Microplastics in multi-environmental compartments: Research advances, media, and global management scenarios.

During the past decades, microplastics (MPs) have become an emerging concern due to their persistence and potential environmental threat. MP pollution has become so drastic that it has been found in the human food chain, breast milk, polar regions, and even the Himalayan basin, lake, etc. Inflammation, pulmonary hypertension, vascular occlusions, increased coagulability and blood cell cytotoxicity, disruption of immune function, neurotoxicity, and neurodegenerative diseases can all be brought on by severe microplastic exposure. Although many MPs studies have been performed on single environmental compartments, MPs in multi-environmental compartments have yet to be explored fully. This review aims to summarize the muti-environmental media, detection tools, and global management scenarios of MPs. The study revealed that MPs could significantly alter C flow through the soil-plant system, the structure and metabolic status of the microbial community, soil pH value, biomass of plant shoots and roots, chlorophyll, leaf C and N contents, and root N contents. This review reveals that MPs may negatively affect many C-dependent soil functions. Different methods have been developed to detect the MPs from these various environmental sources, including microscopic observation, density separation, Raman, and FT-IR analysis. Several articles have focused on MPs in individual environmental sources with a developed evaluation technique. This review revealed the extensive impacts of MPs on soil-plant systems, microbial communities, and soil functions, especially on water, suggesting possible disturbances to vital ecological processes. Furthermore, the broad range of detection methods explored emphasizes the significance of reliable analytical techniques in precisely evaluating levels of MP contamination in various environmental media. This paper critically discusses MPs' sources, occurrences, and global management scenarios in all possible environmental media and ecological health impacts. Future research opportunities and required sustainable strategies have also been suggested from Bangladesh and international perspectives based on challenges faced due to MP's pollution.

High performance nonenzymatic electrochemical sensors via thermally grown Cu native oxides (CuNOx) towards sweat glucose monitoring.

Diabetes, which is the seventh leading cause of death globally, necessitates real-time blood glucose monitoring, a process that is often invasive. A promising alternative is sweat glucose monitoring, which typically uses transition metals and their oxide nanomaterials as sensors. Despite their excellent surface-to-volume ratio, these materials have some drawbacks, including poor conductivity, structural collapse, and aggregation. As a result, selecting highly electroconductive materials and optimizing their nanostructures is critical. In this work, we developed a high-performance, low-cost, nonenzymatic sensor for sweat glucose detection, using the thermally grown native oxide of copper (CuNOx). By heating Cu foil at 160, 250, and 280 °C, we grew a native oxide layer of approximately 140 nm cupric oxide (CuO), which is excellent for glucose electrocatalysis. Using cyclic voltammetry, we found that our CuNOx sensors prepared at 280 °C exhibited a sensitivity of 1795 µA mM-1 cm-2, a linear range up to the desired limit of 1.00 mM for sweat glucose with excellent linearity (R2 = 0.9844), and a lower limit of detection of 135.39 µM. For glucose sensing, the redox couple Cu(II)/Cu(III) oxidizes glucose to gluconolactone and subsequently to gluconic acid, producing an oxidation current in an alkaline environment. Our sensors showed excellent repeatability and stability (remaining stable for over a year) with a relative standard deviation (RSD) of 2.48% and 4.17%, respectively, for 1 mM glucose. The selectivity, when tested with common interferants found in human sweat and blood, showed an RSD of 4.32%. We hope that the electrocatalytic efficacy of the thermally grown CuNOx sensors for glucose sensing can introduce new avenues in the fabrication of sweat glucose sensors.

Exploration of Toxic and Essential Metals in Popular Rice Grains of Bangladesh and Associated Human Health Risk Implications.

