Distribution and bioaccumulation status of polycyclic aromatic hydrocarbons (PAHs) in Veraval coastal waters using copepods as bio-indicators.

The study investigates the pollution characteristics of 16 priority PAHs, accumulated in copepods from a major fishing harbour and its adjacent coastal waters of Veraval, west coast of India. The total PAH accumulation is in the range of 922.16-27,807.49 ng g-1 dw, with the mean concentration of 5776.59 ng g-1 dw. High concentrations of PAHs were present in the copepod samples from inside the harbour. Notably, there was no significant correlation between the lipid content of copepods and the accumulation of PAHs. The molecular diagnostic ratio method (MDR) indicates that the PAH sources are petrogenic in origin, while principal component analysis (PCA) points to petroleum, coal combustion and vehicular emission sources. Total cancerous PAHs (C-PAHs) in the study area dominate by 40% of the total PAHs identified; moreover, the bioaccumulation factor (BAF) is very high in the offshore area, which is also a fishing ground. The global relevance and magnitude of the present study in the Veraval, one of the prime seafood exporting hubs in India, should be dealt with utmost avidity as the accumulation status of PAHs in the zooplankton has never been explored in the Indian coastal waters. Moreover, the current study gives the foremost data on the bioaccumulation status of PAHs in copepods from the tropical waters of India.

Occurrence, sources and risk assessment of polycyclic aromatic hydrocarbons in the coral reef waters of the Lakshadweep Archipelago, Arabian Sea.

The compound effects of anthropogenic disturbances on global and local scales threaten coral reef ecosystems of the Arabian Sea. The impacts of organic pollutants on the coral reefs and associated organisms have received less attention and are consequently less understood. This study examines the background levels, sources, and ecological implications of polycyclic aromatic hydrocarbons (PAHs) in the coral reef ecosystems of Lakshadweep Archipelago. Water and particulate matter were collected from four coral Islands (Kavaratti, Agatti, Bangaram and Perumal Par) of Lakshadweep Archipelago during January and December 2022 and analysed for 15 PAHs priority pollutants. The 15 PAHs congeners generally ranged from 2.77 to 250.47 ng/L in the dissolved form and 0.44 to 6469.86 ng/g in the particulate form. A comparison of available data among the coral reef ecosystems worldwide revealed relatively lower PAHs concentrations in the Lakshadweep coral ecosystems. The isomeric ratios of individual PAH congeners and principal component analysis (PCA) indicate mixed sources of PAHs in the water column derived from pyrogenic, low-temperature combustion and petrogenic. The risk quotient (RQ) values in the dissolved form indicate moderate risk to the aquatic organisms, while they indicate moderate to severe risk in the particulate form.

Southern hemisphere forced millennial scale Indian summer monsoon variability during the late Pleistocene.

Peninsular India hosts the initial rain-down of the Indian Summer Monsoon (ISM) after which winds travel further east inwards into Asia. Stalagmite oxygen isotope composition from this region, such as those from Belum Cave, preserve the vital signals of the past ISM variability. These archives experience a single wet season with a single dominant moisture source annually. Here we present high-resolution δ18O, δ13C and trace element (Mg/Ca, Sr/Ca, Ba/Ca, Mn/Ca) time series from a Belum Cave stalagmite spanning glacial MIS-6 (from ~ 183 to ~ 175 kyr) and interglacial substages MIS-5c-5a (~ 104 kyr to ~ 82 kyr). With most paleomonsoon reconstructions reporting coherent evolution of northern hemisphere summer insolation and ISM variability on orbital timescale, we focus on understanding the mechanisms behind millennial scale variability. Finding that the two are decoupled over millennial timescales, we address the role of the Southern Hemisphere processes in modulating monsoon strength as a part of the Hadley circulation. We identify several strong and weak episodes of ISM intensity during 104-82 kyr. Some of the weak episodes correspond to warming in the southern hemisphere associated with weak cross-equatorial winds. We show that during the MIS-5 substages, ISM strength gradually declined with millennial scale variability linked to Southern Hemisphere temperature changes which in turn modulate the strength of the Mascarene High.

