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1.
Environ Res ; 232: 116332, 2023 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-37279800

RESUMO

The isolated bacterial strain (Bacillus brevis strain 1 B) showed a maximum tolerated level of 450 mg L-1 of the selected pesticides namely: imidacloprid, fipronil, cypermethrin, and sulfosulfuron. Within 15 days of the experiment, strain 1 B was able to reduce up to 95% of a pesticide mixture (20 mg L-1) in a carbon-deficient medium (minimal medium). The optimal conditions obtained using Response Surface Methodology (RSM) were: inoculums; 2.0 × 107 CFU mL-1, shaking speed; 120 rpm, and pesticide concentration; 80 mg L-1. After 15 days of soil-based bioremediation using strain 1 B, the degradation pattern for imidacloprid, fipronil, cypermethrin, sulfosulfuron, and control was 99, 98.5, 94, 91.67, and 7%, respectively. Gas chromatography-mass spectrometry (GC-MS) analysis was used to determine the intermediate metabolites of cypermethrin with bacterial 1 B as 2-cyclopenten-1-one, 2-methylpyrrolidine, 2-oxonanone, 2-pentenoic acid, 2-penten-1-ol, hexadecanoic acid or palmitic acid, pentadecanoic acid, 3-cyclopentylpropionic acid, and 2-dimethyl. Furthermore, genes encoding aldehyde dehydrogenase (ALDH) and esterase were expressed under stress conditions and connected to pesticide bioremediation. Hence the efficacy of Bacillus brevis (1 B) could be employed for the bioremediation of pesticide mixtures and other toxic substances (dye, polyaromatic hydrocarbon, etc.) from contaminated sites.


Assuntos
Bacillus , Praguicidas , Poluentes do Solo , Praguicidas/análise , Bacillus/genética , Bacillus/metabolismo , Oxirredutases/metabolismo , Aldeído Desidrogenase/metabolismo , Esterases/metabolismo , Biodegradação Ambiental , Bactérias/metabolismo , Microbiologia do Solo , Poluentes do Solo/análise
2.
Pestic Biochem Physiol ; 181: 104996, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35082044

RESUMO

The present study has investigated the potential of Bacillus sp. strain 3C able to degrade mixture of pesticides from the environment. It showed maximum tolerance up to 450 mg·L-1 for cypermethrin, fipronil, imidacloprid and sulfosulfuron. The strain 3C was able to degrade up to the 94% of mixture of pesticides (20 mg·L-1) within 15 days of experiment. The Box-Behnken design of Response Surface Methodology (RSM) determined the optimized conditions as; inoculum size 3.0 × 107 CFU·mL-1, shaking speed 120 rpm, and pesticides concentration 80 mg·L-1. In soil-based bioremediation with strain 3C after 15 days degradation pattern was; 99, 94, 92, 92 and 7% for the imidacloprid, sulfosulfuron, fipronil, cypermethrin and control respectively. The novel intermediate metabolites for cypermethrin degradation were investigated as decyl isobutyl ester, phthalic acid, cyclopropane carboxylic acid tri dec-2-ynyl ester, 9- octadecanal, tridecane, propanoic acid, cyclohexene, bicyclo[2.2.1] heptan-2-ol, and acetic acid were identified using Gas chromatography Mass Spectrometry (GC-MS) with strain 3C. Moreover, the results of the laccase based enzymatic kinetics suggested that the rate of production was maximum in pesticides stress (94 µg·µL-1) whereas, in normal condition 51 µg·µL-1. The Km value found to be decreased in pesticides stress condition 12.25 and increment in Km 13.58 mM was observed without stress. Furthermore, aldehyde dehydrogenase (ALDH) and laccase encoding genes were amplified and linked with mixture of pesticides bioremediation. The efficiency of bacterial strain 3C, could be used for bioremediation of mixture of pesticides, and other xenobiotic compounds from the contaminated environments.


