In situ bioaccumulation of metals by Prosopis juliflora and its detoxification potential at the metal contaminated sites.

Heavy metals emanate from diverse anthropogenic activities and the top soil in the vicinity of these activities acts as an immediate sink and facilitates diffusion of heavy metals into the food chain. In the semi-arid plains of India, Prosopis juliflora is the most common and dominant weed along the motorways and barren lands including industrial environs. This investigation hypothesizes the adaptive nature of Prosopis juliflora in the metal enriched soils and attempts to understand its hyper-accumulating potential of metals besides bioconversion/detoxification capability. Prosopis juliflora samples (root, stem, leaves, and pods) from 100 sites in the environs of anthropogenic activities (vehicular emissions and industrial operations) were analyzed for heavy metal concentrations (Cu, Fe, Cr, Cd, Ni, Pb). Prosopis juliflora accumulate metals at the rate of 0.138 mg/kg/day DW for Copper (Cu), Fe: 0.142 mg/kg/day DW, Cr: 0.114 mg/kg/day DW, Ni: 0.048 mg/kg/day DW, Pb: 0.052 mg/kg/day DW, Cd: 0.009 mg/kg/day DW. Furthermore, X-ray Photoelectron Spectroscopy (XPS) metal oxidation state analysis revealed that in the pods of Prosopis juliflora heavy metals (Fe, Cr, Pb) largely existed in non-toxic form (toxic:non-toxic - 3:6), while in the under canopy soil, metals predominantly existed in toxic form (toxic:non-toxic - 7:2); conclusively XPS results ascertains the heavy metal bioconversion/detoxification potential of the plant. These findings suggest that presence of Prosopis juliflora coppice in the barren landscapes across the transportation corridors and metal based industrial zones may ideally favor phyto-remediation of heavy metals.

Characterization of carbon fluxes, stock and nutrients in the sacred forest groves and invasive vegetation stands within the human dominated landscapes of a tropical semi-arid region.

In the semi-arid plains of Southern India, outside the protected area network, sacred groves forests and the barren lands invaded by Prosopis juliflora are reckoned to be the major greenery, but have homogenous and heterogeneous vegetation respectively. This study attempted to compare 50 Sacred Groves Stands (SGS) and 50 monodominant Prosopis juliflora Stands (PJS) for the functional diversity, evenness, floral diversity, carbon stock and dynamics, carbon-fixing traits, dendrochronology of trees, soil nutrient profiles, and soil erosion. Quadrat sample survey was adopted to record stand density, species richness, abundance, basal area and leaf area index; composite soil samples were collected at depths 0-30 cm for nutrient profiling (N, P, K, and OC). Photosynthesis rate (µmole co2 m2/sec), air temperature (°c), leaf intracellular co2 concentration (ppm), ambient photosynthetic active radiation (µmole m2/sec), transpiration rate (m. mole H2O m2/sec) were determined for the 51 tree species existed in SGS and PJS using Plant Photosynthesis system. Structural Equation Model (SEM) was applied to derive the carbon sequestering potential and photosynthetic efficiency of eight dominant tree species using vital input parameters, including eco-physiological, morphological, and biochemical characterization. The Revised Universal Soil Loss Equation (RUSLE) model, in conjunction with ArcGIS Pro and ArcGIS 10.3, was adopted to map soil loss. Carbon source/sink determinations inferred through Net Ecosystem Productivity (NEP) assessments showed that mature SGS potentially acted as a carbon sink (0.06 ± 0.01 g C/m2/day), while matured PJS acted as a carbon source (-0.34 ± 0.12 g C/m2/day). Soil erosion rates were significantly greater (29.5 ± 13.4 ton/ha/year) in SGS compared to PJS (7.52 ± 2.55 ton/ha/year). Of the eight selected tree species, SEM revealed that trees belonging to the family Fabaceae [Wrightia tinctoria (estimated coefficient: 1.28, p = 0.02) > Prosopis juliflora (1.22, p = 0.01) > Acacia nilotica (1.21, p = 0.03) > Albizia lebbeck (0.97, p = 0.01)] showed comparatively high carbon sequestering ability.

