Fuzzy logic-based health risk assessment of fluoride in groundwater used as drinking source in Sira region, Tumkur, India.

Fluoride contamination in drinking water is a serious public health concern across the world, and more than 90 million people in India are affected by health risks associated with fluoride. Though the fatality due to fluoride chronic toxicity is uncommon, the exposure to fluoride at different concentration levels shows various adverse health effects such as dental and skeletal fluorosis, multiorgan failure, cognitive and behavioural effects. Hence, the objectives of the present study are to understand the hydrogeochemistry and drinking water suitability of groundwater of the Sira region, Karnataka, India, and to understand the occurrence of fluoride and its health risks using the United State Environmental Protection Agency (US EPA) method and fuzzy logic concepts. Forty-six samples were collected from each pre and post-monsoon season. The hydrogeochemistry studied through Chadha's diagram and Gibb's diagram indicated that the groundwater in this region is of Na-Cl type and the hydrogeochemistry is majorly controlled by rock-water interaction and followed by evaporative dominance. Water quality parameters were compared with drinking water standards guidelines, and the results showed that around 50% of the samples were contaminated with fluoride. The occurrence of high levels of fluoride in the study region is associated to the presence of granitic rocks and it is influenced by high pH and low calcium dissolution in the groundwater. Based on US EPA method, the order of population group under the risk of dental and skeletal fluorosis, is children > adolescents > adults. A fuzzy inference system model is developed to assess the health risk due to fluoride and its output gives severity levels of each type of health risk, i.e. dental caries, dental fluorosis and skeletal fluorosis. The results of the application of the fuzzy inference system model in the Sira region showed that the children (< 8 Yr.) are more susceptible to the moderate risk of dental caries, dental fluorosis and skeletal fluorosis. Whereas adolescents (8-18 Yr.) and adults (> 18 Yr.) are less susceptible to low-very low risk. Hence, health risks associated with fluoride can be better addressed with the help of a fuzzy inference system model which can be used for more reliable and grounded results to improve the quality of decision-making.

Molecular docking analysis of bioactive compounds from Cissampelos pareira with PPAR gamma.

We document the Molecular docking analysis of bioactive compounds from Cissampelos pareira with PPAR gamma for further consideration in drug discovery for T2DM.

SCB-HC-ECC-Based Privacy Safeguard Protocol for Secure Cloud Storage of Smart Card-Based Health Care System.

The advent of the internet has brought an era of unprecedented connectivity between networked devices, making one distributed computing, called cloud computing, and popular. This has also resulted in a dire need for remote authentication schemes for transferring files of a sensitive nature, especially health-related information between patients, smart health cards, and cloud servers via smart health card solution providers. In this article, we elaborate on our proposed approach for such a system and accomplish an informal analysis to demonstrate the claim that this scheme provides sufficient security while maintaining usability.

Trace metals contamination in groundwater and implications on human health: comprehensive assessment using hydrogeochemical and geostatistical methods.

Monitoring the groundwater chemical composition and identifying the presence of pollutants is an integral part of any comprehensive groundwater management strategy. The present study was conducted in a part of West Tripura, northeast India, to investigate the presence and sources of trace metals in groundwater and the risk to human health due to direct ingestion of groundwater. Samples were collected from 68 locations twice a year from 2016 to 2018. Mixed Ca-Mg-HCO3, Ca-Cl and Ca-Mg-Cl were the main groundwater types. Hydrogeochemical methods showed groundwater mineralization due to (1) carbonate dissolution, (2) silicate weathering, (3) cation exchange processes and (4) anthropogenic sources. Occurrence of faecal coliforms increased in groundwater after monsoons. Nitrate and microbial contamination from wastewater infiltration were apparent. Iron, manganese, lead, cadmium and arsenic were above the drinking water limits prescribed by the Bureau of Indian Standards. Water quality index indicated 1.5% had poor, 8.7% had marginal, 16.2% had fair, 66.2% had good and 7.4% had excellent water quality. Correlation and principal component analysis reiterated the sources of major ions and trace metals identified from hydrogeochemical methods. Human exposure assessment suggests health risk due to high iron in groundwater. The presence of unsafe levels of trace metals in groundwater requires proper treatment measures before domestic use.

FIMAR: A new Fluoride Index to mitigate geogenic contamination by Managed Aquifer Recharge.

