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Chronic obstructive pulmonary disease (COPD) is a major public health problem in the Americas (a region of the world comprising North, Central, and South America), though there is substantial variation in disease prevalence, morbidity and mortality between and within nations. Across the Americas, COPD disproportionately affects vulnerable populations including minoritized populations and impoverished persons, who are more likely to be exposed to risk factors such as tobacco use, air pollution, infections such as tuberculosis, and biomass smoke but less likely to have adequate healthcare access. Management of COPD can be challenging across the Americas, with some barriers being specific to certain countries and others shared across the U.S., Canada, and Latin America. Because most cases of COPD are undiagnosed due to suboptimal access to healthcare and pulmonary function testing, and thus cannot be treated, increased access to spirometry would have a substantial impact on disease management across the Americas. For individuals who are diagnosed, access to medications and other interventions is quite variable across and within nations, even in those with universal healthcare systems, such as Canada and Brazil. This emphasizes the importance of collaborative treatment guidelines, which should be adapted for the healthcare systems and policies of each nation or region, as appropriate. To have a positive impact on COPD management in the Americas, we propose actionable items, including the need for all our respiratory societies to engage key stakeholders (e.g., patient-led organizations, professional societies, and governmental and non-governmental agencies) while advocating for campaigns and policies to ensure clean air for all, eliminate tobacco use and enhance coverage for treatment of nicotine dependence, and improve access to early case-finding, diagnosis and treatment for all patients, including underserved and vulnerable populations.
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Substance dependence represents a pervasive global concern within the realm of public health. Presently, it is delineated as a persistent and recurrent neurological disorder stemming from drug-triggered neuroadaptations in the brain's reward circuitry. Despite the availability of various therapeutic modalities, there has been a steady escalation in the mortality rate attributed to drug overdoses. Substantial endeavors have been directed towards the exploration of innovative interventions aimed at mitigating cravings and drug-induced repetitive behaviors. Within this review, we encapsulate the most auspicious contemporary treatment methodologies, accentuating meta-analyses of efficacious pharmacological and non-pharmacological approaches: including gabapentin, topiramate, prazosin, physical exercise regimens, and cerebral stimulation techniques.
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Trastornos Relacionados con Sustancias , Humanos , Trastornos Relacionados con Sustancias/terapiaRESUMEN
The largest branch of the terminal division of the brachial artery is the ulnar artery, which arises after the cubital fossa. This artery usually has a deep path in the muscles of the anterior forearm and is responsible for vascularization of the superficial and deep musculature on the ulnar side of the forearm and hypothenar area of the hand. We report an anatomical variant diagnosed by Doppler ultrasound in which the ulnar artery had a superficial position in the forearm. Occurrence of a superficial ulnar artery is rare, but it is an important fact for clinicians, surgeons, and nursing professionals.
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One challenge of the citrus industry is the treatment and disposal of its effluents due to their high toxicity, substantial organic load, and consequent resistance to conventional biotechnological processes. This study introduces a novel approach, using electrochemical oxidation with a boron-doped diamond anode to efficiently remove organic compounds from biodegraded pulp wash (treated using the fungus Pleurotus sajor-caju.) The findings reveal that employing a current density of 20 mA cm-2 achieves notable results, including a 44.1% reduction in color, a 70.0% decrease in chemical oxygen demand, an 88.0% reduction in turbidity, and an impressive 99.7% removal of total organic carbon (TOC) after 6 h of electrolysis. The energy consumption was estimated at 2.93 kWh g-1 of removed TOC. This sequential biological-electrochemical procedure not only significantly reduced the mortality rate (85%) of Danio rerio embryos but also reduced the incidence of morphologically altered parameters. Regarding acute toxicity (LC50) of the residue, the process demonstrated a mortality reduction of 6.97% for D. rerio and a 40.88% lethality decrease for Lactuca sativa seeds. The substantial reduction in toxicity and organic load observed in this study highlights the potential applicability of combined biological and electrochemical treatments for real agroindustrial residues or their effluents.
