Search

Osteoid osteoma is a benign bone-forming tumor with hallmark of tumor cells directly forming mature bone. Osteoid osteoma accounts for around 5% of all bone tumors and 11% of benign bone tumors with a male predilection. It occurs predominantly in long bones of the appendicular skeleton. According to Musculoskeletal Tumor Society staging system for benign tumors, osteoid osteoma is a stage-2 lesion. It is classified based on location as cortical, cancellous, or subperiosteal. Nocturnal pain is the most common symptom that usually responds to salicyclates and non-steroidal anti-inflammatory medications. CT is the modality of choice not only for diagnosis but also for specifying location of the lesion, i.e. cortical vs sub periosteal or medullary. Non-operative treatment can be considered as an option since the natural history of osteoid osteoma is that of spontaneous healing. Surgical treatment is an option for patients with severe pain and those not responding to NSAIDs. Available surgical procedures include radiofrequency (RF) ablation, CT-guided percutaneous excision and en bloc resection.

Fungi play important roles in ecosystems. Analyzing fungal communities in environments has long been a challenge due to the large difference in compositions retrieved using different methods or sequencing regions, obscuring the true abundance and species information. Our study aimed to compare and determine more accurate approach for evaluating fungal populations in river sediment. To achieve this, different primer sets in the internal transcribed spacer (ITS) (ITS5/ITS1R, ITS1F/ITS2), 18S rRNA gene (0817F/1196R) for High-throughput sequencing (HTS), metagenomic shotgun sequencing (MS) directly from environmental samples, and HTS using ITS primers for the fungal samples collected from plate cultivation were used to characterize the fungal communities. We calculated diversity index and used FungalTraits to analyze methods preferences for fungal species. The study revealed that when analyzing the fungal species directly from environmental samples, amplification and sequencing of ITS region demonstrated more accuracy than MS and 18S rRNA gene sequencing methods, but displayed significant primer preference. Over 30 % fungal species from HTS after plate cultivation were not present in HTS from the environmental samples. NMDS analysis demonstrated significant disparities in species diversity among different methods, suggesting potential complementarity between them. Over 85% species identified by HTS using ITS primers belonged to filamentous fungi, while the MS mostly identified yeast (62%). Therefore, to get more accurate fungal community information in sediment, multiple methods were recommended by using cultivation, molecular biological methods dependent on PCR techniques like ITS1F/ITS2 primer for HTS and PCR independent method such as metagenomic shotgun sequencing techniques., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:Qingxiang Yang reports financial support was provided by National Natural Science Foundation of China-Henan Joint Fund. Qingxiang Yang reports was provided by National Natural Science Foundation of China. Qingxiang Yang reports was provided by Zhongyuan science and technology innovation leading talent project. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Genes of folate-mediated 1 carbon metabolism are found to be highly upregulated in tumor cells and promote cancer cell proliferation. The current study aimed to determine the expression of the MTHFD2 gene in bladder and breast cancers. Furthermore, the determination of potential ligand-based inhibitors against MTHFD2 was performed in comparison with those of chemotherapeutic drugs and natural plant-based compounds. Semiquantitative expression analysis along with structure-based virtual ligand library screening was done to find plausible inhibitors. MTHFD2 expression was significantly increased with tumor stage progression both in low- and high-grade bladder cancer and especially in triple-negative breast cancer. Virtual ligand-based library screening against the three-dimensional MTHFD2 protein structure led to the identification of plausible inhibitors like MCULE-8109969891-0 and MCULE-9715677418-0-1 that displayed lower binding free energy as compared to that of already documented LY345899. Similar scaffold commercial drugs leucal (LEU), epirubicin (EPI), and lometrexol also displayed strong binding to the active site of MTHFD2. EPI and LEU in combinatorial therapy were also tested in vitro on MDA-MB-231 cells. The high doses of LEU in combination with EPI showed a significant reduction in cell viability at 2 and 3 μM concentrations. The interaction of breast cancer serum with high expression of MTHFD2 also showed an increase in binding of epirubicin in the presence of leucovorin. The decrease in the absorbance spectra of epirubicin at 37 and 53 °C displayed the stability induced by LEU on the interaction of EPI with the MTHFD2 binding pocket. Leucovorin tends to stabilize the interaction as the binding affinity is high even at 53 °C. Thus, MTHFD2 might be used as a cancer biomarker since its expression level changes drastically with tumor progression. Further experimental studies are required to establish the potential mode of inhibition of the novel small ligands. Future in vivo trials may validate the effectiveness of the combinatorial therapy., Competing Interests: The authors declare no competing financial interest., (© 2024 The Authors. Published by American Chemical Society.)

Groundwater near a sulfuric acid plant in Xingyang, Henan, China was sampled from seven distinct sites to explore the prevalence of antibiotic resistance genes (ARGs) and mobile genetic elements (MGEs). Results showed that genes aadA, bla CTX-M , tetA, qnrA, and sul1 were detected with 100% frequency followed by aac(6')-Ib (85.71%), ermB (85.71%), and tetX (71.42%). Most abundant ARGs were sul1 in LSA2 (1.15 × 10 11 copies/mL), tetA in LSA6 (4.95 × 10 10 copies/mL), aadA in LSA2 (4.56 × 10 9 copies/mL), bla CTX-M in LSA4 (1.19 × 10 9 copies/mL), and ermB in LSA5 (1.07 × 10 9 copies/mL). Moreover, in LSA2, intl1 as a marker of class 1 integron emerged as the most abundant gene as part of MGE (2.25 × 10 11 copies/mL), trailed by ISCR1 (1.57 × 10 9 copies/mL). Environmental factors explained 81.34% of ARG variations, with a strong positive correlation between the intl2 and bla CTX-M genes, as well as the ISCR1 gene and qnrA, tetA, intl2, and bla CTX-M . Furthermore, the intI1 gene had a strong positive connection with the aadA, tetA, and sul1 genes. Moreover, the aac(6')-Ib gene was associated with As, Pb, Mg, Ca, and HCO3-. The intl2 gene was also shown to be strongly associated with Cd. Notably, network analysis highlighted bla CTX-M as the most frequently appearing gene across networks of at least five genera. Particularly, Lactobacillus, Plesiomonas, and Ligilactobacillus demonstrated correlations with aadA, qnrA, bla CTX-M , intI2, and ISCR1. Based on 16S rRNA sequencing, the dominant phyla were Proteobacteria, Firmicutes, Bacteroidota, Acidobacteriota, and Actinobacteriota, with dominant genera including Pseudomonas, Ligilactobacillus, Azoarcus, Vogesella, Streptococcus, Plesiomonas, and Ferritrophicum. These findings enhance our understanding of ARG distribution in groundwater, signaling substantial contamination by ARGs and potential risks to public health., (© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)

Background: Acute alcohol poisoning, particularly from methanol ingestion, remains a critical public health issue worldwide. In regions where illicit alcohol production thrives, methanol poisoning cases are prevalent, posing severe risks of mortality and long-term morbidity. Aim and objective was to analyze the forensic profiles of deaths due to acute methanol poisoning in Hyderabad, identifying the main causes and contributing factors to fatalities associated with methanol intoxication., Methods: This retrospective descriptive cross-sectional study reviewed 198 autopsy records from a hospital in Hyderabad, focusing on cases identified as methanol intoxication deaths. The study analyzed demographic data, autopsy findings, and toxicological reports., Results: A total of 198 fatalities were recorded, with a significant male predominance (91.9%). The age range of the deceased was 21-58 years, with a notable concentration in the 31-40 years age group. High blood methanol concentrations were observed with many cases exceeding the lethal threshold. Autopsy findings highlighted the severe impacts of methanol on the brain, heart, and lungs., Conclusions: The study underscores the grave impact of methanol poisoning in the Hyderabad region, with a high rate of fatalities, particularly among young to middle-aged men. It calls for stricter regulation of alcohol production, increased public awareness, and improved medical recognition and treatment of methanol poisoning.

