Recent advancement of nano-biochar for the remediation of heavy metals and emerging contaminants: Mechanism, adsorption kinetic model, plant growth and development.

Even though researches have shown that biochar can improve soil-health and plant-growth even in harsh environments and get rid of harmful heavy metals and new contaminants, it is still not sustainable, affordable, or effective enough. Therefore, scientists are required to develop nanomaterials in order to preserve numerous aquatic and terrestrial species. The carbonaceous chemical known as nano-biochar (N-BC) can be used to get rid of metal contamination and emerging contaminants. However, techniques to reduce hetero-aggregation and agglomeration of nano-biochar are needed that lead to the emergence of emerging nano-biochar (EN-BC) in order to maximise its capacity for adsorption of nano-biochar. To address concerns in regards to the expanding human population and sustain a healthy community, it is imperative to address the problems associated with toxic heavy metals, emerging contaminants, and other abiotic stressors that are threatening agricultural development. Nano-biochar can provide an effective solution for removal of emerging contaminants, toxic heavy metals, and non-degradable substance. This review provides the detailed functional mechanistic and kinetics of nano-biochar, its effectiveness in promoting plant growth, and soil health under abiotic stress. Nonetheless, this review paper has comprehensively illustrated various adsorption study models that will be employed in future research.

Impact of Bacillus cereus SPB-10 on Growth Promotion of Wheat (Triticum aestivum L.) Under Arsenic-Contaminated Soil.

This study investigates the impact of bacteria on arsenic reduction in wheat plants, highlighting the potential of microbe-based eco-friendly strategies for plant growth. In the present study, bacterial isolate SPB-10 was survived at high concentration against both form of arsenic (As3+ and As5+). SPB-10 produced 5.2 g/L and 11.3 g/L of exo-polysaccharide at 20 ppm of As3+ and As5+, respectively, whereas qualitative examination revealed the highest siderophores ability. Other PGP attributes such as IAA production were recorded 52.12 mg/L and 95.82 mg/L, phosphate solubilization was 90.23 mg/L and 129 mg/L at 20 ppm of As3+ and As5+, respectively. Significant amount of CAT, APX, and Proline was also observed at 20 ppm of As3+ and As5+ in SPB-10. Isolate SPB-10 was molecularly identified as Bacillus cereus through 16S rRNA sequencing. After 42 days, wheat plants inoculated with SPB-10 had a 25% increase in shoot length and dry weight, and 26% rise in chlorophyll-a pigment under As5+ supplemented T4 treatment than control. Reducing sugar content was increased by 24% in T6-treated plants compared to control. Additionally, SPB-10 enhanced the content of essential nutrients (NPK), CAT, and APX in plant's-leaf under both As3+ and As5+ stressed conditions after 42 days. The study found that arsenic uptake in plant roots and shoots decreased in SPB-10-inoculated plants, with the maximum reduction observed in As5+ treated plants. Bio-concentration factor-BCF was reduced by 90.89% in SPB-10-inoculated treatment T4 after 42 days. This suggests that Bacillus cereus-SPB-10 may be beneficial for plant growth in arsenic-contaminated soil.

Mechanistic and future prospects in rhizospheric engineering for agricultural contaminants removal, soil health restoration, and management of climate change stress.

Climate change, food insecurity, and agricultural pollution are all serious challenges in the twenty-first century, impacting plant growth, soil quality, and food security. Innovative techniques are required to mitigate these negative outcomes. Toxic heavy metals (THMs), organic pollutants (OPs), and emerging contaminants (ECs), as well as other biotic and abiotic stressors, can all affect nutrient availability, plant metabolic pathways, agricultural productivity, and soil-fertility. Comprehending the interactions between root exudates, microorganisms, and modified biochar can aid in the fight against environmental problems such as the accumulation of pollutants and the stressful effects of climate change. Microbes can inhibit THMs uptake, degrade organic pollutants, releases biomolecules that regulate crop development under drought, salinity, pathogenic attack and other stresses. However, these microbial abilities are primarily demonstrated in research facilities rather than in contaminated or stressed habitats. Despite not being a perfect solution, biochar can remove THMs, OPs, and ECs from contaminated areas and reduce the impact of climate change on plants. We hypothesized that combining microorganisms with biochar to address the problems of contaminated soil and climate change stress would be effective in the field. Despite the fact that root exudates have the potential to attract selected microorganisms and biochar, there has been little attention paid to these areas, considering that this work addresses a critical knowledge gap of rhizospheric engineering mediated root exudates to foster microbial and biochar adaptation. Reducing the detrimental impacts of THMs, OPs, ECs, as well as abiotic and biotic stress, requires identifying the best root-associated microbes and biochar adaptation mechanisms.

