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1.
Bioresour Technol ; 402: 130750, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38685515

RESUMEN

The recovery of rare earth elements (REE) from electronic waste is crucial for ensuring future demand security, as there is a high supply risk for this group of elements, and mitigating the environmental impacts of conventional mining. This research focuses on extracting REE from waste printed circuit boards through bioleaching, addressing the limited attention given to this source. A strain of Penicillium expansum demonstrated efficient bioleaching under optimal conditions of 7.5 initial pH, 0.1 mM phosphate concentration, and excluding a buffering agent. The study achieved significant improvements in La and Tb extraction and enhancements in Pr, Nd, and Gd recovery, approaching 70 % within 24 h. Fungal mechanisms involved in REE extraction included fungal pH control, organic acid biosynthesis, phosphate bioavailability, and potential fungal proton pump involvement. This approach offers a promising solution for sustainable REE recovery from e-waste, contributing to resource security and circular economy.


Asunto(s)
Residuos Electrónicos , Metales de Tierras Raras , Penicillium , Penicillium/metabolismo , Metales de Tierras Raras/metabolismo , Biodegradación Ambiental , Concentración de Iones de Hidrógeno
2.
Case Rep Orthop ; 2023: 6672951, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37908634

RESUMEN

The present study investigated the clinical utility of ultrasound imaging (USI) for assessing changes in an individual's quadriceps muscle and subcutaneous fat (SF) thickness of the anterior thigh and their relative proportions. A patient was studied prior to and after anterior cruciate ligament reconstruction (ACLR) surgery and during rehabilitation. This case study involved an 18-year-old female recreational athlete with a complete tear of the anterior cruciate ligament (ACL). Tissue thickness (SF and quadriceps muscle) was measured from transverse USI of the anterior thigh before surgery, at weekly intervals during 12 weeks of postsurgery, and then every 2 weeks for the following 12 weeks (total of 21 measurement sets). Statistically significant differences presurgery to postrehabilitation were found for muscle thickness (p = 0.04) and SF tissue thickness (p = 0.04) measurements. There was no difference in muscle to fat ratio (p = 0.08). Changes in measurements greater than the reported minimal detectable change (MDC) demonstrate the sensitivity of the USI technique as an objective tool to assess clinically useful changes in an individual's anterior thigh muscle thickness post-ACLR surgery and during rehabilitation.

3.
PLoS One ; 18(5): e0286259, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37252922

RESUMEN

BACKGROUND: Schools are high-risk settings for infectious disease transmission. Wastewater monitoring for infectious diseases has been used to identify and mitigate outbreaks in many near-source settings during the COVID-19 pandemic, including universities and hospitals but less is known about the technology when applied for school health protection. This study aimed to implement a wastewater surveillance system to detect SARS-CoV-2 and other public health markers from wastewater in schools in England. METHODS: A total of 855 wastewater samples were collected from 16 schools (10 primary, 5 secondary and 1 post-16 and further education) over 10 months of school term time. Wastewater was analysed for SARS-CoV-2 genomic copies of N1 and E genes by RT-qPCR. A subset of wastewater samples was sent for genomic sequencing, enabling determination of the presence of SARS-CoV-2 and emergence of variant(s) contributing to COVID-19 infections within schools. In total, >280 microbial pathogens and >1200 AMR genes were screened using RT-qPCR and metagenomics to consider the utility of these additional targets to further inform on health threats within the schools. RESULTS: We report on wastewater-based surveillance for COVID-19 within English primary, secondary and further education schools over a full academic year (October 2020 to July 2021). The highest positivity rate (80.4%) was observed in the week commencing 30th November 2020 during the emergence of the Alpha variant, indicating most schools contained people who were shedding the virus. There was high SARS-CoV-2 amplicon concentration (up to 9.2x106 GC/L) detected over the summer term (8th June - 6th July 2021) during Delta variant prevalence. The summer increase of SARS-CoV-2 in school wastewater was reflected in age-specific clinical COVID-19 cases. Alpha variant and Delta variant were identified in the wastewater by sequencing of samples collected from December to March and June to July, respectively. Lead/lag analysis between SARS-CoV-2 concentrations in school and WWTP data sets show a maximum correlation between the two-time series when school data are lagged by two weeks. Furthermore, wastewater sample enrichment coupled with metagenomic sequencing and rapid informatics enabled the detection of other clinically relevant viral and bacterial pathogens and AMR. CONCLUSIONS: Passive wastewater monitoring surveillance in schools can identify cases of COVID-19. Samples can be sequenced to monitor for emerging and current variants of concern at the resolution of school catchments. Wastewater based monitoring for SARS-CoV-2 is a useful tool for SARS-CoV-2 passive surveillance and could be applied for case identification and containment, and mitigation in schools and other congregate settings with high risks of transmission. Wastewater monitoring enables public health authorities to develop targeted prevention and education programmes for hygiene measures within undertested communities across a broad range of use cases.


