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Autoimmunity is a condition where structural and functional damage happen by the immunologically competent cells or antibodies to self-antigens . Autoimmune diseases result from destruction of self – proteins, cells, organs by autoantibodies or self- reactive T cells. There are certain factors that can trigger the autoimmunity, like – Genetic factors, Toxic chemicals (Environmental factors), Viral, Hormonal, stress and neurochemicals. In this review there are several aspects that come across the fact that Environmental toxicants has important contribution in autoimmunity. Many pesticides, and Hg also has a definite role in autoimmunity. This review paper provides us elaborate predisposition of environmental toxicants to autoimmunity. This review paper is also consists of little discussion of genetic factors and how they interlinked to autoimmunity.

Exposure to environmental toxicants is a well documented predisposing factor for cancer. Many types of carcinogenic toxicants are found in the environment. This review focuses on three types of toxicants heavy metals, pesticides and pollutants. Through different mechanisms of cell damage, these toxicants cause malignant growth. There is a strong correlation found between malignancy and cytokines. This work establishes the link between environmental toxicants and changes in cytokine levels with cancer progression.

Arsenic (As) is a highly toxic metalloid present naturally in the earth's crust. In developing countries apart from drinking water, one major reason for arsenic toxicity among human beings is through contaminated crops and vegetables. The nutritional quality of the crops and vegetables grown in the arsenic-infested area gets compromised. A major challenge is to protect the vegetables and crops from arsenic contamination. Attempts have been made through different remediation technologies. The present research is designed to reduce the arsenic load in arsenic-sensitive (non-hyperaccumulator) plants by co-cultivation with hyperaccumulator plants, thus saving food chain contamination to humans. In the present study, done in potted plants, it has been found that co-cultivated B. oleracea has 1.5 times decreased arsenic translocation compared to the control plant; on the contrary, hyperaccumulator B. juncea showed higher translocation. Plant health biomarkers like total chlorophyll and protein contents were two times higher in co-cultivated B. oleracea compared to the As-treated control which actually seconds the fact of less translocation in the co-cultivated plants. The stress marker like proline content, super oxide dimutase, and malondialdehyde content showed a decrease in co-cultivated B. oleracea compared to the control plant grown in arsenic-infested soil which again reflected less stress in co-cultivated plants. From these findings of the research, we can hypothesize that hyperaccumulator B. juncea might save B. oleracea from arsenic-induced toxicity when co-cultivated and thus can save food chain-mediated contamination to human beings.

Conventional retting of jute universally followed by the jute growers is characterized by higher water requirement, production of lower quality jute fibre and degradation of water quality from the environmental point of view. Among the improved retting methods evaluated under this study reflect that the free flowing water retting requires only 7135 litres of water for 1 quintal jute fibre production compared to 25,840 litres in conventional retting because of recirculation of the water after filtration. Free flowing water retting also recorded very low BOD (45.1 mg/l), COD (157.6 mg/l), and hardness (65 ppm) content in post-retting water which were significantly lower than the values recorded in conventional retting. Except pH, all other water quality parameters like EC, BOD, COD, Ca + Mg, bicarbonate, chloride and hardness values in post-retting water increased significantly compared to the pre-retting water in all the retting methods. Use of microbial consortium “CRIJAF SONA” helped to reduce the retting duration by 6 to 10 days in improved retting methods along with improvement in fibre quality parameters like fibre strength, fibre fineness, reduced root content etc. as compared to the conventional retting where no microbial consortium was used. The fibre yield in free flowing water retting was higher by 7.5, 6.0 and 22.4% respectively, over stagnant water retting in concrete retting tank, in-situ retting and conventional retting because of higher fibre recovery as a result of favourable condition for microbial growth and their enzymatic activity. The post-retting water in each retting methods recorded significantly higher nutrient content than their respective pre-retting water contents. Free flowing water retting along with in-situ retting and stagnant water retting in concrete tank recorded significantly higher polygalacturonase, pectin lyase and xylanase activities than conventional retting because of use of microbial consortium. Free flowing water retting proved to be the most vibrant jute retting method with very low water requirement and also maintains post-retting water quality along with higher fibre recovery and improved fibre quality.

Rice plants are known to be more susceptible to arsenic (As) contamination during the cultivation process. Arsenic is genotoxic and can be a big threat to the rice eating people at large. Studies on an effective mitigation mechanism are the need of the hour. This work was an approach using iron (Fe

It has been over 50 years since the Stonewall Inn Riots in June 1969, a seminal event for the lesbian, gay, bisexual, transgender, queer, intersex, and other sexual and gender-diverse minorities (LGBTQI+, or lesbian, gay, bisexual, transgender, queer, intersex, and everyone else) rights movement. However, sexual and gender minority (SGM) individuals still face discrimination and harassment due to their sexual orientation or gender identity. As such, the National Institute on Minority Health and Health Disparities has identified SGM communities as a "health disparity population." Broadly, there are higher rates of sexually transmitted infections, substance use and abuse, mental health conditions, obesity and eating disorders, certain cancers (breast, cervical, and anorectal), and cardiovascular disease in SGM communities. Transgender patients, especially those of color, are more likely to be uninsured, experience discrimination, and be denied health care than cisgender patients. In addition, SGM individuals have twice the risk of lifetime exposure to emotional, physical, and sexual trauma compared with heterosexuals. It is expected all these factors would negatively affect digestive health as well. This review summarizes the effects of social determinants of health and discrimination on health care access, highlights important digestive diseases to consider in the SGM population, and offers solutions to improve and prioritize the health of these communities. We aim to draw attention to SGM-specific issues that affect gastrointestinal health and spur research that is desperately lacking.

