A study of analysis on prevalence, serological marker and prognosis of tuberculosis in tertiary care hospital.

BACKGROUND: Tuberculosis is an infectious disease responsible for a significant cause of ill health. According to the WHO global tuberculosis report 2021. 9.9 million cases fell sick with TB in 2020. Significantly, the prevalence of tuberculosis in India is 25%. OBJECTIVE: To analyze the prevalence of tuberculosis in the suburban areas of the metropolitan city in South India. To analyze the serological marker and prognosis of tuberculosis among males and females. To determine the importance of molecular testing - PCR confirmation on TB after AFB smear. METHODS: A retrospective study to analyze 462 patients enrolled by the respiratory medicine department on suspecting pulmonary- 356 (M-264 & F-92) and extra-pulmonary-106 (M-73&F-33) patients and diagnosed Zhiel-Neelsen staining, Mantoux test, Chip-based RT-PCR test, Erythrocyte sedimentation rate, and analyzed serological test such as C-Reactive Protein, Chemiluminescence immune assay. RESULTS: 23 patients were positive in Ziehl-Neelsen staining, 65 were positive in molecular True-Nat PCR test, Mantoux skin test induration in 10 patients, 98 TB Positive patients examined in the serological analysis, 1 & 3 patients reacted in HIV/HBsAg, and HBsAg test respectively, by chemiluminescence immunoassay, 8 PTB and 4 EPTB and 47 non-TB patients were positive in C-reactive protein, 46 TB and 94 non-TB patients detected abnormal values out of these 160 patients in ESR test. CONCLUSION: The Prevalence of tuberculosis is significantly rising, especially in the middle-aged population. The rapid molecular diagnostics to detect TB are highly sensitive and specific. Serological markers are essential for the analysis of disease prognosis and need to focus on the guidance of DOTS and RNTCP to End TB.

Transport of microplastics in stormwater treatment systems under freeze-thaw cycles: Critical role of plastic density.

Stormwater treatment systems remove and accumulate microplastics from surface runoff, but some of them can be moved downward to groundwater by natural freeze-thaw cycles. Yet, it is unclear whether or how microplastic properties such as density could affect the extent to which freeze-thaw cycles would move microplastics in the subsurface. To examine the transport and redistribution of microplastics in the subsurface by freeze-thaw cycles, three types of microplastics, with density smaller than (polypropylene or PP), similar to (polystyrene or PS), or greater than (polyethylene terephthalate or PET) water, were first deposited on the top of packed sand-the most common filter media used in infiltration-based stormwater treatment systems. Then the columns were subjected to either 23 h of drying at 22 °C (control) or freeze-thaw treatment (freezing at -20 °C for 6 h and thawing at 22 °C for 17 h) followed by a wetting event. The cycle was repeated 36 times, and the effluents were analyzed for microplastics. Microplastics were observed in effluents from the columns that were contaminated with PET and subjected to freeze-thaw cycles. Comparison of the distribution of microplastics in sand columns at the end of 36 cycles confirmed that freeze-thaw cycles could disproportionally accelerate the downward mobility of denser microplastics. Using a force balance model, we show that smaller microplastics (<50 µm) can be pushed at higher velocity by the ice-water interface, irrespective of the density of microplastics. However, plastic density becomes critical when the size of microplastics is larger than 50 µm. The coupled experimental studies and theoretical framework improved the understanding of why denser microplastics such as PET and PVC may move deeper into the subsurface in the stormwater treatment systems and consequently elevate groundwater pollution risk.

Microplastics retained in stormwater control measures: Where do they come from and where do they go?