Asunto(s)
COVID-19 , Humanos , COVID-19/epidemiología , SARS-CoV-2/genética , Aguas Residuales , Salud Pública , Pandemias , Monitoreo Epidemiológico Basado en Aguas Residuales , Inglaterra/epidemiología , ARN Viral
4.
Environ Sci Pollut Res Int ; 30(14): 40698-40711, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36622584

RESUMEN

The use of plants to extract metal contaminants from soils has been proposed as a cost-effective means of remediation, and utilizing energy crops for this phytoextraction process is a useful way of attaining added value from the process. To simultaneously attain both these objectives successfully, selection of an appropriate plant species is crucial to satisfy a number of imporTant criteria including translocation index, metal and drought tolerance, fast growth rate, high lignocellulosic content, good biomass production, adequate calorific value, second generation attribute, and a good rooting system. In this study, we proposed a multi-criteria decision analysis (MCDA) to aid decision-making on plant species based on information generated from a systematic review survey. Eight species Helianthus annuus (sunflower), Brassica juncea (Indian mustard), Glycine max (soybean), Salix spp. (willow), Populus spp. (poplar), Panicum virgatum (switchgrass), Typha latifolia (cattails), and Miscanthus sinensis (silvergrass) were examined based on the amount of hits on a number of scientific search databases. The data was normalized by estimating their min-max values and their suitability. These criteria/indicators were weighted based on stipulated research objectives/priorities to form the basis of a final overall utility scoring. Using the MCDA, sunflower and silvergrass emerged as the top two candidates for both phytoremediation and bioenergy production. The multi-criteria matrix scores assist the process of making decisions because they compile plant species options quantitatively for all relevant criteria and key performance indicators (KPIs) and its weighing process helps incorporate stakeholder priorities to the selection process.


Asunto(s)
Asteraceae , Helianthus , Contaminantes del Suelo , Biodegradación Ambiental , Contaminantes del Suelo/análisis , Suelo , Planta de la Mostaza , Productos Agrícolas
5.
Environ Sci Pollut Res Int ; 30(11): 29581-29597, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36417061

RESUMEN

Inappropriate e-waste processing in the informal sector is a serious issue in developing countries. Field investigations in microscale informal recycling sites have been performed to study the impact of hazardous metal(loid)s (released from e-waste dismantling) on the environment (water and soil). Eight hazardous metal(loid)s (Pb, Cd, Cu, Zn, As, Hg, Ni, and Cr) were primarily found in the monitored water and soil samples (Sangrampur, West Bengal) because of widespread informal e-waste handling and primitive processing. Elevated concentrations of Cd, Pb, As, Cu, and Cr were observed in pond water samples (0.04, 1.62, 0.03, 1.40, 1.74 mg/L respectively). These ponds, which are regularly used for e-waste handling/dismantling, are usually flooded during the monsoon season mixing with further larger water resources - posing a serious threat to public health. Enriched levels of Pb, Cd, Cu, and Zn were detected in collected soil samples, both top surface soil (Pb up to 2042.27 ± 206.80, Cd up to 25.90 ± 9.53, Cu up to 6967.30 ± 711.70, and Zn up to 657.10 ± 67.05 mg/Kg) and deeper subsurface soil (Pb, 419.70 ± 44.70; Cd, 18.34 ± 3.81; Cu, 3928.60 ± 356.40; and Zn, 134.40 ± 33.40 mg/Kg), compared to the levels of As, Hg, Ni, and Cr. Seasonal variation of soil metal(loid) content indicated that higher levels of most of the metal(loids) were detected in the pre-monsoon (Nov-May) season, possibly due to the monsoonal dilution effect, except for Pb and Cd. The results highlighted that the composition and the handling of e-waste were important factors affecting the metal(loid) concentrations. E-waste policy and legislation have great influence on the handling and disposal procedures. An improved e-waste management practice has been proposed to encourage eco-friendly and safe e-waste disposal. It is recommended that regulatory agencies and manufacturers should create a road map to convince the informal sector to develop a systematic approach towards a more standardized formal e-waste management practices at the microscale field level.