Development and validation of a questionnaire to assess commonality knowledge of traumatic dental injuries and management of emergencies.

BACKGROUND: Dental trauma represents a significant public health problem, causing a burden for both individuals and society. The aim of this study is to systematically develop and validate a questionnaire on 'traumatic dental injuries and management of emergencies' (TIME) for assessing the knowledge, attitude and practice (KAP) for a commonality. METHODS: The scale development phases included conceptual framework, systematic development of an item pool, refinement of the item pool by Focus-group discussion (n = 23), validity-testing using Content Validity Index (n = 5), translation and back-translation, Cognitive interviewing (n = 30,45), and reliability testing (n = 40). The conceptual framework was built based on six broad constructs, such as broken teeth, knocked-out (avulsion) teeth, pushed/moved-in and loosened teeth (luxation injuries), soft tissue injuries, follow-up and management, and prevention and protection. RESULTS: Reviews of existing questionnaires significantly helped to generate an initial pool of 68 items (refined to 51 items). Lawshe's content validity was 0.92. High test-retest reliability was demonstrated (kappa value = 0.98). The questionnaire showed a high level of reliability (Cronbach's alpha = 0.86) with great internal consistency. CONCLUSION: TIME is the first validated scale for recording knowledge, attitude and practices on traumatic dental injuries and management of emergencies for non-dental professionals. The 51-tem tool will allow dentists to evaluate KAP of commonality. KAP measured across the globe would have a significant impact on planning awareness programs by dentists and dental associations.

Brivaracetam efficacy and tolerability in clinical practice: A UK-based retrospective multicenter service evaluation.

PURPOSE: This multicenter service evaluation explores the efficacy and tolerability of brivaracetam (BRV) in an unselected, consecutive population in 'real-life' clinical settings. METHOD: We retrospectively collected data from patient records at 11 UK hospitals and epilepsy centers. Consecutive patients prescribed BRV with at least 3 months of follow-up (FU) were included. Apart from reporting effectiveness and tolerability of BRV across the whole cohort, we compared treatment outcomes depending on previous levetiracetam use (LEV+ versus LEV-), comorbid learning disability (LD+ versus LD-), and epilepsy syndrome (focal versus generalized epilepsy). RESULTS: Two hundred and ninety patients (46% male, median age: 38 years, range: 15 to 77) with ≥3 months of FU were included. The median duration of BRV exposure was 12 months (range: 1 day to 72 months). Overall BRV retention was 71.1%. While 56.1% of patients improved in terms of seizure frequency category (daily, weekly, monthly, yearly seizures), 23.1% did not improve on this measure and 20.8% deteriorated. In terms of seizure frequency, 21% of patients experienced a ≥50% reduction, with 7.0% of all patients becoming seizure-free. Treatment-emergent adverse events (AEs) were reported by 107 (36.9%) patients, but there were no serious AEs. The commonest AEs were sedation/fatigue (18.3%), mood changes (9.0%), and irritability/aggression (4.8%). There were no significant differences in drug retention, seizure frequency outcomes, or AEs between the LEV+ and LEV- subgroups, or between patients with generalized or focal epilepsies. Although 15.5% of patients in the LD+ group achieved a ≥50% reduction, this rate was lower than in the LD- group. CONCLUSIONS: This 'real-life' evaluation suggests that reductions in seizure frequency can be achieved with BRV in patients with highly refractory epilepsy. Brivaracetam may be a useful treatment option in patients who have previously failed to respond to or tolerate LEV, those with LD, or (off-label) those with generalized epilepsies.

Application of vertical flow constructed wetland in treatment of heavy metals from pulp and paper industry wastewater.

