Comparative zinc tolerance and phytoremediation potential of four biofuel plant species.

Soil pollution has become a serious environmental problem worldwide due to rapid industrialization and urbanization. Zinc (Zn) contamination has raised concerns about potential effects on plants and human health. This study was conducted to assess the capability of four biofuel plants: Abelmoschus esculentus, Avena sativa, Guizotia abyssinica, and Glycine max to remediate and restore Zn contaminated soil. Selected plants were grown in soil exposed to different Zn treatments (50, 100, 200, 300, 400, 600, 800 and 1000 mg Zn kg-1) for 12 weeks. Soil without spike taken as control. Zn induced toxicity significantly (p < 0.05) reduced seed germination and inhibited plant growth and leaf chlorophyll content. The investigated plants can tolerate a soil content of 800 mg Zn kg-1 with the exception of A. sativa, which was most tolerant to high Zn concentrations (1000 mg Zn kg-1) for all growth criteria. Moreover, increasing Zn content in soil resulted in a significant (p < 0.05) increase in Zn accumulation in various tissues of the four biofuel plants. According to phytoremediation efficiency, the four biofuel plants studied were arranged as follows: A. sativa (5.05%) > A. esculentus (4.15%) > G. max (2.31%) > G. abyssinica (1.17%). This study concluded that all tested biofuel plants species, especially A. sativa exhibited high Zn concentrations in roots and shoots, high Zn uptake capability, high tolerance, and high biomass at 50-800 mg Zn kg-1 treatments. Consequently, these biofuel plants are excellent candidates for phytoremediation in Zn contaminated soils.

Heavy metal contamination of soil poses a serious threat to the environment. Physical and chemical remediation methods are commonly used to remediate metal contaminated sites. It is not commercially viable, except that it is harmful and causes soil degradation. Alternatively, biological remediation techniques are cheap and environmentally friendly. Different plant species have been found to differ in their ability to accumulate metals under contaminated soil. Therefore, the present study provides a unique opportunity to study the metal accumulation potential of four biofuel plants (Abelmoschus esculentus, Avena sativa, Guizotia abyssinica and Glycine max) under zinc metal spiked soils. These plants are able to grow rapidly by developing a strong root system, high biomass production, and high tolerance to metal toxicity that helps them survive in contaminated soil environments. The investigated biofuel plant can be used to decontaminate contaminated sites and serves as a source of commercially valuable products that extract metals from biomass through combustion.

Planning and implementing a targeted polio vaccination campaign for Somali mobile populations in Northeastern Kenya based on migration and settlement patterns.

Supporting the global eradication of wildpoliovrisu (WPV), this project aimed to provide polio and measles vaccines to a population frequenty missed by immunization services and campaigns, ethnic Somali children living among mobile populations within Kenya's Northeastern Region. Additionally, nutritional support, albendazole (for treatment of intestinal parasites) and vitamin A were provided to improve children's health and in accordance with regional vaccination campaign practices. To better understand movement patterns and healthcare-seeking behaviors within this population, we trained community-based data collectors in qualitative and geospatial data collection methods. Data collectors conducted focus group and participatory mapping discussions with ethnic Somalis living in the region. Qualitative and geospatial data indicated movement patterns that followed partially definable routes and temporary settlement patterns with an influx of ethnic Somali migrants into Kenya at the start of the long rainy season (April-June). Community members also reported concerns about receiving healthcare services in regional health facilities. Using these data, an 8-week vaccination campaign was planned and implemented: 2196 children aged 0-59 months received polio vaccine (9% had not previously received polio vaccine), 2524 children aged 9-59 months received measles vaccine (27% had not previously received measles vaccine), 113 were referred for the treatment of severe acute malnourishment, 150 were referred to a supplementary feeding program due to moderate acute malnourishment, 1636 children aged 12-59 months were provided albendazole and 2008 children aged 6-59 months were provided with vitamin A. This project serves as an example for how community-based data collectors and local knowledge can help adapt public health programming to the local context and could aid disease eradication in at-risk populations.

The use of steroids in treating chylothorax following cardiac surgery in children: a unique perspective.

BACKGROUND: Chylothorax is the accumulation of chyle fluid in the pleural space. The incidence of chylothorax is quite common post-cardiac surgeries in pediatrics especially in Fontan procedures. Although several treatment lines are known for the management of chylothorax, steroids were scarcely reported as a treatment option. We present a unique case of a 4-year-old child who underwent Fontan procedure and suffered a long-term consequence of chylothorax. The chylothorax only fully resolved after introducing corticosteroids as part of her management. METHODS: A literature review about management of chylothorax post-cardiac surgery in children using Ovid Medline (19462021), PubMed, and google scholar was performed. CONCLUSION: Conservative management without additional surgical intervention is adequate in most patients. Additionally, somatostatin can be used with variable success rate. However, a few cases mentioned using steroids in such cases. More research and reporting on the use of steroids in the treatment of chylothorax post-cardiac surgeries in children is needed to prove its effectivity. In this article, we describe a case of chylothorax post-Fontan procedure that supports the use of steroids.