Background: Exhumation of bodies for forensic purposes serves as a pivotal tool in medico-legal investigations, yet there is scant data on the practice within the Pakistani context, particularly in the District of Hyderabad. Aim & Objective were to investigate the prevalence and outcomes of exhumations in Hyderabad, contributing to the knowledge base and understanding the cultural and legal factors influencing post-mortem examinations., Methods: A descriptive, observational, and retrospective analysis of 95 medicolegal exhumations carried out over two years, examining demographic data, the interval between death and exhumation, putrefactive changes, and the determination of the cause of death., Results: Of the 95 exhumations, 58 were male and 37 were female, with the majority of the deceased being under 40 years of age. Nearly half of the exhumations occurred within three months post-mortem, and advanced decomposition was a significant obstacle in determining the cause of death, which remained undetermined in 61.05% of cases., Conclusions: The study revealed a need for timely forensic interventions and highlighted the impact of decomposition on determining the cause of death. It underscores the necessity of advanced forensic methods to improve post-mortem examinations' outcomes. Advance technics are virtual autopsy but we are using old conventional autopsy.

Lead (Pb) is a highly toxic contaminant that is ubiquitously present in the ecosystem and poses severe environmental issues, including hazards to soil-plant systems. This review focuses on the uptake, accumulation, and translocation of Pb metallic ions and their toxicological effects on plant morpho-physiological and biochemical attributes. We highlight that the uptake of Pb metal is controlled by cation exchange capacity, pH, size of soil particles, root nature, and other physio-chemical limitations. Pb toxicity obstructs seed germination, root/shoot length, plant growth, and final crop-yield. Pb disrupts the nutrient uptake through roots, alters plasma membrane permeability, and disturbs chloroplast ultrastructure that triggers changes in respiration as well as transpiration activities, creates the reactive oxygen species (ROS), and activates some enzymatic and non-enzymatic antioxidants. Pb also impairs photosynthesis, disrupts water balance and mineral nutrients, changes hormonal status, and alters membrane structure and permeability. This review provides consolidated information concentrating on the current studies associated with Pb-induced oxidative stress and toxic conditions in various plants, highlighting the roles of different antioxidants in plants mitigating Pb-stress. Additionally, we discussed detoxification and tolerance responses in plants by regulating different gene expressions, protein, and glutathione metabolisms to resist Pb-induced phytotoxicity. Overall, various approaches to tackle Pb toxicity have been addressed; the phytoremediation techniques and biochar amendments are economical and eco-friendly remedies for improving Pb-contaminated soils., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors. Published by Elsevier Ltd.)

Heavy metal toxicity in environment has been an increasing issue for last decades, though now the attention has diverted to presence of heavy metals in cosmetic products. The aim of this study was to determine the concentration of selected heavy metals in cosmetic products (lipsticks and foundations) using ICP-OES. Health risk assessment was done by using hazard quotient (HQ) and hazard index (HI). HQ for lipsticks was below the safe limit (HQ = < 1) while for foundations it exceeded the safe limit (HQ = >1). Mostly, mercury (Hg) and iron (Fe) were found to be exceeding the permissible limit, the allowed limits are Hg, 1 ppm; Fe, 10 ppm; Cd, 0.3 ppm; and Cr, 1 ppm. Iron was found to be highest in lipsticks (123.86 ± 1.05 ppm) as well as in foundations (34.52 ± 0.08 ppm). Health risk assessment was done by using hazard quotient (HQ) and hazard index (HI). HQ for lipsticks was below the safe limit (HQ = < 1) while for foundations it exceeded the safe limit (HQ = >1). To understand the binding pattern of heavy metals to skin targets, molecular docking studies were carried out. This revealed the potentially harmful behavior of these heavy metals on the skin. This will provide new direction for the structural changes of consistence and activity of macromolecules in our body. Research proved that prolonged use of cosmetic products containing heavy metals can be harmful and sometimes fatal to human life as these heavy metals can penetrate through the skin and target the skin enzymes, disrupting their normal function leading to various skin related issues such as dermatitis (itching, redness, burning) hence the monitoring of cosmetic products is necessary for safety of human being., (© 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

Abiogenic silicon (Si), though deemed a quasi-nutrient, remains largely inaccessible to plants due to its prevalence within mineral ores. Nevertheless, the influence of Si extends across a spectrum of pivotal plant processes. Si emerges as a versatile boon for plants, conferring a plethora of advantages. Notably, it engenders substantial enhancements in biomass, yield, and overall plant developmental attributes. Beyond these effects, Si augments the activities of vital antioxidant enzymes, encompassing glutathione (GSH), catalase (CAT), superoxide dismutase (SOD), and peroxidase (POD), among others. It achieves through the augmentation of reactive oxygen species (ROS) scavenging gene expression, thus curbing the injurious impact of free radicals. In addition to its effects on plants, Si profoundly ameliorates soil health indicators. Si tangibly enhances soil vitality by elevating soil pH and fostering microbial community proliferation. Furthermore, it exerts inhibitory control over ions that could inflict harm upon delicate plant cells. During interactions within the soil matrix, Si readily forms complexes with potentially toxic metals (PTEs), encapsulating them through Si-PTEs interactions, precipitative mechanisms, and integration within colloidal Si and mineral strata. The amalgamation of Si with other soil amendments, such as biochar, nanoparticles, zeolites, and composts, extends its capacity to thwart PTEs. This synergistic approach enhances soil organic matter content and bolsters overall soil quality parameters. The utilization of Si-based fertilizers and nanomaterials holds promise for further increasing food production and fortifying global food security. Besides, gaps in our scientific discourse persist concerning Si speciation and fractionation within soils, as well as its intricate interplay with PTEs. Nonetheless, future investigations must delve into the precise functions of abiogenic Si within the physiological and biochemical realms of both soil and plants, especially at the critical juncture of the soil-plant interface. This review seeks to comprehensively address the multifaceted roles of Si in plant and soil systems during interactions with PTEs., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Several methods have been used to assess heavy metal contamination in sediments. However, an assessment that considers both composite heavy metal speciation and concentration is necessary to accurately study ecological risks. This study improved the potential ecological risk index method and calculated the toxicity coefficients of seven heavy metals: Arsenic (As), Cadmium (Cd), Chromium (Cr), Copper (Cu), Nickel (Ni), Lead (Pb), and Zinc (Zn). The newly calculated toxicity coefficients were validated by using previously published heavy metal distribution data of the Henan section of the Yellow River. The calculation procedure is based on the principle that the abundance of heavy metals in the environment and their bioavailable forms affect the toxicity of heavy metals. The toxicity coefficients for the seven heavy metals were calculated as follows: As = 10, Cd = 20, Cr = 5, Cu = 2, Ni = 5, Pb = 5, Zn = 1. Ecological risk assessment of the Henan section of the Yellow River using the improved toxicity coefficients revealed that the ecological risk of Cd and total heavy metals is higher than previous calculations, reaching the strength and moderate risk levels, respectively. The improved potential ecological risk index method is more sensitive to heavy metal pollution and thus provides a better indication of ecological risk. This is a necessary improvement to provide more accurate pollution assessments.