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Diamante , Contaminantes Químicos del Agua , Diamante/química , Contaminantes Químicos del Agua/análisis , Electrólisis/métodos , Compuestos Orgánicos , Electrodos , Oxidación-ReducciónRESUMEN
The present Systematic Review with Meta-analysis study aimed to evaluate the validity and reliability of the Portable A-mode Ultrasound (P-US) for measuring body fat percentage (BF%). Only studies with participants of both genders which had assessed BF% using P-US compared to the reference standard were selected. Publications up until May 31, 2022 were searched in the MEDLINE, COCHRANE, Science Direct, Web of Science, LILACS, SciELO, PEDro, SPORT Discus, CINAHL and SCOPUS databases. QUADAS-2 was used to assess the risk of bias in the validity studies and QAREL was used for the methodological quality of reliability studies. The JAMOVI software program synthesized the results, from which the Pearson Correlation Coefficient (r) or the square root of the Multiple Linear Regression Determination Coefficient (R2) were extracted for the validity studies, and the Mean of Errors of the Bland-Altman Test (ME) and the Confidence Interval (95%CI) with Upper and Lower Limits for the reliability studies. A total of 13 studies were included, generating 26 results for the quantitative synthesis, 14 for validity and 12 for reliability. Regarding the validity results, a strong correlation was identified between the equipment (r = 0.870 [0.845-0.895], P<0.001), with moderate and true heterogeneity (I2 = 53.47%, P = 0.003), presenting publication bias. A small effect size was identified regarding the reliability results, overestimating the results due to chance between the devices (ME = 0.207 [-0.798-1.212], P = 0.686), with low heterogeneity also due to chance (I2 = 19.44%, P = 0.253), with no publication bias. All of the evaluated studies showed some violation of the instruments, confirming the high risk of bias and the low methodological quality. There is concern with heterogeneity for the validity results explained by the subgroups' analysis. The P-US associated with anthropometric perimeters satisfactorily measures the BF% with samples greater than 100 participants, and males. The results in the reliability assessment show high agreement and high variability, greatly expanding the confidence interval, which should be viewed with reservations. This review received financial support from the Brazilian Air Force. The study was registered with PROSPERO under the number CRD42020166617.
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Tejido Adiposo , Ultrasonografía , Humanos , Ultrasonografía/métodos , Reproducibilidad de los Resultados , Tejido Adiposo/diagnóstico por imagen , Masculino , FemeninoRESUMEN
Currently, scarcity/security of clean water and energy resources are the most serious problems worldwide. Industries use large volume of ground water and a variety of chemicals to manufacture the products and discharge large volume of wastewater into environment, which causes severe impacts on environment and public health. Fossil fuels are considered as major energy resources for electricity and transportation sectors, which release large amount of CO2 and micro/macro pollutants, leading to cause the global warming and public health hazards. Therefore, algae-bacterial consortium (A-BC) may be eco-friendly, cost-effective and sustainable alternative way to treat the industrial wastewaters (IWWs) with Bio-H2 production. A-BC has potential to reduce the global warming and eutrophication. It also protects environment and public health as it converts toxic IWWs into non or less toxic (biomass). It also reduces 94%, 90% and 50% input costs of nutrients, freshwater and energy, respectively during IWWs treatment and Bio-H2 production. Most importantly, it produce sustainable alternative (Bio-H2) to replace use of fossil fuels and fill the world's energy demand in eco-friendly manner. Thus, this review paper provides a detailed knowledge on industrial wastewaters, their pollutants and toxic effects on water/soil/plant/humans and animals. It also provides an overview on A-BC, IWWs treatment, Bio-H2 production, fermentation process and its enhancement methods. Further, various molecular and analytical techniques are also discussed to characterize the A-BC structure, interactions, metabolites and Bio-H2 yield. The significance of A-BC, recent update, challenges and future prospects are also discussed.