Assuntos
Bacillus , Praguicidas , Poluentes do Solo , Biodegradação Ambiental , Cromatografia Gasosa-Espectrometria de Massas , Cinética
3.
Microb Cell Fact ; 20(1): 72, 2021 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-33736647

RESUMO

The large-scale application of organic pollutants (OPs) has contaminated the air, soil, and water. Persistent OPs enter the food supply chain and create several hazardous effects on living systems. Thus, there is a need to manage the environmental levels of these toxicants. Microbial glycoconjugates pave the way for the enhanced degradation of these toxic pollutants from the environment. Microbial glycoconjugates increase the bioavailability of these OPs by reducing surface tension and creating a solvent interface. To date, very little emphasis has been given to the scope of glycoconjugates in the biodegradation of OPs. Glycoconjugates create a bridge between microbes and OPs, which helps to accelerate degradation through microbial metabolism. This review provides an in-depth overview of glycoconjugates, their role in biofilm formation, and their applications in the bioremediation of OP-contaminated environments.


Assuntos
Bactérias/metabolismo , Biodegradação Ambiental , Poluentes Ambientais/metabolismo , Glicoconjugados/metabolismo , Bactérias/crescimento & desenvolvimento , Biofilmes/crescimento & desenvolvimento , Tensoativos/metabolismo
4.
Pestic Biochem Physiol ; 158: 88-100, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31378365

RESUMO

Methyl halide group of pesticides are being used widely in past decades as fumigant but due to their hazardous effect, these pesticides are not sold directly. They are volatile and gaseous in nature and may easily come in the contact of trophosphere and stratosphere. In troposphere, they are harmful to the living beings; nevertheless, in stratosphere they react with ozone and degrade the ozone layers. In this study, we have investigated the in-silico pathways of methyl halide and its toxic effect on living systems like pest, humans and environment. Till date, limited studies provide the understanding of degradation of methyl halide and its effect on the environment. This leads to availability of scanty information for overall bio-magnifications of methyl halides at molecular and cellular level. The model developed in the present study explains how a volatile toxic compound not only affects living systems on earth but also on environmental layers. Hub nodes were also evaluated by investigating the developed model topologically. Methyl transferase system is identified as promising enzyme in response to degradation of methyl halides.


Assuntos
Bactérias/metabolismo , Cloreto de Metila/metabolismo , Biodegradação Ambiental , Biologia de Sistemas
5.
Sci Rep ; 14(1): 14928, 2024 06 28.
Artigo em Inglês | MEDLINE | ID: mdl-38942772

RESUMO

Improved and contemporary agriculture relies heavily on pesticides, yet some can be quite persistent and have a stable chemical composition, posing a significant threat to the ecology. Removing harmful effects is upon their degradability. Biodegradation must be emphasized to lower pesticide degradation costs, especially in the soil. Here, a decision-making system was used to determine the best microbial strain for the biodegradation of the pyrethroid-contaminated soil. In this system, the criteria chosen as: pH (C1), Temp (C2), RPM (C3), Conc. (C4), Degradation (%) (C5) and Time required for degradation(hrs) (C6); and five alternatives were Bacillus (A1), Acinetobacter (A2), Escherichia (A3), Pseudomonas (A4), and Fusarium (A5). The best alternative was selected by applying the TOPSIS (technique for order performance by similarity to ideal solution) method, which evaluates based on their closeness to the ideal solution and how well they meet specific requirements. Among all the specified criteria, Acinetobacter (A2) was the best and optimal based on the relative closeness value (( R i ∗ ) = 0.740 (A2) > 0.544 (A5) > 0.480 (A1) > 0.403 (A4) > 0.296 (A3)). However, the ranking of the other alternatives is also obtained in the order Fusarium (A5), Bacillus (A1), Pseudomonas (A4), Escherichia (A3). Hence this study suggests Acinetobacter is the best microbial strain for biodegradation of pyrethroids; while least preference should be given to Escherichia. Acinetobacter, versatile metabolic nature with various xenobiotic compounds' degradation ability, is gram-negative, aerobic, coccobacilli, nonmotile, and nonspore forming bacteria. Due to less study about Acinetobacter it is not in that much frame as the other microorganisms. Hence, considering the Acinetobacter strain for the biodegradation study will give more optimal results than the other microbial strains. Novelty of this study, the TOPSIS method is applied first time in selecting the best microbial strain for the biodegradation of pyrethroid-contaminated soil, considering this selection process as multi-criteria decision-making (MCDM) problem.