Active deprescribing program in chronic kidney disease patients undergoing haemodialysis.

BACKGROUND: Deprescribing is gaining attention of medical community to address polypharmacy. Existing deprescribing tools were not validated in haemodialysis population. We designed this study to assess the pill burden of patients undergoing haemodialysis and to measure the outcome after implementation of an active deprescribing program. METHODS: An evidence based deprescription tool was formulated. All patients who were on dialysis for 3 months or more were eligible to participate. Medication reconciliation followed by medication list evaluation for appropriateness was done for all patients. All inappropriate medications were discontinued followed by monitoring for 6 months for complications. Primary outcome was the average number of medications and pills per patient before and 12 weeks after implementation of deprescribing program. RESULTS: We enrolled 150 patients to the active deprescribing program. Mean age was 60.4 ± 10.9 years. After deprescription, there were significant reduction in the number of medications from 11 (Interquartile range 8-13.25) to 8 (IQR 6-9) (p < .001) and reduction in the number of pills from 16 (IQR 12.75-21.25) to 11 (IQR 8-14.25) (p < .001). Pill burden accessed using Living with Medication Questionnaire-Visual Analogue Scale score also had a significant reduction from 7 (IQR 5-8) to 4 (IQR 3-5) (p < .001). CONCLUSION: Polypharmacy is a significant problem in haemodialysis patients, which can lead to poor quality of life and health hazards due to side effects of medications. Implementation of a proactive deprescribing program can cut down polypharmacy to a significant extent.

Spectrum of renal injury in pregnancy-induced hypertension: Experience from a single center in India.

Pregnancy-induced hypertension (PIH) is a known complication of late pregnancy and is an important cause of maternal and fetal morbidity and mortality. Data on clinical profile, especially renal profile of preeclampsia and eclampsia in Indian women are lacking. The aim of our study was to examine the renal profile and clinical outcomes of patients diagnosed with PIH in our institution with a focus on the spectrum of acute kidney injury (AKI). In this prospective, observational study, 347 patients with a diagnosis of preeclampsia-eclampsia, who were undergoing treatment at the M. S. Ramaiah Medical College, were included in the study. The study duration was from 2010 to 2014. Details regarding epidemiologic data, obstetric data, laboratory parameters as well as maternal, renal, and fetal outcomes were noted. Patients with preexisting hypertension, diabetes mellitus, or chronic kidney disease were excluded from analysis. The overall incidence of preeclampsia was 3.4%. Hemolysis, elevated liver enzymes, and low platelets syndrome was seen in 31 patients (9%); 56 patients (19%) had AKI with a mean serum creatinine of 3.2 mg/dL and mean proteinuria of 2.8 g/24 h. Nineteen patients required dialysis. Persistent renal failure was seen in 2.5% of the cohort. Maternal mortality was 2.5%, largely secondary to sepsis. Primiparity was a major risk factor. In this study, we found a low rate of preeclampsia in a low-to-moderate risk cohort, with an incidence of AKI and maternal mortality consistent with reported literature.

18O depletion in monsoon rain relates to large scale organized convection rather than the amount of rainfall.

Oxygen isotopic variations in rainfall proxies such as tree rings and cave calcites from South and East Asia have been used to reconstruct past monsoon variability, mainly through the amount effect: the observed (18)O depletion of rain with increasing amount, manifested as a negative correlation of the monthly amount of tropical rain with its δ(18)O, both measured at the same station. This relation exhibits a significant spatial variability, and at some sites (especially North-East and peninsular India), the rainfall proxies are not interpretable by this effect. We show here that relatively higher (18)O-depletion in monsoon rain is not related necessarily to its amount, but rather, to large scale organized convection. Presenting δ(18)O analyses of ~654 samples of daily rain collected during summer 2012 across 9 stations in Kerala, southern India, we demonstrate that although the cross correlations between the amounts of rainfall in different stations is insignificant, the δ(18)O values of rain exhibit highly coherent variations (significant at P = 0.05). Significantly more (18)O-depletion in the rain is caused by clouds only during events with a large spatial extent of clouds observable over in the south eastern Arabian Sea.