Spectral characterization, degradation behavior, quenching, and semi-quantification of fluoroquinolone antibiotics in the antibiotic-humic mixture using fluorescence spectroscopy.

Antibiotics, one of the significant emerging contaminants, are intensifying their continual spread out into the environment and affecting human health and the ecosystem in the developing country Bangladesh. This study characterizes widely used fluoroquinolone (FQ) antibiotics, formulates the method to spectrally distinguish them from ubiquitous, and important reactive, adsorbent, and altering catalytic macromolecule humic substances (HS), and further quantifies them using fluorescence spectroscopy. The presence of identical fluorophore at Excitation/Emission = 225-230/285-295 nm wavelength, possession of fluorescence spectra at short emission wavelength (<350 nm) during 275 nm excitation, different emission maxima, and various fluorescing components in antibiotics identified through three-dimensional excitation-emission matrix (EEM) and parallel factor analysis (PARAFAC) models distinguished them from the humic substance as well as from each other. Stern-Volmer equation and its modified version were applied to identify quenching and binding capability, and fluorescence intensity quenching rate of antibiotics and humic in their mixture. Unlike poor and inconsistent quenching mechanisms of humic, FQ antibiotics reduced HS intensity throughout the entire photo-irradiation experiment affirming the functioning of the stable quenching methods. Static quenching of fluorophores was identified from the redshift of excited wavelength on the electronic ground state. Temperature differences during daylight and dark conditions played contrasting roles during the fluorescence quenching of FQ. Unique spectral response at emission wavelength < 350 nm during 275 nm excitation in FQ was considered as its least intensity in the antibiotic-humic mixture and was also used to formulate distinct spectral pattern of each FQ antibiotic. The study also identified the traces of FQ antibiotics with various intensities at different lakes in Bangladesh.

The deciphering of microplastics-derived fluorescent dissolved organic matter in urban lakes, canals, and rivers using parallel factor analysis modeling and mimic experiment.

The aim of the study is to investigate the leaching of fluorescent dissolved organic matter (fDOM) from microplastics. In addition, this study identifies the connection between fDOM and microplastics in the aquatic environment. Three-dimensional excitation-emission matrix identified five fluorophores, that is, peak A, M, T, Tuv, and Wuv, and the parallel factor analysis modeling identified five components, that is, tryptophan-like, p-hydroxy acetophenone, humic acid (C-like), detergent-like, and fulvic acid (M-like) in the urban surface water. Mimic experiments using commonly used synthetic plastic (like microplastics) in Mili-Q water under solar radiation and dark environments demonstrate the release of fDOM from plastic. Two fluorophore peaks were observed at Ex/Em = 250/302 nm and Ex/Em = 260/333 nm for the expanded polystyrene plastic polymer and one fluorophore peak at Ex/Em = 260/333 nm for the low-density polyethylene. Fluorophore and component intensity exhibited notable associations with microplastics in the aquatic environment. These findings indicated that the characteristics and dynamics of fDOM in urban surface water are influenced by microplastics. PRACTITIONER POINTS: Fluorescent dissolved organic matters were identified in urban surface waters. Expanded polystyrene (EPS) had shown two fluorophores at Em/Ex = 250/302 and Em/Ex = 260/333. Low-density polyethylene (LDPE) had one fluorophore at Em/Ex = 260/333. Fluorophore and component intensity in the aquatic settings exhibited associations with microplastics.

A comprehensive review on the fate and impact of antibiotic residues in the environment and public health: A special focus on the developing countries.