Screen printing of cotton fabric using newly synthesized azo reactive dyes was carried out in the present study. Functional group chemistry and its effect on the printing properties of cotton fabric by varying the nature, number and position of reactive groups of synthesized azo reactive dyes (D1-D6) was studied. Different printing parameters (Temperature, alkali and urea) and their effect was explored on the physicochemical printing properties e.g., fixation, color yield, and penetration of the dyed cotton fabric. Data revealed that dyes with more reactive groups and having linear and planar structures (D-6) showed enhanced printing properties. Spectraflash spectrophotometer was used to evaluate the colorimetric properties of screen-printed cotton fabric and results showed superb color buildup. Printed cotton samples displayed excellent to very good ultraviolet protection factor (UPF). Presence of sulphonate groups and excellent fastness properties may entitle these reactive dyes as commercially viable for urea free printing of cotton fabric., (© 2023. The Author(s).)

Aluminum (Al) is a concentration-dependent toxic metal found in the crust of earth that has no recognized biological use. Nonetheless, the mechanism of Al toxicity to submerged plants remains obscure, especially from a cell/subcellular structure and functional group perspective. Therefore, multiple dosages of Al 3+ (0, 0.3, 0.6, 1.2, and 1.5 mg/L) were applied hydroponically to the submerged plant Vallisneria natans in order to determine the accumulation potential of Al at the subcellular level and their ultrastructural toxicity. More severe structural and ultrastructural damage was determined when V. natans exposed to ≥ 0.6 mg/L Al 3+ . In 1.2 and 1.5 mg/L Al 3+ treatment groups, the total chlorophyll content of leaves significantly reduced 3.342, 3.838 mg/g FW, some leaves even exhibited chlorosis and fragility. Under 0.3 mg/L Al 3+ exposure, the middle-age and young leaves were potent phytoexcluders, whereas at 1.5 mg/L Al 3+ , a large amount of Al could be transferred from the roots to other parts, among which the aged leaves were the most receptive tissues (7.306 mg/g). Scanning/Transmission electron microscopy analysis displayed the Al-mediated disruption of vascular bundle structure in leaf cells, intercellular space and several vegetative tissues, and demonstrated that Al in vacuole and chloroplast subcellular segregation into electron dense deposition. Al and P accumulation in the roots, stolons and leaves varied significantly among treatments and different tissues (P < 0.05). Fourier transform infrared spectroscopy of plant biomass also indicated possible metabolites (amine, unsaturated hydrocarbon, etc.) of V. natans that may bind Al 3+ . Conclusively, results revealed that Al 3+ disrupts the cellular structure of leaves and roots or binds to functional groups of biological tissues, thereby affecting plant nutrient uptake and photosynthesis. Findings might have scientific and practical significance for the restoration of submerged vegetation in Al-contaminated lakes., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023. Published by Elsevier Inc.)

Bone waste could be utilized as a potential amendment for remediation of smelter-contaminated soils. Nevertheless, the influences of cow bone-derived biochar (CB) on soil microbial biomass and microbial community composition in multi-metal contaminated mining soils are still not clearly documented. Hence, the cow bone was used as feedstock material for biochar preparation and pyrolyzed at two temperatures such as 500 °C (CB500) and 800 °C (CB800), and added to a smelter soil at the dosage of 0 (unamended control), 2.5, 5, and 10% (w/w); then, the soil treatments were cultivated by maize. The CB effect on soil biochemical attributes and response of soil microbial biomass, bacterial communities, and diversity indices were examined after harvesting maize. Addition of CB enhanced total nutrient contents (i.e., total nitrogen up to 26% and total phosphorus P up to 27%) and the nutrients availability (i.e., NH 4 up to 50%; NO 3 up to 31%; Olsen P up to 48%; extractable K up to 18%; dissolved organic carbon up to 74%) in the treated soil, as compared to the control. The CB500 application revealed higher microbial biomass C (up to 66%), P (up to 41%), and bacterial gene abundance (up to 76%) than the control. However, comparatively a lower microbial biomass nitrogen and diversity indices were observed in the biochar (both with CB500 and CB800) treated soils than in the unamended soils. At the phylum level, the highest dose (10% of CB500 and CB800 resulted in contrasting effects on the Proteobacteria diversity. The CB500 10 favored the Pseudomonas abundance (up to 793%), Saccharibacteria (583%), Parcubacteria (138%), Actinobacteria (65%), and Firmicutes (48%) microbial communities, while CB800 10 favored the Saccharibacteria (386%), Proteobacteria (12%) and Acidobacteria (11%), as compared to the control. These results imply that CB500 and CB800 have a remarkable impact on microbial biomass and bacterial diversity in smelter contaminated soils. Particularly, CB500 was found to be suitable for enhancing microbial biomass, bacterial growth of specific phylum, and diversity, which can be useful for bioremediation of mining soils., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Water pollution from lead/Pb 2+ poses a significant threat to aquatic ecosystems, and its repercussions on aquatic animals have received considerable attention. Although Pb 2+ has been found to affect numerous aspects of animals, including individual fitness, metabolic status, and symbiotic microbiota, few studies have focused on the associations between Pb 2+ -induced variations in fitness, metabolome, symbiotic microbiome, and environmental parameters in the same system, limiting a comprehensive understanding of ecotoxicological mechanisms from a holistic perspective. Moreover, most ecotoxicological studies neglected the potential contributions of anions to the consequences generated by inorganic lead compounds. We investigated the effects of Pb(NO 3 ) 2 at environmentally relevant concentrations on the Rana omeimontis tadpoles and the water quality around them, using blank and NaNO 3 -treated groups as control. Results showed that Pb(NO 3 ) 2 not only induced a rise in water nitrite level, but exposure to this chemical also impaired tadpole fitness-related traits (e.g., growth and development). The impacts on tadpoles were most likely a combination of Pb 2+ and NO 3 - . Tissue metabolomics revealed that Pb(NO 3 ) 2 exposure influenced animal substrate (i.e., carbohydrate, lipid, and amino acid) and prostaglandin metabolism. Pb(NO 3 ) 2 produced profound shifts in gut microbiota, with increased Proteobacteria impairing Firmicutes, resulting in higher aerobic and possibly pathogenic bacteria. NaNO 3 also influenced tadpole metabolome and gut microbiome, in a manner different to that of Pb(NO 3 ) 2 . The presence of NO 3 - seemed to counteract some changes caused by Pb 2+ , particularly on the microbiota. Piecewise structural equation model and correlation analyses demonstrated connections between tissue metabolome and gut microbiome, and the variations in tadpole phenotypic traits and water quality were linked to changes in tissue metabolome and gut microbiome. These findings emphasized the important roles of gut microbiome in mediating the effects of toxin on aquatic ecosystem. Moreover, it is suggested to consider the influences of anions in the risk assessment of heavy metal pollutions., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)