Asunto(s)
Residuos Electrónicos , Mercurio , Metales Pesados , Contaminantes del Suelo , Metales Pesados/análisis , Cadmio , Sector Informal , Plomo , Contaminantes del Suelo/análisis , Monitoreo del Ambiente/métodos , Suelo , Medición de Riesgo , China
6.
PLoS One ; 17(6): e0270168, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35714109

RESUMEN

Clinical testing of children in schools is challenging, with economic implications limiting its frequent use as a monitoring tool of the risks assumed by children and staff during the COVID-19 pandemic. Here, a wastewater-based epidemiology approach has been used to monitor 16 schools (10 primary, 5 secondary and 1 post-16 and further education) in England. A total of 296 samples over 9 weeks have been analysed for N1 and E genes using qPCR methods. Of the samples returned, 47.3% were positive for one or both genes with a detection frequency in line with the respective local community. WBE offers a low cost, non-invasive approach for supplementing clinical testing and can provide longitudinal insights that are impractical with traditional clinical testing.


Asunto(s)
COVID-19 , SARS-CoV-2 , COVID-19/epidemiología , Niño , Humanos , Pandemias , SARS-CoV-2/genética , Instituciones Académicas , Aguas Residuales
7.
Waste Manag Res ; 40(7): 905-918, 2022 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-34802336

RESUMEN

The UK recycling rate fluctuates between 45% and 47% and has consistently failed to meet the 65% target set by the post-Brexit Resource and Waste Strategy. Understanding the issues surrounding the low recycling rate in metropolitan cities in the United Kingdom will help to overcome these recycling challenges. The review examines the current situation with regard to the recycling rate and tonnage of waste produced in the United Kingdom based on available secondary waste flow data and explores different barriers related to household recycling. Many areas giving rise to the recycling challenges have been identified, including waste policy constraints, lack of effective communication, public engagement, physical barriers, service constraints, human factors and socio-economic barriers. The literature review reveals that factors such as waste policy, communication and physical factors were the most important aspects in influencing recycling rate or output. It is concluded that a multi-dimension intervention is required, which includes a thorough review of waste policy, a more stringent enforcement, an improved communication strategy and a more integrated planning development policy to mitigate issues affecting the United Kingdom's low recycling rate or output. This approach will propel the local authorities to launch or initiate effective recycling management and to put in place the required infrastructure to facilitate effective recycling activities.


Asunto(s)
Eliminación de Residuos , Administración de Residuos , Ciudades , Unión Europea , Humanos , Reciclaje/métodos , Residuos Sólidos/análisis , Reino Unido , Administración de Residuos/métodos
8.
Nat Nanotechnol ; 16(9): 955-964, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34518657