The widespread application of antibiotics in human and veterinary medicine has led to the pervasive presence of antibiotic residues in the environment, posing a potential hazard to public health. This comprehensive review aims to scrutinize the fate and impact of antibiotic residues, with a particular focus on the context of developing nations. The investigation delves into the diverse pathways facilitating the entry of antibiotics into the environment and meticulously examines their effects on human health. The review delineates the current state of antibiotic residues, evaluates their exposure in developing nations, and elucidates existing removal methodologies. Additionally, it probes into the factors contributing to the endurance and ecotoxicity of antibiotic residues, correlating these aspects with usage rates and associated mortalities in these nations. The study also investigates removal techniques for antibiotic residues, assessing their efficiency in environmental compartments. The concurrent emergence of antibiotic-resistant bacteria, engendered by antibiotic residues, and their adverse ecological threats underscore the necessity for enhanced regulations, vigilant surveillance programs, and the adoption of sustainable alternatives. The review underlines the pivotal role of public education and awareness campaigns in promoting responsible antibiotic use. The synthesis concludes with strategic recommendations, strengthening the imperative for further research encompassing comprehensive monitoring, ecotoxicological effects, alternative strategies, socio-economic considerations, and international collaborations, all aimed at mitigating the detrimental effects of antibiotic residues on human health and the environment. PRACTITIONER POINTS: Antibiotic residues are widely distributed in different environmental compartments. Developing countries use more antibiotics than developed countries. Human and veterinary wastes are one of the most responsible sources of antibiotic pollution. Antibiotics interact with biological systems and trigger pharmacological reactions at low doses. Antibiotics can be removed using modern biological, chemical, and physical-chemical techniques.

Trans-radial Angioplasty of Anomalous Origin of Right Coronary Artery: A Single-Centre Experience.

Successful percutaneous coronary intervention (PCI) to anomalous coronary arteries is technically challenging, particularly through transradial route. The application of appropriate techniques and devices may help overcome these challenges. The objective of this study is to explore the technical and procedural challenges in percutaneous coronary intervention (PCI) of anomalous origin of right coronary artery (AORCA) through the trans-radial route. This prospective study consisted of 25 consecutive patients who underwent PCI for an angiographically significant stenosis in AORCA from November 2017 to May 2019 at Ibrahim Cardiac Hospital & Research Institute (ICHRI). Demographic details and procedural data including numbers of catheters used, access, hardware, techniques, duration of procedure, volume of contrast and complications were recorded and statistically analyzed. The origin of AORCA was 48.0% each from the right and left coronary sinus, with 4.0% arising from the ascending aorta. Among those of right coronary sinus origin, superior take off was 83.3% and inferior take-off was 8.3%, with a further 8.3% originating from the left main, with a common origin with the left anterior descending (LAD) artery, from right coronary sinus. The mean age was 55.8±7.5 years. Diabetics were 84.0%, hypertensive 88.0%, dyslipidemic 68.0% and 20.0% had a history of smoking. Percutaneous coronary intervention (PCI) was performed successfully in 100.0% cases. Transradial access was the default route for coronary angiography in all cases. Angioplasty was performed trans-radially in 92.0% and trans-femoral in 8.0%, for two cases requiring switch over from radial to femoral route. The average number of guide catheters used was (2.0±1.0), (range: 1-4). The guide catheter hooked the coronary ostium selectively in 32.0%, off ostium in 56.0% and deep intubation was done in 12.0% cases. Anchoring wire to enhance guide support was used in 12.0%. 6 Fr guide extension catheter Guidezilla was used in 8.0% cases. The average duration of the procedure was 39.4 (range; 15-90) minutes, the average volume of contrast used was 67.0 (range: 30-150) ml. Average stent length was 28.6 (range; 12-43) mm. For PCI, Judkin's left (JL) and Judkin's Right (JR) were most commonly used guides (36.0% and 28.0% respectively), followed by multipurpose angled (MPA) guide (12.0%). The majority of the lesions stented were of ACC/AHA classification of type B (48.0%) followed by type A (36.0%) and type C (16.0%). Thrombus extraction was performed in a single case. One case was complicated by coronary artery dissection. PCI of AORCA through transradial route is technically challenging but feasible with a reasonable amount of contrast and radiation, and appropriate use of guides and techniques. Proper localization of ostium and selection of suitable guide is the key to success, aided by additional devices in the armamentarium of interventional cardiology such as guide extension catheter and anchoring wires.

Bioaccumulation of microplastics in the edible tissues of fish collected from urban lakes of Bangladesh: a potential exposure to public health.