The paper production is material intensive and generates enormous quantity of wastewater containing organic pollutants and heavy metals. Present study demonstrates the feasibility of constructed wetlands (CWs) to treat the heavy metals from pulp and paper industry effluent by using vertical flow constructed wetlands planted with commonly available macrophytes such as Typha angustifolia, Erianthus arundinaceus, and Phragmites australis. Results indicate that the removal efficiencies of the planted CWs for iron, copper, manganese, zinc, nickel, and cadmium were 74, 80, 60, 70, 71, and 70 %, respectively. On the other hand, the removal efficiency of the unplanted system was significantly lower ranging between 31 and 55 %. Among the macrophytes, T. angustifolia and E. arundinaceus exhibited comparatively higher bioconcentration factor (10(2) to 10(3)) than P. australis.

Biomonitoring of heavy metals in feathers of eleven common bird species in urban and rural environments of Tiruchirappalli, India.

Heavy metals continue to remain as a major environmental concern in spite of emission control measures. In this study, we analyzed the concentrations of heavy metals (Fe, Cr, Mn, Ni, Cu, Zn, and Cd) in the feathers of 11 species of birds collected from urban and rural areas of Tiruchirappalli, Southern India. Metal concentrations followed the order: Fe > Cu > Zn > Cr > Mn > Ni > Cd. Irrespective of sample locations, heavy metals such as Fe, Cr, Ni, Zn, and Cu were detected in high concentrations, while Cd and Mn were observed in lower concentrations. In contrary to our assumption, there were no statistically significant intraspecific and urban-rural differences in the metal concentrations except for Zn. Pairwise comparisons among species irrespective of metal type showed significant interspecific differences between Acridotheres tristis and Centropus phasianinus, A. tristis and Milvus migrans, C. phasianinus and M. migrans, M. migrans and Eudynamys scolopaceus, and Psittacula krameri and E. scolopaceus. Principal component analysis carried out for urban data extracted Ni, Mn, Zn, Fe, and Cu accounting for 48% variance implying dietary intake and external contamination as important sources for metals. In the rural, association of Zn, Cd, Ni, and Cr suggests the impact of metal fabrication industries and leather tanning operations.

Antibiofilm activity of three irrigation protocols activated by ultrasonic, diode laser or Er:YAG laser in vitro.

AIM: To investigate the impact of three irrigation protocols, activated by three different methods, on mature biofilms of Enterococcus faecalis in vitro. METHODOLOGY: Root canals in 280 single-rooted teeth were instrumented using a rotary Ni-Ti system. Biofilms of E. faecalis were generated based on a previously established protocol. Samples were randomly divided into three experimental (n = 80) and one control (n = 40) group based on the irrigation protocol employed: group 1 (NaOCl + Etidronic acid), 1 : 1 mixture of 6% NaOCl and 18% etidronic acid; group 2 (NaOCl-EDTA), 3% NaOCl followed by 17% EDTA; group 3 (NaOCl-EDTA-NaOCl), 3% NaOCl followed by 17% EDTA and a final flush of 3% NaOCl. Saline served as the control. Samples were further divided into four subgroups (n = 20) based on the activation method: subgroup A, no activation; subgroup B, ultrasonic activation; group C, diode laser; group D, Er:YAG laser. Confocal laser scanning microscopy was used to assess bacterial viability in situ. Root dentine powder was obtained for determining the colony-forming units (CFU mL(-1) ). Data were analysed by appropriate statistical analyses with P = 0.05. RESULTS: All experimental irrigation protocols caused complete destruction of the biofilm in the root canal lumen. Within the dentinal tubules, all groups had a significantly higher percentage of dead bacteria than the saline control (P < 0.05). There was no significant difference between NaOCl + etidronic acid and NaOCl-EDTA-NaOCl (P > 0.05), whereas both groups brought about more bacterial reduction than NaOCl-EDTA (P < 0.05). There was no significant difference between diode laser and Er:YAG laser in any of the groups (P > 0.05). Both diode and Er:YAG laser were more effective than ultrasonic activation and conventional syringe irrigation in reducing E. fecalis biofilms (P < 0.05). CONCLUSIONS: The use of NaOCl after or in combination with a chelator caused the greatest reduction of E. faecalis. Diode laser and Er:YAG laser activation were superior to ultrasonics in dentinal tubule disinfection.

Heavy metal partitioning in sediments and bioaccumulation in commercial fish species of three major reservoirs of river Cauvery delta region, India.