Assuntos
Biodegradação Ambiental , Piretrinas , Microbiologia do Solo , Poluentes do Solo , Piretrinas/metabolismo , Poluentes do Solo/metabolismo , Bactérias/metabolismo , Bactérias/genética , Bactérias/classificação , Bacillus/metabolismo , Bacillus/genética , Fusarium/metabolismo , Tomada de Decisões , Pseudomonas/metabolismo , Pseudomonas/genética , Acinetobacter/metabolismo , Acinetobacter/genética
6.
Front Microbiol ; 14: 1214870, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37547682

RESUMO

Biochar is a carbonaceous by-product of lignocellulosic biomass developed by various thermochemical processes. Biochar can be transformed into "nano-biochar" by size reduction to nano-meters level. Nano-biochar presents remarkable physico-chemical behavior in comparison to macro-biochar including; higher stability, unique nanostructure, higher catalytic ability, larger specific surface area, higher porosity, improved surface functionality, and surface active sites. Nano-biochar efficiently regulates the transport and absorption of vital micro-and macro-nutrients, in addition to toxic contaminants (heavy metals, pesticides, antibiotics). However an extensive understanding of the recent nano-biochar studies is essential for large scale implementations, including development, physico-chemical properties and targeted use. Nano-biochar toxicity on different organisms and its in-direct effect on humans is an important issue of concern and needs to be extensively evaluated for large scale applications. This review provides a detailed insight on nanobiochar research for (1) development methodologies, (2) compositions and properties, (3) characterization methods, (4) potentiality as emerging sorbent, photocatalyst, enzyme carrier for environmental application, and (5) environmental concerns.

7.
Front Microbiol ; 14: 1271129, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37928679

RESUMO

Exposure to pesticides changes the microbial community structure in contaminated agricultural fields. To analyze the changes in the native microbial composition qRT-PCR, a metagenomic study was conducted. The qRT-PCR results exhibited that the uncontaminated soil has a higher copy number of 16S rDNA relative to the soil contaminated with pesticide. Metagenome analysis interprets that uncontaminated soil is enriched with proteobacteria in comparison with pesticide-contaminated soil. However, the presence of Actinobacteria, Firmicutes, and Bacteroides was found to be dominant in the pesticide-spiked soil. Additionally, the presence of new phyla such as Chloroflexi, Planctomycetes, and Verrucomicrobia was noted in the pesticide-spiked soil, while Acidobacteria and Crenarchaeota were observed to be extinct. These findings highlight that exposure to pesticides on soil significantly impacts the biological composition of the soil. The abundance of microbial composition under pesticide stress could be of better use for the treatment of biodegradation and bioremediation of pesticides in contaminated environments.

8.
Front Microbiol ; 14: 1229828, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37555069

RESUMO

The increasing rate of industrialization, anthropogenic, and geological activities have expedited the release of heavy metals (HMs) at higher concentration in environment. HM contamination resulting due to its persistent nature, injudicious use poses a potential threat by causing metal toxicities in humans and animals as well as severe damage to aquatic organisms. Bioremediation is an emerging and reliable solution for mitigation of these contaminants using rhizospheric microorganisms in an environmentally safe manner. The strategies are based on exploiting microbial metabolism and various approaches developed by plant growth promoting bacteria (PGPB) to minimize the toxicity concentration of HM at optimum levels for the environmental clean-up. Rhizospheric bacteria are employed for significant growth of plants in soil contaminated with HM. Exploitation of bacteria possessing plant-beneficial traits as well as metal detoxifying property is an economical and promising approach for bioremediation of HM. Microbial cells exhibit different mechanisms of HM resistance such as active transport, extra cellular barrier, extracellular and intracellular sequestration, and reduction of HM. Tolerance of HM in microorganisms may be chromosomal or plasmid originated. Proteins such as MerT and MerA of mer operon and czcCBA, ArsR, ArsA, ArsD, ArsB, and ArsC genes are responsible for metal detoxification in bacterial cell. This review gives insights about the potential of rhizospheric bacteria in HM removal from various polluted areas. In addition, it also gives deep insights about different mechanism of action expressed by microorganisms for HM detoxification. The dual-purpose use of biological agent as plant growth enhancement and remediation of HM contaminated site is the most significant future prospect of this article.