Microplastic (MP) pollution is an emerging environmental problem, due to its universal dispersion. In the present study, we determined the MP pollution in water, sediment, and fish samples of three different urban lakes of Bangladesh to assess the bioaccumulation of MPs from the lake environment to fish's edible (flesh) and inedible tissue (gut), ecological risk and consequent human exposure to MPs by fish consumption. A total of forty-three fishes were collected from Jahangirnagar Co-Operative Housing Society (JCHS), Dhanmondi Lake (DL), and Saturia Thana Lake (MST). The average MP concentration in sediment and water of the lakes is 7588 ± 4353 MPs/kg dry weights; 142 ± 22 MPs/L, respectively. MPs were identified in the edible (2.8-20.2 MPs/g) and inedible (2.27-20.93 MPs/g) tissue of all fish species. The highest number of MPs was observed in the flesh of Labeo bata of the JCHS Lake and in the gut of Catla catla of DL. The most dominant shape of MPs was fiber and fragment, 0.1-0.4 mm was the dominant size range, and blue, purple, and transparent were the dominant colors. The presence of six polymer types was revealed by FT-IR analysis, which were polystyrene, polypropylene, nitrile, ethylene vinyl acetate, high-density polyethylene, and nylon. The concentration of MPs in fish is found to increase with the increment in body weight. The bioconcentration factor (BCF) analysis reveals that among all the fish species, Labeo bata and Oreochromis mossambicus accumulate the highest number of MPs from the lake environment. The pollution load index of MPs indicates that the sampling sites were within hazard levels III-IV. Estimated annual intake reveals that humans will be exposed to the highest number of MPs if they consume the flesh of Labeo bata of DL and JCHS Lake.

Radiation exposure and health concerns associated with the environmental geochemistry of relatively higher radioactivity in a fresh water basin.

This study was carried out on a negligible anthropogenically impacted Indo-Bangla transboundary river basin (Atrai, Bangladesh) to elicit radionuclides' and elemental distributions. Thirty sediment samples were collected from the Bangladesh portion of the river, and instrumental neutron activation analysis and HPGe γ-Spectrometry techniques were used to determine environmental radionuclides (e.g., 232Th, 226Ra, 40K) and associated elemental concentrations, respectively. Metal concentrations (Sc, V, Fe, Eu, Sm, La, Yb, Ce, Lu, Ta, Hf) were determined to comprehend the genesis of greater radioactivity. Recognizing the mean concentration of absorbed gamma dose rate (158.7 hGyh-1) is 2.88-times more than the recommended value (55 hGyh-1) that describes ionizing radiation concerns regarding potential health risks to the surrounding communities and the houses of native residents, which are constructed by Atrai river sediment. This work will assist relevant policymakers in exploring valuable heavy minerals and provide information regarding radiological health risks from a fluvial system.

Distribution of microplastics in shoreline water and sediment of the Ganges River Basin to Meghna Estuary in Bangladesh.

This study focused on the distribution of microplastics in the water and sediment of the Ganges River Basin to the Meghna Estuary in Bangladesh. Thirty points were sampled from Chapainawabganj district (India-Bangladesh border) to Chandpur district (Meghna Estuary). The morphological appearances were recognized by stereomicroscope and SEM-EDX analysis. Potential ecological risks were also measured. The average microplastic concentration in upstream and downstream water was 50.9 ± 24.4 particles/L and 64.1 ± 26.3 particles/L, respectively, and the sediment concentration was 2953.49 ± 1670.52 particles/kg in upstream sediment and 4014.66 ± 1717.59 particles/kg in downstream sediment. In upstream water, the most dominant morphological appearance was fragment shape, blue colour and 1-2 mm in size. The appearance of downstream water was fragments shape, red colour and 0.1-0.5 mm in size. In upstream sediment, the most dominant morphological appearance was fragment shape, red colour and < 0.1 mm in size. The appearance of downstream sediment was fibre shape, red colour and < 0.1 mm in size. Seven polymer types were discovered in water, dominated by low-density polyethylene (LDPE), and eight polymer types in sediment, dominated by polyamide (PA). The correlation between the size and shape of particles was analyzed using principal component analysis. The overall pollution load index of the Ganges River Basin to the Meghna Estuary was 1.86, higher than the other studies done in Bangladesh. Surprisingly, the nemerow pollution index (NPI), contamination factor (CF), pollution load index (PLI), polymer hazard index (PHI), and potential ecological risk (Ei)- all five ecological risk indicators had low to very high water and sediment pollution in the Ganges River Basin due to microplastic exposure. The data produced through this study will drive increasing awareness regarding microplastic pollution in the vast river ecosystem. Given the widespread presence of this pollution, it highlights the necessity for continuous national monitoring of microplastics.

Distribution, characteristics and fate of fluorescent dissolved organic matter (FDOM) in the Bay of Bengal.