Environmental pollution induced by heavy metals has been identified as a leading threat in the modern era. Woody tree species may play a crucial role in the removal of heavy metals from soil and air, thus minimizing pollution potential. The present study was designed to evaluate the phytoremediation potential of six tree species; Azadirachta indica, Cassia fistula, Conocarpus erectus, Eucalyptus camaldulensis, Morus alba, and Populus deltoids, respectively, in the industrial and residential areas of Faisalabad based on the concentrations of lead (Pb), zinc (Zn), cadmium (Cd), and copper (Cu) in their leaves and barks in winter (2018) and summer (2019) seasons. The seasonal contents of heavy metals in both the leaves and barks of these trees decreased in the order of: Zn > Pb > Cu > Cd at both study sites. The highest heavy metal contents were recorded in the leaves and barks of trees grown in the industrial areas as compared to residential areas, with leaves and barks having higher contents of heavy metals in the summer than winter. The tree species exhibited significantly different capacity for heavy metal accumulation, with the accumulation of Cd decreased in the order of: E. camaldulensis > M. alba > C. erectus > A. indica > P. deltoids > C. fistula, and while the order varied for different heavy metals. Overall, M. alba, E. camaldulensis and A. indica performed well in accumulating the targeted heavy metals from the ambient environment. Among the six tree species grown commonly in Faisalabad city, M. alba, E. camaldulensis, and A. indica are recommended for the industrial and residential areas due to their phytoremediation capacity for heavy metals., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Erythromycin (ERY), designated as a risk-prioritized macrolide antibiotic on the 2015 European Union watch list, is the third most commonly used antibiotic, most likely due to its ability to inhibit the protein. ERY has revealed record-high aquatic concentrations threatening the entire ecosystem and hence demands priority remedial measures. The inefficiency of various conventional ERY degradation methodologies opened up a gateway to advanced technologies. The conventional approach comprising of a chemically formulated, single photocatalyst has a major drawback of creating multiple environmental stresses. In this context, photocatalysis is grabbing tremendous attention as an efficient and cost-effective antibiotic treatment approach. Several studies have ascertained that ZnO, TiO 2 , Fe 3 O 4 , and rGO nanoparticles possess remarkable pollution minimizing operational capabilities. Additionally, composites are found much more effective in antibiotic removal than single nanoparticles. In this review, an attempt has been made to provide a comprehensive baseline for efficient reactive radical production by a phyto-mediated composite kept under a certain source of irradiation. Considerable efforts have been directed towards the in-depth investigation of rGO-embedded, phyto-mediated ZnO/TiO 2 /Fe 3 O 4 photocatalyst fabrication for efficient ERY degradation, undergoing green photocatalysis. This detailed review provides photocatalytic nanocomposite individualities along with a hypothetical ERY degradation mechanism. It is assumed that derived information presented here will provoke innovative ideas for water purification incorporating green photocatalysis, initiating the construction of high-performance biogenic hierarchical nanocatalysts., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

The contamination of groundwater and agricultural land by metalloids especially arsenic (As) is one of the most serious threats to people and plants worldwide. Therefore, the present study was design to explore the role of spermine (Spm)- mediated polyamine metabolism in the alleviation of arsenic (As) toxicity in common bean (Phaseolus vulgaris L.). It was noted that As stress caused reduction in the intracellular CO 2 concentration, stomatal conductivity and transpiration rate as compared to the control treatment and also impairedplant growth attributes and mineral nutrient homeostasis (sulfur, phosphorus, potassium and calcium). However, the exogenous application of Spm resulted in a considerable enhance in the content of glutathione and nitric oxide, and the activity of superoxide dismutase (SOD), catalase (CAT), peroxidase (POD), glutathione-reductase (GR), ascorbate peroxidase (APX), monodehydroascorbate reductase (MDHAR) in P. vulgaris seedlings grown As-contaminated soil. In addition, Spm application significantly improved the endogenous production of putrescine and spermidine accompanied along with reduction in malondialdehyde, electrolyte leakage, hydrogen peroxide, superoxide level besides enhanced methylglyoxal (MG) detoxification. Moreover, Spm treatment elevated the expression level of zinc-finger proteins related genes (PvC3H24, PvC3H25, PvC3H26 and PvC3H27) involved in abiotic stress response. The study concluded that Spm acted as an enhancing agent and improved tolerance to As-toxicity by upregulating the expression of zinc-finger proteins related genes, polyamine metabolism, Mg detoxification and antioxidant system in P. vulgaris., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

The application of nanoparticles (NPs) has been proved as an efficient and promising technique for mitigating a wide range of stressors in plants. The present study elucidates the synergistic effect of iron oxide nanoparticles (IONPs) and silicon nanoparticles (SiNPs) in the attenuation of Cd toxicity in Phaseolus vulgaris . Seeds of P. vulgaris were treated with IONPs (10 mg/L) and SiNPs (20 mg/L). Seedlings of uniform size were transplanted to pots for 40 days. The results demonstrated that nanoparticles (NPs) enhanced growth, net photosynthetic rate, and gas exchange attributes in P. vulgaris plants grown in Cd-contaminated soil. Synergistic application of IONPs and SiNPs raised not only K + content, but also biosynthesis of polyamines (PAs), which alleviated Cd stress in P. vulgaris seedlings. Additionally, NPs decreased malondialdehyde (MDA) content and electrolyte leakage (EL) in P. vulgaris plants exposed to Cd stress. These findings suggest that stress alleviation was mainly attributed to the enhanced accumulation of K + content, improved antioxidant defense system, and higher spermidine (Spd) and putrescine (Put) levels. It is suggested that various forms of NPs can be applied synergistically to minimize heavy metal stress, thus increasing crop production under stressed conditions., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Koleva, Umar, Yasin, Shah, Siddiqui, Alamri, Riaz, Raza, Javed and Shabbir.)

The mechanism and extent of changes in greenhouse gas (GHG) emissions from seasonal river-floodplain wetlands subjected to land-type conversion are unknown. We monitored GHG fluxes and characterized soil microbial communities in four types of wetland (Riverside lower-beach wetland (RLW), Riverside higher-beach wetland (RHW), Cultivated wetland (CW), Mesophytic wetland (MW)) in the Yellow River flood land. Results revealed that land reclamation activities altered the distribution patterns of carbon (C) and nitrogen (N) in soil, as well as the structure and activities of microbial communities, leading to changes in the GHG emissions. Cumulative CO 2 and N 2 O emissions were highest in CW, which were 2.10-10.71 times and 3.19-8.61 times greater than the other three wetlands, respectively, whereas cumulative CH 4 emissions were highest in RLW (1850.192 mg·m -2 ). CW exhibited the highest 100-years-scale Global Warming Potential (GWP 100 -CO 2 -eq) (81.175 t CO 2 -eq·ha -1 ), which was 9.93, 3.12, and 2.11 times greater than RLW, RHW, and MW. Moreover, reclaiming riverside wetland as farmland will increase CO 2 and N 2 O emission fluxes by 54.546-72.684 t·ha -1 and 2.615-2.988 kg·ha -1 , respectively. 16S rRNA high throughput sequencing revealed that bacterial community composition changed significantly overtime and seasons. GHG fluxes showed a significant positive linear correlation with bacterial OTUs (y = 0.71x-319.4, R 2  = 0.304) and Shannon index (y = 228.62x-796.6, R 2  = 0.336). Structure equation models indicated that soil C, N and moisture content were the primary factors influencing bacterial community evolution, which had an impact on GHG fluxes. Actinomycetes were significantly affected by total carbon (TC) content, dissolved organic carbon (DOC), and C/N, while ammonia oxidizing and nitrifying bacteria were greatly influenced by NO 3 - -N rather than TN and NH 4 + -N content. Opportunities exist to reduce GHG emissions and mitigate climate change by maintaining the original state of riverside wetland or restoring cultivated land to wetland in the Yellow River floodplain wetland., Competing Interests: Declaration of competing interest The authors declare no conflict of interest., (Copyright © 2021. Published by Elsevier B.V.)

