'He was a brilliant student but became mad like his grandfather': an exploratory investigation on the social perception and stigma against individuals living with mental health problems in Bangladesh.

BACKGROUND: Worldwide, mental health issues constitute a substantial threat to people's social, economic, and mental well-being and contribute significantly to many fatalities each year. In Bangladesh, people with mental health issues typically delay contacting health professionals because they prefer traditional or religious healers. Moreover, the situation is exacerbated by a lack of awareness, social stigma, and negative perception of sufferers of mental health issues on the part of families and the community. Therefore, this paper investigates the social perception and stigmatization of individuals living with mental health problems and their caregivers in Khulna, Bangladesh. METHODS: Data were collected from university students with concurring mental health issues as well as their closest caregivers, who had in-depth knowledge of the problem and a willingness to take care of the individuals with mental health issues. Following the criteria for data collection, eight individuals living with mental health problems and five caregivers were purposively selected for this research. A semi-structured in-depth interview guide was used for the confidential data collection process, which took place in November and December 2021, and each interview lasted 40-50 min on average. RESULTS: This study used thematic analysis to present the results; the findings showed that: individuals afflicted with mental health problems sought both medical and spiritual support to recover. Those with mental health issues who received positive family support recovered relatively faster than those who did not. However, negative social perception and stigmatization were the key impediments for individuals suffering from mental health problems and their families, as they found it difficult to discuss their issues with relatives and communities when attempting to access support or seek remedies. Moreover, the commonality of social stigmas, such as labeling mental health problems as equal to 'madness,' hindered disclosure to family members, peers, and the community. CONCLUSION AND RECOMMENDATIONS: In Bangladesh, the majority of individuals living with mental health problems are stigmatized and do not receive emotional support. Hence, we suggest nationwide community-based awareness-building programs to promote more positive perceptions of the fight against mental health disorders. Furthermore, counseling and awareness-building programs for effective discouragement of non-scientific remedies such as spiritual healing, as well as diagnosis and medication at the primary stage of sickness, are recommended for early detection and better medical assistance.

Occurrence, fates, and carcinogenic risks of substituted polycyclic aromatic hydrocarbons in two coking wastewater treatment systems.

This paper reports for the first time the occurrence, fates, and carcinogenic risks of 20 substituted polycyclic aromatic hydrocarbons (SPAHs) and 16 priority PAH species in two coking wastewater treatment plants (WWTPs) (plant E and central WWTP). The measured total concentrations of PAHs and SPAHs in raw wastewater of coking plant E were 3700 and 1200 µg·L-1, respectively, with naphthalene (1400 µg·L-1), and fluoranthene (353 µg·L-1) as dominant PAH species and 2-methylnaphthalene (167 µg·L-1), anthraquinone (133 µg·L-1), and 1-methylnaphthalene (132 µg·L-1) as dominant SPAHs. For the 11 methyl-PAHs (MPAHs), 4 oxygenated-PAHs (OPAHs), and 5 nitrated-PAHs (NPAHs) investigated, the biological wastewater treatment process removed 98.6% MPAHs, 83.9% OPAHs, and 89.1% NPAHs. Mass balance analysis result revealed that transformation was the major mechanism to remove low-molecular-weight (LMW) MPAHs (59.9-77.3%), a large part of OPAHs, including anthraquinone, methylanthraquinone, and 9-fluorenone (46.7-49.6%), and some NPAHs, including 2-nitrofluorene and 9-nitroanthrancene (52.9-59.1%). Adsorption by activated sludge mainly accounted for removing high-molecular-weight (HMW) SPAHs (59.6-71.01%). The relatively high concentrations of SPAHs in excess sludge (15,000 µg·g-1) and treated effluent (104 µg·L-1) are of great concern for their potential adverse ecological impacts. SPAHS exhibited similar behaviors in central WWTP, though the influent concentrations were much lower. The concentration levels of SPAHs in the ambient air of coking plant E and central WWTP may also pose potential lung cancer risks (LCR) to the workers through inhalation, where all studied SPAHs except 3-nitrofluoranthene and 7-nitrobenz[a]anthracene exceeded the acceptable cancer risk standards (>10-6) recommended by U.S EPA. This study could help identify the ecological and healthy risks during coking wastewater treatment and provide useful information for policy-making.

Emerging concerns of VOCs and SVOCs in coking wastewater treatment processes: Distribution profile, emission characteristics, and health risk assessment.

In this study, the distribution profiles, emission characteristics, and health risks associated with 43 volatile and semi-volatile organic compounds, including 15 phenols, 18 polycyclic aromatic hydrocarbons (PAHs), 6 BTEX, and 4 other compounds, were determined in the wastewater treatment plant (WWTP) of a coking factory (plant C) and the succeeding final WWTP (central WWTP). Total phenols with a concentration of 361,000 µg L-1 were the predominant compounds in the influent wastewater of plant C, whereas PAHs were the major compounds in the final effluents of both coking WWTPs (84.4 µg L-1 and 30.7 µg L-1, respectively). The biological treatment process in plant C removed the majority of volatile organic pollutants (94.1%-99.9%). A mass balance analysis for plant C showed that biodegradation was the main removal pathway for all the target compounds (56.6%-99.9%) except BTEX, chlorinated phenols, and high molecular weight (MW) PAHs. Chlorinated phenols and high MW PAHs were mainly removed via sorption to activated sludge (51.8%-73.2% and 60.2%-75.9%, respectively). Air stripping and volatilization were the dominant mechanisms for removing the BTEX compounds (59.8%-73.8%). The total emission rates of the detected volatile pollutants from plant C and the central WWTP were 1,640 g d-1 and 784 g d-1, respectively. Benzene from the equalization basins of plant C and the central WWTP corresponded to the highest inhalation carcinogenic risks (1.4 × 10-3 and 3.2 × 10-4, respectively), which exceeded the acceptable level for human health (1 × 10-6) recommended by the United States Environmental Protection Agency. The results showed that BaP exhibited the highest inhalation non-cancer risk, with a hazard index ratio of 70 and 30 for plant C and the central WWTP, respectively. Moreover, the excess sludge generated during wastewater treatment should also be carefully handled because it adsorbed abundant PAHs and chlorinated phenols at coking plant C (58,000 µg g-1 and 3,500 µg g-1) and the central WWTP (622 µg g-1 and 54 µg g-1).

Plagiochiline A Inhibits Cytokinetic Abscission and Induces Cell Death.

We previously reported on the isolation and biological activities of plagiochiline A (1), a 2,3-secoaromadendrane-type sesquiterpenoid from the Peruvian medicinal plant, Plagiochila disticha. This compound was found to have antiproliferative effects on a variety of solid tumor cell lines, as well as several leukemia cell lines. Other researchers have also noted the cytotoxicity of plagiochiline A (isolated from different plant species), but there are no prior reports regarding the mechanism for this bioactivity. Here, we have evaluated the effects of plagiochiline A on cell cycle progression in DU145 prostate cancer cells. A cell cycle analysis indicated that plagiochiline A caused a significant increase in the percentage of cells in the G2/M phase when compared with control cells. When cells were stained and observed by fluorescence microscopy to examine progress through the mitotic phase, we found a significant increase in the proportion of cells with features of late cytokinesis (cells connected by intercellular bridges) in the plagiochiline A-treated samples. These results suggest that plagiochiline A inhibits cell division by preventing completion of cytokinesis, particularly at the final abscission stage. We also determined that plagiochiline A reduces DU145 cell survival in clonogenic assays and that it induces substantial cell death in these cells.