The Bay of Bengal (BoB) is the largest sink to retain discharges from major rivers and the Sundarbans Mangrove Forest in Bangladesh and upholds significant ecological and resource diversity. This study aims to characterize, and identify sources, spatial dynamics, and the fate of the principal ecological web driver that is fluorescent dissolved organic matter (FDOM) in the BoB using advanced techniques of excitation-emission matrix (EEM) fluorescence spectroscopy and multivariate parallel factor (PARAFAC) analyses. The identified four protein-, two humic- and one detergent-like FDOM components mostly showed higher abundance in the shallow water than deep unlike a protein-like component. Such exceptional protein-like component was identified to form colloidal structure under elevated salinity in deep water. Autochthonous humic-like FDOM originated from primary production and water temperature counteracted microbial polymerization in shallow and deep water, respectively. The annual mass deposition indicated the influx of anthropogenic pollutants from both terrestrial and internal marine systems.

Diurnal and seasonal variations of pCO2 and fluorescent dissolved organic matter (FDOM) in different polluted lakes.

This study aimed to assess pollution and daily-to-seasonal dynamics of the partial pressure of CO2 (pCO2) and CO2 degassing flux concerning the fluorescent dissolved organic matter (FDOM) from tropical lakes. A membrane-enclosed pCO2 sensor and water quality multimeter analyzer was deployed to continuously record daily and seasonal variations in pCO2 and CO2 degassing flux in three lakes in Savar, Dhaka. During both wet and dry seasons, all lake water was supersaturated with CO2 in contrast to the atmospheric equilibrium (~400 µatm). The pCO2 values in the lake water during the dry season were relatively low in comparison, and the pCO2 levels in the wet season were much higher due to external inputs of organic matter from watersheds and direct inputs of CO2 from soils or wetlands. The estimated water-to-air CO2 degassing flux in the different levels of polluted lakes varies with the pollution context. Study areas calculated the carbon flux and three lakes released respectively 86.75×107g CO2 year-1, 13.8×107g CO2 year-1, and 9.17×107g CO2 year-1. Three-dimensional excitation-emission matrix (3D-EEM) fluorescence spectroscopy combined with parallel factor (PARAFAC) analysis was used to investigate the distributions of fluorescent components in DOM. EEM-PARAFAC analysis identified humic-like, fulvic-like, protein-like, and more tyrosine-like FDOM components and their environmental dynamics. Terrestrial DOM may provide inputs to the terrestrial humic-like component in the lake water. In contrast, the biological activity of plankton-derived FDOM is the most likely source for the autochthonous humic-like component. FDOM and DO concentrations have negative correlations with pCO2, indicating that when the FDOM and DO level is decreased, the amount of pCO2 values increases.

Reconciling the geogenic and non-crustal origins of elements in an Indo-Bangla transboundary river, Atrai: Pollution status, sediment quality, and preliminary risk assessment.

This study has been conducted on an anthropogenically less influenced transboundary river (Atrai: Indo-Bangladesh) to comprehend the inherent geochemistry and identify potential elemental sources. In doing so, across the Bangladeshi portion, 30 river-bed samples were culled and studied by neutron activation analysis to quantify the abundances of 15 geochemically and toxicologically significant elementals (Na, Al, K, Ti, Cr, Mn, Co, Zn, As, Rb, Sb, Cs, Ba, Th, and U). The results revealed that the mean concentrations (µg/g) of Rb (154.6), Cs (7.53), Th (20.90), and U (4.88) were 1.5-2.0 times higher than crustal values. Besides, geo-environmental indices revealed 'uncontaminated to moderately contaminated' pollution status with minor enrichment or contamination for Rb, Th, Sb, U, and Cs, relatively concentrated in the mid-to-downstream zone possessed geogenic and non-crustal origins. The positive matrix factorization and other statistical approaches revealed predominant geogenic enrichment of Na, K, Al, Ti, Zn, Cs, Rb, As, Th, and U from differential mineralogical compositions via weathering, elemental fractionations, and biogeochemical mobilization. Contrariwise, several anthropogenic sources (for Cr, Sb, Co, Mn, Th) were also ascertained in the vicinity of Atari River. However, sediment characterization based on SQG threshold values manifested that Cr and Mn possess rare biological effects on local aquatic organisms. Nevertheless, SQGs-based and ecological risk indices invoked minor to no potential ecotoxicological intimidations for the considered metal(oid)s (Cr, Mn, Co, Zn, As, and Sb). Hence, this study manifested the usefulness of a less anthropogenically affected river to reckon geogenic and non-crustal elemental origins in the compounded riverine sediment.