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Contaminantes Ambientales , Aguas Residuales , Humanos , Bacterias , Plantas , Combustibles Fósiles , Biomasa , Agua , BiocombustiblesRESUMEN
Resumo O maior ramo da divisão terminal da artéria braquial é a artéria ulnar, que se origina após a fossa cubital. Essa artéria usualmente tem trajeto profundo aos músculos do antebraço anterior e é responsável pela vascularização da musculatura superficial e profunda da região ulnar do antebraço e hipotênar da mão, sendo a principal responsável pela formação do arco palmar superficial após o retináculo dos flexores. Reportamos uma variação anatômica após diagnóstico com ultrassom vascular na qual a artéria ulnar situava-se em posição superficial no antebraço. A ocorrência da artéria ulnar superficial é rara, porém de grande importância para clínicos, cirurgiões e profissionais de enfermagem.
Abstract The largest branch of the terminal division of the brachial artery is the ulnar artery, which arises after the cubital fossa. This artery usually has a deep path in the muscles of the anterior forearm and is responsible for vascularization of the superficial and deep musculature on the ulnar side of the forearm and hypothenar area of the hand. We report an anatomical variant diagnosed by Doppler ultrasound in which the ulnar artery had a superficial position in the forearm. Occurrence of a superficial ulnar artery is rare, but it is an important fact for clinicians, surgeons, and nursing professionals.
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Ciprofloxacin (CIP) is a commonly prescribed fluoroquinolone antibiotic that, even after uptake, remains unmetabolized to a significant extent-over 70%. Unmetabolized CIP is excreted through both urine and feces. This persistent compound manages to evade removal in municipal wastewater facilities, leading to its substantial accumulation in aquatic environments. This accumulation raises concerns about potential risks to the health of various living organisms. Herein, we present a study on the remediation of CIP in synthetic urine by electrochemical oxidation in an undivided cell with a DSA (Ti/IrO2) anode and a stainless-steel cathode. Physisorbed hydroxyl radical formed at the anode surface from water discharge and free chlorine generated from Cl- oxidation were the main oxidizing agents. The effect of pH and current density (j) on CIP degradation was examined, and its total removal was easily achieved at pH ≥ 7.0 and j ≥ 60 mA cm-2 due to the action of free chlorine. The CIP decay always followed a pseudo-first-order kinetics. The components of the synthetic urine were also oxidized. The main nitrogenated species released was NH3. A very small concentration of free chlorine was quantified at the end of the treatment, thus demonstrating the good performance of electrochemical oxidation and its effectiveness to destroy all the organic pollutants. The present study demonstrates the simultaneous oxidation of the organic components of urine during CIP degradation, thus showing a unique perspective for its electrochemical oxidation that enhances the environmental remediation strategies.
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Antibacterianos , Contaminantes Químicos del Agua , Antibacterianos/química , Ciprofloxacina/química , Cloro , Oxidación-Reducción , Electrodos , Contaminantes Químicos del Agua/análisisRESUMEN
ABSTRACTAnaerobic digestion (AD) relies on the cooperation of specific microbial communities, making it susceptible to process disruptions that could impact biogas production. In this regard, this study presents a technological solution based on the Arduino platform, in the form of a simple online monitoring system that can track the produced biogas profile, named as biogas analyzer module (BAM). The applicability of the BAM focused on monitoring the biogas produced from sugarcane vinasse inoculated with sewage sludge biodigestion processed in mesophilic conditions (38 oC), in a pH range of 6.5-7.5, and following a three-stage operational model: (i) an adaptation (168â h), (ii) complete mixing (168â h), and (iii) bio-stimulation with glycerol (192â h). Then, the lab-made BAM was used to trace the produced biogas profile, which registered a total biogas volume of 8,719.86 cm3 and biomethane concentration of 95.79% (vol.), removing 90.8% (vol) of carbon dioxide (CO2) and 65.2% (vol) of hydrogen sulfide (H2S). In conclusion, the results ensured good accuracy and efficiency to the device created by comparisons with established standards (chromatographic and colorimetric methods), as well as the cost reduction. The developed device would likely be six times cheaper than what is available in the market.