In order to evaluate the benefits as well as the impacts of essential and toxic metals regarding human health, the six common rice grains (katarivhog, bashful, banglamoti, najirshail, branded miniket and loose miniket) were collected from four wholesale markets in Dhaka, the capital of Bangladesh, and were analyzed with different atomic absorption spectroscopy (AAS) techniques. The mean concentrations of the toxic metals Pb, Cd, Cr, and As had 0.299 ± 0.017, 0.157 ± 0.012, 1.33 ± 0.084, and 0.120 ± 0.006 mg/kg, respectively, while those of the essential metals Fe, Cu, Zn, Na, Ca, and Mg had 7.90 ± 0.447, 3.11 ± 0.097, 10.6 ± 0.340, 37.4 ± 0.622, 90.1 ± 7.70, and 115.8 ± 1.61 mg/kg, respectively. Among them, the mean concentrations of toxic metals (Pb, Cd, Cr, and As) exceeded the maximum allowable concentration in rice set by the Codex Alimentarius Commission (CAC). Risk assessment of the heavy metals Pb, Cd, Cr, As, Fe, Cu, and Zn showed that their estimated daily intakes were below the daily reference doses for adults. However, Cd and Cr individually were found to have the target hazard quotient value close to 1 (threshold limit), indicating that they alone are capable of potential health hazards from continuous rice consumption, while the hazard index has surpassed three units signifying greater danger associated with the current trend of consumption. A very high chance of developing cancer in the near future is predicted by incremental lifetime carcinogenic risk (ILCR) analysis for continued intake of Cr (ILCR > 1E-03), and a moderate to high risk is predicted for other carcinogenic substances (Pb, Cd, and As) (ILCR in between 1E-03 and 1E-05) with present rice consumption. The contribution of the essential metals to the RNI revealed that Cu from rice contributes more than 100% in most samples, and the overall contribution is in the following order: Cu > Zn > Fe > Mg > Ca > Na. To ensure the safety of staple foods for human health, it ought to be necessary to design a plan to measure the budget of hazardous metals from all sources with proper surveillance by relevant authorities.

Lead Exposure of Four Biologically Important Common Branded and Non-branded Spices: Relative Analysis and Health Implication.

Technological advances and socioeconomic development of Bangladesh are leading to the best choice between branded and non-branded powdered spices. But toxic metal issues can be another factor to elect them. So lead (Pb) exposure and its consequence on the human body for these two categories of four common spices have been ascertained here. A validated laboratory method using hot plate digestion and flame atomic absorption spectrometry (FAAS) has been used for that. The obtained mean concentration of Pb in branded and non-branded spice powders followed the decreasing order of turmeric > coriander > red chili > cumin powder and turmeric > red chili > cumin > coriander powder, respectively, where, in any analysis mode, the non-branded items are potentially ahead of Pb exposure. The market-based mean concentration between these two categories was not a significant difference (t-test). Approximately 90% of the spice samples have shown within the maximum allowable limit by Bangladesh Standard. The sum of estimated daily intake indicated that most of the city market (67%) for non-branded items and some branded (33%) samples have crossed the maximum tolerable daily intake (> 0.21 mg/kg). So, the human health risk assumption for the inhabitant of studied areas suggests there is no significant level of risk for them due to the consumption of spices regarding non-carcinogenic risk factor (THQ and total THQ) and carcinogenic risk factor (CR). But the development of a quality control process for loose spice powders as well as toxic metal screening from raw materials to finish products urgently needed and continuous monitoring with identifying the source of toxic metal is highly recommended.

Pollution Characteristics, Source Identification, and Health Risk of Heavy Metals in the Soil-Vegetable System in Two Districts of Bangladesh.

The consequences of climate change, food security, and self-sufficiency goals are driving excessive human activity onto vegetable farms in Bangladesh, and harmful heavy metal exposure is spreading. So, the study assessed the toxic metals (Pb, Cd, and Cr) exposure, characteristics, and human health risk regarding the soil-vegetable system of two distinct locations in Bangladesh using atomic absorption spectrometry. The average concentration of metals in soil and fertilizer/pesticide samples followed the same order (Cr > Pb > Cd), but for vegetable samples, the order was Pb > Cr > Cd, with some extra Pb compared to the World Health Organization (WHO) allowable limit (0.3 mg/kg). Low levels of pollution with negligible ecological concerns were predicted for both locations by the soil quality indexing. But industrial influence boosted the Pb content in location B, and common sources (fertilizer/pesticide) for both locations might be responsible for a moderate level of Cd. The toxic metals transferred to vegetables followed the trend of Cd > Pb > Cr. However, the human health risks arising from harmful metals exposure at both locations were ineffective (< 1) in evaluating noncarcinogenic risk patterns through the target hazard quotient (THQ), total THQ, and hazard index (HI). Again, considering probable carcinogenic risk patterns, vegetable consumption with studied exposure levels of toxic metals followed within the acceptable range (between 1.0E-04 and 1.0E-06). Overall, location B is slightly more vulnerable than location A by considering metal exposure, pollution distribution, and risk evaluation in the study area (significant at p < 0.05). So, systematic monitoring and protective measures are required to ensure food safety and sustainable vegetable production.

Electrochemical Sensing of Cannabinoids in Biofluids: A Noninvasive Tool for Drug Detection.