Progression of chronic liver diseases is precipitated by hepatocyte loss, inflammation and fibrosis. This process results in the loss of critical hepatic functions, increasing morbidity and the risk of infection. Medical interventions that treat complications of hepatic failure, including antibiotic administration for systemic infections, impact gut microbiome composition and metabolite production. Using a multi-omics approach on 850 fecal samples from 263 patients with acute or chronic liver disease, we demonstrate that patients hospitalized for liver disease have reduced microbiome diversity and a paucity of bioactive metabolites. We find that patients treated with the orally administered but non-absorbable disaccharide lactulose have increased densities of intestinalBifidobacteriaand reduced incidence of systemic infections and mortality.Bifidobacteriametabolize lactulose, produce high concentrations of acetate and acidify the gut lumen, which, in combination, can reduce the growth of antibiotic-resistant pathobionts such as Vancomycin-resistantEnterococcus faecium. Our studies suggest that lactulose andBifidobacteriaserve as a synbiotic to reduce rates of infection in patients with severe liver disease.

Industrialization and Covid-19 - the two pillars showing the world adverse effects of air pollution and also on the other hand improvement of air index over the globe. During the pre-covid period the world saw industrialization and modernization paving path to air pollution. This 2019 pandemic still on-going did take millions of lives but healed the mother nature thus reducing pollution due to air pollutants (PM 2.5, CO2, NOx, SO2). Such adverse situation and lockdown over the world have taught people self-independence in their lives thus reducing the dependence on technology and annihilating all the possible pollution due to industrialization and automobiles: the new normal. This review solely focuses on the analysis of air index quality pre versus post covid and thus accepting the new normal for the healing of earth.

The development of ascites in patients with cirrhosis can cause numerous complications including abdominal discomfort, pain, respiratory distress, decreased mobility, diminished quality of life, and contributes to an increased mortality. Symptom self-monitoring that incorporates evidence-based treatments has been effective when used by patients with noncirrhotic chronic diseases. Guided by the theory of Self-Care of Chronic Illness, a self-monitoring guide was adapted from an existing validated tool. In the context of a pilot quality initiative, staff nurses educated patients with ascites and their caregivers, with the adapted symptom self-monitoring guide using a standardized process. Clinicians were surveyed regarding their satisfaction with the patient education pre- and post-implementation. Results indicated improved clinician satisfaction with the education provided to patients and their caregivers during the clinic visit. Implementation of self-monitoring may improve clinician and patient satisfaction and clinic workflows. Additional evaluation of the self-monitoring guide and its effect on patient satisfaction, impact on hospital admissions, and outpatient paracentesis is warranted.

Introduction Advances in transjugular intrahepatic portosystemic shunt (TIPS) technology have led to expanded use. We sought to characterize contemporary outcomes of TIPS by common indications. Methods This was a multicenter, retrospective cohort study using data from the Advancing Liver Therapeutic Approaches study group among adults with cirrhosis who underwent TIPS for ascites/hepatic hydrothorax (ascites/HH) or variceal bleeding (2010-2015). Adjusted competing risk analysis was used to assess post-TIPS mortality or liver transplantation (LT). Results Among 1,129 TIPS recipients, 58% received TIPS for ascites/HH and 42% for variceal bleeding. In patients who underwent TIPS for ascites/HH, the subdistribution hazard ratio (sHR) for death was similar across all Model for End-Stage Liver Disease Sodium (MELD-Na) categories with an increasing sHR with rising MELD-Na. In patients with TIPS for variceal bleeding, MELD-Na ≥20 was associated with increased hazard for death, whereas MELD-Na ≥22 was associated with LT. In a multivariate analysis, serum creatinine was most significantly associated with death (sHR 1.2 per mg/dL, 95% confidence interval [CI] 1.04-1.4 and 1.37, 95% CI 1.08-1.73 in ascites/HH and variceal bleeding, respectively). Bilirubin and international normalized ratio were most associated with LT in ascites/HH (sHR 1.23, 95% CI 1.15-1.3; sHR 2.99, 95% CI 1.76-5.1, respectively) compared with only bilirubin in variceal bleeding (sHR 1.06, 95% CI 1.00-1.13). Discussion MELD-Na has differing relationships with patient outcomes dependent on TIPS indication. These data provide new insights into contemporary predictors of outcomes after TIPS.