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Tannery wastewater (TWW) has high BOD, COD, TS and variety of pollutants like chromium, formaldehydes, biocides, oils, chlorophenols, detergents and phthalates etc. Besides these pollutants, TWW also rich source of nutrients like nitrogen, phosphorus, carbon and sulphur etc. that can be utilized by microalgae during their growth. Direct disposal of TWW into the environment may lead severe environmental and health threats, therefore it needs to be treated adequately. Microalgae are considered as an efficient microorganisms (fast growing, adaptability and strain robustness, high surface to volume ratio, energy saving) for remediation of wastewaters with simultaneous biomass recovery and generation of value-added products (VAPs) such as biofuels, biohydrogen, biopolymer, biofertilizer, pigments, bioethanol, bioactive compounds, nutraceutical etc. Most microalgae are photosynthetic and use CO2 and light energy to synthesise carbohydrate and reduces the emission of greenhouse gasses. Microalgae are also reported to remove heavy metals and antibiotics from wastewaters by bioaccumulation, biodegradation and biosorption. Microalgal treatment can be an alternative of conventional processes with generation of VAPs. The use of biotechnology in wastewater remediation with simultaneous generation of VAPs is trending. The validation of economic viability and environmental sustainability, life cycle assessment studies and techno-economic analysis is undergoing. Thus, in this review, the characteristics of TWW and microalgae are summarized, which manifest microalgae as potential candidates for wastewater remediation with simultaneous production of VAPs. Further, the treatment mechanisms, various factors (physical, chemical, mechanical and biological etc.) affecting treatment efficiency as well as challenges associated with microalgal remediation are also discussed.
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Contaminantes Ambientales , Microalgas , Aguas Residuales , Microalgas/metabolismo , Biodegradación Ambiental , Biotecnología , Contaminantes Ambientales/metabolismo , Biomasa , BiocombustiblesRESUMEN
The seafood industry generates waste, including shells, bones, intestines, and wastewater. The discards are nutrient-rich, containing varying concentrations of carotenoids, proteins, chitin, and other minerals. Thus, it is imperative to subject seafood waste, including shrimp waste (SW), to secondary processing and valorization for demineralization and deproteination to retrieve industrially essential compounds. Although several chemical processes are available for SW processing, most of them are inherently ecotoxic. Bioconversion of SW is cost-effective, ecofriendly, and safe. Microbial fermentation and the action of exogenous enzymes are among the significant SW bioconversion processes that transform seafood waste into valuable products. SW is a potential raw material for agrochemicals, microbial culture media, adsorbents, therapeutics, nutraceuticals, and bio-nanomaterials. This review comprehensively elucidates the valorization approaches of SW, addressing the drawbacks of chemically mediated methods for SW treatments. It is a broad overview of the applications associated with nutrient-rich SW, besides highlighting the role of major shrimp-producing countries in exploring SW to achieve safe, ecofriendly, and efficient bio-products.
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Petroleum product is an essential resource for energy, that has been exploited by wide range of industries and regular life. A carbonaceous contamination of marine and terrestrial environments caused by errant runoffs of consequential petroleum-derived contaminants. Additionally, petroleum hydrocarbons can have adverse effects on human health and global ecosystems and also have negative demographic consequences in petroleum industries. Key contaminants of petroleum products, primarily includes aliphatic hydrocarbons, benzene, toluene, ethylbenzene, and xylene (BTEX), polycyclic aromatic hydrocarbons (PAHs), resins, and asphaltenes. On environmental interaction, these pollutants result in ecotoxicity as well as human toxicity. Oxidative stress, mitochondrial damage, DNA mutations, and protein dysfunction are a few key causative mechanisms behind the toxic impacts. Henceforth, it becomes very evident to have certain remedial strategies which could help on eliminating these xenobiotics from the environment. This brings the efficacious application of bioremediation to remove or degrade pollutants from the ecosystems. In the recent scenario, extensive research and experimentation have been implemented towards bio-benign remediation of these petroleum-based pollutants, aiming to reduce the load of these toxic molecules in the environment. This review gives a detailed overview of petroleum pollutants, and their toxicity. Methods used for degrading them in the environment using microbes, periphytes, phyto-microbial interactions, genetically modified organisms, and nano-microbial remediation. All of these methods could have a significant impact on environmental management.