Chemical partitioning of heavy metals (Fe, Mn, Cu, Cr, Pb, Zn, Ni) were determined in surface sediments of three reservoirs at the Delta region of Cauvery River, India. The abundance of metals in sediments varied in the following descending order: Fe, Mn, Cr, Zn, Cu, Ni, and Pb. Higher concentrations of Zn, Pb, Fe, Mn and Cu in exchangeable and carbonate fraction indicated toxicity risk to the biota. Therefore, to understand the extent of bioaccumulation, six commercial fish species were collected from the same sites and analyzed for heavy metals distribution in different organs. Among the metals found in fish samples, iron was observed in the highest concentration, followed by Zn, Pb, Cr, Mn, Cu, and Ni. Concentrations of Pb, Cr and Zn in many fish samples exceeded the permissible limits of Food and Agriculture Organization. The concentrations of Pb (17.7-31.7%), Cr (6.2-15.1%), Cu (15.2-30.5%) and Zn (30-40%) associated with exchangeable and carbonate fractions had significant positive correlation with the respective metal concentrations in fish. Among the fish species, Catla catla and Etroplus suratensis showed the highest accumulation of metals suggesting risk for human consumption.

Restoration of sodic soils involving chemical and biological amendments and phytoremediation by Eucalyptus camaldulensis in a semiarid region.

Salt-affected soils in semiarid regions impede the agricultural productivity and degrade the ecosystem health. In South India, several hectares of land are salt-affected, where the evapotranspiration exceeds the annual precipitation. This study is an attempt to ameliorate sodic soils, by an experiment involving chemical treatment (addition of gypsum), organic amendments (decomposed bagasse pith and green manuring with Sesbania rostrata) and phytoremediation by plantation of Eucalyptus camaldulensis. The prime focus is to minimize the use of gypsum and improve the soil health in terms of nutrients, microbial population and enzyme activity in addition to sodicity reclamation. At the end of the third year, a reduction of 10 % in soil pH, 33 % in electrical conductivity and 20 % in exchangeable sodium percentage was achieved compared to the initial values. Three- to fourfold increases in organic carbon content were observed. Significant improvement in the available major and micronutrients of soil, microbial growth and enzyme activity was observed, suggesting phytoremediation by E. camaldulensis as a sustainable option for restoration of similar kind of degraded lands.

Forward versus inverse planning in oropharyngeal cancer: A comparative study using physical and biological indices.

CONTEXT: Possible benefits of inverse planning. AIMS: To analyze possible benefits of inverse planning intensity modulated radiation therapy (IMRT) over field-in-field 3D conformal radiation therapy (FIF-3DCRT) and to evaluate the differences if any, between low (6 Million Volts) and high energy (15 Million Volts) IMRT plans. MATERIALS AND METHODS: Ten patients with squamous cell carcinoma of oropharynx, previously treated with 6 MV step and shoot IMRT were studied. V100, V33, V66 , mean dose and normal tissue complication probabilities (NTCP) were evaluated for parotid glands. Maximum dose and NTCP were the parameters for spinal cord. STATISTICAL ANALYSIS USED: A two-tailed t-test was applied to analyze statistical significance between the different techniques. RESULTS: For combined parotid gland, a reduction of 4.374 Gy, 9.343 Gy and 7.883 Gy were achieved for D100, D66 and D33, respectively in 6 MV-IMRT when compared with FIF-3DCRT. Spinal cord sparing was better in 6 MV-IMRT (40.963 ± 2.650), with an average reduction of maximum spinal cord dose by 7.355 Gy from that using the FIF-3DCRT technique. The uncomplicated tumor control probabilities values were higher in IMRT plans thus leading to a possibility of dose escalation. CONCLUSIONS: Though low-energy IMRT is the preferred choice for treatment of oropharyngeal cancers, FIF-3DCRT must be given due consideration as a second choice for its well established advantages over traditional conventioan technique.

Heavy-metal fractionation in surface sediments of the Cauvery River Estuarine Region, Southeastern coast of India.