Biogeochemistry of the dissolved organic matter (DOM) in the estuarine rivers of Bangladesh-Sundarbans under different anthropogenic influences.

The Bangladesh-Sundarbans is the Outstanding Universal Value (OUV) articulated by UNESCO, is under different anthropogenic stress. The present study focused on the status of estuarine biogeochemistry of the dissolved organic matter (DOM) of the Bangladesh-Sundarbans using different optical methods. Four fluorophores: Peak A (230-265/408-488 nm), Peak M (290/414 nm), Peak C (365/488 nm), and Peak W (320/410 nm), and three fluorescent dissolved organic matter (fDOM) components (two humic-like, one detergent-like) were identified in the Sundarban mangrove Rivers by Excitation-Emission Matrix (EEM) and Parallel Factor (PARAFAC) analyses. Among the three components, the terrestrial-derived humic-like Component had a high intensity in five samples among six in the Bangladesh-Sundarbans. The total fluorescent intensity and calculated dissolved organic carbon (DOC) concentration were maximum in Harbaria and minimum in Kotka and Dublar char, respectively. Synchronous fluorescence spectroscopy (SFS) identified protein-like component besides humic-like DOM. The optical indices described that natural fDOM components were from terrestrial sources, were matured, and autochthonous fDOM production was low. The DOM components were relatively lower in molecular size and aromaticity in Harbaria. However, water samples in Harbaria contained organometallic compounds that had much absorbance at 254 nm wavelength. DOM components had low energy and more π-conjugated molecules in structure in the Dublar char and Kotka. Components in Dublar char had comparatively higher molecular size and weight than other sampling stations. The Harbaria and Mongla port contained more hydrophobic and less polar substances than other stations. This study will firmly add diversified notions to future research regarding mangrove forest.

Temporal changes in hydrochemistry and DOM characteristics of the Brahmaputra River: implication to the seasonality of water quality.

Fluorescent dissolved organic matter (fDOM) in the Brahmaputra River water was characterized using excitation-emission matrix fluorescence spectroscopy (EEM) and parallel factor analysis (PARAFAC) model. EEM and PARAFAC model identified five fluorophores (Peak A, C, M, T, Tuv) and four fDOM components (two humic-, tryptophan-, and tyrosine-like) in the Brahmaputra River water. DOC varied between 0.8 and 3.9 mg/L and along with the intensities of the fDOM components showed higher concentration in the pre-monsoon and monsoon than post-monsoon. Higher biological oxygen demand (BOD) and chemical oxygen demand (COD) confirmed the presence of a high amount of organic pollutants in the Brahmaputra River of Bangladesh. Cations and anions concentrations were comparatively lower in the monsoon and pre-monsoon compared to post-monsoon. Mg2+, Na+, and HCO3- ions were predominant; catchments were carbonate mineral-dominated; and the abundance of Na+ and SO42- ions described the presence of uncommon dissolution in the Brahmaputra River. Optical indices described that fDOM components were less aromatic, had low molecular size and weight, terrestrial and biological derived, and were largely affected by microbial decomposition. The Brahmaputra River water was in the higher microbial risk at the pre-monsoon and monsoon than the post-monsoon of the year. Entropy and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) methods based water quality index (WQI) was developed using PARAFAC components matrix of DOM. Newly derived WQI showed high seasonal variability of water quality in the Brahmaputra River due to the changes in local hydro-climate.

Source apportionment, ecological, and human health risks of toxic metals in road dust of densely populated capital and connected major highway of Bangladesh.