Cannabinoid sensing in biofluids provides great insight into the effects of medicinal cannabis on the body. The prevalence of cannabis for pain management and illicit drug use necessitates knowledge translation in cannabinoids. In this Review, we provide an overview of the current detection methods of cannabinoids in bodily fluids emphasizing electrochemical sensing. First, we introduce cannabinoids and discuss the structure and metabolism of Δ9-THC and its metabolites in relation to blood, urine, saliva, sweat, and breath. Next, we briefly discuss lab based techniques for cannabinoids in biofluids. While these techniques are highly sensitive and specific, roadside safety requires a quick, portable, and cost-effective sensing method. These needs motivated a comprehensive review of advantages, disadvantages, and future directions for electrochemical sensing of cannabinoids. The literature shows the lowest limit of detection to be 3.3 pg of Δ9-THC/mL using electrochemical immunosensors, while electrodes fabricated with low cost methods such as screen-printing and carbon paste can detect as little as 25 and 1.26 ng of Δ9-THC/mL, respectively. Future research will include nanomaterial modified working electrodes, for simultaneous sensing of multiple cannabinoids. Additionally, there should be an emphasis on selectivity for cannabinoids in the presence of interfering compounds. Sensors should be fully integrated on biocompatible substrates with control electronics and intelligent components for wearable diagnostics. We hope this Review will prove to be the seminal work in the electrochemical sensing of cannabinoids.

Morning (First) Urine Copper Concentration: a New Approach for the Diagnosis of Wilson's Disease.

Twenty-four-hour (h) urinary copper content is considered as the most suitable tool for the diagnosis of Wilson's disease (WD); however, it is less accurate, time-consuming, and non-economical. Consequently, in the present study, an alternative method through measuring the morning (first) urine copper (Cu) concentration is proposed for the diagnosis of WD, which is more accurate, precise, faster, and cheaper. For this purpose, a sensitive, accurate, and precise analytical method was developed and validated in regard to Commission Decision 657/2002/EC, Council Directive 333/2007/EC, ISO/IEC 17025:2005, and EURACHEM 1998 for the determination of Cu in urine using flame atomic absorption spectrometry (FAAS). The methods LoD and LoQ for urine Cu were estimated as 6.68 µg/L and 16.7 µg/L respectively. The accuracy of the method was found to be 93.70-101.88% calculated from the spike recovery experiment. The RSDs for the repeatability and reproducibility precision were measured as 0.67-3.16 and 0.26-1.95 respectively. The method validation performance criteria indicated that the method was suitable for the determination of Cu in urine. The validated method was then applied for the determination of Cu in both 24 h and first urine. From the analysis, it was found that the amount of Cu per liter in the first urine was almost equivalent to the amount of Cu per 24 h indicating that instead of considering the 24-h urine, morning (first) urine investigation might be an alternative approach for the diagnosis of WD.

Dietary intake of heavy metals from eight highly consumed species of cultured fish and possible human health risk implications in Bangladesh.

Concentrations of five heavy metals (Pb, Cd, Cr, As and Hg) in eight highly consumed cultured fish species (Labeo rohita, Clarias gariepinus, Hypophthalmichthys molitrix, Cyprinus capio, Puntius sarana, Oreochromis mossambicus, Pangasius pangasius and Anabas testudineus) collected from four wholesale markets of Dhaka city, Bangladesh (Karwan Bazar, Mohammadpur Town Hall, Newmarket and Mirpur-1) were measured using atomic absorption spectrometry (AAS) in order to evaluate the potential human health risks from the consumption of fish. The estimated daily intake (EDI) of all the studied heavy metals calculated on the basis of mean fish consumption of 49.5 g person-1 d-1 by Bangladeshi households indicated that no risk to people's health with respect to the EDI of investigated heavy metals through the consumption of the fish samples. From the human health point of view, the estimation of non-carcinogenic risk indicated that intake of individual heavy metal through the consumption of fish was safe for human health, whereas, consumption of combined heavy metals suggested potential health risk to highly exposed consumers. However, the estimation of carcinogenic risk of arsenic due to the consumption of fish indicated that consumers remain at risk of cancer.

Super-giant magnetoresistance at room-temperature in copper nanowires due to magnetic field modulation of potential barrier heights at nanowire-contact interfaces.

We have observed a super-giant (∼10 000 000%) negative magnetoresistance at 39 mT field in Cu nanowires contacted with Au contact pads. In these nanowires, potential barriers form at the two Cu/Au interfaces because of Cu oxidation that results in an ultrathin copper oxide layer forming between Cu and Au. Current flows when electrons tunnel through, and/or thermionically emit over, these barriers. A magnetic field applied transverse to the direction of current flow along the wire deflects electrons toward one edge of the wire because of the Lorentz force, causing electron accumulation at that edge and depletion at the other. This lowers the potential barrier at the accumulated edge and raises it at the depleted edge, causing a super-giant magnetoresistance at room temperature.