Antibiotic resistance is a growing problem for ecosystem health and public healthcare. Hence, the transmission of antibiotic resistance from human and animal origins to natural environments requires careful investigation. In this study, nine antibiotic resistance genes (ARGs), three mobile genetic elements (MGEs), and their relations with antibiotics, heavy metals, and microbiota were investigated in 16 sample sites (Xinxiang, China). Fluoroquinolones (0.13-14.22 μg/L) were most abundant in hospital effluent and oxytetracycline (251.86-5817.47 μg/kg) in animal manure. Animal manure showed the highest levels of zinc (80.79-2597.14 mg/kg) and copper (32.47-85.22 mg/kg), possibly affecting the prevalence of intI1 and aac(6')-Ib genes. Aminoglycoside and sulfonamide resistance genes (aac(6')-Ib, aadA, and sul1) were the main ARGs in this area. In addition, the detected ARGs and MGEs were higher in animal manure than in hospital effluent, except for the sul1 gene. On the other hand, the incomplete removal of antibiotics (29.76-100%), heavy metals (31.25-100%), and ARGs (1-3 orders of magnitude) in MWWTPs resulted in the accumulation of these contaminants in the receiving river. Network analysis suggested that the potential hosts (Jeotgalibaca, Atopostipes, Corynebacterium&#95;1, etc.) of ARGs were more predominant in animal manure rather than hospital effluent, indicating a higher ARG transfer potential in animal manure compared with hospital sources. These results provide useful insights into the different migration and dissemination routes of antibiotics, heavy metals, ARGs, and microbiota from anthropogenic and animal origins to their receiving environments via MWWTP discharge and manure fertilization., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

During the current study, the effects of magnesium oxide nanoparticles (5 mmol/L) were observed on the growth and mineral nutrients of Daucus carota under lead (Pb) stress. The results demonstrated that Pb stress decreased the growth and photosynthetic rate of D. carota plants. Furthermore, Pb stressed plants showed decreased uptake of mineral nutrients including Zn, Na, Fe, K, Ca, Mg, K, and Cu. Similarly, Pb stressed plants showed enhanced electrolyte leakage (EL) and malondialdehyde (MDA) content. However, magnesium oxide nanoparticles detoxified ROS to mitigate Pb stress and improved the growth of plants. Magnesium oxide nanoparticles also escalated the activity of antioxidant enzymes including superoxide dismutase (SOD) and Catalase (CAT). A higher amount of Pb content was observed in the roots as compared to the shoot of plants. Lead toxicity reduced manganese accumulation in D. carota plants. The increased concentration of iron, manganese, copper, and zinc advocates stress the ameliorative role of Pb stress in plants. Novelty statement The role of MgONPs in the alleviation of Pb-toxicity in Daucus carota has never been exploited. In addition, the potential of MgONPs to enhance nutritional content in D. carota via modulation in antioxidant system and polyamines have never been reported.

Numerous abiotic stressors including heavy metal stresses, specifically cadmium (Cd) stress in agricultural bio-system hinder the plant adequate growth. The present study was aimed to reveal the protective role of silicon (Si) application with two levels and to recognize the optimum level of Si for wheat plants grown hydroponically under three different levels of Cd toxicities. In methodology, we used nine treatments with three levels of Si (0, 1, and 3 mmol L -1 ; Na 2 SiO 3 ) against three levels of Cd (0, 50, 200 μmol L -1 ; CdCl 2 ) with three biological replicates. The results of our study demonstrated that Si incorporation with the advantage of 3 mmol L -1 in cultured media with Cd50 and Cd200 demolished the toxic effects of Cd on the leaves of wheat plants by increasing plant dry biomass by 88% and 262%, leaf area by 48% and 57%, total chlorophyll contents by 120% and 74%, catalase (CAT) activity by 92% and 110%, superoxide dismutase (SOD) activity by 62% and 78%, peroxidase (POD) activity by 66% and 40%, ascorbic acid (AsA) contents by 33% and 34%, glutathione (GHS) contents by 39% and 30% and reduced MDA contents by 56% and 50%, H 2 O 2 contents by 61% and 66%, and EL contents by 56% and 47% as parallel to Cd corresponding levels. In addition, Si incorporation with the advantage of 3 mmol L -1 significantly increased relative water contents (RWC) to maintain the cell turgor pressure and protect the plant from wilting and cells flaccid and enhanced membrane stability index (MSI) to protect the plant from logging under damaging effects of Cd toxicities. Based on the present findings, Si can be considered a quasi-essential element that enhanced wheat tolerance against Cd toxicity by limiting uptake, accumulation, and translocation of Cd and through regulating antioxidative defense mechanisms., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

Co-existence of polychlorinated biphenyls (PCBs) and hexavalent chromium (Cr(VI)) in the environment due to effluent from industries has aggravated the pollution problem. Both contaminants can alter chemical interactions, processes and impair enzymatic activities in the ecosystem that results in negative impacts on aquatic and terrestrial life. Previously, research has been performed for the fate and transfer of these contaminants individually, but simultaneous removal approaches have not received much attention. Cr(VI) exists in a highly toxic form in the environment once released, whereas location of chlorine atoms in the ring determines PCBs toxicity. Lower chlorinated compounds are easily degradable whereas as high chlorinated compounds require sequential strategy for transformation. Microorganisms can develop different mechanism to detoxify both pollutants. However, occurrence of multiple contaminants in single system can alter the bioremediation efficiency of bacteria. Use of metal resistance bacterial for the degradation of organic compounds has been widely used bioaugmentation strategy. Along with that use of sorbents/bio sorbents, biosurfactants and phytoremediation approaches have already been well reported. Bioremediation strategy with dual potential to detoxify the Cr(VI) and PCBs would be a probable option for simultaneous biotreatment. Application of bioreactors and biofilms covered organic particles can be utilized as efficient bioaugmentation approach. In this review, biotreatment systems and bacterial oxidative and reductive enzymes/processes are explained and possible biotransformation pathway has been purposed for bioremediation of co-contaminated waters., Competing Interests: Declaration of competing interest The authors confirm that there are no known conflicts of interest associated with this manuscript and there has been no significant financial support for this work that could have influenced its outcome., (Copyright © 2021 Elsevier B.V. All rights reserved.)

