responses of fish.

Behavioral alterations can be measured as endpoints for sublethal toxicity, and serve as a tool for environmental risk assessment and analysis of toxicological impact. Numerous technical and biological factors have made sublethal effects on fish behavior difficult to quantify. In order to investigate stress- and contaminant-induced behavioral alterations, a video analysis system was designed by our laboratory. With this system up to 12 fish may be individually housed in 20 L exposure arenas and automatically videotaped at multiple and discrete intervals during an experimental period. Analog video data can then digitized, converted into x,y coordinates, and finally transformed into relevant behavioral endpoints using software designed for tracking fish movement combined with specific algorithms. These endpoints include velocity, total distance traveled, angular change, percent movement, space utilization, and fractal dimension (path complexity). Data from fish exposed to a reference toxicant, MS222, and simulation experiments, are presented to exemplify alterations in fish behavior associated with exposure, and accuracy and precision, respectively. The system provides flexibility to analyze any observed movement behavior, is remotely controlled, and can be transportable. These movement analyses can be used to identify characteristic behavioral responses to a variety of environmentally-relevant stressors, and assist in risk assessment and the development of more sensitive lowest observable effect level and no observable effect level for sentinel species.

Overcoming the constraints of long range radio telemetry from animals: getting more useful data from smaller packages.

Many species carry out their most interesting activities where they cannot readily be observed or monitored. Marine mammals are extreme among this group, accomplishing their most astounding activities both distant from land and deep in the sea. Collection, storage and transmission of data about these activities are constrained by the energy requirements and size of the recording loggers and transmitters. The more bits of information collected, stored and transmitted, the more battery is required and the larger the tag must be. We therefore need to be selective about the information we collect, while maintaining detail and fidelity. To accomplish this in the study of marine mammals, we have designed "intelligent" data logger/transmitters that provide context-driven data compression, data relay, and automated data base storage. We later combine these data with remotely sensed environmental information and other oceanographic data sets to recreate the environmental context for the animal's activity, and we display the combined data using computer animation techniques. In this way, the system can provide near real time "observation" of animal behavior and physiology from the remotest parts of the globe.