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1.
Sci Total Environ ; 953: 175924, 2024 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-39233086

RESUMEN

Sewer overflows are an environmental concern due to their potential to introduce contaminants that can adversely affect downstream aquatic ecosystems. As these overflows can occur during rainfall events, the influence of rainwater ingress from inflow and infiltration on raw untreated wastewater (influent) within the sewer is a critical factor influencing the dilution and toxicity of the contaminants. The Vineyard sewer carrier in the greater city of Sydney, Australia, was selected for an ecotoxicological investigation of a sanitary (separate from stormwater) sewerage system and a wet-weather overflow (WWO). Three influent samples were collected representing dry-weather (DW), intermediate wet-weather (IWW) and wet-weather (WW). In addition, a receiving water sample was also collected downstream in Vineyard Creek (WW-DS) coinciding with a WWO. We employed direct toxicity assessment (DTA) and toxicity identification evaluation (TIE) approaches to gain comprehensive insights into the nature and magnitude of the impact on influent from rainwater ingress into the sewer. Three standard ecotoxicological model species, a microalga, Chlorella vulgaris, the water flea, Ceriodaphnia dubia and the midge larva, Chironomus tepperi were used for both acute and chronic tests. The study revealed variable toxicity responses, with the sample of influent collected in wet-weather displaying lower toxicity compared to the dry-weather sample of influent. Ammonia, and metals, were identified in dry weather as contributors to the observed toxicity, however, this risk was alleviated through rainwater ingress in wet-weather with further dilution within the receiving water. Based on toxicity data, dilutions of influent to minimise effects on C. vulgaris and C. dubia ranged from 1 in 12 in DW to 1 in 2.8 in WW, and further diminished in the receiving water to 1 in 1.8. The successful application of ecotoxicological approaches enabled the assessment of cumulative effects of contaminants in influent, offering valuable insights into the sanitary sewer system under rainwater ingress.


Asunto(s)
Ecotoxicología , Monitoreo del Ambiente , Lluvia , Contaminantes Químicos del Agua , Monitoreo del Ambiente/métodos , Animales , Contaminantes Químicos del Agua/análisis , Contaminantes Químicos del Agua/toxicidad , Aguas del Alcantarillado , Aguas Residuales/toxicidad , Chironomidae , Daphnia , Chlorella vulgaris/efectos de los fármacos , Pruebas de Toxicidad
2.
Curr Microbiol ; 81(8): 222, 2024 Jun 14.
Artículo en Inglés | MEDLINE | ID: mdl-38874817

RESUMEN

In the present scenario, growing population demands more food, resulting in the need for sustainable agriculture. Numerous approaches are explored in response to dangers and obstacles to sustainable agriculture. A viable approach is to be exploiting microbial consortium, which generate diverse biostimulants with growth-promoting characteristics for plants. These bioinoculants play an indispensable role in optimizing nutrient uptake efficiency mitigating environmental stress. Plant productivity is mostly determined by the microbial associations that exist at the rhizospheric region of plants. The engineered consortium with multifunctional attributes can be effectively employed to improve crop growth efficacy. A number of approaches have been employed to identify the efficient consortia for plant growth and enhanced crop productivity. Various plant growth-promoting (PGP) microbes with host growth-supporting characteristics were investigated to see if they might work cohesively and provide a cumulative effect for improved growth and crop yield. The effective microbial consortia should be assessed using compatibility tests, pot experimentation techniques, generation time, a novel and quick plant bioassay, and sensitivity to external stimuli (temperature, pH). The mixture of two or more microbial strains found in the root microbiome stimulates plant growth and development. The present review deals with mechanism, formulation, inoculation process, commercialization, and applications of microbial consortia as plant bioinoculants for agricultural sustainability.