9.
Chemosphere ; 306: 135576, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35803375

RESUMO

The natural and anthropogenic sources of water bodies are contaminated with diverse categories of pollutants such as antibiotics, pharmaceuticals, pesticides, heavy metals, organic compounds, and other industrial chemicals. Depending on the type and the origin of the pollutants, the degree of contamination can be categorized into lower to higher concentrations. Therefore, the removal of hazardous chemicals from the environment is an important aspect. The physical, chemical and biological approaches have been developed and implemented to treat wastewaters. The microbial and algal treatment methods have emerged as a growing field due to their eco-friendly and sustainable approach. Particularly, microalgae emerged as a potential organism for the treatment of contaminated water bodies. The microalgae of the genera Chlorella, Anabaena, Ankistrodesmus, Aphanizomenon, Arthrospira, Botryococcus, Chlamydomonas, Chlorogloeopsis, Dunaliella, Haematococcus, Isochrysis, Nannochloropsis, Porphyridium, Synechococcus, Scenedesmus, and Spirulina reported for the wastewater treatment and biomass production. Microalgae have the potential for adsorption, bioaccumulation, and biodegradation. The microalgal strains can mitigate the hazardous chemicals via their diverse cellular mechanisms. Applications of the microalgae strains were found to be effective for sustainable developments and circular economy due to the production of biomass with the utilization of pollutants.


Assuntos
Chlorella , Poluentes Ambientais , Microalgas , Biomassa , Poluentes Ambientais/metabolismo , Substâncias Perigosas/metabolismo , Microalgas/metabolismo , Águas Residuárias , Água/metabolismo
10.
Environ Pollut ; 309: 119688, 2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-35793713

RESUMO

The pollutants can enter water bodies at various point and non-point sources, and wastewater discharge remains a major pathway. Wastewater treatment effectively reduces contaminants, it is expensive and requires an eco-friendly and sustainable alternative approach to reduce treatment costs. Algae have recently emerged as a potentially cost-effective method to remediate toxic pollutants through the mechanism of biosorption, bioaccumulation, and intracellular degradation. Hence, before discharging the wastewater into the natural environment better solutions for environmental resource recovery and sustainable developments can be applied. More importantly, algae are a potential feedstock material for various industrial applications such as biofuel production. Currently, researchers are developing algae as a source for pharmaceuticals, biofuels, food additives, and bio-fertilizers. This review mainly focused on the potential of algae and their specific mechanisms involved in wastewater treatment and energy recovery systems leading to important industrial precursors. The review is highly beneficial for scientists, wastewater treatment plant operators, freshwater managers, and industrial communities to support the sustainable development of natural resources.


Assuntos
Poluentes Ambientais , Microalgas , Purificação da Água , Biocombustíveis , Biomassa , Poluentes Ambientais/metabolismo , Microalgas/metabolismo , Águas Residuárias
11.
J Biomol Struct Dyn ; 40(7): 3285-3295, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-33179575

RESUMO

Atrazine is the most commonly used herbicide worldwide in the agricultural system. The increased environmental concentration of the atrazine showed the toxic effects on the non-target living species. Biodegradation of the atrazine is possible with the bacterial systems. The present study investigated biodegradation potential of atrazine degrading bacteria and the impact of atrazine on environmental systems. Model of atrazine fate in ecological systems constructed using the cell designer. The used model further analyzed and simulated to know the biochemistry and physiology of the atrazine in different cellular networks. Topological analysis of the atrazine degradation confirmed the 289 nodes and 300 edges. Our results showed that the overall biomagnification of the atrazine in the different environmental systems. Atrazine is showing toxic effects on humans and plants, whereas degraded by the bacterial systems. To date, no one has analyzed the complete degradation and poisonous effects of the atrazine in the environment. Therefore, this study is useful for overall system biology based modeling and simulation analysis of atrazine in living systems.Communicated by Ramaswamy H. Sarma.