Stormwater control measures (SCM) can remove and accumulate microplastics and may serve as a long-term source of microplastics for groundwater pollution because of their potential for downward mobility in subsurface. Furthermore, the number of microplastics accumulated in SCM may have been underestimated as the calculation typically only accounts for microplastics accumulated via episodic stormwater loading and ignores microplastic accumuation via continuous atmospheric deposition. To evaluate the source pathways of accumulated microplastics and their potential for downward mobility to groundwater, we analyzed spatial distributions of microplastics above ground on the canopy around SCM and below ground in the subsurface in and outside the boundaries of fourteen SCM in Los Angeles. Using an exponential model, we link subsurface retardation of microplastics to the median particle size of soil (D50) and land use. Despite receiving significantly more stormwater, microplastic concentrations in SCM at surface depth or subsurface depth were not significantly different from the concentration at the same depth outside the SCM. Similar concentration in and outside of SCM indicates that stormwater is not the sole source of microplastics accumulated in SCM. The high concentration of microplastics on leaves of vegetation in SCM confirms that the contribution of atmospheric deposition is significant. Within and outside the SCM boundary, microplastics are removed within the top 5 cm of the subsurface, and their concentration decreases exponentially with depth, indicating limited potential for groundwater pollution from the microplastics accumulated in SCM. Outside the SCM boundary, the subsurface retardation coefficient decreases with increases in D50, indicating straining of microplastics as the dominant removal mechanism. Inside the boundary of SCM, however, the retardation coefficient was independent of D50, implying that microplastics could have either moved deeper into the filter layer in SCM or that compost, mulch, or organic amendments used in the filter media were pre-contaminated with microplastics. Overall, these results provide insights on microplastics source, accumulation, and downward mobility in SCM.

Biological invasions and climate change amplify each other's effects on dryland degradation.

Climate models predict that, in the coming decades, many arid regions will experience increasingly hot conditions and will be affected more frequently by drought. These regions are also experiencing rapid vegetation change, notably invasion by exotic grasses. Invasive grasses spread rapidly into native desert ecosystems due, in particular, to interannual variability in precipitation and periodic fires. The resultant destruction of non-fire-adapted native shrub and grass communities and of the inherent soil resource heterogeneity can yield invader-dominated grasslands. Moreover, recurrent droughts are expected to cause widespread physiological stress and mortality of both invasive and native plants, as well as the loss of soil resources. However, the magnitude of these effects may differ between invasive and native grasses, especially under warmer conditions, rendering the trajectory of vegetated communities uncertain. Using the Biosphere 2 facility in the Sonoran Desert, we evaluated the viability of these hypothesized relationships by simulating combinations of drought and elevated temperature (+5°C) and assessing the ecophysiological and mortality responses of both a dominant invasive grass (Pennisetum ciliare or buffelgrass) and a dominant native grass (Heteropogan contortus or tanglehead). While both grasses survived protracted drought at ambient temperatures by inducing dormancy, drought under warmed conditions exceeded the tolerance limits of the native species, resulting in greater and more rapid mortality than exhibited by the invasive. Thus, two major drivers of global environmental change, biological invasion and climate change, can be expected to synergistically accelerate ecosystem degradation unless large-scale interventions are enacted.

Managed aquifer recharge implementation criteria to achieve water sustainability.

Depletion of groundwater is accelerated due to an increase in water demand for applications in urbanized areas, agriculture sectors, and energy extraction, and dwindling surface water during changing climate. Managed aquifer recharge (MAR) is one of the several methods that can help achieve long-term water sustainability by increasing the natural recharge of groundwater reservoirs with water from non-traditional supplies such as excess surface water, stormwater, and treated wastewater. Despite the multiple benefits of MAR, the wide-scale implementation of MAR is lacking, partly because of challenges to select the location for MAR implementation and identify the MAR type based on site conditions and needs. In this review, we provide an overview of MAR types with a basic framework to select and implement specific MAR at a site based on water availability and quality, land use, source type, soil, and aquifer properties. Our analysis of 1127 MAR projects shows that MAR has been predominantly implemented in sites with sandy clay loam soil (soil group C) and with access to river water for recharge. Spatial analysis reveals that many regions with depleting water storage have opportunities to implement MAR projects. Analyzing data from 34 studies where stormwater was used for recharge, we show that MAR can remove dissolved organic carbon, most metals, E. coli but not efficient at removing most trace organics, and enterococci. Removal efficiency depends on the type of MAR. In the end, we highlight potential challenges for implementing MAR at a site and additional benefits such as minimizing land subsidence, flood risk, augmenting low dry-season flow, and minimizing salt-water intrusion. These results could help identify locations in the water-stressed regions to implement specific MAR for water sustainability.

