Fate, source apportionment and fractionation of potentially toxic elements in agricultural soil around a densely populated, semiarid urban center of India: baseline study and ecological risk assessment.

This study is on the outskirts of the rapidly growing city of Jaipur, located in the semiarid region of India and gateway to the 'Great Indian Thar' desert, and focused on potentially toxic elements (PTE) pollution in the farmlands around the city. Concentrations of PTE, along with associated soil parameters such as pH, available nitrogen, organic carbon, phosphorus, and potassium, were estimated in agricultural soil samples near an industrial region on the outskirts of the capital city of the largest state of India. The PTE concentrations in the soil were in the following order: Mn > Pb > Ni > Cr > Cu > Cd. Soil pollution indices, such as the geochemical accumulation index (Igeo), contamination factor (CF), and ecological risk index (ERI), indicated that the soil was moderately to highly polluted. The result of BCR extraction techniques showed Cd is found mainly in the exchangeable and residual fractions, Pb, Mn were found in the reducible as well as residual fractions, while other PTE were mostly bound to residual fraction. All other PTEs are primarily found in the residual fraction, tightly linked with the silicate lattice of soil minerals. Multivariate analysis and the Pearson correlation matrix indicate a common source apportionment for Pb and Cd. Cd, and Pb concentrations in agricultural soil indicate ecological harm that warrants immediate attention and policy-level intervention.

The neonatal respiratory morbidity associated with early term caesarean section - an emerging pandemic.

OBJECTIVES: To examine the impact of early term caesarean section (CS) on respiratory morbidity and early neonatal outcomes when elective caesarean section was carried out before 39 completed weeks gestation in our population. METHODS: A one-year population-based retrospective cohort analysis using routinely collected hospital data. Livebirths from women who had elective lower segment cesarean section (ELSCS) for uncomplicated singleton pregnancies at early term (ET) 37+0 to 38+6 weeks were compared to full term (FT)≥39+0 weeks gestation. Exclusion criteria included diabetes, antenatal corticosteroid use, stillbirths, immediate neonatal deaths, normal vaginal deliveries and emergency caesareans sections. The outcomes were combined respiratory morbidity (tachypnea [TTN] and respiratory distress syndrome [RDS]), Apgar <7 at 5 min of age, respiratory support, duration of respiratory support and NICU admission. RESULTS: Out of a total of 1,466 elective CS with term livebirths, the timing of CS was early term (ET) n=758 (52%) and full term (FT) n=708 (48%). There was a higher incidence of respiratory morbidities and neonatal outcomes in the ET in comparison to FT newborns. In the univariable analysis, significant risks for outcomes were: the need for oxygen support OR 2.42 (95% C.I. 1.38-4.22), respiratory distress syndrome and/or transient tachypnea of newborn (RDSF/TTN) OR 2.44 (95% C.I. 1.33-4.47) and neonatal intensive care unit (NICU) admission OR 1.91 (95% C.I. 1.22-2.98). Only the need for oxygen support remained (OR 1.81, 95% C.I. 1.0-3.26) in the multivariable analysis. These results were observed within the context of a significantly higher proportion of older, multiparous, and higher number of previous caesarean sections in the early term CS group. CONCLUSIONS: There is a significant risk of respiratory morbidities in infants born by elective cesarean section prior to full term gestation. Obstetricians should aim towards reducing the high rate of women with previous multiple cesarean sections including balancing the obstetric indication of early delivery among such women with the evident risk of neonatal respiratory morbidity.

Potential human health hazard due to bioavailable heavy metal exposure via consumption of plants with ethnobotanical usage at the largest chromite mine of India.

Usage of native plant species for traditional medicine or nutritional supplement is a popular practice among various cultures. But consumption of plants growing on polluted soil can cause serious human health hazard due to bioaccumulation of toxic heavy metals. Present study deals with the ecological and human health impact of heavy metals, in six native plant species with ethnobotanical significance growing at the largest chromite mine of India. Exchangeable, oxidizable, reducible and residual fractions of the metals in plant rhizosphere were analyzed. Only 2-6% of total Cr (270-330 mg/kg) and Ni (150-190 mg/kg) at the mining site is bioavailable. Cd showed highest bioavailability (~ 60%) in mining site posing very high ecological risk (1055-5291) followed by Ni (1297-2124) and Cr (309-1105). The heavy metals in the shoot of the targeted plants were about 0.7 to 80 times higher than the standard limit as per Indian statutory body. The total hazard quotient (THQ) by the consumption of plants growing in mining region was very high (> 1) and varied from 2.6 to 5.9 in adult and 0.6-1.3 in children, while in non-mining region the THQ of same plants indicates low risk (< 1). This study indicates THQ (adult) in the order of, Euphorbia hirta (5.9) > Calotropis procera (4.9) > Argemone mexicana (3.6) > Vernonia cinerea (3.5) > Pteridium latiusculum (3.4) > Tridax procumbens (2.6) through consumption pathway growing in mine soil. This study concludes that consumption of plants growing in heavy metal polluted soil should be avoided due to their potential health hazard.