Assuntos
Atrazina , Herbicidas , Atrazina/análise , Atrazina/metabolismo , Bactérias/metabolismo , Biodegradação Ambiental , Herbicidas/metabolismo , Humanos , Microbiologia do Solo
12.
J Biomol Struct Dyn ; 40(23): 13171-13183, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34622744

RESUMO

Endosulfan is a broadly applied cyclodiene insecticide which has been in use across 80 countries since last 5 decades. Owing to its recalcitrant nature, endosulfan residues have been reported from air, water and soil causing toxicity to various non-target organisms. Microbial decontamination of endosulfan has been reported previously by several authors. In the current study, we have evaluated the pathways of endosulfan degradation and its hazardous impact on other living beings including insects, humans, plants, aquatic life and environment by in-silico methods. For establishment of the endosulfan metabolism in different ecosystems, cell designer was employed. The established model was thereafter assessed and simulated to understand the biochemical and physiological metabolism of the endosulfan in various systems of the network. Topological investigation analysis of the endosulfan metabolism validated the presence of 207 nodes and 274 edges in the network. We have concluded that biomagnification of the endosulfan generally occurs in the various elements of the ecosystem. Dynamics study of endosulfan degrading enzymes suggested the important role of monooxygenase I, II and hydrolase in endosulfan bioremediation. Endosulfan shows toxicity in human beings, fishes and plants, however it is biodegraded by the microbes. To date, there are no reports of in- silico analysis of bioremediation of endosulfan and its hazardous effects on the environment. Thus, this report can be important in terms of modelling and simulation of biodegradation network of endosulfan and similar compounds and their impact on several other systems.Communicated by Ramaswamy H. Sarma.


Assuntos
Endossulfano , Inseticidas , Humanos , Endossulfano/química , Endossulfano/metabolismo , Biodegradação Ambiental , Ecossistema , Microbiologia do Solo , Bactérias/metabolismo
13.
Chemosphere ; 296: 133916, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35149016

RESUMO

Pesticides are widely used in agriculture, households, and industries; however, they have caused severe negative effects on the environment and human health. To clean up pesticide contaminated sites, various technological strategies, i.e. physicochemical and biological, are currently being used throughout the world. Biological approaches have proven to be a viable method for decontaminating pesticide-contaminated soils and water environments. The biological process eliminates contaminants by utilizing microorganisms' catabolic ability. Pesticide degradation rates are influenced by a variety of factors, including the pesticide's structure, concentration, solubility in water, soil type, land use pattern, and microbial activity in the soil. There is currently a knowledge gap in this field of study because researchers are unable to gather collective information on the factors affecting microbial growth, metabolic pathways, optimal conditions for degradation, and genomic, transcriptomic, and proteomic changes caused by pesticide stress on the microbial communities. The use of advanced tools and omics technology in research can bridge the existing gap in our knowledge regarding the bioremediation of pesticides. This review provides new insights on the research gaps and offers potential solutions for pesticide removal from the environment through the use of various microbe-mediated technologies.