Asunto(s)
Agricultura , Productos Agrícolas , Consorcios Microbianos , Desarrollo de la Planta , Agricultura/métodos , Productos Agrícolas/microbiología , Microbiología del Suelo , Raíces de Plantas/microbiología , Bacterias/metabolismo , Bacterias/clasificación , Bacterias/genética , Rizosfera , Plantas/microbiología , Microbiota
3.
Environ Int ; 186: 108620, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38579451

RESUMEN

Per- and polyfluoroalkyl substances (PFAS), ubiquitous environmental contaminants, pose significant challenges to ecosystems and human health. While cell cultures have emerged as new approach methodologies (NAMs) in ecotoxicity research, metabolomics is an emerging technique used to characterize the small-molecule metabolites present in cells and to understand their role in various biological processes. Integration of metabolomics with cell cultures, known as cell culture metabolomics, provides a novel and robust tool to unravel the complex molecular responses induced by PFAS exposure. In vitro testing also reduces reliance on animal testing, aligning with ethical and regulatory imperatives. The current review summarizes key findings from recent studies utilizing cell culture metabolomics to investigate PFAS toxicity, highlighting alterations in metabolic pathways, biomarker identification, and the potential linkages between metabolic perturbations. Additionally, the paper discusses different types of cell cultures and metabolomics methods used for studies of environmental contaminants and particularly PFAS. Future perspectives on the combination of metabolomics with other advanced technologies, such as single-cell metabolomics (SCM), imaging mass spectrometry (IMS), extracellular flux analysis (EFA), and multi-omics are also explored, which offers a holistic understanding of environmental contaminants. The synthesis of current knowledge and identification of research gaps provide a foundation for future investigations that aim to elucidate the complexities of PFAS-induced cellular responses and contribute to the development of effective strategies for mitigating their adverse effects on human health.


Asunto(s)
Contaminantes Ambientales , Fluorocarburos , Metabolómica , Humanos , Fluorocarburos/toxicidad , Fluorocarburos/metabolismo , Contaminantes Ambientales/toxicidad , Técnicas de Cultivo de Célula/métodos , Animales
4.
Zoolog Sci ; 41(1): 68-76, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38587519

RESUMEN

Sexual dimorphism allows species to meet their fitness optima based on the physiological availability of each sex. Although intralocus sexual conflict appears to be a genetic constraint for the evolution of sex-specific traits, sex-linked genes and the regulation of sex steroid hormones contribute to resolving this conflict by allowing sex-specific developments. Androgens and their receptor, androgen receptor (Ar), regulate male-biased phenotypes. In teleost fish, ar ohnologs have emerged as a result of teleost-specific whole genome duplication (TSGD). Recent studies have highlighted the evolutionary differentiation of ar ohnologs responsible for the development of sexual characteristics, which sheds light on the need for comparative studies on androgen regulation among different species. In this review, we discuss the importance of ar signaling as a regulator of male-specific traits in teleost species because teleost species are suitable experimental models for comparative studies owing to their great diversity in male-biased morphological and physiological traits. To date, both in vivo and in vitro studies on teleost ar ohnologs have shown a substantial influence of ars as a regulator of male-specific reproductive traits such as fin elongation, courtship behavior, and nuptial coloration. In addition to these sexual characteristics, ar substantially influences immunity, inducing a sex-biased immune response. This review aims to provide a comprehensive understanding of the current state of teleost ar studies and emphasizes the potential of teleost fishes, given their availability, to find molecular evidence about what gives rise to the spectacular diversity among fish species.


Asunto(s)
Duplicación de Gen , Receptores Androgénicos , Masculino , Animales , Femenino , Receptores Androgénicos/genética , Caracteres Sexuales , Reproducción , Peces/genética
5.
Artículo en Inglés | MEDLINE | ID: mdl-38627348