The objective of this study is to develop a Fluoride Index for mitigation of geogenic contamination by Managed Aquifer Recharge (FIMAR). This index was tested by applying to the Pambar river basin in southern India. About 40% of the study area had fluoride >1.5 mg/L, contributed from the dissolution of fluorite, fluorapatite, biotite and hornblende. The relationship between groundwater level and fluoride concentration exhibited two types of relationship. In shallow wells, groundwater recharge during monsoon increases the groundwater level and dilutes the fluoride concentration. During summer, evaporation decreases the groundwater levels and increases the fluoride content. In deep wells, the fluoride-rich salts that is deposited in the unsaturated zone due to evaporation in the pre-monsoon season is flushed during groundwater recharge and thus, the fluoride concentration increases with increase in groundwater level. This relationship was used as a key layer in FIMAR. Overlay analysis including the well type derived from the groundwater level and fluoride fluctuation, average fluoride concentration, geology, geomorphology, soil, drainage density, land use, lineament density and thickness of the weathered zone indicated 30% of the area was suitable for MAR to mitigate fluoride contamination. Since the construction of new MAR structures is cost-intensive, it is proposed to rejuvenate the existing ponds in the areas identified by FIMAR to induce recharge and dilute fluoride concentration. The positive impact was confirmed using numerical and geochemical modelling. This proves that FIMAR can be used as a planning tool in fluoride endemic areas and that the future MAR methods will be beneficial to mitigate geogenic fluoride contamination.

Regional and temporal variation in minor ions in groundwater of a part of a large river delta, southern India.

Impact of agricultural activities on groundwater can be determined from the concentration of nutrients present in groundwater. This study was carried out with the aim to assess the minor ions content of groundwater and to identify its sources, spatial, and seasonal variations in a part of the Cauvery River basin, southern India. Groundwater samples were collected from July 2007 to September 2009 and were analyzed for minor ions. These ions were in the order of dominance of nitrate> phosphate> bromide> fluoride> ammonium= nitrite> lithium. The concentration of ions tends to increase towards the coast except for fluoride. Increased concentration of ions identified in shallow wells than in deep wells with an exception of few locations indicates the impact of human activities. Relatively high concentration of agriculture-sourced nitrate was identified which pose a threat to groundwater suitability for agriculture and domestic usage. Combined influence of use of agrochemicals, improper sewage disposal, aquaculture activities, seawater intrusion due to heavy pumping near the coast, and natural weathering of aquifer materials are the major sources. Also, fine grain sediments of this area aid in poor flushing of the ions towards the sea resulting in accumulation of higher concentration of ions. A sustainable management strategy is essential to control the concentration of these ions, especially nitrate. Reduced use of fertilizers, increasing the rainfall recharge for diluting the pollutants in groundwater and maintaining the river flow for sufficiently longer period to reduce dependence on groundwater for irrigation can help to improve the situation.

Spatial interpolation methods and geostatistics for mapping groundwater contamination in a coastal area.

Mapping groundwater contaminants and identifying the sources are the initial steps in pollution control and mitigation. Due to the availability of different mapping methods and the large number of emerging pollutants, these methods need to be used together in decision making. The present study aims to map the contaminated areas in Richards Bay, South Africa and compare the results of ordinary kriging (OK) and inverse distance weighted (IDW) interpolation techniques. Statistical methods were also used for identifying contamination sources. Na-Cl groundwater type was dominant followed by Ca-Mg-Cl. Data analysis indicate that silicate weathering, ion exchange and fresh water-seawater mixing are the major geochemical processes controlling the presence of major ions in groundwater. Factor analysis also helped to confirm the results. Overlay analysis by OK and IDW gave different results. Areas where groundwater was unsuitable as a drinking source were 419 and 116 km2 for OK and IDW, respectively. Such diverse results make decision making difficult, if only one method was to be used. Three highly contaminated zones within the study area were more accurately identified by OK. If large areas are identified as being contaminated such as by IDW in this study, the mitigation measures will be expensive. If these areas were underestimated, then even though management measures are taken, it will not be effective for a longer time. Use of multiple techniques like this study will help to avoid taking harsh decisions. Overall, the groundwater quality in this area was poor, and it is essential to identify alternate drinking water source or treat the groundwater before ingestion.

Occurrence of Bluetongue in ruminants in Tamil Nadu, South India.