RESUMEN

Nanopesticides are not only in an advanced state of research and development but have started to appear on the market. Industry and regulatory agencies need a consolidated and comprehensive framework and guidance for human health risk assessments. In this perspective we develop such a comprehensive framework by exploring two case studies from relevant product types: an active ingredient delivered with a nanocarrier system, and a nanoparticle as an active ingredient. For a nanocarrier system, three entities are tracked during the assessment: the nanocarrier-active ingredient complex, the empty nanocarrier remaining after the complete release of the active ingredient, and the released active ingredient. For the nanoparticle of pure active ingredient, only two entities are relevant: the nanoparticle and the released ions. We suggest important adaptations of the existing pesticide framework to determine the relevant nanopesticide entities and their concentrations for toxicity testing. Depending on the nature of the nanopesticides, additional data requirements, such as those pertaining to durability in biological media and potential for crossing biological barriers, have also been identified. Overall, our framework suggests a tiered approach for human health risk assessment, which is applicable for a range of nanopesticide products to support regulators and industry in making informed decisions on nanopesticide submissions. Brief summaries of suitable methods including references to existing standards (if available) have been included together with an analysis of current knowledge gaps. Our study is an important step towards a harmonized approach accepted by regulatory agencies for assessing nanopesticides.


Asunto(s)
Nanopartículas/efectos adversos , Plaguicidas/efectos adversos , Medición de Riesgo , Humanos , Pruebas de Toxicidad
9.
Anal Methods ; 13(30): 3326-3347, 2021 08 14.
Artículo en Inglés | MEDLINE | ID: mdl-34313266

RESUMEN

The fast-advancing progress in the research of nanomedicine and microneedle applications in the past two decades has suggested that the combination of the two concepts could help to overcome some of the challenges we are facing in healthcare. They include poor patient compliance with medication and the lack of appropriate administration forms that enable the optimal dose to reach the target site. Nanoparticles as drug vesicles can protect their cargo and deliver it to the target site, while evading the body's defence mechanisms. Unfortunately, despite intense research on nanomedicine in the past 20 years, we still haven't answered some crucial questions, e.g. about their colloidal stability in solution and their optimal formulation, which makes the translation of this exciting technology from the lab bench to a viable product difficult. Dissolvable microneedles could be an effective way to maintain and stabilise nano-sized formulations, whilst enhancing the ability of nanoparticles to penetrate the stratum corneum barrier. Both concepts have been individually investigated fairly well and many analytical techniques for tracking the fate of nanomaterials with their precious cargo, both in vitro and in vivo, have been established. Yet, to the best of our knowledge, a comprehensive overview of the analytical tools encompassing the concepts of microneedles and nanoparticles with specific and successful examples is missing. In this review, we have attempted to briefly analyse the challenges associated with nanomedicine itself, but crucially we provide an easy-to-navigate scheme of methods, suitable for characterisation and imaging the physico-chemical properties of the material matrix.


Asunto(s)
Nanopartículas , Preparaciones Farmacéuticas , Epidermis , Humanos , Nanomedicina , Agujas
10.
Environ Int ; 144: 106035, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32835921

RESUMEN

The World Health Organization Global Action Plan recommends integrated surveillance programs as crucial strategies for monitoring antibiotic resistance. Although several national surveillance programs are in place for clinical and veterinary settings, no such schemes exist for monitoring antibiotic-resistant bacteria in the environment. In this transnational study, we developed, validated, and tested a low-cost surveillance and easy to implement approach to evaluate antibiotic resistance in wastewater treatment plants (WWTPs) by targeting cefotaxime-resistant (CTX-R) coliforms as indicators. The rationale for this approach was: i) coliform quantification methods are internationally accepted as indicators of fecal contamination in recreational waters and are therefore routinely applied in analytical labs; ii) CTX-R coliforms are clinically relevant, associated with extended-spectrum ß-lactamases (ESBLs), and are rare in pristine environments. We analyzed 57 WWTPs in 22 countries across Europe, Asia, Africa, Australia, and North America. CTX-R coliforms were ubiquitous in raw sewage and their relative abundance varied significantly (<0.1% to 38.3%), being positively correlated (p < 0.001) with regional atmospheric temperatures. Although most WWTPs removed large proportions of CTX-R coliforms, loads over 103 colony-forming units per mL were occasionally observed in final effluents. We demonstrate that CTX-R coliform monitoring is a feasible and affordable approach to assess wastewater antibiotic resistance status.