RESUMEN

Globally, 90% of plastics are synthetic, made up of crude oil, natural gas, and coal. Even though plastic is extremely useful in our lives, its excessive use and mismanaged disposal are negatively affecting the ecosystem. The review highlights that the recycling process plays a critical role in controlling the problem of plastic pollution. Although plastic recycling is the most common approach used for managing plastic waste, only 2% of the total plastic waste enters the closed-loop system. However, the review suggests that along with recycling, cost-effective and environmentally friendly plastic approaches can synergistically help to control this increasing problem of plastic waste accumulation. The review further discusses the consequences of plastic pollution on humans and the environment. In particular, the review focuses on biocatalytic and bioengineering tools for the degradation of polyethylene terephthalate (PET), one of the major contributors to plastic waste in landfills and oceans. Moreover, the review presents biobased and biodegradable materials, derived from renewable feedstocks, as an alternative to petroleum-based plastics along with their complete end-of-life options. Overall, this review analyzes the current scenario of the plastic industry, from plastic production to waste generation and management, loopholes and challenges in the current management strategies, and possible solutions like recycling, biodegradation, and biobased plastics.

6.
J Orthop Case Rep ; 14(2): 125-130, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38420240

RESUMEN

Background: Tennis elbow (lateral epicondylitis elbow) is a self-limiting disease of indeterminate pathogenesis. Conservative therapy is the treatment of choice. In chronic tennis elbow with failure of conservative therapy; surgical treatment is a method of choice. Percutaneous tenotomy of extensor origin for patients with chronic tennis elbow is a minimally invasive technique with better long-term outcomes. Case Report: Ten patients (six males, four females) presented with chronic tennis elbow, who did not respond to conservative treatment/non-surgical intervention for more than 6 months underwent percutaneous tenotomy in an outpatient setting. Two patients were lost to follow-up at 2 months' post-operative. The remaining eight patients were evaluated at a mean follow-up of 3 years and assessed using the numerical rating scale, disabilities of the arm, shoulder and hand questionnaire ,and Oxford elbow score. These scores had a statistically significant difference in baseline to 3-year follow-up values (P < 0.05). No adverse outcomes, recurrence of symptoms, and signs of lateral epicondylitis elbow were noted and none required open surgical release. Conclusion: Percutaneous tenotomy, a minimally invasive technique is an effective and well-tolerated treatment for chronic tennis elbow and gives good pain relief and functional recovery.

7.
Environ Sci Pollut Res Int ; 31(1): 682-698, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38030836

RESUMEN

India, being a developing country, faces big challenges in ensuring water, sanitation, and hygiene (WASH) for all. This case study presents the performance evaluation of a large wastewater management and sanitation-related infrastructure in a metropolitan city in North India. "Dravyavati River Project" is the major sanitation program of the water-stressed Jaipur city based on the concept of river rejuvenation of the long-lost Dravyavati River which flows across the city. The project envisages integrated urban water management such that it aims at the collection and treatment of wastewater (sewage network and treatment plants), safe disposal, ensuring continuous unpolluted flow, geological and ecological integrity to strengthen public health, to reduce the impact of water stress on the total water cycle by promoting groundwater recharge, and improvement in biodiversity. The technical assessment is based on the primary and secondary data collection of field samples and laboratory analysis of influent and effluent samples collected from the five sewage treatment plants (STPs). The results suggest that the project has largely delivered the envisaged environment, public well-being, and ecological and socioeconomic benefits, but there are substantial gaps in the conceived outputs and actual performance. The challenge lies in bridging these gaps and overcoming operational inefficiencies to ensure the sustainability of the Dravyavati River rejuvenation.


Asunto(s)
Aguas Residuales , Contaminantes Químicos del Agua , Ríos/química , Aguas del Alcantarillado/análisis , Recursos Hídricos , Condiciones Sociales , Rejuvenecimiento , India , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente
8.
Sci Total Environ ; 874: 162441, 2023 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-36858235