This study investigates pollution levels, source apportionment, ecological, and human health risks associated with toxic metals (Pb, As, Hg, Cr, and Cd) in road dust from the most populated Dhaka city and a connected major highway in Bangladesh. The mean concentration of Pb, Hg, and Cd were 1.3, 29.3, and 13.2 times higher than their corresponding background values with spatially uneven distribution all over the study area. Metal pollution indices, the geo-accumulation index (Igeo), NIPI, and PI, indicated extreme contamination at many sites depending on local environmental factors. The potential ecological risk ([Formula: see text] revealed that 84% and 54% of samples showed the extreme ecological risk for Hg and Cd pollution, respectively. On the other hand, the potential ecological risk index (PERI) and Nemerow integrated risk index (NIRI) showed that most sampling sites suffered high to extreme ecological risk. Source apportionment using positive matrix factorization (PMF) identified coal combustion, and gasoline (50.14%), traffic exhaust (35.26%), and industrial and agriculture activity (14.60%) were the main source of toxic metals of the study area. Non-carcinogenic health risk indicated that adults are more vulnerable than children, and hazard index (HI) of Hg for both age groups and Cd for adults were significantly higher than the safe level. The carcinogenic risk (CR) levels of toxic metals were acceptable (10-6 to 10-4), although the maximum limit of Cr for children and As for adults was close to the unacceptable limit (10-4). Continual exposure to toxic metals through road dust might develop lifetime cancer risk in local inhabitants.

Is the Management of Rectal Cancer Using a Watch and Wait Approach Feasible, Safe and Effective in a Publicly Funded General Hospital?

AIMS: Although there is emerging evidence to suggest equivalent oncological outcomes using a watch and wait approach compared with primary total mesorectal excision surgery, there is a paucity of evidence about the safety and efficacy of this approach in routine clinical practice. Here we report the long-term outcomes and quality of life from patients managed with watch and wait following a clinical complete response (cCR) to neoadjuvant therapy. MATERIALS AND METHODS: Patients with adenocarcinoma of the rectum with cCR following neoadjuvant therapy managed using watch and wait were retrospectively identified. Demographic data, performance status, pretreatment staging information, oncological and surgical outcomes were obtained from routinely collected clinical data. Quality of life was measured by trained clinicians during telephone interviews. RESULTS: Over a 7-year period, 506 patients were treated for rectal cancer, 276 had neoadjuvant therapy and 72 had a cCR (26.1%). Sixty-three were managed with watch and wait. Thirteen patients had mucosal regrowth. There was no significant difference in the incidence of metastatic disease between the surgical and watch and wait cohorts (P = 0.38). The 13 patients with mucosal regrowth underwent salvage surgery. Eleven of the patients who underwent surgical resection had R0 resections. There was also a statistically and clinically significant improvement in the Functional Assessment of Cancer Therapy - Colorectal (FACT-C) trial outcome index (P = 0.022). CONCLUSION: This study shows that watch and wait is safe and effective outside of tertiary referral centres. It suggests that an opportunistic cCR is durable and when mucosal regrowth occurs it can be salvaged. Finally, we have shown that quality of life is probably improved if a watch and wait approach is adopted.

Reassessing riverine carbon dioxide emissions from the Indian subcontinent.

Anthropogenic perturbations are increasing uncertainties in estimating CO2 emissions via air-water CO2 flux (FCO2) from large rivers of the Indian subcontinent. This study aimed to provide an improved estimate of the total FCO2 from the subcontinental rivers by combining calculations of the partial pressure of CO2 (pCO2) in eight major rivers with new measurements in the Ganges and Godavari. The average pCO2 in the two newly surveyed rivers, including tributaries, wastewater drains, and impoundments, were 3-6 times greater than the previously reported values. In some highly polluted urban tributaries and middle reaches of the Ganges that drain metropolitan areas, the measured pCO2 exceeded 20,000 µatm, ~40 times the background levels of the headwaters originating in the carbonate-rich Himalayas. The high pCO2 above 28,000 µatm in the lower reach of the Godavari was seven times the moderate levels of pCO2 in the headwaters of the volcanic Deccan Traps, indicating enhanced CO2 production in soils and anthropogenic sources under favorable conditions for organic matter degradation. Across the northern rivers, pCO2 exhibited a significant negative relationship with dissolved oxygen, but a positive relationship with inorganic N or P concentrations. The strong influence of water pollution on riverine pCO2 suggests that CO2 emissions from hypoxic, eutrophic reaches can greatly exceed phytoplanktonic CO2 uptake. Spatially resolved pCO2 data, combined with three gas transfer velocity estimates, provided a higher range of FCO2 from the subcontinental rivers (100.9-130.2 Tg CO2 yr-1) than the previous estimates (7.5-61.2 Tg CO2 yr-1). The revised estimates representing 2-5% of the global riverine FCO2 illustrate the importance of the Indian subcontinental rivers under increasing anthropogenic pressures in constraining global inland waters FCO2.