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Contaminantes Ambientales , Petróleo , Contaminantes del Suelo , Humanos , Biodegradación Ambiental , Ecosistema , Petróleo/metabolismo , Hidrocarburos/toxicidad , Contaminantes Ambientales/toxicidad , Contaminantes del Suelo/análisisRESUMEN
Unlike the central nervous system, the peripheral one has the ability to regenerate itself after injury; however, this natural regeneration process is not always successful. In fact, even with some treatments, the prognosis is poor, and patients consequently suffer with the functional loss caused by injured nerves, generating several impacts on their quality of life. In the present review we aimed to address two strategies that may considerably potentiate peripheral nerve regeneration: stem cells and tissue engineering. In vitro studies have shown that pluripotent cells associated with neural scaffolds elaborated by tissue engineering can increase functional recovery, revascularization, remyelination, neurotrophin expression and reduce muscle atrophy. Although these results are very promising, it is important to note that there are some barriers to be circumvented: the host's immune response, the oncogenic properties attributed to stem cells and the duration of the pro-regenerative effects. After all, more studies are still needed to overcome the limitations of these treatments; those that address techniques for manipulating the lesion microenvironment combining different therapies seem to be the most promising and proactive ones.
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Traumatismos de los Nervios Periféricos , Ingeniería de Tejidos , Humanos , Ingeniería de Tejidos/métodos , Calidad de Vida , Nervios Periféricos/fisiología , Regeneración Nerviosa/fisiología , Células Madre , Traumatismos de los Nervios Periféricos/terapiaRESUMEN
This review paper emphasised on the origin of hexavalent chromium toxicity in tannery wastewater and its remediation using novel Microbial Fuel Cell (MFC) technology, including electroactive bacteria, which are known as exoelectrogens, to simultaneously treat wastewater and its action in the production of bioenergy and the mechanism of Cr6+ reduction. Also, there are various parameters like electrode, pH, mode of operation, time of operation, and type of exchange membrane used for promising results shown in enhancing MFC production and remediation of Cr6+. Destructive anthropological activities, such as leather making and electroplating industries are key sources of hexavalent chromium contamination in aquatic repositories. When Cr6+ enters the food chain and enters the human body, it has the potential to cause cancer. MFC is a green innovation that generates energy economically through the reduction of toxic Cr6+ to less toxic Cr3+. The organic substrates utilized at the anode of MFC act as electrons (e-) donors. This review also highlighted the utilization of cheap substrates to make MFCs more economically suitable and the energy production at minimum cost.
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Fuentes de Energía Bioeléctrica , Purificación del Agua , Humanos , Fuentes de Energía Bioeléctrica/microbiología , Aguas Residuales , Cromo/metabolismo , Electrodos , ElectricidadRESUMEN
The discharge of untreated wastewater as a result of various developmental activities such as urbanization, industrialization and changes in lifestyle poses great threats to aquatic ecosystems as well as humans. Currently, â¼380 billion m3 (380 trillion liters) of wastewater is generated globally every year. Around 70% of freshwater withdrawals are used for agricultural production throughout the world. The wastewater generated through agricultural run-off further pollutes freshwater resources. However, only 24% of the total wastewater generated from households and industries is treated before its disposal in rivers or reused in agriculture. The most problematic contaminants associated with ecological toxicity are heavy metals such as Cd, Cr, Cu, Ni, Zn, Fe, Pb, Hg, As and Mn. One of the most important issues linked with wastewater generation is the residual presence of pathogenic microorganisms which pose potential health hazards to consumers when they enter into the food chain. It is estimated that in India almost USD 600 million (48.60 billion INR) is spent per year to tackle waterborne diseases (WBD). In light of this, immediate action is needed to effectively treat wastewater and develop safer reuse prospects. Various wastewater treatment technologies have been established and they work well to provide an alternative water source to meet the growing demand. The main concern towards treating wastewater is to eliminate inorganic and organic substances and lower the nutrient concentration, total solids, and microbial pathogens to prevent freshwater pollution and health risks.