Awkward defects around the elbow: The radial recurrent artery flap revisited.

BACKGROUND: Soft tissue defects on the posterior aspect of the elbow are commonly seen in patients treated with internal fixation for fractures around the elbow joint. An axial flap based on the radial recurrent artery (RRA) is very useful for such defects, especially if a posterior midline arm incision has been taken for skeletal fixation. The aim of this study is to describe the usefulness of RRA flap (based on the RRA) in the management of such defects. MATERIALS AND METHODS: We present a retrospective analysis of 4 cases managed with the RRA flap for soft tissue reconstruction of defects around the elbow joint at our institute from January 2015 to August 2016. All the patients were males with a history of exposed implant following internal fixation of olecranon/distal humerus fracture. The size of defects ranged from 4 cm × 4 cm to 7 cm × 5 cm. Results of the analysis are presented here. RESULTS: All flaps survived completely. There was no infection, hematoma or distal neurovascular deficit. There was minimal donor site morbidity. CONCLUSION: The RRA flap is a useful, simple flap for defects around the elbow joint in select patients providing one stage, reliable, cosmetically acceptable coverage.

Dependence of Young's modulus on the sodium content within the structural tunnels of a one-dimensional Na-ion battery cathode.

We report on the Young's modulus (YM) of single-crystalline Na4Mn9O18 (or Na0.44MnO2) nanowires (NWs), which have shown promise as reversible sodium-ion (Na(+)) intercalation cathodes with high capacity and excellent cyclability. In addition, acid treatment of this material yielded proton stabilized Na(0.44-y)MnO2 (y ∼ 0.23) NWs with a 74% increase in the YM. The tight correlation between YM and ionic content within the crystalline tunnels is particularly significant, since it points to the strong dependence of elastic properties on state-of-charge (SOC) within battery materials.

MD Concept: a model for integrating medical knowledge.

Many integrated clinical information systems depend on large knowledge bases containing dictionary of terms as well as specific information about each term and the relationships between terms. We propose a knowledge base model called MD Concept which is based on a semantic network and uses an object-oriented paradigm and relational tables. A prototype has been developed which integrates the Unified Medical Language System (UMLS) with other databases including the Systematized Nomenclature of Medicine (SNOMED II), the Diagnostic and Statistical Manual of Mental Disorders (DSM-IIIR) and a pharmaceutical database. We demonstrate how a user can easily navigate in this knowledge world using a browser.

PureMD: a Computerized Patient Record software for direct data entry by physicians using a keyboard-free pen-based portable computer.

This paper describes the data acquisition features of the PureMD Computerized Patient Record (CPR) software designed specifically for physicians. The physician uses a stylus to point, draw and handwrite on a Dynamic Dialog Interface that provides the same flexibility as the paper record and numerous other advantages. The clinical data thus entered is highly organized, easily legible and retrievable in many ways. The underlying Medical Knowledge Base (MKB) was optimized for rapid, intuitive and consistent data entry and automatic coding with minimum handwriting.

Physiological considerations in training young athletes.

Healthy children evidence smaller values of cardiorespiratory function than adults, but these are in proportion to the smaller body size. At birth, the distribution of muscle fibres and the activity of enzymes in muscle are different from in adults, but these differences disappear at about age 6. On the other hand, muscle fibre thickness increases from birth to about 18 years of age and this is concurrent with increases in muscular strength. The increase in maximal oxygen consumption (VO2max) that accompanies growth and maturation in the human has been attributed in the main to appreciating muscle mass. During exercise, heart rate and cardiac output increase in the child as in the adult, but the heart rate in the child is greater and the stroke volume smaller. Furthermore, the arteriovenous difference in oxygen is greater in the exercising child than in the adult. Children also evidence a diminished blood pressure response to exercise. It seems that control of ventilation at exercise is the same in children as in adults, but exercise ventilation has been reported to be less efficient in the child. The young are less capable of regulating core temperature at exercise than adults and are more readily dehydrated. Very limited data suggest that muscle energy substrate storage and utilisation in children are such that they are less capable of anaerobic metabolism than adults. Generally, children respond to aerobic training as do adults, but such training in the first decade of life has been reported to have negligible effects. Blood lipid levels in children seem to be favourably influenced by persistent endurance activity. Ventilatory efficiency of children at exercise is augmented by aerobic training. Maximal values of ventilation and breathing frequency are increased in children and youth by endurance training. Conflicting data exist regarding the influence of training upon the child's vital capacity. Pulmonary diffusion capacity in well trained children has been seen to be greater than in untrained youngsters and many workers have reported increased VO2max as an outcome of endurance training. Limited data indicate that the nature of training may alter muscle fibre distribution in youthful athletes, and that muscle fibre hypertrophy can be induced in the young by means of strength and power training.(ABSTRACT TRUNCATED AT 400 WORDS)

A model treadmill adaptation for wheelchair ergometry.