Geochemical fractionation of iron (Fe), manganese (Mn), copper (Cu), chromium (Cr), lead (Pb), zinc (Zn), and nickel (Ni) were determined using five-stage sequential extraction in sediments collected from estuarine stretches of Cauvery River delta on the eastern coast of India with emphasis on seasonal variation. Abundance of metals in terms of sum of total fractionations varied in the following order: Fe > Mn > Cr > Zn > Cu > Ni > Pb. Exchangeable fraction, believed to be bioavailable, showed differential abundances during the dry and wet seasons in the following order: Pb > Zn > Cu > Mn > Ni > Cr > Fe and Zn > Cu > Cr > Ni > Mn > Pb > Fe, respectively, indicating the possibility of anthropogenic influence. Among nonlithogenic fraction, organic matter-bound fraction is the second largest and a key scavenger for all of the heavy metals studied except Fe and Mn. A significant portion of Cu-associated organic matter fraction shows strong association of Cu with organic matter at most of the sampling sites. Environmental risk of metals evaluated using risk-assessment code and mobility factor showed low to high risk for Pb, Zn, and Cu. The results of the present study also hint at notable enrichment of heavy metals in the certain pockets of the Cauvery Estuary.

Polycyclic aromatic hydrocarbons bound to PM 2.5 in urban Coimbatore, India with emphasis on source apportionment.

Coimbatore is one of the fast growing industrial cities of Southern India with an urban population of 1.9 million. This study attempts to evaluate the trends of airborne fine particulates (PM 2.5) and polyaromatic hydrocarbons (PAH) on them. The PM 2.5 mass was collected in polytetra fluoroethylene filters using fine particulate sampler at monthly intervals during March 2009 to February 2010. PAHs were extracted from PM 2.5 and estimated by high-performance liquid chromatography. It is alarming to note that PM 2.5 values ranged between 27.85 and 165.75 µg/m(3) and exceeded the air quality standards in many sampling events. The sum of 9 PAHs bound to PM 2.5 in a single sampling event ranged from 4.1 to 1632.3 ng/m(3). PAH diagnostic ratios and principal component analysis results revealed vehicular emissions and diesel-powered generators as predominant sources of PAH in Coimbatore.

Anaesthesia and epilepsy.

Epilepsy is the most common serious neurological disorder, with a prevalence of 0.5-1% of the population. While the traditional antiepileptic drugs (AEDs) still play a significant role in treatment of seizures, there has been an influx of newer agents over the last 20 yr, which are now in common usage. Anaesthetists are frequently faced with patients with epilepsy undergoing emergency or elective surgery and patients suffering seizures and status epilepticus in the intensive care unit (ICU). This review examines perioperative epilepsy management, the mode of action of AEDs and their interaction with anaesthetic agents, potential adverse effects of anaesthetic agents, and the acute management of seizures and refractory status epilepticus on the ICU. Relevant literature was identified by a Pubmed search of epilepsy and status epilepticus in conjunction with individual anaesthetic agents.

PM 2.5 and PAH concentrations in urban atmosphere of Tiruchirappalli, India.

Airborne PM 2.5 and polycyclic aromatic hydrocarbons (PAHs) bound to it were determined from March 2009 to February 2010 at different locations in Tiruchirappalli City, Southern India using fine particulate sampler and high performance liquid chromatography. Average ∑9 PAHs concentrations at four sampling stations were 333.7, 202.6, 265.9, and 232.7 ng/m(3), respectively. Highest concentration of PAHs was observed during northeast monsoon season (301.5 ng/m(3)) and lowest in southwest monsoon (216 ng/m(3)). Low and medium molecular weight PAHs such as phenanthrene, anthracene, benzo(a)anthracene and chrysene were observed in all seasons. Principal compound analysis revealed gasoline and diesel vehicular emissions as major sources for PAHs compounds.

Outcomes of newly diagnosed idiopathic generalized epilepsy syndromes in a non-pediatric setting.