Asunto(s)
Cefotaxima , Purificación del Agua , Antibacterianos/farmacología , Asia , Australia , Cefotaxima/farmacología , Europa (Continente) , América del Norte , Encuestas y Cuestionarios , Aguas Residuales
11.
Water Res ; 162: 320-330, 2019 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-31288142

RESUMEN

There is increasing public concern regarding the fate of antibiotic resistance genes (ARGs) during wastewater treatment, their persistence during the treatment process and their potential impacts on the receiving water bodies. In this study, we used quantitative PCR (qPCR) to determine the abundance of nine ARGs and a class 1 integron associated integrase gene in 16 wastewater treatment plant (WWTP) effluents from ten different European countries. In order to assess the impact on the receiving water bodies, gene abundances in the latter were also analysed. Six out of the nine ARGs analysed were detected in all effluent and river water samples. Among the quantified genes, intI1 and sul1 were the most abundant. Our results demonstrate that European WWTP contribute to the enrichment of the resistome in the receiving water bodies with the particular impact being dependent on the effluent load and local hydrological conditions. The ARGs concentrations in WWTP effluents were found to be inversely correlated to the number of implemented biological treatment steps, indicating a possible option for WWTP management. Furthermore, this study has identified blaOXA-58 as a possible resistance gene for future studies investigating the impact of WWTPs on their receiving water.


Asunto(s)
Antibacterianos , Aguas Residuales , Farmacorresistencia Microbiana , Europa (Continente) , Genes Bacterianos , Encuestas y Cuestionarios
12.
Extremophiles ; 22(5): 795-809, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-30039469

RESUMEN

An arsenic-resistant fungal strain, designated WKC-1, was isolated from a waste roaster pile in a historical tin mine in Cornwall, UK and successfully identified to be Acidomyces acidophilus using matrix-assisted laser desorption/ionization time-of-flight/time-of-flight tandem mass spectrometry (MALDI-TOF/TOF MS) proteomic-based biotyping approach. WKC-1 showed considerable resistance to As5+ and Sb5+ where the minimal inhibitory concentration (MIC) were 22500 and 100 mg L-1, respectively, on Czapex-Dox Agar (CDA) medium; it was substantially more resistant to As5+ than the reference strains CBS 335.97 and CCF 4251. In a modified CDA medium containing 0.02 mg L-1 phosphate, WKC-1 was able to remove 70.30% of As5+ (100 mg L-1). Sorption experiment showed that the maximum capacity of As5+ uptake was 170.82 mg g-1 dry biomass as predicted by the Langmuir model. The presence of Sb5+ reduced the As5+ uptake by nearly 40%. Based on the Fourier-transform infrared spectroscopy (FT-IR) analysis, we propose that Sb is competing with As for these sorption sites: OH, NH, CH, SO3 and PO4 on the fungal cell surface. To our knowledge, this is the first report on the impact of other Group 15 elements on the biosorption of As5+ in Acidomyces acidophilus.


Asunto(s)
Arsénico/metabolismo , Ascomicetos/metabolismo , Sedimentos Geológicos/microbiología , Arsénico/análisis , Ascomicetos/crecimiento & desarrollo , Ascomicetos/aislamiento & purificación , Sitios de Unión , Biodegradación Ambiental , Biomasa , Ambientes Extremos , Sedimentos Geológicos/química , Minería , Estaño/análisis
13.
Environ Sci Pollut Res Int ; 25(20): 20268-20279, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-29948681

RESUMEN

The introduction to the market of wet wipes, advertised and labelled as "flushable", has been the subject of controversy due to their perceived potential to block sewer systems as observed with other non-woven cloths such as traditional non-flushable wipes. Non-woven cloths that enter wastewater systems can find their way into the aquatic environment via wastewater effluents and it has been suggested that the breakdown of these fabrics can release materials such as microplastics into the environment. Worldwide research has revealed the alarming number of aquatic organisms affected by the presence of plastic debris in the aquatic environment harbouring a potential risk to humans through the introduction of microplastics into the food chains. However, the actual material composition of flushable wipes, their fate and impacts in the aquatic environment have not yet been scientifically studied. This paper investigates the fibre composition of flushable and non-flushable wipes, specifically with regard to synthetic polymer material, using Fourier transform infrared (FTIR) and microRaman spectroscopy along with fluorescence microscopy. The study demonstrated the presence of polyester (polyethylene terephthalate, (PET)), high-density polyethylene (HDPE) and polyethylene/vinyl acetate (PEVA/EVA) in some flushable wipes and PET in all non-flushable. Other polymers such us polypropylene (PP), low-density polyethylene (LDPE), expanded polystyrene (EPS) and polyurethane (PU) were also identified as potential components in the flushable material. Hence, commercially available wet wipes labelled as flushable could also be considered as a possible source of microplastic fibres in the wastewater streams and, if not retained, in the environment.