RESUMEN

Plastic waste from fossil-based sources, including single-use packaging materials, is continuously accumulating in landfills, and leaching into the environment. A 2021 UN Environment Programme (UNEP) report suggests that the plastic pollution is likely to be doubled by 2030, posing a major challenge to the environment and the overall global plastic waste management efforts. The use of biobased plastics such as polyhydroxyalkanoates (PHAs) as a biodegradable substitute for petroleum-based plastics could be a feasible option to combat this issue which may further result in much lower carbon emissions and energy usage in comparison to conventional plastics as additional advantages. Though recent years have seen the use of microbes as biosynthetic machinery for biobased plastics, using various renewable feedstocks, the scaled-up production of such materials is still challenging. The current study outlays applications of biobased plastics, potential microorganisms producing biobased plastics such as Cupriavidus necator, Bacillus sp., Rhodopseudomonas palustris, microalgae, and mixed microbial cultures, and inexpensive and renewable resources as carbon substrates including industrial wastes. This review also provides deep insights into the operational parameters, challenges and mitigation, and future opportunities for maximizing the production of biobased plastic products. Finally, this review emphasizes the concept of biorefinery as a sustainable and innovative solution for biobased plastic production for achieving a circular bioeconomy.


Asunto(s)
Polihidroxialcanoatos , Administración de Residuos , Plásticos , Residuos Industriales , Carbono
9.
J Health Polit Policy Law ; 48(4): 593-602, 2023 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-36693184

RESUMEN

While the US Supreme Court's 1973 ruling in Roe v. Wade guaranteed a legal right to abortion, universal access to legal abortion has never been achieved in the United States. At the same time, the Helms Amendment, a US foreign-assistance policy, is keeping millions of people around the world, particularly Black and Brown people, from receiving abortion-related information and services. As abortion-rights advocates in the United States look for ways to move forward in the post-Roe era, two sources can offer insights and inspiration: the inclusive, human rights-based reproductive justice framework, and some of the strategies and approaches being used to expand access in countries around the world with restrictive abortion laws.


Asunto(s)
Aborto Inducido , Decisiones de la Corte Suprema , Femenino , Embarazo , Estados Unidos , Humanos , Aborto Legal
10.
Environ Sci Pollut Res Int ; 30(1): 1520-1539, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-35917068

RESUMEN

Evaluating environmental water quality means to assess and protect the environment against unfriendly impacts from various organic impurities emerging from industrial emissions and those released during harvesting. Potential risks related with release of polycyclic aromatic hydrocarbons (PAHs), pesticides and pharmaceuticals (PhAcs), and personal care products (PCPs) into the environment have turned into an increasingly serious issue in ecological safety. Monitoring helps in control of chemicals and ecological status compliance to safeguard specific water uses, for example, drinking water abstraction. A longitudinal review was carried out for 55 different persistent organic pollutants (POPs) for the Ganga River which passes through the urban areas of Prayagraj and Varanasi, India, through validated analytical approaches and measurement uncertainty (MU) estimation to assess their potential use for routine analysis. Furthermore, environmental risk assessment (ERA) carried out in the present study has revealed risk quotient (RQ) higher than 1 in a portion of the aquatic bodies. Using a conservative RQ strategy, POPs were assessed for having extensive risks under acute and chronic exposure, proposing that there is currently critical ecological risk identified with these compounds present in the Ganga River. In general, these outcomes demonstrate a significant contribution for focusing on measures and feasible techniques to minimize the unfavorable effects of contaminants on the aquatic environment.


Asunto(s)
Contaminantes Ambientales , Hidrocarburos Policíclicos Aromáticos , Contaminantes Químicos del Agua , Ríos/química , Contaminantes Químicos del Agua/análisis , Ciudades , Calidad del Agua , Monitoreo del Ambiente/métodos , Hidrocarburos Policíclicos Aromáticos/análisis
11.
Bioresour Technol ; 349: 126857, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35183727

RESUMEN

Synthetic estrogenic compounds such as 17α-ethinylestradiol (EE2) are significant environmental contaminants. This research studied the biodegradation of EE2 utilizing the EE2 adapted cells isolated from a dairy farm waste site in suspension flask vis-a-vis Bioelectrochemical System (BES) and compared the power output in the BES with and without EE2 as a co-substrate. 78% removal of EE2 was observed in the BES as against 60% removal in suspension flasks. The maximum power density in the BES increased about 53% when EE2 is used as a co-substrate. The EE2 biodegradation studied using HPLC and Q-TOF methods, also proposes a hypothetical pathway for EE2 degradation by the newly isolated strain Rhodopseudomonas palustris MDOC01 and reports the significant metabolites like nicotinic acid and oxoproline being detected during bioelectrochemical treatment process of EE2. Study also suggests that Plasma peroxide treatment of anode material enhanced the overall performance in terms of biodegradation efficiency and power output.