Tamil Nadu is located in the South-Eastern part of Indian peninsula, between 8.087° and 13.09°N and 76.50° and 80.27°E. Bluetongue (BT) was first reported in this region in sheep during 1982 with regular occurrence thereafter. In 1989-1990, 1997-1998 and 2005-2006, there was wide spread occurrence of BT resulting in huge mortality of sheep. The present study had the goal of isolating the BTV from outbreaks in sheep occurred in Tamil Naadu between 2003-2011 and comparing the VP2 gene sequences of the BTV isolates involved in such outbreaks. Serotypes 1, 2, 16, and 23 of the Bluetongue virus (BTV) have been isolated from sheep during BT outbreaks. BTV-16 has also been isolated in goats and cattle in the region; BTV-2 isolated in Tamil Nadu has homology with BTV-2 isolated in Africa; whereas the BTV-23 isolated in this area has homology with BTV-23 from South East Asia, indicating that both Eastern and Western topotypes of BTV are circulating in ruminant population in Tamil Nadu.

Fluoride in weathered rock aquifers of southern India: Managed Aquifer Recharge for mitigation.

Climatic condition, geology, and geochemical processes in an area play a major role on groundwater quality. Impact of these on the fluoride content of groundwater was studied in three regions-part of Nalgonda district in Telangana, Pambar River basin, and Vaniyar River basin in Tamil Nadu, southern India, which experience semi-arid climate and are predominantly made of Precambrian rocks. High concentration of fluoride in groundwater above 4 mg/l was recorded. Human exposure dose for fluoride through groundwater was higher in Nalgonda than the other areas. With evaporation and rainfall being one of the major contributors for high fluoride apart from the weathering of fluoride rich minerals from rocks, the effect of increase in groundwater level on fluoride concentration was studied. This study reveals that groundwater in shallow environment of all three regions shows dilution effect due to rainfall recharge. Suitable managed aquifer recharge (MAR) methods can be adopted to dilute the fluoride rich groundwater in such regions which is explained with two case studies. However, in deep groundwater, increase in fluoride concentration with increase in groundwater level due to leaching of fluoride rich salts from the unsaturated zone was observed. Occurrence of fluoride above 1.5 mg/l was more in areas with deeper groundwater environment. Hence, practicing MAR in these regions will increase the fluoride content in groundwater and so physical or chemical treatment has to be adopted. This study brought out the fact that MAR cannot be practiced in all regions for dilution of ions in groundwater and that it is essential to analyze the fluctuation in groundwater level and the fluoride content before suggesting it as a suitable solution. Also, this study emphasizes that long-term monitoring of these factors is an important criterion for choosing the recharge areas.

Natural influence of season on follicular, luteal, and endocrinological turnover in Indian crossbred cows.

The study was aimed at investigating the effect of seasonal changes on follicular and luteal dynamics in vivo in normally cycling crossbred cows during summer and winter months of the year. Six healthy regularly cycling Jersey crossbred nonlactating pluriparous cows were used for the study. Follicular and luteal developmental pattern was studied every other day throughout the estrous cycle by scanning the ovaries during two periods of a year viz., hot season (April to June; n = 16) and cold season (December to February; n = 12). Plasma progesterone (P4) concentrations were measured on Days 0 (estrus), 6, and 12 of the estrous cycle. Among the 12 cycles studied during the cold season, 11 (91.7%) had three waves and one had two waves. Of 16 cycles studied during the hot season, eight (50%) had two waves, four (25%) had three waves, and the remaining four cycles had single (n = 2) and four waves (n = 2). High P4 concentrations during the midcycle would have suppressed the dominant follicle of the second follicular wave and induced the emergence of the third wave during the cold season. The first follicular wave (wave I) of the cycle emerged much earlier (Day 0.5 ± 0.3) during the cold season than that in the hot season (Day 1.7 ± 0.4). The ovulatory wave emerged significantly earlier during the hot season (Day 11.5 ± 1.3) than in the cold season (Day 14.8 ± 0.4), and hence, the growth phase of ovulatory follicle significantly increased during the former season (11.0 ± 1.4 days) than the latter (5.8 ± 0.2 days). The ovulatory follicle attained a significantly larger diameter (12.8 ± 0.8 mm) to express the estrus during the hot season when compared to the cold season (11.3 ± 0.4 mm), which might be indicative of alterations in steroidogenic activity within the follicular microenvironment. During the midphase of the cycle, a period critical for embryonic sustenance, the P4 level was significantly reduced in the hot months indicating suppression of luteal activity during hot period of the year. Thus, it could be concluded that increased incidence of two follicular waves associated with a prolonged growth phase of the ovulatory follicle, and altered luteal endocrine activity during the hot season might be associated with decreased fertility in crossbred cattle.