Uropathogens Antimicrobial Sensitivity and Resistance Pattern From Outpatients in Balochistan, Pakistan.

Objective To determine the pattern of microbes responsible for urinary tract infections and their susceptibility to different antibiotics. Method This is a cross-sectional study conducted at Quetta, Pakistan. The urine samples of 400 patients were collected and sent for culture and sensitivity analysis. The results were recorded on an excel datasheet. Descriptive statistics were used to describe the data. Results Out of 400 urine samples, 266 samples were culture positive for microorganisms. The most common organism on analysis was Escherichia coli 123/266 (46.24%) followed by Staphylococcus saprophyticus 59/266 (22.18%) and Klebsiella pneumonia 49/266 (18.42%). Gram-negative microorganisms were most susceptible to fosfomycin, cefoperazone/sulbactam, and meropenem. Gram-positive microorganisms were most susceptible to fosfomycin, cefoperazone/sulbactam, meropenem, and amoxicillin/clavulanate. High rates of resistance in E. coli were observed to most commonly prescribed broad-spectrum antibiotics; ceftriaxone (64.35%), cefotaxime (76.54%), ceftazidime (49.43%), cefepime (53.44%), levofloxacin (71.26%), and amoxicillin/clavulanate (70.31%). E. coli was the major multidrug-resistant organism. Conclusion High rates of antibiotic resistance and multi-drug resistance were revealed in this study due to the widespread and injudicious use of broad-spectrum antibiotics. Thus, it is highly recommended to regulate the pharmacies. Physicians should judiciously prescribe antibiotics and practice the culture and sensitivity of urine samples rather than blind prescription. Continued surveillance on uropathogens prevalence and resistance, new and next-generation antibiotics, and rapid diagnostic tests to differentiate viral from bacterial infections is the need of time.

Sham-derived effects and the minimal reliability of theta burst stimulation.

Theta-burst stimulation (TBS) is a patterned form of repetitive transcranial magnetic stimulation (rTMS) that has been used to induce long-term modulation (plasticity) of corticospinal excitability in a drastically shorter duration protocol than conventional rTMS protocols. In this study we tested the reliability of the effects of two well defined TBS protocols, continuous TBS (cTBS) and intermittent TBS (iTBS), especially in relation to sham TBS, within and across the same 24 participants. All TBS protocols were repeated after approximately 1 month to assess the magnitude and reliability of the modulatory effects of each TBS protocol. Baseline and post-TBS changes in motor evoked potentials (MEP-measure of corticospinal excitability) amplitudes were compared across the cTBS, iTBS and sham TBS protocols and between the initial and retest visits. Overall, across participants, at the initial visit, iTBS facilitated MEPs as compared to baseline excitability, with sham eliciting the same effect. cTBS did not show a significant suppression of excitability compared to baseline MEPs at either visit, and even facilitated MEPs above baseline excitability at a single time point during the repeat visit. Otherwise, effects of TBS were generally diminished in the repeat visit, with iTBS and sham TBS replicating facilitation of MEPs above baseline excitability at similar time points. However, no protocol demonstrated consistent intra-individual modulation of corticospinal excitability upon retest. As the first study to test both iTBS and cTBS against sham TBS across repeat visits, our findings challenge the efficacy and reliability of TBS protocols and emphasize the importance of accounting for sham effects of TBS. Furthermore, given that therapeutic effects of TBS are hypothetically derived from consistent and repeated modulation of brain activity, the non-replicability of plasticity and sham effects call into question these basic mechanisms.

Characterization and photodegradation pathway of the leachate of Matuail sanitary landfill site, Dhaka South City Corporation, Bangladesh.