Asunto(s)
Congéneres del Estradiol , Contaminantes Químicos del Agua , Biodegradación Ambiental , Congéneres del Estradiol/análisis , Congéneres del Estradiol/metabolismo , Etinilestradiol/química , Espectrometría de Masas , Contaminantes Químicos del Agua/química
12.
Environ Pollut ; 295: 118673, 2022 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-34923059

RESUMEN

The derivation of sediment quality guideline values (SQGVs) presents significant challenges. Arguably the most important challenge is to conduct toxicity tests using contaminated sediments with physico-chemistry that represents real-world scenarios. We used a novel metal spiking method for an experiment that ultimately aims to derive a uranium SQGV. Two pilot studies were conducted to inform the final spiking design, i.e. percolating a uranyl sulfate solution through natural wetland sediments. An initial pilot study that used extended mixing equilibration phases produced hardened sediments not representative of natural sediments. A subsequent percolation method produced sediment with similar texture to natural sediment and was used as the method for spiking the sediments. The range of total recoverable uranium (TR-U) concentrations achieved was 8-3200 mg/kg. This reflected the concentrations found in natural wetlands and water management ponds found on a uranium mine site and was above natural levels. Dilute-acid extractable uranium (AE-U) concentrations were >80% of total concentrations, indicating that much of the uranium in the spiked sediment was labile and potentially bioavailable. The portion of TR-U extractable as AE-U was similar at the start and end of the 4.5-month field-deployment. Porewater uranium (PW-U) analyses indicated that partition coefficients (Kd) were 2000-20,000 L/kg, and PW-U was greater in post- than pre-field-deployed samples when TR-U was ≤1500 mg/kg, indicating the binding became weaker during the field-deployment period. At higher spiked-U concentrations, the PW-U was lower post-field-deployment. Comparing the physico-chemical data of the spiked sediments with environmental monitoring data from sediments in the vicinity of a uranium mining operation indicated that they were representative of sediments contaminated by mining and that the U-spiked sediments had a clear U concentration gradient. This confirmed the suitability of the spiking procedure for preparing sediments that were suitable for deriving a SQGV for uranium.


Asunto(s)
Uranio , Contaminantes Radiactivos del Agua , Sedimentos Geológicos , Proyectos Piloto , Uranio/análisis , Contaminantes Radiactivos del Agua/análisis , Humedales
14.
Ecotoxicol Environ Saf ; 226: 112790, 2021 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-34653840

RESUMEN

The organophosphorus (OP) and carbamate (CB) insecticides are responsible for inhibition of the Acetylcholinesterase (AChE) enzyme. The AChE activity, therefore, has been demonstrated to be a potent biomarker for these insecticides in terrestrial and aquatic environments. The objective of this study was to investigate the response of AChE in the brain of four-week old fingerlings of silver perch, Bidyanus bidyanus exposed to OP and CB insecticides. The fish fingeling were exposed to three OPs and one CB insecticide as individual and their binary mixtures for 48 h. The OP insecticides with oxon (PO) as well as thion (PS) group gets oxidized to oxon analogs in biological systems. The 50% AChE inhibition (48 h EC50) in fingerling exposed to chlorpyrifos (CPF) and triazophos (TRZ) was evident at 2.3 and 6.7 µg/L, respectively. The toxicological interaction of three OPs and one CB insecticide was evaluated using the toxic unit method. A strong synergism was observed for binary combination of CPF with profenofos (PRF), and CPF with TAZ. In contrast, the mixture of TAZ with PRF and carbofuran (CBF) with CPF and PRF showed antagonistic behavior. Although OP and CB insecticides can break down rapidly in the environment, this study suggests that non-target aquatic biota may be exposed to mixtures of ChE-inhibiting insecticides for a period of several months, in agricultural regions where insecticides are applied for extended periods of the year. And at environmentally relevant concentrations such mixtures may lead to deleterious effects in non-target organisms.