Anthropogenic activities such as mining, manufacturing, and application of fertilizers release substantial quantities of cadmium (Cd) into the environment. In the natural environment, varying pH may play an important role in the absorption and accumulation of Cd in plants, which can cause toxicity and increase the risk to humans. We conducted a hydroponic experiment to examine the impact of pH on cadmium (Cd) solubility and bioavailability in winter wheat (Triticum aestivum L.) under controlled environmental conditions. The results showed that Cd concentration was significantly reduced in wheat with an increase in pH from 5 to 7, while it was dramatically increased at pH ranging from 7 to 9. However, in both cases, a significant reduction in physiological traits was observed. The addition of Cd (20, 50, and 200 μmol L-1) at all pH levels caused a substantial decline in wheat growth, chlorophyll and carotenoids contents, nutrient availability, while elevated cell membrane damage was observed in terms of electrolytic leakage (EL), osmoprotectants, and antioxidants activity. In our findings, the negative effects of acidic pH (5) on wheat growth and development were more pronounced in the presence of Cd toxicities. For instance, Cd concentration with 20, 50, and 200 μmol L-1 at acidic pH (5) reduced shoot dry biomass by 45%, 53%, and 79%, total chlorophyll contents by 26%, 41%, 56% while increased CAT activity in shoot by 109%, 175%, and 221%, SOD activity in shoot by 122%, 135%, and 167%, POD activity in shoot by 137%, 250%, and 265%, MDA contents in shoot by 51%, 83%, and 150%, H2O2 contents in shoot by 175%, 219%, and 292%, EL in shoot by 108%, 165%, and 230%, proline contents in shoot by 235%, 280%, and 393%, respectively as compared to neutral pH without Cd toxicities. On the other hand, neutral pH with Cd toxicities alleviated the negative effects of Cd toxicity on wheat plants by limiting Cd uptake, reduced reactive oxygen species (ROS) formation, and increased nutrient availability. In conclusion, neutral pH minimized the adverse effects of Cd stress by minimizing its uptake and accumulation in wheat plants., Competing Interests: The authors have declared that no competing interests exist.

Pakistan is an agro-economy country where hexachlorocyclohexane (HCH) pesticides are being used to improve crop productivity, as a result the risk of contamination of soil and sediment has been increased. HCH exhibits all the characteristics of persistent organic pollutants (POP), and was therefore added to the list of 'new POPs' in 2009. This review report revealed that the major rivers of Pakistan such as the Indus Basin, River Ravi, River Chenab and their tributaries all are contaminated with HCH and the highest residual concentration (4,090 ng/g) was detected in a pesticide burial ground in Hyderabad city. Major sources of HCH contamination were identified as agricultural runoff, discharge of untreated industrial effluents and surface runoff. In order to manage HCH pollution, various ex-situ and in-situ remediation techniques along with their merits and demerits are thoroughly reviewed. Among these, microbial bioremediation is a low cost, environment friendly, effective in-situ remediation technique for remediation of HCH. Overall, the information provided in this manuscript will provide a future reference to the scientific community and bridge the knowledge gap between HCH release in the environment and their mitigation through proper treatment methods.

Excessive production and utilization of nanoparticles (NPs) at industrial and household levels releases substantial quantities of NPs into the environment. These can be harmful to different types of organisms and cause adverse effects on ecosystems. Purchased TiO 2 and ZnO NPs were characterized via XRD, XPS, FESEM, and Zeta potential. This study elucidates how multidrug resistant Escherichia coli LM13, which was recovered from livestock manure, counteracts the antibacterial activities of TiO 2 and ZnO NPs to survive in the environment. E. coli ATCC25922, which is susceptible to antibiotics, was used as control. A dose-response experiment showed that the antibacterial activity of TiO 2 was lower than that of ZnO NPs and, LM13 was more resistant to NPs than ATCC25922. An AcrAB-TolC efflux pump along with its regulation genes helped LM13 to minimize NP toxicity. Flow cytometry findings also indicated that the intensity of the side-scatter light parameter increased with TiO 2 and ZnO NPs in a dose dependent manner, suggesting NP uptake by the both strains. The generation of reactive oxygen species in LM13 was several-fold lower than in ATCC25922, suggesting that reactive oxygen species mainly contribute to the toxicity mechanism. These results illustrate the necessity to evaluate the impacts of NPs on the survival capacity of bacteria and on the resistance genes in bacteria with higher NP resistance than NP susceptible bacteria., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020 Elsevier B.V. All rights reserved.)

Antibiotic resistant bacteria with diverse resistance phenotypes and genotypes are ubiquitous in the environments that have become a global health concern. The role of DNA methylation in the dissemination of antibiotic resistance among different environments is currently unclear. We recovered 646 Enterobacteriaceae (Eb) isolates from hospital, livestock manure, municipal wastewater-treatment plants, river sediment and soil for comprehensive analysis of resistance phenotypes, β-lactamase genes, integrons, integron-associated gene cassettes and the levels of DNA methylation. Antibiotic susceptibility testing revealed that approximately 87.31 % isolates were multidrug resistant Eb. The β-lactamase genes were positively detected in 473 isolates with greater diversity in human or animal sourced Eb, while its prevalence was found to be highest in the Eb isolates from the natural environments. Forty-three gene cassettes (28 different types mediated by intI1) were detected in 53 (19.63 %) isolates, with greater diversity in Eb isolates from hospital and livestock manure. The multiple antibiotic resistance index of single strain was positively correlated with the 5-methylcytosine and showed a negative correlation with 6-methylademine. We conclude that the development of antibiotic resistance could possibly be coupled with DNA methylation, which might enhance the antimicrobial resistance and survival capacity of Eb., (Copyright © 2020 Elsevier B.V. All rights reserved.)

Background Menstruation is a natural physiological phenomenon, yet considered a stigmatized subject, particularly in low- and middle-income countries like Pakistan. It is seldom discussed openly, leading to flow of incorrect and incomplete knowledge. The resultant unhealthy practices not only affect the health of the menstruator but can also contribute to considerable psychosocial stress. Menstrual hygiene management (MHM) is an important facet, which is associated with a variety of practices and beliefs in different parts of the world, some of which may not be correct. Identifying these poor methods is necessary in order to rectify them. Hence, our study aimed at determining the level of knowledge, beliefs, and practices pertaining to menstruation in the general female populace of Karachi. Healthcare workers have a potential role in the dissemination of authentic knowledge and practices. Therefore, we assessed and compared the accuracy and reliability of the aforementioned parameters in them and the need for an educational intervention. Methods A descriptive, cross-sectional study was conducted on females visiting the Gynecologic and Obstetrics Outpatient Department (OPD), and healthcare workers employed at Dr. Ruth K. M. Pfau Civil Hospital Karachi and Dow University Hospital Ojha. Using non-probability convenience sampling, a self-structured questionnaire was used to collect data from 353 respondents over a duration of three months from October 2019 to January 2020. Data was tabulated in Statistical Package for the Social Sciences (SPSS) version 24.0 (IBM Corp., Armonk, NY, US). In accordance with the objectives of the study, descriptive analysis was performed, and data was presented in the form of frequencies and percentages.  Results Of the 353 participants, 176 were from the general population and 177 were healthcare workers. At menarche, only 28.4% of the general population and 29.4% of healthcare workers had an idea of menses and proper placement of absorbent. Significantly lower number of females from the general population were found to be aware of tampons and menstrual cups (15.9% and 11.4% respectively) as compared to healthcare workers. For both groups, the source of knowledge was mostly their mother. The study showed that 77.8% of the general population and 66.1% of healthcare workers avoided bathing on certain days during menses, with the most common reason being that "it causes irregular flow". As compared to healthcare workers, a significantly higher number of women from the general population had restrictions of activity (53.4%) and avoided washing of groin area during menstruation (31.2%). Majority of women from the general population mentioned that they were scared when they menstruated for the first time. The most common absorbent used by respondents was pads, followed by cloth. The data showed 64.2% of females from the general population and 28.8% of healthcare workers abstained from eating certain foods. Seeking treatment for gynecological issues was not widespread among respondents. Conclusion Our study demonstrated insufficient menstrual knowledge, and consequent incorrect practices in the female population of Karachi. Destigmatizing menstruation and educating women and young girls is indispensable to overcoming this gap. At the same time, reinforcing the availability of MHM products is long overdue and is a crucial milestone towards facilitation of MHM for the women of Pakistan., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Arshad Ali et al.)