This study was carried out to characterize the biogeochemical and physicochemical properties of landfill leachate from Matuail Sanitary landfill site, Dhaka, Bangladesh. In addition, the study also aimed to identify the photodegradation of landfill leachate under natural sunlight. The leachate pH was slightly alkaline (7.87-8.07) with a minimum level of dissolved oxygen, and low BOD5/COD ratio that are indicators of the matured methanogenic phase. Ca, Fe, Br, Rb, Cu was present in a considerable amount. A trace amount of Sr, Co, As, Pb, Cr was found in the leachate sample. Fourier Transform - infrared (FTIR) spectra of all three samples had five major peak regions notably at 3440-3450 cm-1 (O-H groups of water), 1638 cm-1 (C=O Amide I, carboxylates C=C, aromatic ring modes, or alkenes), 1385-1390 cm-1 (deformation of the C-H bond in CH2 and CH3, or the asymmetric stretching of COO¯), 1115 cm-1 (stretching of the C-O bond in phenol ethers and phenols) and 605 cm-1 (S-O bends of sulfates). In addition to the appearance of new peak, peak shifting on the 2nd-day and 5th-day phototreatment are in compliance with the 34% TOC reduction. From analyzing three-dimensional excitation/emission (3D-EEM) spectra of the raw sample pyrene-like or humic-like peak A (Ex 255/Em 465), soil fulvic-like peak Mp (Ex 315/Em 450), and humic-like peak C (Ex 370/Em 455) was found indicating more humified characteristics of the mature landfill site. From 1-hour to 6-hours phototreatment, all three substances slightly lost fluorescence intensity. From the 2nd day to the 5th day of photo-treatment, two unknown photo-product was identified within Ex 210/Em 457 and Ex 205/Em 408 at peak A region. Fluorescence intensity lost was 65% for peak A and 44% for peak C. Soil fulvic-like peak Mp was absent on the 5th day of photo-treatment.

Impact of landfill leachate contamination on surface and groundwater of Bangladesh: a systematic review and possible public health risks assessment.

Dumping of solid waste in the non-engineered landfill is very common in the developing countries. Among the different disadvantages of this kind of landfilling, leachate is the major concern to public health, which is a toxic byproduct generated from the landfill; and can percolate to the ground water and consequently migrate in surface water. Using systematic review on published data, the present study endeavors to compare the leachate contamination potential of four major landfills of Bangladesh, named Amin Bazar, Matuail, Mogla Bazar and Rowfabad; which are situated in 3 of the 6 big mega cities of Bangladesh and assessed the effects of leachate leakage on surrounding water body as well as on human health. This study, for the first time calculated the leachate pollution index (LPI) for the landfill sites of Bangladesh and found that the LPI of Matuail landfill site (19.81) is much higher which is comparable to some polluted landfill sites of India and Malaysia. The concentrations of several potentially toxic metals found in the surface and ground water in the vicinity of the landfill sites were above the maximum permissible limit values of department of Environment, Bangladesh and World Health Organization (WHO). The human health risk index for toxic heavy metals in different vegetables and rice grain showed high health risk potential for Pb, Cd, Ni, and Mn. The total carcinogenic risk for Ni and Pb are found very high in the edible plants near those landfill sites, suggesting the risk of Ni and Pb induced carcinogenesis by the consumption of those plants. The present conditions of surface, ground water and agriculture products near the landfill sites of Bangladesh are much frightening to the biota and local inhabitants. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13201-021-01431-3.

Probabilistic health risk assessment of toxic metals in chickens from the largest production areas of Dhaka, Bangladesh.

Chicken is one of the major protein sources and more affordable for the population of Bangladesh. Its quality monitoring is of high priority for food safety and public health risk assessment. This study determined metals (Fe, Cu, Zn, As, Ni, Cr, Sr, Hg, and Pb) in chickens from different farms of a high production area of Dhaka, Bangladesh, using an energy-dispersive X-ray fluorescence spectrometer to calculate the health risk through chickens consumption. In most cases, the toxic metals (As, Ni, Cr, Hg, and Pb) showed very high concentrations in different parts of chickens, especially livers that contained several times higher concentrations than the maximum allowable concentration (MAC). Analytical results showed some feed and water contain high concentrations of As and Cr that might be bioaccumulated in chicken. The estimated daily intake (EDI) for all metals was below the provisional tolerable daily intake (PTDI) values except As and Fe in few farms. Target hazard quotients (THQs) for most metals were less than 1 but THQs of As and Cr of few farms were higher than 1, indicating that the consumer would possess As- and Cr-based health hazards. Total target hazard quotient (TTHQ) of 42% for composite and 36% for body parts samples were > 1, suggesting potential health risk. The probabilistic risk and individual samples cancer risk (TR) were exceeded the acceptable level (10-4) for As and 75% of composite and 58% of body parts of chicken showed acceptable limit (10-6 to 10-4) for Pb, indicating that the peoples might be exposed to lifetime cancer risk in the long run.