Asunto(s)
Cloropirifos , Insecticidas , Percas , Acetilcolinesterasa , Animales , Cloropirifos/toxicidad , Inhibidores de la Colinesterasa/toxicidad , Insecticidas/toxicidad
15.
Integr Environ Assess Manag ; 17(6): 1203-1214, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34264532

RESUMEN

During the 2019-2020 Australian bushfire season, large expanses (~47%) of agricultural and forested land in the Upper Murray River catchment of southeastern (SE) Australia were burned. Storm activity and rainfall following the fires increased sediment loads in rivers, resulting in localized fish kills and widespread water-quality deterioration. We collected water samples from the headwaters of the Murray River for sediment and contaminant analysis and assessed changes in water quality using long-term monitoring data. A robust runoff routing model was used to estimate the effect of fire on sediment loads in the Murray River. Peak turbidity in the Murray River reached values of up to 4200 nephelometric turbidity units (NTU), shown as pitch-black water coming down the river. The increase in suspended solids was accompanied by elevated nutrient concentrations during post-bushfire runoff events. The model simulations demonstrated that the sediment load could be five times greater in the first year after a bushfire than in the prefire condition. It was estimated that Lake Hume, a large reservoir downstream from fire-affected areas, would receive a maximum of 600 000 metric tonnes of sediment per month in the period immediately following the bushfire, depending on rainfall. Total zinc, arsenic, chromium, nickel, copper, and lead concentrations were above the 99% toxicant default guideline values (DGVs) for freshwater ecosystems. It is also likely that increased nutrient loads in Lake Hume will have ongoing implications for algal dynamics, in both the lake and the Murray River downstream. Information from this study provides a valuable basis for future research to support bushfire-related policy developments in fire-prone catchments and the mitigation of postfire water quality and aquatic ecosystem impacts. Integr Environ Assess Manag 2021;17:1203-1214. © 2021 Commonwealth of Australia. Integrated Environmental Assessment and Management © 2021 Society of Environmental Toxicology & Chemistry (SETAC).


Asunto(s)
Ecosistema , Sedimentos Geológicos , Animales , Australia , Monitoreo del Ambiente , Ríos
16.
Sci Total Environ ; 780: 146544, 2021 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-33770608

RESUMEN

Globally estrogenic pollutants are a cause of concern in wastewaters and water bodies because of their high endocrine disrupting activity leading to extremely negative impacts on humans and other organisms even at very low environmental concentrations. Bioremediation of estrogens has been studied extensively and one technology that has emerged with its promising capabilities is Bioelectrochemical Systems (BESs). Several studies in the past have investigated BESs applications for treatment of wastewaters containing toxic recalcitrant pollutants with a primary focus on improvement of performance of these systems for their deployment in real field applications. But the information is scattered and further the improvements are difficult to achieve for standalone BESs. This review critically examines the various existing treatment technologies for the effective estrogen degradation. The major focus of this paper is on the technological advancements for scaling up of these BESs for the real field applications along with their integration with the existing and conventional wastewater treatment systems. A detailed discussion on few selected microbial species having the unusual properties of heterotrophic nitrification and extraordinary stress response ability to toxic compounds and their degradation has been highlighted. Based on the in-depth study and analysis of BESs, microbes and possible benefits of various treatment methods for estrogen removal, we have proposed a sustainable Hybrid BES-centered treatment system for this purpose as a choice for wastewater treatment. We have also identified three pipeline tasks that reflect the vital parts of the life cycle of drugs and integrated treatment unit, as a way forward to foster bioeconomy along with an approach for sustainable wastewater treatment.