Assuntos
Praguicidas , Poluentes do Solo , Biodegradação Ambiental , Humanos , Praguicidas/análise , Proteômica , Solo , Poluentes do Solo/análise , Água
14.
Chemosphere ; 275: 130013, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33647677

RESUMO

Nonylphenol (NP) is considered a potential endocrine-disrupting chemical affecting humans and the environment. Due to widespread occurrence in the aquatic environment and neuro-, immuno, reproductive, and estrogenic effects, nonylphenol calls for considerable attention from the scientific community, researchers, government officials, and the public. It can persist in the environment, especially soil, for a long duration because of its high hydrophobic nature. Nonylphenol is incorporated into the water matrices via agricultural run-off, wastewater effluents, agricultural sources, and groundwater leakage from the soil. In this regard, assessment of the source, fate, toxic effect, and removal of nonylphenol seems a high-priority concern. Remediation of nonylphenol is possible through physicochemical and microbial methods. Microbial methods are widely used due to ecofriendly in nature. The microbial strains of the genera, Sphingomonas, Sphingobium, Pseudomonas, Pseudoxanthomonas, Thauera, Novosphingonium, Bacillus, Stenotrophomonas, Clostridium, Arthrobacter, Acidovorax, Maricurvus, Rhizobium, Corynebacterium, Rhodococcus, Burkholderia, Acinetobacter, Aspergillus, Pleurotus, Trametes, Clavariopsis, Candida, Phanerochaete, Bjerkandera, Mucor, Fusarium and Metarhizium have been reported for their potential role in the degradation of NP via its metabolic pathway. This study outlines the recent information on the occurrence, origin, and potential ecological and human-related risks of nonylphenol. The current development in the removal of nonylphenol from the environment using different methods is discussed. Despite the significant importance of nonylphenol and its effects on the environment, the number of studies in this area is limited. This review gives an in-depth understanding of NP occurrence, fate, toxicity, and remediation from the environments.


Assuntos
Disruptores Endócrinos , Poluentes Químicos da Água , Disruptores Endócrinos/análise , Disruptores Endócrinos/toxicidade , Humanos , Fenóis/análise , Fenóis/toxicidade , Trametes , Água , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/toxicidade
15.
Chemosphere ; 268: 128827, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33162154

RESUMO

The environment is contaminated by synthetic contaminants owing to their extensive applications globally. Hence, the removal of synthetic pollutants (SPs) from the environment has received widespread attention. Different remediation technologies have been investigated for their abilities to eliminate SPs from the ecosystem; these include photocatalysis, sonochemical techniques, nanoremediation, and bioremediation. SPs, which can be organic or inorganic, can be degraded by microbial metabolism at contaminated sites. Owing to their diverse metabolisms, microbes can adapt to a wide variety of environments. Several microbial strains have been reported for their bioremediation potential concerning synthetic chemical compounds. The selection of potential strains for large-scale removal of organic pollutants is an important research priority. Additionally, novel microbial consortia have been found to be capable of efficient degradation owing to their combined and co-metabolic activities. Microbial engineering is one of the most prominent and promising techniques for providing new opportunities to develop proficient microorganisms for various biological processes; here, we have targeted the SP-degrading mechanisms of microorganisms. This review provides an in-depth discussion of microbial engineering techniques that are used to enhance the removal of both organic and inorganic pollutants from different contaminated environments and under different conditions. The degradation of these pollutants is investigated using abiotic and biotic approaches; interestingly, biotic approaches based on microbial methods are preferable owing to their high potential for pollutant removal and cost-effectiveness.


Assuntos
Poluentes Ambientais , Biodegradação Ambiental , Ecossistema , Consórcios Microbianos
16.
J Hazard Mater ; 420: 126618, 2021 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-34329102

RESUMO

The large-scale application of xenobiotics adversely affects the environment. The genes that are present in the chromosome of the bacteria are considered nonmobile, whereas the genes present on the plasmids are considered mobile genetic elements. Plasmids are considered indispensable for xenobiotic degradation into the contaminated environment. In the contaminated sites, bacteria with plasmids can transfer the mobile genetic element into another strain. This mechanism helps in spreading the catabolic genes into the bacterial population at the contaminated sites. The indigenous microbial strains with such degradative plasmids are important for the bioremediation of xenobiotics. Environmental factors play a critical role in the conjugation efficiency, which is involved in the bioremediation of the xenobiotics at the contaminated sites. However, there is still a need for more research to fill in the gaps regarding plasmids and their impact on bioremediation. This review explores the role of bacterial plasmids in the bioremediation of xenobiotics from contaminated environments.