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Metales Pesados , Contaminantes Químicos del Agua , Humanos , Aguas Residuales , Ecosistema , Agricultura , Contaminantes Químicos del Agua/análisis , Agua Dulce , Metales Pesados/análisis , Monitoreo del Ambiente , Medición de RiesgoRESUMEN
Commonly known as a subsistence culture, cassava came to be considered a commodity and key to adding value. However, this tuber's processing for starch and flour production is responsible for generating a large amount of waste that causes serious environmental problems. This biomass of varied biochemical composition has excellent potential for producing fuels (biogas, bioethanol, butanol, biohydrogen) and non-energetic products (succinic acid, glucose syrup, lactic acid) via biorefinery. However, there are environmental challenges, leading to uncertainties related to the sustainability of biorefineries. Thus, the provision of information generated in life cycle assessment (LCA) can help reduce bottlenecks found in the productive stages, making production more competitive. Within that, this review concentrates information on the production of value-added products, the environmental impact generated, and the sustainability of biorefineries.
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Emerging infectious diseases (EID) as well as reappearing irresistible infections are expanding worldwide. Utmost of similar cases, it was seen that the EIDs have long been perceived as a predominant conclusion of host-pathogen adaption. Here, one should get to analyze their host-pathogen interlink and their by needs to look ways, as an example, by exploitation process methodology particularly molecular docking and molecular dynamics simulation, have been utilized in recent time as the most outstanding tools. Hence, we have overviewed some of important factors that influences on EIDs especially HIV/AIDs, H1N1 and coronavirus. Moreover, here we specified the importance of molecular docking applications especially molecular dynamics simulations approach to determine novel compounds on the emerging infectious diseases. Additionally, in vivo and in vitro studies approach to determine novel compounds on the emerging infectious diseases that has implemented to evaluate the limiting affinities between small particles as well as macromolecule that can further, used as a target of HIV/AIDs, H1N1, and coronavirus were also discussed. These novel drug molecules approved in vivo and in vitro studies with reaffirm results and hence, it is clear that the computational methods (mainly molecular docking and molecular dynamics) are found to be more effective technique for drug discovery and medical practitioners.
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Biocatalysts, including live microbial cells/enzymes, have been considered a predominant and advantageous tool for effectively transforming biomass into biofuels and valued biochemicals. However, high production costs, separation, and reusability limit its practical application. Immobilization of single and multi-enzymes by employing different nano-supports have gained massive attention because of its elevated exterior domain and high enzymatic performance. Application of nanobiocatalyst can overcome the drawbacks mainly, stability and reusability, thus reflecting the importance of biomass-based biorefinery to make it profitable and sustainable. This review provides an in-depth, comprehensive analysis of nanobiocatalysts systems concerning nano supports and biocatalytic performance characteristics. Furthermore, the effects of nanobiocatalyst on waste biomass to biofuel and valued bioproducts in the biorefinery approach and their critical assessment are discussed. Lastly, this review elaborates commercialization and market outlooks of the bioconversion process using nanobiocatalyst, followed by different strategies to overcome the limitations and future research directions on nanobiocatalytic-based industrial bioprocesses.
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Biocombustibles , Industrias , Biocatálisis , BiomasaRESUMEN
Various studies have shown that the microbial proteins are often more stable than belongs to other sources like plant and animal origin. Hence, the interest in microbial enzymes has gained much attention due to many potential applications like bioenergy, biofuel production, biobleaching, bioconversion and so on. Additionally, recent trends revealed that the interest in isolating novel microbes from harsh environments have been the main focus of many scientists for various applications. Basically, industrially important enzymes can be categorized into mainly three groups: carbohydrases, proteases, and lipases. Among those, the enzymes especially carbohydrases involved in production of sugars. Carbohydrases include amylases, xylanases, pectinases, cellulases, chitinases, mannases, laccases, ligninases, lactase, glucanase, and glucose oxidase. Thus, here, an approach has been made to highlight five enzymes namely amylase, cellulase, laccase, pectinase, and xylanase from different sources with special emphasis on their properties, mechanism, applications, production optimization, purification, molecular approaches for its enhanced and stable production, and also biotechnological perspectives of its future development. Also, green and sustainable catalytic conversion strategies using nanoparticles of these enzymes have also been discussed. This review will provide insight into the carbohydrases importance and their usefulness that will help to the researchers working in this field.