Asunto(s)
Fuentes de Energía Bioeléctrica , Restauración y Remediación Ambiental , Purificación del Agua , Biodegradación Ambiental , Estrógenos , Humanos , Aguas Residuales
17.
J Affect Disord ; 282: 840-845, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33601726

RESUMEN

BACKGROUND: Electronic medical records (EMRs) facilitate more integrated and comprehensive care. Despite this, EMRs are used less frequently in psychiatry compared to other medical disciplines, in part due to concerns regarding stigma surrounding mental health. This paper explores the willingness to share medical information among patients with multiple sclerosis (MS), who experience higher rates of psychiatric comorbidities compared to the general population, and the role that stigma plays in patient preferences. METHODS: MS patients were surveyed about their co-occurring psychiatric and non-psychiatric diagnoses, willingness to share their health information electronically among their treating doctors, and levels of self and societal stigma associated with their diagnoses. RESULTS: Participants were slightly more willing to share their non-psychiatric medical information vs. psychiatric information. Despite the presence of stigma decreasing patient willingness to share medical records, those with psychiatric co-occurring disorders, compared to those without, endorsed significantly greater willingness to electronically share their health records. The majority of diagnoses for which participants experienced the greatest difference in self vs. societal stigmas were psychiatric ones, including substance use, eating and mood disorders. Societal stigma strongly correlated with decreased non-psychiatric medication sharing, while self stigma was strongly correlated with decreased psychiatric medications sharing. LIMITATIONS: Standardized scales were not used to assess patient stigma and there is a potential lack of generalizability of results beyond patients with MS. CONCLUSIONS: These insights into patient preferences toward sharing their medical information should inform decisions to implement EMRs, particularly for patient populations experiencing higher than average levels of psychiatric comorbidities.


Asunto(s)
Trastornos Mentales , Esclerosis Múltiple , Psiquiatría , Trastornos Relacionados con Sustancias , Humanos , Trastornos Mentales/epidemiología , Esclerosis Múltiple/epidemiología , Estigma Social , Encuestas y Cuestionarios
18.
Ecotoxicol Environ Saf ; 208: 111428, 2021 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-33068976

RESUMEN

Pharmaceuticals, which are designed to be biologically active at low concentrations, are found in surface waters, meaning aquatic organisms can be exposed to complex mixtures of pharmaceuticals. In this study, the adverse effects of four pharmaceuticals, 17α-ethynylestradiol (synthetic estrogen), methotrexate (anticancer drug), diclofenac (nonsteroidal anti-inflammatory drug) and fluoxetine (antidepressant), and their binary mixtures at mg/L concentrations were assessed using the 7-day Lemna minor test, with both apical and biochemical markers evaluated. The studied biochemical markers included chlorophyll a, chlorophyll b, carotenoids and oxidative stress enzymes catalase, glutathione-S-transferase and glutathione reductase, with effects compared to solvent controls. The adverse effects on Lemna minor were dose-dependent for frond number, surface area, relative chlorophyll content and activity of glutathione S-transferase for both individual pharmaceuticals and binary mixtures. According to the individual toxicity values, all tested pharmaceuticals can be considered as toxic or harmful to aquatic organisms, with methotrexate considered highly toxic. The most sensitive endpoints for the binary mixtures were photosynthetic pigments and frond surface area, with effects observed in the low mg/L concentration range. The concentration addition model and toxic unit approach gave similar mixture toxicity predictions, with binary mixtures of methotrexate and fluoxetine or methotrexate and 17α-ethynylestradiol exhibiting synergistic effects. In contrast, mixtures of diclofenac with fluoxetine, 17α-ethynylestradiol or methotrexate mostly showed additive effects. While low concentrations of methotrexate are expected in surface water, chronic ecotoxicological data for invertebrates and fish are lacking, but this is required to better assess the environmental risk of methotrexate.