Essential thrombocythemia (ET) is one of the myeloproliferative neoplasms, characterized by persistent thrombocytosis, platelets >450,000/μL, and evident clonal abnormalities like JAK2 V617F, MPL, CALR mutation and not fulfilling WHO criteria for MDS, CML, PV, and IDA. Here we report a 24-year-old female who presented with headache and was found to have thrombocytosis with a platelet count of 2,141 × 10 3 /μL, diagnosed as ET as per WHO criteria 2008; she required ICU admission and thrombocytapheresis with a favorable outcome., Competing Interests: The authors have no conflicts of interest to declare., (Copyright © 2020 by S. Karger AG, Basel.)

Composting and anaerobic digestion techniques are widely used for manure recycling, but these methods have shown conflicting results in the removal of antibiotics, antibiotic resistance genes (ARGs), and heavy metals. In the present study, anaerobically digested chicken manure and various types of composted chicken manure were investigated on an industrial scale. Antibiotics, ARGs, and heavy metals had shown inconsistent results for anaerobic digestion and composting. The different composting processes either declined or completely removed the blaCTX-M, intl1 and oqxB genes. In addition, composting processes decreased the absolute abundance of aac6'-Ib and aadA genes, while increased the absolute abundance of qnrD, sul1, and tet(A) genes. On the other hand, anaerobic digestion of chicken manure increased the absolute abundance of ere(A) and tet(A). High throughput sequencing showed that Firmicutes, Proteobacteria, Bacteroidetes, and Actinobacteria dominated the total bacterial composition of composted and anaerobically digested samples. Network analysis revealed the co-occurrence of ARGs and intl1. The redundancy analysis showed a significant correlation between some heavy metals and ARGs. Similarly, the bacterial composition showed a positive correlation with the prevalence of ARGs in treated manure. These findings suggest that bacterial community, heavy metals, and mobile genetic elements can play a significant role in the abundance and variation of ARGs during composting and anaerobic digestion. In conclusion, anaerobic digestion and composting methods at industrial scale need to be improved for the effective removal of antibiotics, ARGs and heavy metals from chicken manure., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020 Elsevier B.V. All rights reserved.)

Multidrug-resistant Escherichia coli and antibiotic-resistance genes (ARGs) present a danger to public health. However, information on the dissemination potentials of antibiotic resistance among bacteria from different environments is lacking. We isolated multiple antibiotic-resistant Escherichia spp. from animal farms, hospitals, and municipal wastewater-treatment plants (MWWTPs) using culture-based methods, and carried out resistance phenotype and gene analyses. Thirty-five isolates of multiple antibiotic-resistant Escherichia spp. were further screened to detect 61 ARGs, 18 mobile genetic elements (MGEs), and gene cassettes. The isolates from livestock manure and MWWTPs showed greater diversity in plasmid profiling than hospital wastewater. Each Escherichia sp. carried 21-26 ARGs and 8-12 MGEs. In addition, 11 gene cassettes were detected in 34 Escherichia isolates, with greater diversity in livestock manure and MWWTPs than in hospital wastewater. The results indicated that the potential for ARG transfer was higher in livestock manure and MWWTPs compared with human clinical sources, possibly related to the high occurrence of both residual antibiotics and heavy metals in these environments., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Background Cervical carcinoma is a widespread disease of the female genital tract, for which human papillomavirus (HPV) is an utmost risk factor. Of the total global burden, the majority is endured by the developing nations of the world, mainly due to inadequate knowledge regarding the disease and ineffective measures taken for its prevention, early detection, and screening. Hence, our study aimed to determine the level of knowledge, general attitudes and perception, and prevention practices related to HPV-based cervical cancer and its socioeconomic correlates among women in Karachi, Pakistan. Methods A cross-sectional, questionnaire-based study was conducted by approaching 450 females in the out-patient department (OPD) of a tertiary care hospital in Karachi, Pakistan from June 2019 to November 2019. The modified Kuppuswamy socioeconomic scale 2018 was deployed to assess the socioeconomic status of participants, while the knowledge score of the participants was determined based on the original Bloom's cut off point. The analysis was conducted using Statistical Package for Social Sciences (SPSS) version 24.0 (IBM Corp., Armonk, NY). Descriptive statistics were used to present the knowledge, attitude, and practice level of respondents. The respondents' knowledge, attitude, and practice scores were compared across socioeconomic and demographic variables using the chi-square test. Results Of the 388 females interviewed, 199 (51.3%) were aware of the term cervical cancer, and 68 (34.2%) knew about Pap smear as a screening test; only 80 (40.2%) women were familiar with HPV vaccination as prophylaxis against cervical cancer. The practice of screening and prevention was found to be remarkably low (2.1% and 1.8% respectively). Socioeconomic status and education level had a significant association with knowledge of cervical cancer. Although around 64% of participants had poor knowledge, 308 (79.4%) demonstrated a favorable attitude as they were willing to know more about screening and preventive practices regarding cervical carcinoma. Conclusion The majority of the participants had insufficient overall knowledge about cervical cancer, HPV, Pap smear test, and HPV vaccination, highlighting the need for mass education through health professionals and media. In addition, the government authorities should provide screening services and vaccination against HPV free of cost to promote early detection of lesions and prophylaxis against this deadly disease., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Riaz et al.)

Background: Burn related injuries (BRIs) are relatively common, mostly accidental, and highly preventable forms of injury. First aid management of BRIs can have a significant impact on the outcome and morbidity of these injuries, yet there seems to be an inadequacy in the knowledge related to burn management worldwide. Hence, our study aimed to delineate the level of knowledge and awareness of burn first aid treatment (BFAT) amongst undergraduate students, and the impact training courses had on that knowledge., Methods: A cross-sectional study was conducted by employing undergraduate medical and non-medical students from various universities of Karachi, Pakistan. By means of convenience sampling, 400 students were sent online, structured questionnaires. The analysis was conducted using Statistical Package for Social Sciences (SPSS version 23.0, IBM Corp., Armonk, NY, US), and associations calculated through t-tests. A mean knowledge score was calculated to assess the participant's adequacy of knowledge regarding BFAT., Results: Medical students had a better knowledge score than their non-medical counterparts (5.8 ± 1.6 versus 3.6 ± 1.5, P < 0.01), however, overall knowledge of BFAT remained inadequate amongst participants. Students who received formal training scored a higher mean knowledge score than the majority of students with no training ( P < 0.01)., Conclusion: The majority of students had insufficient overall knowledge about BFAT, highlighting the need for integrating this topic into the curriculum. In addition, education of the masses via multimedia and conducting formal training courses, are both imperative in raising awareness and reducing the occurrence of BRIs., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2020, Riaz et al.)