Distribution of heavy metals and associated human health risk in mine, agricultural and roadside soils at the largest chromite mine of India.

This study accessed the levels of Cd, Cr, Fe, Mn, Ni, Pb and Zn concentration in soils of different locations (mine, roadside, agricultural and control sites) of Sukinda chromite mine (the India's largest Chromite mine and listed among the world's ten most polluted regions). Geo-accumulation (Igeo) index indicates that the mine, agricultural and roadside soils are 'heavily to extremely contaminated' due to Cr, Ni, Pb and Cd, hence human residing/working in this region can have health hazards due to contaminated soil via different exposure pathways. The concentration of heavy metals (mg/kg) in mine site vary between 52.35 and 244.8 (Cr6+), 12,030.2 and 31,818.6 (Cr3+), 5460.4 and 8866.0 (Ni), 70.02 and 208.6 (Pb), 0.95 and 5.3 (Cd), 209.1 and 360.4 (Mn), 21,531.8 and 28,847 (Fe) and 221 and 349.3 (Zn). Fe, Cr6+, Cr3+ and Ni concentration in soil follows an order of mine site > road sites > agricultural lands > control forest sites. Principal component analysis and hierarchical cluster analysis indicate Cd, Cr, Fe, Ni and Pb as major pollutants in the region. Cancer Risk is 'high' in both adult (5.38E-04) and children (4.45E-04) in mining sites and 'low' to 'very low' in agricultural and road side soils. The hazard index for all the heavy metals in a mining areas is varied from 2.9 to 5.2 in adult and 2.8-5.1 in children, indicating 'high' to 'very high' non-cancer risk due to significant contribution of Ni, Pb and Cr6+ concentration (73, 11 and 10%, respectively).

Community-based, cost-effective multispecies mangrove restoration innovation to maximize soil blue carbon pool and humic acid and fulvic acid concentrations at Indian Sundarbans.

Sundarbans is the world's largest and most diverse contiguous mangrove ecosystem. In this pilot study, three plots (around 1 ha each) were selected, where one site (S1) had 1 year of community involvement, another site (S2) had a community network to support the restoration initiatives for 2 years, while a control site (C) was devoid of any post plantation community protection. Rhizophora mucronata (Rhizophoraceae), Sonneretia caseolaris (Lythraceae) and Avicennia marina (Acanthaceae) were planted at the sites in 2012. After 6 years (in 2017), at S1, the monitoring showed low survival rate for salinity-sensitive species, 2% for R. mucronata and 4% for S. caseolaris. At S2, R. mucronata has high survival rates, i.e. 71%, followed by S. caseolaris with 40%, whereas at C, the survival rate of both species was 0%. At S1 and C, the salinity-tolerant A. marina replaced the planted mangroves partially (S1) or entirely (C). At S2, available soil P increased by 17.5%, in 6 years, and the overall blue carbon pool showed a linear increase from 64.4 to 88.6 Mg C ha-1 (34.3% rise). S1 showed a minimum increment in P and the blue carbon pool (6.9% rise), while site C showed fluctuations in the blue carbon pool with only a 3.1% increase. Humic acid and fulvic acid concentrations in the S2 site indicate positive functional carbon sequestration in the edaphic environment. The community involvement increased the plantation cost (567.70 USD) of S2, in comparison to S1 (342.52 USD) and C (117.34 USD), but it has resulted in better restoration and survival of the mangroves. The study concludes that community participation for at least 2 years can play a significant role in the conservation of mangrove ecosystems and the success of restoration initiatives in tidal, saline wetlands and would aid in compliance with the United Nations Sustainable Development Goal 14 (Life Below Water) targets.

A critical review on the active anti-viral metabolites of bioprospecting traditionally used plant species from semi-arid regions of the subcontinent.

