Remediation of nitrite contamination in ground and surface waters using aquatic macrophytes.

The study was carried out to determine the seasonal variation of nitrite levels in drinking and surface waters of urban, peri-urban and rural areas of Lucknow, during 2007-2008, and to evaluate the nitrite removal and accumulation potential of certain native aquatic macrophytes. Most of the drinking and surface water samples were collected from urbanized region of the city. All drinking water samples detected, showed higher nitrite level in winter, when compared with that in summer and rainy seasons. However, in drinking water samples nitrite level was below the permissible limit i.e. 3.29 mg l-1 NO2. The surface water showed more than 3 fold higher levels of nitrite over the permissible level i.e. 0.06 mg l-1, and the level was higher during rainy season than in summer and winter seasons. Eight macrophytes viz. Peltandra virginica, Utricularia vulgaris, Eichhornia crassipes, Trapa natans, Mimulus glabratus, Marsilea quadrifolia, Pistia stratiotes and Polygonum persicaria were studied for phytoremediation potential of nitrite from the water under simulated laboratory conditions. The gradual diminution in the level of nitrite in the water and simultaneously it’s increase in the plant tissues was recorded at 5th, 10th and 15th d after plant culture. All the plants selected, removed nitrite from water but Polygonum persicaria, Mimulus glabratus, Trapa natans and Pistia stratiotes were found more efficient and removed nitrite upto 60.91, 58.09, 60.97 and 72.28%, respectively. Observations revealed that Pistia stratiotes can be used for the effective removal of nitrite from the contaminated water.

Anesthetic management of right atrial mass removal and pulmonary artery thrombectomy in a patient with primary antiphospholipid antibody syndrome.

Antiphospholipid antibody syndrome (APLAS) characterises a clinical condition of arterial and venous thrombosis associated with phospholipids directed antibodies. APLAS occurs in 2% of the general population. However, one study demonstrated that 7.1% of hospitalised patients were tested positive for at least one of the three anticardiolipin antibody idiotype. Antiphospholipid antibodies often inhibit phospholipids dependent coagulation in vitro and interfere with laboratory testing of hemostasis. Therefore, the management of anticoagulation during cardiopulmonary bypass can be quite challenging in these patients. Here, we present a case of right atrial mass removal and pulmonary thrombectomy in a patient of APLAS.

Perforated peptic ulcer after cardiac surgery.

Although there are many causes of ulcer disease in postoperative period, hypoperfusion during cardiopulmonary bypass and advanced age are two key causes. We came across two cases of peptic ulcer perforation after coronary bypass graft surgery where these two common factors were absent. We have discussed various aetiolofical factors responsible for genesis of gastrointestinal ulcers in patients undergoing cardiac surgery using cardiopulmonary bypass.