Background: In Pakistan, thousands are reported dead due to organ failure annually, owing to the huge discrepancy between the number of people waiting for organ donation and the number of organs available. It is imperative that the young generation, the future donor force, comprehends the concept and importance of organ donation. Hence, this study was conducted to assess the knowledge, attitude, and practices regarding organ donation amongst the youth of Pakistan, and to delineate the factors that motivate or demotivate the new generation for organ donation so our future campaigns may be more successful.  Methods: A cross-sectional study was conducted on undergraduate medical and non-medical students from various universities of Karachi, Pakistan. Using convenience sampling, 450 students were sent online, structured, 11-item questionnaires. The analysis was conducted using Statistical Package for Social Sciences (SPSS version 23.0, IBM Corp., Armonk, NY, US), and associations calculated through chi-square tests. A knowledge score was calculated to reflect a participant's familiarity with organ donation.  Results: 88.7% of students were familiar with organ donation; however, only 34.6% were willing to donate, and 0.6% had donated an organ. Belonging to a medical university and female gender were associated with higher knowledge scores. 'To save lives' (51.7%) was cited by most students as a factor that would motivate them to donate an organ, while 'Religion' (27.6%) was chosen as the most popular factor that demotivates them., Conclusion: Majority of the students had insufficient overall knowledge about organ donation, highlighting the need for inculcating this topic in the curriculum. The differences in knowledge between medical and non-medical students were inconsistent with their practices, indicating that future campaigns should focus on eliminating barriers to organ donation to facilitate an accepting attitude and increased practices with respect to this topic., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2019, Hasan et al.)

Extensive fluoroquinolone antibiotics use results in their widespread occurrence in various environments including soil, which threatens the soil ecology and public health. The fate of fluoroquinolones in agricultural soil and the efficacy of enhanced degradation in the presence of an agricultural crops and antibiotic degrading bacteria could be better understood. The current study examined ciprofloxacin (CIP), enrofloxacin (ENR), and levofloxacin (LEV) biodegradation in a Maury Silt Loam soil in greenhouse conditions by bacterial-assisted removal of individual and mixed antibiotics in wheat rhizospheres. Fluoroquinolones were added at rates of 5, 50, and 100 mg kg -1 . Three bacterial isolates were applied at 10 6  CFU g -1 soil individually and in consortium. Antibiotics appeared in wheat tissue, with more accumulation in roots than shoots. Low recoveries (<50%) of CIP, ENR, and LEV were observed at all levels and treatments in a bacteria and wheat-free control compared to the initial concentrations applied Contaminated soil with wheat had greater antibiotic recovery than the wheat-free control. Antibiotic recovery with bacterial inoculum was less than that of the indigenous bacteria. The least antibiotic recovery occurred with wheat and bacterial inoculum together. At concentrations of 5 and 50 mg kg -1 , but not at 100 mg kg -1 , CIP, ENR, and LEV were below detection limits in soil after 30 days through the combination of wheat and bacteria compared to the control. This synergistic removal of the fluoroquinolone antibiotics is proposed to be due to enhanced antibiotic bioavailability, which suggests it as an environment-friendly approach to biodegradation., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

The use of fluoroquinolones (FQs) antibiotics as therapeutic agents and growth promoters is increasing worldwide; however their extensive uses are also resulting in antibiotic resistance among world communities. FQs have also become one of the major contaminants in the waste water bodies, which are not even completely removed during the treatment processes. Furthermore, their abundance in agricultural resources, such as the irrigation water, the bio-solids and the livestock manure can also affect the soil micro-environment. These antibiotics in soil tend to interact in several different ways to affect soil flora and fauna. The current review endeavors to highlight the some critical aspects of FQs prevalence in the environment. The review presents a detailed discussion on the pathways and abundance of FQs in soil. The discussion further spans the issue of sorption and FQs transformation into the soil better understand of their behavior and their toxicity to soil flora and fauna., (Copyright © 2017 Elsevier Ltd. All rights reserved.)

Combinations of antibiotics occur in terrestrial environments due to excessive prescription, consumption, and disposal and have adverse effects, including crop toxicity. We examined short-term (20-d) toxicity of the fluoroquinolone antibiotics ciprofloxacin, enrofloxacin, levofloxacin, and their mixture in a germination and a greenhouse sand culture study with wheat. We tested the hypothesis that oxidative stress plays a role in toxicity by examining stress products and antioxidants involved in detoxifying reactive oxygen species (ROS) during stress. Germination was unaffected by any antibiotic concentration or mixture used. The highest antibiotic concentrations, 100 and 300 mg L -1 , significantly decreased wheat growth. In 20 days exposure the maximum malondialdehyde production (2.45 μmol g -1 fresh weight), total phenols (16.40 mg g -1 of extract), and total antioxidant capacity (17.74 mg of Vitamin C g -1 of extract) and maximum activities of superoxide dismutase (7.99 units mg -1 protein min -1 ) and ascorbate peroxidase (0.69 μmol ascorbate mg -1 protein min -1 ) significantly increased compared to the control. In contrast, catalase (0.45 mmol H 2 O 2 mg -1 protein min -1 ) and peroxidase (0.0005 units mg -1 protein min -1 ) activity significantly decreased compared to the control. We conclude that high antibiotic concentrations in the plant growth medium reduced wheat growth by causing oxidative stress. The capacity to respond to oxidative stress was compromised by increasingly higher antibiotic concentrations in some enzyme systems. This stress damaged the physiological structure of the young plants and could reduce crop productivity in the long term. Consequently, fluoroquinolone-contaminated water challenges developing countries with constraints on available water for irrigation., (Copyright © 2017 Elsevier Ltd. All rights reserved.)

The unchecked production and use of fluoroquinolones (FQs) for the treatment of infections in human and livestock has increased in Pakistan, which resulted in large amount of antibiotics in water bodies. In the current study, the prevalence and associated ecological risk of three FQs were investigated in waste-water bodies and sludge samples of Kahuta and Hattar industrial zones. The average concentrations of ciprofloxacin (CIP), enrofloxacin (ENR) and levofloxacin (LEV) in the waste-water samples were slightly higher in Kahuta (i.e. 58, 32.9, and 36.7μgL -1 respectively), than those in Hattar sites (i.e. 42.1, 41.2, and 48.9μgL -1 respectively). However, the concentrations of CIP, ENR and LEV in the sludge samples were significantly higher (i.e. 159; 153 and 164μgkg -1 respectively) in Hattar sites, compared to those in Kahuta sites (i.e. 129, 58 and 91μgkg -1 respectively). The uses of FQs in the health sector resulted in water pollution and poses the ecological risk to aquatic organisms. The individual risk associated with CIP was highest in Kahuta industrial sites for green algae ranging (2900-9100) followed by M. aeruginosa (5800-18200), cyanobacteria (580-18204) and invertebrates (24.2-75.8). These values suggested that the prevalence of antibiotics in the waste-disposal sites could be potential risk for the aquatic ecosystem, and harmful to biodiversity., (Copyright © 2017 Elsevier B.V. All rights reserved.)

von Willebrand disease (VWD) is an inherited bleeding disorder involving a deficiency or abnormal function of a blood clotting protein called von Willebrand factor (VWF). Deficiency of VWF, therefore, shows primarily in organs with small blood vessels such as the skin, the gastrointestinal tract and the uterus. This case report describes management of a patient presenting with type II von Willebrand disease in labor. She had history of life-threatening hemorrhage from an operation for deviated nasal septum and had a risk of severe postpartum hemorrhage (PPH) within 48 hors of delivery, which was avoided by appropriate planning and timely management.