Successful Renal Transplant in End-Stage Renal Disease with Chronic Immune Thrombocytopenia using Thrombopoietin Receptor Agonists and Intravenous Immunoglobulin.

Chronic kidney disease in immune thrombocytopenia (ITP) is uncommon, and renal transplant in this setting is rare. We discuss the successful renal transplant of a 29-year-old male with chronic ITP. During transplant, he was managed with thrombopoietin receptor agonist eltrombopag, intravenous methylprednisone, and intravenous immunoglobulin to maintain adequate platelet level. He recovered well with no major complications and good graft function and has been stable during the follow-up period. The case report highlights that renal transplantation is a feasible option in patients with ITP, even in the presence of low platelet counts.

Fostering plant growth performance under drought stress using rhizospheric microbes, their gene editing, and biochar.

Stress due to drought lowers crop yield and frequently leads to a rise in food scarcity. Plants' intricate metabolic systems enable them to tolerate drought stress, but they are unable to handle it well. Adding some external, environmentally friendly supplements can boost plant growth and productivity when it comes to drought-stressed plants. In order to prevent the detrimental effects of drought in agricultural regions, environmentally friendly practices must be upheld. Plant growth-promoting rhizobacteria (PGPR) can exhibit beneficial phytostimulation, mineralization, and biocontrol activities under drought stress. The significant impact of the PGPR previously reported has not been accepted as an effective treatment to lessen drought stress. Recent studies have successfully shown that manipulating microbes can be a better option to reduce the severity of drought in plants. In this review, we demonstrate how modifying agents such as biochar, PGPR consortia, PGPR, and mycorrhizal fungi can help overcome drought stress responses in crop plants. This article also discusses CRISPR/Cas9-modifiable genes, increase plant's effectiveness in drought conditions, and increase plant resistance to drought stress. With an eco-friendly approach in mind, there is a need for practical management techniques having potential prospects based on an integrated strategy mediated by CRISPR-Cas9 editing, PGPR, which may alleviate the effects of drought stress in crops and aid in achieving the United Nation Sustainable Development Goals (UN-SDGs-2030).

Mixed Consortium of Salt-Tolerant Phosphate Solubilizing Bacteria Improves Maize (Zea mays) Plant Growth and Soil Health Under Saline Conditions.

The rhizobacterial isolate SP-167 exhibited considerable phosphate solubilization, IAA production, exo-polysaccharides, proline, APX, and CAT at a concentration of 6% NaCl (w/v). 16S rDNA sequencing and BLAST analysis showed that isolate SP-167 was Klebsiella sp. In this study, T2 and T8 consortium was developed on the basis of the compatibility of isolate SP-167 with Kluyvera sp. and Enterobacter sp. At 6% NaCl (w/v) concentration, T2 and T8 showed increased PGP properties such as phosphate solubilization, IAA, Proline activity, CAT, POD, and EPS than isolate SP-167. The maximum increase in shoot length was recorded in T2-treated maize plants as compared to the control after 60 days in 1% NaCl stress. The N, P, and K content of leaves were significantly increased in maize plants with the inoculation of both the T2 and T8 consortium. The electrical conductivity of soil was decreased significantly in the T2 inoculated 1% NaCl (w/v) treated pot after 30, 60, and 90 days. In this study, soil enzymes DHA and PPO were significantly increased in both T2 and T8 treated combinations. The Na concentration in root and shoot were significantly decreased in T8 inoculated plant than in T2, as confirmed by the translocation factor study.

Exo-polysaccharide producing bacteria can induce maize plant growth and soil health under saline conditions.

Salt tolerant plant growth boosting rhizobacteria can play an important function in plant salinity stress mitigation. In the current investigation, only two rhizobacterial isolates out of 68 produced exo-polysaccharide at the fastest rate and exhibited plant growth promoting properties such as IAA, CAT, APX production, and phosphate solubilization at 6% NaCl (w/v) concentration. Both isolates had synergistic PGP features and were compatible with one another. Isolate SP-20 was identified as Kluyvera sp. and SP-203 was identified as Enterobacter sp. -by 16SrDNA sequencing. After 30, 60, and 90 days, the combination of SP-20 and SP-203 enhanced the physicochemical parameters in the maize plant in comparison to the control. By increasing soil enzymes like DHA and PPO, both isolates significantly improved the soil health matrix. When a group of these isolates were inoculated into 1% and 2% NaCl (w/v) supplemented soil, the absorption of Na in the shoot and root of maize plants was inhibited by around 50%. The BCF values for all treatments were less than TF, and the values of BCF and TF were less than one. Therefore, the present study illustrated that the novel native isolates play a remarkable role to mitigate salinity stress in maize plant.