Plants are crucial medicinal resources, with 80 % of people relying on them for primary healthcare. The search for natural antiviral compounds is increasing, especially in semi-arid ecosystems where abiotic stress promotes the production of beneficial secondary metabolites. This review highlights semi-arid plants with the potential as functional foods to combat viral diseases and other illnesses. Literature was searched in databases like ScienceDirect to gather information on novel compounds from stress-tolerant semi-arid plant species. These compounds have potential uses in treating viral infections and other health issues such as diabetes and high blood pressure. The review screened 61 semi-arid plants known for their antiviral metabolites. Eight plants were identified with novel antiviral compounds. Key metabolites include agathisflavone, pectic arabinogalactan, azadirachtin, aloin, aloe-emodin, aloesaponarin I, allicin, terpenoids, chlorogenic acids, curcumin, chromones, ß-sitosterol, lupeol, oleuropein, carissol, ß-amyrin, and ∆-9-tetrahydrocannabinol. Stress-tolerant semi-arid plants are significant sources of metabolites for treating infectious diseases and boosting immune systems. Further research on these metabolites in animal models is needed to verify their efficacy for treating human diseases during endemic and pandemic outbreaks, such as COVID-19.

Changes in Salinity, Mangrove Community Ecology, and Organic Blue Carbon Stock in Response to Cyclones at Indian Sundarbans.

Climate change-induced frequent cyclones are pumping saline seawater into the Sundarbans. Fani, Amphan, Bulbul, and Yaas were the major cyclones that hit the region during 2019-2021. This study represents the changes in the soil parameters, mangrove biodiversity and zonation due to the cyclone surges in the Indian Sundarbans between 2017 and 2021. Increasing tidal water salinity (parts per thousand) trends in both pre-monsoon (21 to 33) and post-monsoon (14 to 19) seasons have been observed between 2017 and 2021. A 46% reduction in the soil organic blue carbon pool is observed due to a 31% increase in soil salinity. Soil organic blue carbon has been calculated by both wet digestion and the elemental analyzer method, which are linearly correlated with each other. A reduction in the available nitrogen (30%) and available phosphorous (33%) in the mangrove soil has also been observed. Salinity-sensitive mangroves, such as Xylocarpus granatum, Xylocarpus moluccensis, Rhizophora mucronata, Bruguiera gymnorrhiza, and Bruguiera cylindrica, have seen local extinction in the sampled population. An increasing trend in relative density of salinity resilient, Avicennia marina, Suaeda maritima, Aegiceras corniculatum and a decreasing trend of true mangrove (Ceriops decandra) has been observed, in response to salinity rise in surface water as well as soil. As is evident from Hierarchical Cluster Analysis (HCA) and the Abundance/Frequency ratio (A/F), the mangrove zonation observed in response to tidal gradient has also changed, becoming more homogeneous with a dominance of A. marina. These findings indicate that cyclone, climate change-induced sea level rise can adversely impact Sustainable Development Goal 13 (climate action), by decreasing organic soil blue carbon sink and Sustainable Development Goal 14 (life below water), by local extinction of salinity sensitive mangroves.

Variations in Soil Blue Carbon Sequestration between Natural Mangrove Metapopulations and a Mixed Mangrove Plantation: A Case Study from the World's Largest Contiguous Mangrove Forest.

Sundarban is the world's largest mangrove wetland. This study, conducted in 2016, to compare blue carbon sequestration with different natural metapopulations and a four-year-old Avicennia marina (30% area)-Rhizophora mucronata (70% area)-mixed mangrove plantation under anthropoganic stress. The aims of the study is to find out the variations in soil ecological function indicators (pH, electrical conductivity, bulk density, soil texture, available nitrogn, phosphorus and soil organic carbon) and key ecological service indicator (soil blue carbon pool) between sites. Simpson's Index of dominance, diversity and Shannon-Weiner Index revealed that all the sites are under ecological stress, with the Suaeda maritima-dominated mudflat having the least biodiversity. It is also revealed that pH and electrical conductivity were highest in Suaeda maritima and Phoenix padulosa-dominated metapopulations, whereas organic carbon was the highest under the mangrove plantation and Avicennia marina-dominated site. Available nitrogen was recorded highest in the community with the Sonneretia sp.-Avicennia marina association. The mixed mangrove plantation had the highest blue carbon pool. The species diversity was not found to be related with the distance from the nearby conserved mangrove forest, contrary to the island biogeography theory. This study concludes with a recommendation of mixed mangrove plantations to restore the degraded saline mudflats along the human settlements across the globe.

Distribution, speciation, and bioaccumulation of potentially toxic elements in the grey mangroves at Indian Sundarbans, in relation to vessel movements.