Distribution of microplastics in soil and freshwater environments: Global analysis and framework for transport modeling.

Microplastics are continuously released into the terrestrial environment from sources where they are used and produced. These microplastics accumulate in soils, sediments, and freshwater bodies, and some are conveyed via wind and water to the oceans. The concentration gradient between terrestrial inland and coastal regions, the factors that influence the concentration, and the fundamental transport processes that could dynamically affect the distribution of microplastics are unclear. We analyzed microplastic concentration reported in 196 studies from 49 countries or territories from all continents and found that microplastic concentrations in soils or sediments and surface water could vary by up to eight orders of magnitude. Mean microplastic concentrations in inland locations such as glacier (191 n L-1) and urban stormwater (55 n L-1) were up to two orders of magnitude greater than the concentrations in rivers (0.63 n L-1) that convey microplastics from inland locations to water bodies in terrestrial boundary such as estuaries (0.15 n L-1). However, only 20% of studies reported microplastics below 20 µm, indicating the concentration in these systems can change with the improvement of microplastic detection technology. Analysis of data from laboratory studies reveals that biodegradation can also reduce the concentration and size of deposited microplastics in the terrestrial environment. Fiber percentage was higher in the sediments in the coastal areas than the sediments in inland water bodies, indicating fibers are preferentially transported to the terrestrial boundary. Finally, we provide theoretical frameworks to predict microplastics transport and identify potential hotspots where microplastics may accumulate.

Generation, Resuspension, and Transport of Particulate Matter From Biochar-Amended Soils: A Potential Health Risk.

Large-scale soil application of biochar is one of the terrestrial carbon sequestration strategies for future climate change mitigation pathways, which can also help remove and sequester pollutants from contaminated soil and water. However, black carbon emissions from biochar-amended soils can deteriorate air quality and affect human health, as the biochar particles often contain a higher amount of sorbed toxic pollutants than the soil. Yet, the extent and mechanism of inhalable particulate matter (PM10) emission from biochar-amended soils at different wind regimes have not been evaluated. Using wind tunnel experiments to simulate different wind regimes, we quantified particulate emission from sand amended with 1-4% (by weight) biochar at two size fractions: with and without <2-mm biochar. At wind speeds below the threshold speed for soil erosion, biochar application significantly increased PM10 emission by up to 400% due to the direct resuspension of inhalable biochar particles. At wind speeds above the threshold speed, emission increased by up to 300% even from biochar without inhalable fractions due to collisions of fast-moving sand particles with large biochar particles. Using a theoretical framework, we show that particulate matter emissions from biochar-amended soils could be higher than that previously expected at wind speeds below the erosion threshold wind speed for background soil. Our results indicate that current models for fugitive dust emissions may underestimate the particulate matter emission potential of biochar-amended soils and will help improve the assessment of biochar emission from amended soils.

Size-dependent biochar breaking under compaction: Implications on clogging and pathogen removal in biofilters.

Breaking of biochar during compaction of amended soil in roadside biofilters or landfill cover can affect infiltration and pollutant removal capacity. It is unknown how the initial biochar size affects the biochar breaking, clogging potential, and contaminant removal capacity of the biochar-amended soil. We compacted a mixture of coarse sand and biochar with sizes smaller than, similar to, or larger than the sand in columns and applied stormwater contaminated with E. coli. Packing columns with biochar pre-coated with a dye and analyzing the dye concentration in the broken biochar particles eluted from the columns, we proved that biochar predominantly breaks under compaction by disintegration or splitting, not by abrasion. Increases in biochar size decrease the likelihood of biochar breaking. We attribute this result to the effective dissipation of compaction energy through a greater number of contact points between a large biochar particle and the adjacent particles. Most of the broken biochar particles are deposited in the pore spaces of the background geomedia, resulting in an exponential decrease in hydraulic conductivity of amended sand with an increase in suspended sediment loading. The clogging rate was higher in the columns with small biochar. The columns with small biochar also exhibited high E. coli removal capacity, partly because of an increase in bacterial straining at reduced pore size after compaction. These results are useful in selecting appropriate biochar size for its application in soils and roadside biofilters for stormwater treatment.