Cardiac Manifestations in COVID-19 Patients: A Focus on the Pediatric Population.

BACKGROUND: SARS-CoV-2 is a new strain of the coronavirus family that emerged by the end of 2019 and led to the unpreceded COVID-19 pandemic. The virus affects multiple organs simultaneously and leads to a high rate of morbidity and mortality in all age groups. The cardiovascular system is one of the major affected organ systems. Various mechanisms including direct myocardial injury contribute to the cardiac manifestations of COVID-19 patients. METHODS: We performed a comprehensive and updated search on the cardiac manifestations of COVID-19. Our search included laboratory and imaging evaluations. In addition, we added a unique section on the effect of SARS-CoV-2 on the cardiovascular system in the pediatric population. RESULTS: COVID-19 might have an effect on the cardiovascular system at various levels leading to myocardial ischemia, arrhythmia, heart failure, myocarditis, and multisystem inflammatory syndrome in children. The incidence of cardiovascular complications varies among patients. This paper also provides a comprehensive summary of all the reported pediatric cases with cardiac manifestations. CONCLUSION: Multidisciplinary teams are crucial for adequate management of patients with COVID-19 regardless of age. Timely diagnosis is critical in reducing mortality.

Evaluation of chromium phyto-toxicity, phyto-tolerance, and phyto-accumulation using biofuel plants for effective phytoremediation.

Contamination of chromium signifies one of the major threats to soil system. Phytoremediation is a promising technique to reclaim metal-contaminated soil using plants which are capable to tolerate and accumulate heavy metals within in their tissues. The experiment reported in this article was carried out with six biofuel plant species, Cyamopsis tetragonoloba, Glycine max, Avena sativa, Abelmoschus esculentus, Sesamum indicum and Guizotia abyssinica, were subjected to eight Cr concentrations (0.5, 2.5, 5, 10, 25, 50, 75 and 100 mg kg-1 soil) to investigate Cr toxicity, tolerance and accumulation. After 12 weeks of experiment, Cr phytotoxicity on morphological and biochemical parameters were evaluated. For six plant species, seed germination and most of growth parameters were significantly (p < 0.05) reduced under high Cr stress. Chlorophyll contents were also decreased with increased Cr concentrations. Accumulation of Cr was higher in roots than shoot in all studied plants. Significant Cr accumulation was in the order of C. tetragonoloba > A. sativa > A. esculentus > S. indicum > G. max > G. abyssinica. Bioconcentration factor, bioaccumulation coefficient, translocation factor and phytoremdiation ratio suggested that C. tetragonoloba, A. sativa and A. esculentus being more tolerant; having higher Cr accumulation and could be a high efficient plants for reclamation of Cr-contaminated soils.

Utilization of Pleurotus eryngii biosorbent as an environmental bioremedy for the decontamination of trace cadmium(II) ions from water system.

In many parts of the world, cadmium metal concentration in drinking water is higher than some international guideline values. To reduce its level below the safety limit, a sustainable and environmental friendly approach is crucial. Thereby, present article introduce an efficient, non-pathogenic and a novel fungal biosorbent Pleurotus eryngii for the removal of Cd(II) ions from aqueous system. The efficiency of P. eryngii were improved and optimized by investigating many significant factors such as; pH, biosorbent dose, initial Cd(II) ion concentration, temperature and contact time. Maximum Cd(II) ions removal (99.9%) was achieved at pH 5.0, biosorbent dosage 0.2 g/10 mL, concentration 20 mg L-1, time 10 min and temperature 50 °C. The isotherm and kinetic models revealed bioremediation of Cd(II) ions as monolayer coverage with biosorption capacity of 1.51 mg g-1 following pseudo second order reaction. Moreover, thermodynamic parameters such as ΔG°, ΔH°, and ΔS° showed that the removal of Cd(II) ions is spontaneous and endothermic in nature. Batch elution process revealed that the complete elution of Cd(II) ions from the biomass were achieved using 0.1 N HNO3 solution. The sorption efficiency decreased from 99.99 to 56.89% as the biomass were recycled up to five times. The efficiency of Cd(II) ions removal from real water samples lies between 85 and 90%. Fourier transform infrared (FTIR) spectrometry, scanning electron microscopy (SEM), energy dispersive X-ray spectroscopic (EDS) and atomic force microscopic (AFM) analysis of fungal biomass confirmed that the Cd(II) ions were the most abundant species on the biomass surface after the sorption process.

Ivabradine: A Potential Therapeutic for Children With Refractory SVT.