Asunto(s)
Productos Domésticos/análisis , Plásticos/análisis , Residuos/análisis , Contaminantes Químicos del Agua/análisis , Productos Domésticos/clasificación , Microscopía Fluorescente , Espectroscopía Infrarroja por Transformada de Fourier , Espectrometría Raman
14.
Eur J Hosp Pharm ; 25(e1): e21-e28, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31157062

RESUMEN

OBJECTIVES: The role of clinical pharmacists in hospitals has evolved and continues to expand. In the UK, outside of a few national policy drivers, there are no agreed priorities, measures or defined outcomes for hospital clinical pharmacy (CP). This paper aims to (1) highlight the need to identify and prioritise specific CP roles, responsibilities and practices that will bring the greatest benefit to patients and health systems and (2) describe systematic weaknesses in current research methodologies for evaluating CP services and propose a different approach. METHOD: Published reviews of CP services are discussed using the Economic, Clinical and Humanistic Outcomes framework. Recurring themes regarding study methodologies, measurements and outcomes are used to highlight current weaknesses in studies evaluating CP. RESULTS: Published studies aiming to demonstrate the economic, clinical or humanistic outcomes of CP often suffer from poor research design and inconsistencies in interventions, measurements and outcomes. This has caused difficulties in drawing meaningful conclusions regarding CP's definitive contribution to patient outcomes. CONCLUSION: There is a need for more research work in National Health Service (NHS) hospitals, employing a different paradigm to address some of the weaknesses of existing research on CP practice. We propose a mixed-methods approach, including qualitative research designs, and with emphasis on cost-consequence analyses for economic evaluations. This approach will provide more meaningful data to inform policy and demonstrate the contribution of hospital CP activities to patient care and the NHS.

15.
Environ Sci Pollut Res Int ; 24(20): 17206-17219, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28589272

RESUMEN

Informal E-waste recycling can pose a risk to human health and the environment which this study endeavours to evaluate. The distribution of a number of heavy metals in soil from an informal recycling site in the largest market for used and new electronics and electrical equipment in West Africa was investigated. The potential bioavailability of heavy metals, extent of contamination, potential risk due to the recycling activities and impact of external factors such as rainfall were also assessed. The concentrations of all the heavy metals tested were higher in the area where burning of the waste occurred than at the control site, suggesting an impact of the recycling activities on the soil. The order of total metal concentrations was Cu > Pb > Zn > Mn > Ni > Sb > Cr > Cd for both the dry and wet seasons. The total concentrations of Cd, Cu, Mn, Ni and Zn were all significantly higher (p < 0.001) in the dry season than in the wet season. The concentrations of Cu (329-7106 mg kg-1), Pb (115-9623 mg kg-1) and Zn (508-8178 mg kg-1) were consistently higher than international soil guideline values. Using a sequential extraction method, the potential bioavailability of the heavy metals was indicated as Cd > Sb > Zn > Cu > Ni > Pb > Cr. When the risk was assessed using the Potential Ecological Risk Index (PERI), Cu was found to contribute the most to the potential ecological risk and Cd gave rise to the greatest concern due to its high toxic-response factor within the study site. Similarly, utilising the Risk Assessment Code (RAC) suggested that Cd posed the most risk in this site. This research establishes a high level of contamination in the study site and underscores the importance of applying the appropriate chemical speciation in risk assessment.