Compaction conditions affect the capacity of biochar-amended sand filters to treat road runoff.

Amending roadside soil with adsorbents such as biochar can help remove pollutants from road runoff. To maintain soil stability, the roadside soil requires compaction. However, it is unknown how compaction conditions affect the capacity of biochar-augmented roadside biofilters to infiltrate stormwater and remove pollutants. This work examines the effect of compaction conditions on the release of biochar particles disintegrated during compaction, and the change in their capacity to infiltrate stormwater and remove E. coli. The net loss of biochar particles by mobilization with stormwater was insignificant compared to the biochar remained in the filters. The initial release of biochar particles in wet-compacted biochar columns was greater than that in dry-compacted biochar. The results revealed that compaction can affect the release of biochar particles in a series of three-step processes: generation of particles by disintegration of large biochar under compaction, diffusion of particles deposited near grain walls to bulk pore water, and transport and retention of particles in constricted pore paths based on pore water connectivity. Under similar conditions, compost columns released more particles than biochar columns, suggesting biochar is more stable than compost under compaction. E. coli removal in wet-compacted columns was greater than removal in dry-compacted columns, owing to greater pore path connectivity in wet-compacted columns. These results indicate that addition of moisture during compaction can increase contaminant removal, initial particle release, and infiltration capacity of biochar-augmented sand filters for road runoff treatment. The results would help develop design guidelines for roadside stormwater treatment systems that require compaction of filter media.

Biochar increases nitrate removal capacity of woodchip biofilters during high-intensity rainfall.

Stormwater biofilters have been increasingly used to mitigate the impact of climate change on the export of contaminants including nitrate to water bodies. Yet, their performance is rarely tested under high-intensity rainfall events, which are predicted to occur more frequently under climate change scenarios. We examined the potential of biochar to improve the resilience of woodchip biofilters under simulated high-intensity rainfall events and linked denitrification to biochar-mediated changes in hydrological (physical), chemical, and biological properties of woodchip biofilters. Results showed that nitrate removal capacity of woodchip biofilters decreased with increases in rainfall intensity or duration and decreases in antecedent drying time. However, adding biochar to woodchips significantly decreased the exhaustion rate of woodchips, only when the hydraulic residence time (HRT) was less than 5 h. At longer HRT (>5 h), the benefits of biochar became less apparent. We attributed the improved denitrification during high nitrate loading to biochar's ability to decrease dissolved oxygen in pore water and increase water holding capacity and retention of dissolved organic carbon and nitrate-all of which could increase nitrate utilization. Biochar increased the net microbial biomass but did not affect the relative abundance of denitrifying genes, which indicates that a shift in microbial biomass could not fully explain the observed increase in nitrate removal in biochar-augmented woodchip biofilters. Overall, the results showed that biochar could increase the resiliency of woodchip biofilters for denitrification in high-intensity rainfall events, a worst-case scenario, thereby mitigating the water quality degradation during climate change.

Particulate matter emissions from biochar-amended soils as a potential tradeoff to the negative emission potential.