Understanding the salinity stress on plant and developing sustainable management strategies mediated salt-tolerant plant growth-promoting rhizobacteria and CRISPR/Cas9.

Soil salinity is a worldwide concern that decreases plant growth performance in agricultural fields and contributes to food scarcity. Salt stressors have adverse impacts on the plant's ionic, osmotic, and oxidative balance, as well as numerous physiological functions. Plants have a variety of coping strategies to deal with salt stress, including osmosensing, osmoregulation, ion-homeostasis, increased antioxidant synthesis, and so on. Not only does salt stress cause oxidative stress but also many types of stress do as well, thus plants have an effective antioxidant system to battle the negative effects of excessive reactive oxygen species produced as a result of stress. Rising salinity in the agricultural field affects crop productivity and plant development considerably; nevertheless, plants have a well-known copying mechanism that shields them from salt stress by facilitated production of secondary metabolites, antioxidants, ionhomeostasis, ABAbiosynthesis, and so on. To address this problem, various environment-friendly solutions such as salt-tolerant plant growth-promoting rhizobacteria, eco-friendly additives, and foliar applications of osmoprotectants/antioxidants are urgently needed. CRISPR/Cas9, a new genetic scissor, has recently been discovered to be an efficient approach for reducing salt stress in plants growing in saline soil. Understanding the processes underlying these physiological and biochemical responses to salt stress might lead to more effective crop yield control measures in the future. In order to address this information, the current review discusses recent advances in plant stress mechanisms against salinity stress-mediated antioxidant systems, as well as the development of appropriate long-term strategies for plant growth mediated by CRISPR/Cas9 techniques under salinity stress.

Challenges in Diagnosis and Management of Glomerular Disease in Resource-Limited Settings.

Introduction: Glomerular diseases are the leading drivers of nondiabetic chronic kidney disease disability-adjusted life years in resource-limited countries. Proper diagnosis and treatment relies on resources including kidney biopsy, ancillary testing, and access to evidence-based therapies. Methods: We conducted a cross-sectional internet-based survey cascaded through society mailing lists among nephrologists in countries of Asia, Africa, and Eastern Europe. We collected the data on respondent demographics, their ability to perform and appropriately interpret a kidney biopsy, and their access to complementary investigations and treatment practices. Results: A total of 298 kidney care specialists from 33 countries (53.3% from Asia and 44.6% from Africa; 64% from academic or university hospitals) participated in the survey. Of these specialists, 85% performed kidney biopsy. About 61% of the respondents could not obtain a kidney biopsy in more than 50% of patients with suspected glomerular disease. About 43% of the respondents from Africa had access to only light microscopy. Overall, the inability to undertake and fully evaluate a biopsy and perform ancillary investigations were more profound in Africa than in Asia. Overall, 59% of participants reported that more than 75% of their patients meet the cost of diagnosis and treatment by out-of-pocket payments. Empirical use of immunosuppression was higher in Africa than in Asia. The main barriers for diagnosis and treatment included delayed presentation, incomplete diagnostic work-up, and high cost of treatment. Conclusion: Major system-level barriers impede the implementation of guideline-driven approaches for diagnosis and treatment of patients with glomerular disease in resource-limited countries.

Root Exudates: Mechanistic Insight of Plant Growth Promoting Rhizobacteria for Sustainable Crop Production.

The breaking silence between the plant roots and microorganisms in the rhizosphere affects plant growth and physiology by impacting biochemical, molecular, nutritional, and edaphic factors. The components of the root exudates are associated with the microbial population, notably, plant growth-promoting rhizobacteria (PGPR). The information accessible to date demonstrates that PGPR is specific to the plant's roots. However, inadequate information is accessible for developing bio-inoculation/bio-fertilizers for the crop in concern, with satisfactory results at the field level. There is a need to explore the perfect candidate PGPR to meet the need for plant growth and yield. The functions of PGPR and their chemotaxis mobility toward the plant root are triggered by the cluster of genes induced by the components of root exudates. Some reports have indicated the benefit of root exudates in plant growth and productivity, yet a methodical examination of rhizosecretion and its consequences in phytoremediation have not been made. In the light of the afore-mentioned facts, in the present review, the mechanistic insight and recent updates on the specific PGPR recruitment to improve crop production at the field level are methodically addressed.