Asunto(s)
Metales Pesados/análisis , Medición de Riesgo , Contaminantes del Suelo/análisis , África Occidental , Equipos y Suministros Eléctricos , Monitoreo del Ambiente , Humanos , Nigeria , Reciclaje , Suelo , Contaminantes del Suelo/toxicidad
16.
Perspect Public Health ; 137(5): 289-295, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27758973

RESUMEN

AIMS: This article aimed to provide a critical review of the evolution of Chagas' disease (ChD) in Brazil, its magnitude, historical development and management, and challenges for the future. METHODS: A literature search was performed using PubMed, SciELO and Google Scholar and throughout collected articles' references. Narrative analysis was structured around five main themes identified: vector transmission, control programme, transfusion, oral and congenital transmission. RESULTS: In Brazil, the Chagas' Disease Control Programme was fully implemented in the 1980s, when it reached practically all the endemic areas, and in 1991, the Southern Cone Initiative was created, aiming to control the disease transmission through eliminating the Triatoma infestans and controlling blood banks. As a result, the prevalence of chagasic donors in blood banks reduced from 4.4% in the 1980s to 0.2% in 2005. In 2006, Pan American Health Organization (PAHO) certified the interruption of transmission of ChD through this vector in Brazil. However, there are still challenges, such as the domiciliation of new vector species, the need for medical care of the infected individuals, the prevention of alternative mechanisms of transmission, the loss of political concern regarding the disease and the weakening of the control programme. CONCLUSION: Despite the progress towards control, there are still many challenges ahead to maintain and expand such control and minimise the risk of re-emergence.


Asunto(s)
Enfermedad de Chagas , Control de Enfermedades Transmisibles , Enfermedades Endémicas , Control de Insectos , Triatoma , Distribución por Edad , Animales , Brasil/epidemiología , Enfermedad de Chagas/epidemiología , Enfermedad de Chagas/prevención & control , Enfermedad de Chagas/transmisión , Control de Enfermedades Transmisibles/historia , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Transmisión Vertical de Enfermedad Infecciosa , Insectos Vectores , Prevalencia
17.
Environ Sci Technol ; 50(21): 11825-11836, 2016 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-27689892

RESUMEN

Integrons are extensively targeted as a proxy for anthropogenic impact in the environment. We developed a novel high-throughput amplicon sequencing pipeline that enables characterization of thousands of integron gene cassette-associated reads, and applied it to acquire a comprehensive overview of gene cassette composition in effluents from wastewater treatment facilities across Europe. Between 38 100 and 172 995 reads per-sample were generated and functionally characterized by screening against nr, SEED, ARDB and ß-lactamase databases. Over 75% of the reads were characterized as hypothetical, but thousands were associated with toxin-antitoxin systems, DNA repair, cell membrane function, detoxification and aminoglycoside and ß-lactam resistance. Among the reads characterized as ß-lactamases, the carbapenemase blaOXA was dominant in most of the effluents, except for Cyprus and Israel where blaGES was also abundant. Quantitative PCR assessment of blaOXA and blaGES genes in the European effluents revealed similar trends to those displayed in the integron amplicon sequencing pipeline described above, corroborating the robustness of this method and suggesting that these integron-associated genes may be excellent targets for source tracking of effluents in downstream environments. Further application of the above analyses revealed several order-of-magnitude reductions in effluent-associated ß-lactamase genes in effluent-saturated soils, suggesting marginal persistence in the soil microbiome.


Asunto(s)
Integrones/genética , Aguas Residuales , Antibacterianos/farmacología , Pruebas de Sensibilidad Microbiana , Datos de Secuencia Molecular , Análisis de Secuencia de ADN , Resistencia betalactámica/genética , beta-Lactamasas/metabolismo
18.
Nanoscale Res Lett ; 11(1): 94, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26887578