Novel carbon sequestration strategies such as large-scale land application of biochar may provide sustainable pathways to increase the terrestrial storage of carbon. Biochar has a long residence time in the soil and hence comprehensive studies are urgently needed to quantify the environmental impacts of large-scale biochar application. In particular, black carbon emissions from soils amended with biochar may counteract the negative emission potential due to the impacts on air quality, climate, and biogeochemical cycles. We investigated, using wind tunnel experiments, the particulate matter emission potential of a sand and two agriculturally important soils amended with different concentrations of biochar, in comparison to control soils. Our results indicate that biochar application considerably increases particulate emissions possibly by two mechanisms-the accelerated emission of fine biochar particles and the generation and emission of fine biochar particles resulting from abrasion of large biochar particles by sand grains. Our study highlights the importance of considering the background soil properties (e.g., texture) and geomorphological processes (e.g., aeolian transport) for biochar-based carbon sequestration programs.

Tradeoffs and Synergies between biofuel production and large solar infrastructure in deserts.

Solar energy installations in deserts are on the rise, fueled by technological advances and policy changes. Deserts, with a combination of high solar radiation and availability of large areas unusable for crop production are ideal locations for large solar installations. However, for efficient power generation, solar infrastructures use large amounts of water for construction and operation. We investigated the water use and greenhouse gas (GHG) emissions associated with solar installations in North American deserts in comparison to agave-based biofuel production, another widely promoted potential energy source from arid systems. We determined the uncertainty in our analysis by a Monte Carlo approach that varied the most important parameters, as determined by sensitivity analysis. We considered the uncertainty in our estimates as a result of variations in the number of solar modules ha(-1), module efficiency, number of agave plants ha(-1), and overall sugar conversion efficiency for agave. Further, we considered the uncertainty in revenue and returns as a result of variations in the wholesale price of electricity and installation cost of solar photovoltaic (PV), wholesale price of agave ethanol, and cost of agave cultivation and ethanol processing. The life-cycle analyses show that energy outputs and GHG offsets from solar PV systems, mean energy output of 2405 GJ ha(-1) year(-1) (5 and 95% quantile values of 1940-2920) and mean GHG offsets of 464 Mg of CO2 equiv ha(-1) year(-1) (375-562), are much larger than agave, mean energy output from 206 (171-243) to 61 (50-71) GJ ha(-1) year(-1) and mean GHG offsets from 18 (14-22) to 4.6 (3.7-5.5) Mg of CO2 equiv ha(-1) year(-1), depending upon the yield scenario of agave. Importantly though, water inputs for cleaning solar panels and dust suppression are similar to amounts required for annual agave growth, suggesting the possibility of integrating the two systems to maximize the efficiency of land and water use to produce both electricity and liquid fuel. A life-cycle analysis of a hypothetical colocation indicated higher returns per m(3) of water used than either system alone. Water requirements for energy production were 0.22 L MJ(-1) (0.28-0.19) and 0.42 L MJ(-1) (0.52-0.35) for solar PV-agave (baseline yield) and solar PV-agave (high yield), respectively. Even though colocation may not be practical in all locations, in some water-limited areas, colocated solar PV-agave systems may provide attractive economic incentives in addition to efficient land and water use.

Form and function of grass ring patterns in arid grasslands: the role of abiotic controls.

Ring-shaped growth patterns commonly occur in resource-limited arid and semi-arid environments. The spatial distribution, geometry, and scale of vegetation growth patterns result from interactions between biotic and abiotic processes, and, in turn, affect the spatial patterns of soil moisture, sediment transport, and nutrient dynamics in aridland ecosystems. Even though grass ring patterns are observed worldwide, a comprehensive understanding of the biotic and abiotic processes that lead to the formation, growth and breakup of these rings is still lacking. Our studies on patterns of infiltration and soil properties of blue grama (Bouteloua gracilis) grass rings in the northern Chihuahuan desert indicate that ring patterns result from the interaction between clonal growth mechanisms and abiotic factors such as hydrological and aeolian processes. These processes result in a negative feedback between sediment deposition and vegetation growth inside the bunch grass, which leads to grass die back at the center of the grass clump. We summarize these interactions in a simple theoretical and conceptual model that integrates key biotic and abiotic processes in ring formation, growth and decline.