Mechanistic Insights and Potential Use of Siderophores Producing Microbes in Rhizosphere for Mitigation of Stress in Plants Grown in Degraded Land.

Plant growth performance under a stressful environment, notably in the agriculture field, is directly correlated with the rapid growth of the human population, which triggers the pressure on crop productivity. Plants perceived many stresses owing to degraded land, which induces low plant productivity and, therefore, becomes a foremost concern for the future to face a situation of food scarcity. Land degradation is a very notable environmental issue at the local, regional, and global levels for agriculture. Land degradation generates global problems such as drought desertification, heavy metal contamination, and soil salinity, which pose challenges to achieving many UN Sustainable Development goals. The plant itself has a varied algorithm for the mitigation of stresses arising due to degraded land; the rhizospheric system of the plant has diverse modes and efficient mechanisms to cope with stress by numerous root-associated microbes. The suitable root-associated microbes and components of root exudate interplay against stress and build adaptation against stress-mediated mechanisms. The problem of iron-deficient soil is rising owing to increasing degraded land across the globe, which hampers plant growth productivity. Therefore, in the context to tackle these issues, the present review aims to identify plant-stress status owing to iron-deficient soil and its probable eco-friendly solution. Siderophores are well-recognized iron-chelating agents produced by numerous microbes and are associated with the rhizosphere. These siderophore-producing microbes are eco-friendly and sustainable agents, which may be managing plant stresses in the degraded land. The review also focuses on the molecular mechanisms of siderophores and their chemistry, cross-talk between plant root and siderophores-producing microbes to combat plant stress, and the utilization of siderophores in plant growth on degraded land.

Optimization of eco-friendly amendments as sustainable asset for salt-tolerant plant growth-promoting bacteria mediated maize (Zea Mays L.) plant growth, Na uptake reduction and saline soil restoration.

Soil salinity is progressively affecting global agriculture area, and act as a brutal environmental factor for the productivity of plants, therefore, sustainable remediation of the saline soil is urgently required. In this study, we tested the effectiveness of PM (poultry manure), SMS (spent mushroom substrate), and CD (cow dung) for the recovery of salt soil and the optimization of the productivity of the maize plant. PM and SMS showed the valuable source of OC, N, P, K as the CD. The HCA analysis showed that 47% of the bacterial population from PM, SMS, and CD survived at 6% NaCl (w/v), which had PGP attributes such as IAA, P-solubilizers, and siderophore activity. The results from pot experiments of plant growth and PCA analysis of bacterial PGP attributes reveled re formulation of PM, SMS, and CD, which were further optimized at the saline field level. T-2 treated plant increased their shoot length, chlorophyll content, reducing sugar, nitrogen, phosphorus, and potassium levels significantly after 30 and 60 days, followed by T-4 and T-3 as the control. A significant (P < 0.01) increase in particle density and decrease in bulk density was observed for all combinations treated (T-2 to T-7). A two-year field study revealed that the T-2 combination increased 43% OC, 57% N, 66% P, 48% K, 32% DHA, 76% PPO in the soil than the control after 60 days. T2-combination decreased ≈50% of Na content in root and shoot, and increased 27% of maize crop yield. The dose of 10% PM + 10% SMS can significantly induce the growth of maize plants and the restoration of saline soil health.

ANCA-associated vasculitis following ChAdOx1 nCoV19 vaccination: case-based review.

For the foreseeable future, vaccines are the cornerstone in the global campaign against the Coronavirus Disease-19 (COVID-19) pandemic. As the number and fatalities due to COVID-19 decline and the lockdown anywise rescinded, we recognize an increase in the incidence of autoimmune disease post-COVID-19 vaccination. However, the causality of the most vaccine-induced side effects is debatable and, at best, limited to a temporal correlation. We herein report a case of a 51-year-old gentleman who developed Anti-Neutrophil Cytoplasmic Antibody (ANCA)-associated vasculitis (AAV) 2 week post-COVID-19 vaccination. The patient responded favorably to oral steroids and rituximab. Additionally, we conducted a case-based review of vaccine-associated AAV describing their clinical manifestations and treatment response of this emerging entity.

All that seems sepsis is not sepsis.

Catastrophic antiphospholipid antibody syndrome (CAPS) resembles severe sepsis in its acute presentation, with features of systemic inflammatory response syndrome (SIRS) leading to multiple organ dysfunction. Infections are the best known triggers of CAPS. This emphasizes the need for early diagnosis and aggressive treatment as the mortality is as high as 50%. We present a 42-year-old woman who developed SIRS postoperatively and was eventually diagnosed as CAPS.