Sundarban is the world's largest mangrove wetland and home of 4.6 million people (Indian part), whose principal mode of communication is motorized boats (ferries). This study shed light on the role played by ferry movement in the speciation (following the BCR three-step sequential extraction method), ecological impact and bioaccumulation of potentially toxic elements (PTEs) in plant tissues (root and lamina) of grey mangrove (Avicennia marina) found near the five ferry ghats (ports). One-way ANOVA showed variation in major soil parameters (silt, clay, organic carbon, pH, Electrical conductivity) and PTEs (As, Cd, Cr, Cu, Hg, and Pb) between sites. Sequential extraction revealed that Cd was present in the 'exchangeable' form across the sites, Pb was in the 'reducible' form, and the rest of the PTEs were majorly found in 'residual' phase. Pollution indices revealed moderate to heavy contamination and considerable potential ecological risk due to Cd. Pearson correlation statistics and concentration variations indicate a relation between Pb and ferry movement frequency in the sites. Higher bioconcentration of Pb in the roots of A. marina, indicates phytostabilization action. Translocation factor for Cd in the leaves, indicates phytoextraction by A. marina. Principal component analysis (PCA) and hierarchical cluster analysis (HCA) showed a close association between vehicle movement and Hg, Pb, Silt fraction, electrical conductivity, Cr, and As. This study recommends regular pollution monitoring across Sundarbans, as the PTEs in sediment-plant matrix can impact the higher trophic levels, human health through possible biomagnification in the detritus food chain, and can adversely impact the existing conservation initiatives.

Survey of obstetricians' approach to the issue of reinfibulation after childbirth in women with prior female genital mutilation.

BACKGROUND: The procedure of reinfibulation is the resuturing (usually after vaginal childbirth) of the incised scar tissue in women with previous female genital mutilation. Many authorities do not recommend the practice of reinfibulation. OBJECTIVE: We sought to assess physicians' approach to the practice of reinfibulation. STUDY DESIGN: A structured online, anonymous questionnaire was sent to 130 practicing obstetricians and gynecologists through Survey Monkey. RESULTS: The questionnaire was completed by 98 respondents (75.4%).This survey showed that 76% of obstetricians (74 of 98) agree with a standard policy of not performing reinfibulation. However, 37% of those who refused to perform reinfibulation (27 of 74) would agree to undertake it if the woman insisted because she feared marital problems or divorce, and 73% of them (54 of 74) would offer treatment from an obstetrician with a different view. CONCLUSION: The complex nature of reinfibulation is discussed and an alternative approach is suggested.

Bioaccumulation of potentially toxic elements in three mangrove species and human health risk due to their ethnobotanical uses.

The aim of this study was to assess probabilistic human health risk due to ethnobotanical usage of Avicennia officinalis, Porteresia coarctata and Acanthus ilicifolius. The study was conducted at the tannery outfall near Sundarban (Ramsar wetland, India) mangrove ecosystem  affected by potentially toxic elements (Cd, Cr, Cu, Hg, Mn, Ni, Pb, and Zn). Total metal concentrations (mg kg-1) were considerably higher in the polluted rhizosphere namely, Cd (1.05-1.97), Cu (36.3-38.6), Cr (144-184), Hg (0.04-0.19), Mn (163-184), Ni (37.7-46.4), Pb (20-36.6), and Zn (97-104). Ecological risk index indicated low to moderate ecological risk in this site, whereas the ecological risk factor showed high potential ecological risk due to Cd pollution. BCR Sequential extraction of metals showed more exchangeable fraction of Cd (47-55%), Cr (9-13%), Hg (11-13%), and Pb (11-15%), at the polluted site. Mercury, though present in trace amount in sediment, showed the highest bioaccumulation in all the three plants. Among the toxic trio, Hg showed the highest bioaccumulation in A. officinalis, Cd in P. coarctata but Pb has the lowest bioaccumulation potential in all the three species. Occasional fruit consumption of A. officinalis and dermal application of leaf, bark of A. officinalis (antimicrobial), A. ilicifolius (anti-inflammatory, pain reliever when applied on wounds) indicated negligible human health risk. However, long-term consumption of P. coarctata (wild rice variety) seeds posed health risk (THQ>1) both in adults and children age groups. This study concludes that nature of ethnobotanical use and metal contamination levels of the mangrove rhizosphere can impact human health. The transfer process of potentially toxic elements from rhizosphere to plants to human body should be considered while planing pollution mitigation measures. Graphical Abstract.