We have designed, constructed and tested a restraining apparatus to permit safe uninhibited hand propulsion of a wheelchair on a motor driven treadmill. The special design features of the tracking assembly minimize any potential hazard or apprehension associated with possible lateral or rearward displacement of a chair from the belt surface. Special linear bearings minimize any increase in rolling resistance (less than 1.23 X 10(-3) N force displacement) at speeds ranging from 4 to 282 m. min.-1. The supporting frame is adjustable for variations in treadmill belt widths and different model wheelchairs. Easy removal of the chair enables convenient conversion of the treadmill for walking/running activity.

Cardiopulmonary responses of asthmatic children to strenuous exercise. Effect of theophylline.

The purpose of the study were to investigate the cardiopulmonary adaptations of asthmatic children to physical exercise and to evaluate the effects of theophylline. Two groups of children were evaluated. Eight asthmatic children participated in two exercise sessions. Half of the patients received theophylline in predetermined doses during the first session and half prior to the second session. Seventeen normal children matched for age, height, and weight served as controls. Various cardiorespiratory parameters were measured every 2 minutes during exercise and prior to termination of maximal physical effort. The results indicate that children with chronic asthma reach the range of predicted maximal aerobic capacity for their age. Theophylline increases the endurance of asthmatic children to maximal physical efforts without improving the cardiorespiratory parameters that were measured. The use of theophylline in therapeutic doses appears safe under conditions of vigorous exercise.

Time course of lung volume changes during prolonged treadmill exercise.

It has been known since the 1920s that runners completing marathon races have reduced forced vital capacity (FVC) values. To investigate the time course of these lung volume alterations, we measured FVC and residual volume (RV) in 11 runners before, after, and at 30-min intervals during a 2.5-h treadmill run at just under their marathon pace (70% VO2max). Mean distance run was 21.5 +/- 1.5 (SD) miles in the 2.5-h period. During the first 60 min, both RV and total lung capacity (TLC) decreased by 110 ml, however, this change was not significant (P greater than 0.05). A high correlation (r = 0.93) was observed between delta RV and delta TLC during the first 5 min, while FVC remained unchanged. From 60-90 min, all lung volumes remained constant. From 90-150 min, lung volumes changed in a direction similar to that observed after a marathon, i.e., FVC decreased significantly (5.51 to 5.37 liter between 90 and 150 min, P less than 0.05), TLC remained unchanged (7.41 vs 7.42 liter, P greater than 0.05), and RV showed a nonsignificant increase from 1.90 to 2.05 liter (P greater than 0.05). The data are consistent with multiple mechanisms playing a role in pulmonary function changes during prolonged exercise. The smaller mean decrease in FVC observed in this study, as compared to that found during a marathon, suggested that the marathon imposes a greater demand on the lungs than did treadmill exercise of the duration and relative intensity used in this study.

Endemic focus of Fasciolopsis buski infection in Bangladesh.

Stool surveys were conducted on children 2--10 years of age in 27 villages within Dacca District and around this index area (1,668 children were sampled), revealing an endemic focus of Fasciolopsis buski infection to the south and the east of Dacca District. In order to determine the seasonal variation in the total snail populations and the natural rate of F. buski infection in the snails, two species of planorbid snails, Segmentina (Trochorbis) trochoideus and Hippeutis (Helicorbis) umbilicalis, were periodically sampled for 12 months from a village endemic for F. buski infection. Gymnocephalous cercariae were found in S. (T.) trochoideus snails during August, September and October. The size of the snail population (n = 1,275) was significantly correlated with inches of rainfall (r = +0.62; P less than 0.05) and water temperature (r = +0.59; P less than 0.05). The natural infection rate of F. buski in the snails ranged from 0.5--2%. Snails from non-endemic areas were exposed to 3--10 miracidia. A total of 13 of 49 (27%) of H. (H.) umbilicalis and 6 of 14 (43%) of S. (T.) trochoideus had gymnocephalous cercariae present 4 to 6 weeks after exposure to miracidia. Thus, snail strain variation is unlikely to be a barrier to F. buski transmission.