A 'benign' condition masquerading as arthritis.

A 9 year-old boy presented with a 3-week history of low-grade fever, on and off, and additive arthritis of the lower limb joints with no overt antecedent trauma. Investigations for juvenile idiopathic arthritis (JIA), reactive and tuberculous arthritis were normal. He was started on anti-inflammatory drugs as for seronegative oligoarticular JIA. Since arthritis persisted despite treatment, MRI of the left knee joint was planned prior to an aspiration/synovial biopsy. MRI revealed a partial tear of the anterior cruciate ligament with a significant effusion. On careful re-examination, at this point, he was found to have generalised hypermobility with a Beighton score of 9/9. This had been missed initially, leading to a delay in diagnosis and management. He was managed with careful physiotherapy and lifestyle modification. The left knee effusion resolved within a month. This case is being reported in order to highlight the fact that joint hypermobility syndrome can be misdiagnosed as arthritis.

Nitrate pollution in groundwater in some rural areas of Nalgonda district, Andhra Pradesh, India.

Intake of water with high concentration of nitrate is a major problem in many countries as it affects health of humans. The present study was carried out with the objective of determining the causes for higher nitrate concentration in groundwater in parts of Nalgonda district, Andhra Pradesh, India. The study area is located at a distance of about 135 km towards ESE direction from Hyderabad. Nitrate concentration in groundwater of this area was analysed by collecting groundwater samples from 46 representative wells. Samples were collected once in two months from March 2008 to January 2009. The nitrate concentration was analysed in the laboratory using Metrohm 861 advanced compact ion chromatograph using appropriate standards. The highest concentration recorded during the sampling period was 879.65 mg/L and the lowest concentration was below detection limit. Taking into consideration 45 mg/L of nitrate as the maximum permissible limit for drinking water set by BIS, it was found that 13.78% of the groundwater samples collected from this study area possessed nitrate concentration beyond the limit. Overall, wells present in agricultural fields had nitrate levels within permissible limits when compared to those groundwater samples from wells present in settlements which are used for domestic purpose. This indicates that the high nitrate concentration in groundwater of this area is due to poor sanitation facilities and leaching from indiscriminate dumping of animal waste.

Fluoride contamination in groundwater in parts of Nalgonda District, Andhra Pradesh, India.

Serious problems are faced in several parts of the world due to the presence of high concentration of fluoride in drinking water which causes dental and skeletal fluorosis to humans. Nalgonda district in Andhra Pradesh, India is one such region where high concentration of fluoride is present in groundwater. Since there are no major studies in the recent past, the present study was carried out to understand the present status of groundwater quality in Nalgonda and also to assess the possible causes for high concentration of fluoride in groundwater. Samples from 45 wells were collected once every 2 months and analyzed for fluoride concentration using an ion chromatograph. The fluoride concentration in groundwater of this region ranged from 0.1 to 8.8 mg/l with a mean of 1.3 mg/l. About 52% of the samples collected were suitable for human consumption. However, 18% of the samples were having less than the required limit of 0.6 mg/l, and 30% of the samples possessed high concentration of fluoride, i.e., above 1.5 mg/l. Weathering of rocks and evaporation of groundwater are responsible for high fluoride concentration in groundwater of this area apart from anthropogenic activities including irrigation which accelerates weathering of rocks.

Comparison of virus isolation and polymerase chain reaction for diagnosis of peste des petits ruminants.

Oculonasal swabs and tissue samples collected from peste des petits ruminants (PPR) suspected sheep and goats were tested for presence of the virus of peste des petits ruminants (PPRV) or its RNA by reverse transcription-PCR (RT-PCR) and virus isolation (VI). Of 44 samples 31.8% and 40.9% were positive by VI and RT-PCR, respectively. The RT-PCR-positive samples were subjected to the nested PCR. Three of six samples positive by RT-PCR but negative by VI were negative by the nested PCR. The specificity and accuracy of the nested PCR were higher than those of the RT-PCR although the sensitivity of both tests were similar. Nucleotide sequencing of one nested PCR product revealed a 92% homology with the sequence available in the GenBank (Acc. No. Z37017).