Background: In April 2015, ivabradine was approved by the Food and Drug Administration for the treatment of patients with coronary artery disease and heart failure (HF). The use of this medication has been linked with improved clinical outcomes and reduced rates of hospitalization in patients with symptomatic HF and a baseline heart rate of 70 bpm and above. Nonetheless, little is known about the use of ivabradine in pediatric patients with supraventricular tachycardia (SVT). This use is not well-studied and is only endorsed by a few case reports and case series. Aim: This study discusses the off-label utilization of ivabradine in pediatric patients with SVT, and highlights its efficacy in treating treatment-resistant (refractory) SVT. Methods: We conducted a retrospective single-center observational study involving pediatric patients with SVT treated at our center between January 2016 and October 2020. We identified the total number of patients with SVT, and the number of patients with refractory SVT treated with Ivabradine. Similarly, we performed a thorough review of the databases of PubMed, Medline and Google Scholar to compare the clinical course of our patients to those described in the literature. Results: Between January 2016 and October 2020, 79 pediatric patients with SVT were seen and treated at our center. A treatment-resistant SVT was noted only in three patients (4%). Ivabradine was used in these patients as a single or combined therapy. The rest (96%) were successfully treated with conventional anti-arrhythmics such as ß-blockers, flecainide, and other approved medications. In the ivabradine group, successful reversal to sinus rhythm was achieved in two of the three patients (66%), one patient was treated with a combination therapy of amiodarone and ivabradine, and the other patient was treated only with ivabradine. Conclusion: Overall, promissory results are associated with the use of ivabradine in pediatric patients with refractory SVT. Ivabradine appears to be a safe and well-tolerated medication that can induce adequate suppression of SVT, complete reversal to sinus rhythm, and effective enhancement of left ventricular function.

An immunization program for US-bound refugees: Development, challenges, and opportunities 2012-present.

BACKGROUND: US-bound refugees undergo required health assessments overseas to identify and treat communicable diseases of public health significance-such as pulmonary tuberculosis-before migration. Immunizations are not required, leaving refugees at risk for vaccine-preventable diseases. In response, the US Centers for Disease Control and Prevention and the US Department of State developed and co-funded a global immunization program for US-bound refugees, implemented in 2012 in collaboration with the International Organization for Migration. METHODS: We describe the Vaccination Program for US-bound Refugees, including vaccination schedule development, program implementation and procedures, and responses to challenges. We estimate 2019 immunization coverage rates using the number of age-eligible refugees who received ≥1 dose of measles-containing vaccine during overseas health assessment, and calculated hepatitis B infection prevalence using hepatitis B surface antigen testing results. We report descriptive data on adverse events following immunization. RESULTS: By September 2019, the program was active in >80 countries on five continents. Nearly 320,000 examined refugees had ≥1 documented vaccine doses since program inception. During federal fiscal year 2019, 95% of arriving refugees had ≥1 documented measles-containing vaccine. The program's immunization schedule included eleven vaccines preventing fourteen diseases. In 2015-2019, only two vaccine preventable disease-associated refugee group travel cancellations occurred, compared to 2-8 cancellations annually prior to program initiation. To maintain uniform standards, dedicated staff and program-specific protocols for vaccination and monitoring were introduced. CONCLUSIONS: An overseas immunization program was successfully implemented for US-bound refugees. Due to reductions in refugee movement cancellation, lower cost of immunization overseas, and likely reductions in vaccine preventable disease-associated morbidity, we anticipate significant cost savings. Although maintaining uniform standards across diverse settings is challenging, solutions such as introduction of dedicated staff, protocol development, and ongoing technical support have ensured program cohesion, continuity, and advancement. Lessons learned can benefit similar programs implemented in the migration setting.

Association of XRCC1, XRCC3, and XPD genetic polymorphism with an increased risk of hepatocellular carcinoma because of the hepatitis B and C virus.

OBJECTIVE: The south-east Asian and sub-Saharan African populations are the most susceptible to hepatocellular carcinoma (HCC). We aimed to establish whether XRCC1, XRCC3, and XPD are associated with liver cancer in Pakistan and to examine the interaction of hepatitis B virus (HBV) or hepatitis C virus (HCV) with repaired genes in the occurrence of liver cancer. MATERIALS AND METHODS: We enrolled 74 healthy individuals, 75 had either HBV or HCV, and 50 were HCC patients. The characteristic information of all the study participants were collected through a standard interviewer-administered questionnaire. The PCR-RFLP was used to identify the genotype of the patients. RESULTS: The results of our study indicated that the patients infected with HBV or HCV had a four or three-fold greater risk of developing liver cancer. Patients older than 55 years of age had a significantly higher risk of developing cancer compared with younger patients. The homozygous wild types Arg/Arg for 280 and Thr/Thr for 241 were more frequent in the controls than in the cases. The allelic frequency of mutant 280His and 399Gln was more pronounced among HCC cases than the controls or the HBV-infected patients. CONCLUSION: The frequency of the XPD gene in the controls was in Hardy-Weinberg equilibrium, indicating that the gene played a protective role in the Pakistani population. XRCC1 or XRCC3 was associated with liver cancer in the Pakistani population; however, the XPD gene played a vital role in the repair of DNA damage.