Asunto(s)
Araceae/fisiología , Preparaciones Farmacéuticas , Contaminantes Químicos del Agua/toxicidad , Animales , Organismos Acuáticos/efectos de los fármacos , Araceae/efectos de los fármacos , Catalasa/metabolismo , Clorofila A , Diclofenaco/toxicidad , Ecotoxicología , Fotosíntesis/efectos de los fármacos
19.
J Hazard Mater ; 404(Pt A): 124135, 2021 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-33049624

RESUMEN

Major rivers in India are subject to ongoing impacts from urban drain discharges, most of which contain high levels of domestic and industrial wastewater and stormwater. The aim of the present study was to determine the levels of bioactive organic micropollutants at the discharge points of major urban drains in comparison to upstream and downstream sites. To achieve this, we employed a panel of in vitro bioanalytical tools to quantify estrogenic, androgenic, progestogenic, glucocorticoid and peroxisome proliferator-like activity in water extracts collected from two Indian cities in the Ganga Basin. Cytotoxicity of the water extracts in a human-derived cell line and the potential to cause oxidative stress in a fish cell line were also investigated. We found high levels of activity for all endpoints in samples directly receiving urban drain discharge and low levels at sites upstream from drain discharges. Estrogenicity was detected at levels equivalent to 10 ng/L 17ß-estradiol, representing a high likelihood of biomarker effects in fish. Sites located downstream from drain discharges exhibited low to intermediate activity in all assays. This study demonstrates the importance of managing urban drain discharges and the utility of applying bioanalytical tools to assess water quality.


Asunto(s)
Monitoreo del Ambiente , Contaminantes Químicos del Agua , Animales , Ciudades , Humanos , India , Ríos , Contaminantes Químicos del Agua/análisis , Contaminantes Químicos del Agua/toxicidad
20.
Environ Int ; 134: 105248, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31711020

RESUMEN

There has been a substantial research focus on the presence of pesticides in flowers and the subsequent exposure to honeybees. Here we demonstrate for the first time that honeybees can also be exposed to pharmaceuticals, commonly present in wastewater. Residues of carbamazepine (an anti-epileptic drug) up to 371 ng/mL and 30 µg/g were detected in nectar and pollen sampled from zucchini flowers (Cucurbita pepo) grown in carbamazepine spiked soil (0.5-20 µg/g). Under realistic exposure conditions from the use of recycled wastewater, carbamazepine concentrations were estimated to be 0.37 ng/L and 30 ng/kg in nectar and pollen, respectively. Incorporation of environmentally relevant carbamazepine residues in nectar and pollen into a modelling framework able to simulate beehive dynamics including the honeybee foraging activity at the landscape scale (BEEHAVE and BEESCOUT) enabled the simulation of carbamazepine translocation from zucchini fields into honeybee hives. Carbamazepine accumulation was modelled in 11 beehives across a 25 km2 landscape over three years chosen to represent distinct climatic conditions. During a single flowering period, carbamazepine concentrations were simulated to range between 0 and 2478 ng per beehive. The amount of carbamazepine gathered not only varied across the simulated years but there were also differences in accumulation of carbamazepine between beehives within the same year. This work illustrates a fundamental first step in assessing the risk of pharmaceuticals to bees through realistic scenarios by demonstrating a method to quantify potential exposure of honeybees at the landscape scale. Pharmaceuticals are being inadvertently but increasingly applied to agricultural lands globally via the use of wastewater for agricultural irrigation in response to water scarcity problems. We have demonstrated a route of pharmaceutical exposure to honeybees via contaminated nectar and pollen. Given the biological potency of pharmaceuticals, accumulation of these chemicals in nectar and pollen suggest potential implications for honeybee health, with unknown ecosystem consequences.


Asunto(s)
Aguas Residuales , Animales , Abejas , Ecosistema , Flores , Néctar de las Plantas , Polen
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