INTRODUCTION: The prognosis of idiopathic generalized epilepsy syndromes (IGES) in the adult setting may vary from that in children owing to differences in genetic, environmental and lifestyle factors. METHODS: All patients diagnosed with epilepsy at the Epilepsy Unit, Western Infirmary, Glasgow, between 1981 and 2001 were reviewed. RESULTS: Of 890 patients, 118 (13%) met the criteria for IGES. Outcomes were known for 103, 66 (64%) of whom achieved remission. The responder rate with sodium valproate was superior (66% vs 45%, P = 0.073) to that with lamotrigine (LTG) particularly in patients with juvenile myoclonic epilepsies (75% vs 39%, P = 0.014). History of febrile seizures was the only factor associated with reduced likelihood of remission (P = 0.032) CONCLUSIONS: Idiopathic generalized epilepsy syndromes constituted 13% of cases in a largely adult cohort of newly diagnosed epilepsy, most of whom achieved remission usually with a single antiepileptic drug. History of febrile seizures was associated with a poorer outcome.

Diagnosing refractory epilepsy: response to sequential treatment schedules.

Diagnosing refractory epilepsy would facilitate referral for specialist pharmacological review and early consideration of epilepsy surgery. An outcomes study was undertaken in an unselected cohort of newly diagnosed patients to determine the number of antiepileptic drug (AED) regimens needed to be failed before the epilepsy could be designated as pharmacoresistant. Between July 1982 and May 2001, 780 adolescents and adults prescribed their first AED at the Western Infirmary in Glasgow, Scotland provided longitudinal data suitable for analysis. Overall, 504 (64.6%) patients became seizure free for at least 12 months. Of these, 462 (59.2%) remained in remission, while 42 (5.4%) relapsed and subsequently developed refractory epilepsy. The relapse rate peaked at 10.4% after 8 years of follow-up. The other 276 (35.4%) patients were uncontrolled from the outset. Prognosis appeared better in seniors (85% remission, P < 0.001) and adolescents (65% remission, P < 0.01) than in the remainder of the population (55% remission). Overall response rates with the first, second and third treatment schedules were 50.4, 10.7 and 2.7%, respectively, with only 0.8% patients responding optimally to further drug trials. Patients not tolerating at least one AED schedule did better than those failing because of lack of efficacy. These data suggest that suitable patients failing two AED regimens should be referred for epilepsy surgery. Those who do not attain long-term seizure freedom with the first three treatment schedules are likely to have refractory epilepsy.

Heavy metals in airborne particulate matter of urban Coimbatore.

Exposures to airborne metals are known to cause physiological responses in organisms and wide-ranging health effects in humans. Hence determination of metals in particulate matter is important from a toxicological perspective. In the current study heavy metals associated with respirable (RSPM) and nonrespirable (NRSPM) fractions of suspended particulate matter were estimated in air samples from six stations in Coimbatore, India, during March 1999 to February 2001. The mean quantity of heavy metals in RSPM was in the order Zn > Cu > Pb > Ni > Cr > Cd. Concentrations of these heavy metals were in the range of BDL (below detectable level) to 2,147 ng/m3 in RSPM. The highest level of lead (2,147 ng/m(3)) was recorded at an industrial station. The station also had the highest mean value (481 +/- 544.3 ng/m(3)), suggesting the importance of industrial operations in determining the ambient concentrations of lead. Significant positive correlation among metals excepting lead and copper suggests that they originate mostly from a common source. Air samples of urban and industrial areas showed higher concentrations than residential (Urban) and suburban areas.

Neurological presentation of Fabry's disease in a 52 year old man.

Fabry's disease is an X linked inborn error of metabolism due to deficient activity of the lysosomal enzyme alpha galactosidase A. Previously unrecognised Fabry's disease presenting in a 52 year old man being investigated for progressive dysarthria and ataxia is discussed. Brain magnetic resonance imaging suggested the presence of small vessel disease but skin biopsy (done to exclude cerebral autosomal dominant arteriopathy with subcortical infarcts and leucencephalopathy) showed typical changes of Fabry's disease. This diagnosis was confirmed by subsequent enzyme assays. The authors contend that Fabry's disease should be excluded, at least on clinical grounds, in patients with otherwise unexplained cerebrovascular disease.