Assuntos
Bactérias , Xenobióticos , Bactérias/genética , Biodegradação Ambiental , Plasmídeos/genética
17.
World J Crit Care Med ; 9(2): 31-42, 2020 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-32577414

RESUMO

BACKGROUND: A diverse country like India may have variable intensive care units (ICUs) practices at state and city levels. AIM: To gain insight into clinical services and processes of care in ICUs in India, this would help plan for potential educational and quality improvement interventions. METHODS: The Indian ICU needs assessment research group of diverse-skilled individuals was formed. A pan- India survey "Indian National ICU Needs" assessment (ININ 2018-I) was designed on google forms and deployed from July 23rd-August 25th, 2018. The survey was sent to select distribution lists of ICU providers from all 29 states and 7 union territories (UTs). In addition to emails and phone calls, social medial applications-WhatsApp™, Facebook™ and LinkedIn™ were used to remind and motivate providers. By completing and submitting the survey, providers gave their consent for research purposes. This study was deemed eligible for category-2 Institutional Review Board exempt status. RESULTS: There were total 134 adult/adult-pediatrics ICU responses from 24 (83% out of 29) states, and two (28% out of 7) UTs in 61 cities. They had median (IQR) 16 (10-25) beds and most, were mixed medical-surgical, 111(83%), with 108(81%) being adult-only ICUs. Representative responders were young, median (IQR), 38 (32-44) years age and majority, n = 108 (81%) were males. The consultants were, n = 101 (75%). A total of 77 (57%) reported to have 24 h in-house intensivist. A total of 68 (51%) ICUs reported to have either 2:1 or 2≥:1 patient:nurse ratio. More than 80% of the ICUs were open, and mixed type. Protocols followed regularly by the ICUs included sepsis care, ventilator- associated pneumonia (83% each); nutrition (82%), deep vein thrombosis prophylaxis (87%), stress ulcer prophylaxis (88%) and glycemic control (92%). Digital infrastructure was found to be poor, with only 46 % of the ICUs reporting high-speed internet availability. CONCLUSION: In this large, national, semi-structured, need-assessment survey, the need for improved manpower including; in-house intensivists, and decreasing patient-to-nurse ratios was evident. Sepsis was the most common diagnosis and quality and research initiatives to decrease sepsis mortality and ICU length of stay could be prioritized. Additionally, subsequent surveys can focus on digital infrastructure for standardized care and efficient resource utilization and enhancing compliance with existing protocols.

20.
J Cancer Res Ther ; 11(4): 1032, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26881624

RESUMO

Pseudoangiomatous stromal hyperplasia (PASH) is a benign breast entity described first by Vuitch et al., in 1986. PASH is a benign stromal lesion containing complex anastomosing channels lined by slender spindle cells. It can be mistaken with fibroadenoma on ultrasound examination and histologically with low-grade angiosarcoma and phyllodes tumor. Here, presented is a case report of a 30-year-old female who presented with huge palpable lump in left breast. Ultrasonography revealed the lesion as giant fibroadenoma and fine needle aspiration cytology report was suggestive of cystosarcoma phyllodes. Excision and reduction mammoplasty was done and histopathology report was suggestive of PASH.


Assuntos
Angiomatose/patologia , Doenças Mamárias/patologia , Neoplasias da Mama/patologia , Hiperplasia/patologia , Tumor Filoide/patologia , Doenças Raras/patologia , Adulto , Angiomatose/complicações , Angiomatose/cirurgia , Doenças Mamárias/complicações , Doenças Mamárias/cirurgia , Neoplasias da Mama/complicações , Neoplasias da Mama/cirurgia , Feminino , Humanos , Hiperplasia/complicações , Hiperplasia/cirurgia , Tumor Filoide/complicações , Tumor Filoide/cirurgia , Prognóstico , Doenças Raras/complicações , Doenças Raras/cirurgia
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