RESUMEN

Arsenic trioxide (ATO) has been used successfully to treat acute promyelocytic leukaemia, and since this discovery, it has also been researched as a possible treatment for other haematological and solid cancers. Even though many positive results have been found in the laboratory, wider clinical use of ATO has been compromised by its toxicity at higher concentrations. The aim of this study was to explore an improved method for delivering ATO using liposomal nanotechnology to evaluate whether this could reduce drug toxicity and improve the efficacy of ATO in treating human papillomavirus (HPV)-associated cancers. HeLa, C33a, and human keratinocytes were exposed to 5 µm of ATO in both free and liposomal forms for 48 h. The stability of the prepared samples was tested using inductively coupled plasma optical emission spectrometer (ICP-OES) to measure the intracellular arsenic concentrations after treatment. Fluorescent double-immunocytochemical staining was carried out to evaluate the protein expression levels of HPV-E6 oncogene and caspase-3. Cell apoptosis was analysed by flow cytometry. Results showed that liposomal ATO was more effective than free ATO in reducing protein levels of HPV-E6 and inducing cell apoptosis in HeLa cells. Moreover, lower toxicity was observed when liposomal-delivered ATO was used. This could be explained by lower intracellular concentrations of arsenic. The slowly accumulated intracellular ATO through liposomal delivery might act as a reservoir which releases ATO gradually to maintain its anti-HPV effects. To conclude, liposome-delivered ATO could protect cells from the direct toxic effects induced by higher concentrations of intracellular ATO. Different pathways may be involved in this process, depending on local architecture of the tissues and HPV status.

19.
Environ Sci Pollut Res Int ; 22(10): 7405-21, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25750051

RESUMEN

After the scientific development of biotic ligand models (BLMs) in recent decades, these models are now considered suitable for implementation in regulatory risk assessment of metals in freshwater bodies. The BLM approach has been described in many peer-reviewed publications, and the original complex BLMs have been applied in prospective risk assessment reports for metals and metal compounds. BLMs are now also recommended as suitable concepts for the site-specific evaluation of monitoring data in the context of the European Water Framework Directive. However, the use is hampered by the data requirements for the original BLMs (about 10 water parameters). Recently, several user-friendly BLM-based bioavailability software tools for assessing the aquatic toxicity of relevant metals (mainly copper, nickel, and zinc) became available. These tools only need a basic set of commonly determined water parameters as input (i.e., pH, hardness, dissolved organic matter, and dissolved metal concentration). Such tools seem appropriate to foster the implementation of routine site-specific water quality assessments. This work aims to review the existing bioavailability-based regulatory approaches and the application of available BLM-based bioavailability tools for this purpose. Advantages and possible drawbacks of these tools (e.g., feasibility, boundaries of validity) are discussed, and recommendations for further implementation are given.


Asunto(s)
Agua Dulce/análisis , Metaloides/análisis , Metales/análisis , Calidad del Agua/normas , Europa (Continente) , Medición de Riesgo , Estados Unidos
20.
PLoS One ; 8(7): e68099, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23874511

RESUMEN

The prion agent is notoriously resistant to common proteases and conventional sterilisation procedures. The current methods known to destroy prion infectivity such as incineration, alkaline and thermal hydrolysis are harsh, destructive, environmentally polluting and potentially hazardous, thus limit their applications for decontamination of delicate medical and laboratory devices, remediation of prion contaminated environment and for processing animal by-products including specified risk materials and carcases. Therefore, an environmentally friendly, non-destructive enzymatic degradation approach is highly desirable. A feather-degrading Bacillus licheniformis N22 keratinase has been isolated which degraded scrapie prion to undetectable level of PrP(Sc) signals as determined by Western Blot analysis. Prion infectivity was verified by ex vivo cell-based assay. An enzymatic formulation combining N22 keratinase and biosurfactant derived from Pseudomonas aeruginosa degraded PrP(Sc) at 65 °C in 10 min to undetectable level -. A time-course degradation analysis carried out at 50 °C over 2 h revealed the progressive attenuation of PrP(Sc) intensity. Test of residual infectivity by standard cell culture assay confirmed that the enzymatic formulation reduced PrP(Sc) infectivity to undetectable levels as compared to cells challenged with untreated standard scrapie sheep prion (SSBP/1) (p-value = 0.008 at 95% confidence interval). This novel enzymatic formulation has significant potential application for prion decontamination in various environmentally friendly systems under mild treatment conditions.


Asunto(s)
Péptido Hidrolasas/metabolismo , Proteínas PrPSc/metabolismo , Priones/metabolismo , Animales , Bacillus/enzimología , Línea Celular , Pseudomonas aeruginosa/enzimología , Conejos , Ovinos
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