Industrializations are the major source of environmental pollution. The waste discharge from several industries can create an immense impact on water bodies which can disrupt the balance of several parameters of it. Too much accumulation of heavy metals through waste water can hamper human health as well as food chain. Thus several diseases take place in daily life because of accumulation of several heavy metals. These can accelerate generation of generation of reactive oxygen species (ROS) which is the ultimatum of age related disease like Parkinson disease, Alzheimer’s disease etc. This accumulation is not only limited to ROS production it has the ability to hamper immune system abruptly. To get rid of these bioremediation can be an alternative and efficient way. With the help of several micro-organismsit can dispose these heavy metals. This review focuses on several heavy metal related diseases as well as bioremediation processes by microorganisms. It includes the list of algae and fungi which is participating in bioremediation and which kind of metals they are able to remove.

Background and aims Transjugular intrahepatic portosystemic shunt (TIPS) is an effective intervention for portal hypertensive complications, but its effect on renal function is not well-characterized. Here, we describe renal function and characteristics associated with renal dysfunction at 30-days post-TIPS. Methods Adults with cirrhosis who underwent TIPS at nine hospitals in the US 2010-2015 were included. We defined "post-TIPS renal dysfunction" as a change in estimated glomerular filtration rate (ΔeGFR) ≤ -15ml/min/1.73m2 and eGFR ≤ 60ml/min/1.73m2 , or new renal replacement therapy (RRT) at day 30. We identified the characteristics associated with post-TIPS renal dysfunction by logistic regression and evaluated survival using adjusted competing risk regressions. Results Of 673 patients: median age 57 years, 38% female, 26% had diabetes, median MELDNa 17. Thirty days post-TIPS, 66 (10%) had renal dysfunction, of which 23 (35%) required new RRT. Patients with post-TIPS renal dysfunction, compared to those with stable renal function, were more likely to have NAFLD (33% versus 17%, p = 0.01) and comorbid diabetes (42% versus 24%, p Conclusions In this large multi-center cohort, we found NAFLD, diabetes, and baseline serum sodium associated with post-TIPS renal dysfunction. This study suggests that patients with NAFLD and diabetes undergoing TIPS evaluation may require additional attention to cardiac and renal comorbidities prior to proceeding with the procedure.

Popularity of herbal drugs has always been in high demand, but recently it has been increasing all over the world, especially in India, because of the lower range of adverse health effects as compared to synthetic or man-made drugs. Not only this but their cost-effectiveness and easy availability to the poor people and the masses, particularly in developing countries, are major causes for their demand. But there lies a huge problem during the process of plant collection that affects their medicinal properties to certain degrees. This is caused by heavy metal toxicity in soil in different locations of the Indian subcontinent. This was correlated with their potential to cause health damage. Exposure of humans to heavy metals includes diverse pathways from food to water to consumption and inhalation of polluted air to permanent damage to exposed skin and even by occupational exposure at workplaces. As we can understand, the main mechanisms of heavy metal toxicity include the production of free radicals to affect the host by oxidative stress, damaging biological molecules such as enzymes, proteins, lipids, and even nucleic acids and finally damaging DNA which is the fastest way to carcinogenesis and in addition, neurotoxicity. Therefore, in this paper, we have researched how the plants/herbs are affected due to heavy metal deposition in their habitat and how it can lead to serious clinical complications.

Biofilm is the conglomeration of microbial cells which is associated with a surface. In the recent times, the study of biofilm has gained popularity and vivid research is being done to know about the effects of biofilm and that it consists of many organisms which are symbiotic in nature, some of which are human pathogens. Here, in this study, we have discussed about biofilms, its formation, relevance of its presence in the biosphere, and the possible remediations to cope up with its negative effects. Since removal of biofilm is difficult, emphasis has been made to suggest ways to prevent biofilm formation and also to devise ways to utilize biofilm in an economically and environment-friendly method.

BACKGROUND Non-alcoholic fatty liver disease (NAFLD) has a heterogeneous distribution across racial and ethnic groups, with a disproportionate burden among Hispanics. Although there are currently no approved therapies for treatment of NAFLD, several therapies have been investigated in clinical trials. AIM To analyze the inclusion of racial and ethnic minority groups in clinical trials for NAFLD. METHODS We performed a systematic review of North American, English-language, prospective studies for NAFLD therapies published from 2005 to 2019. Racial and ethnic enrollment data were recorded for each eligible study. Meta-analysis was performed to compute pooled prevalence of different racial and ethnic groups, followed by further subgroup analyses. These analyses were based on diagnosis of non-alcoholic steatohepatitis (NASH) and timing of study on enrollment by ethnicity. Descriptive statistics were performed to compare racial and ethnic study enrollment to previously reported NAFLD population prevalence. RESULTS Thirty-eight studies met criteria for inclusion in the systematic review. When reported, median age of enrolled subjects was 49 years (range 41.5-58) with 56% female participants. NAFLD was defined through biopsy findings in 79% (n = 30) of the studies. Of the included articles, treatment modalities ranged from medications (n = 28, 74%), lifestyle interventions (n = 5, 13%), bariatric surgery (n = 4, 11%) and phlebotomy (n = 1, 2%). Twenty-eight studies (73%) included racial and/or ethnic demographic information, while only 17 (45%) included information regarding Hispanic participation. Of the 2983 patients enrolled in all eligible trials, a total of only 346 (11.6%) Hispanic participants was reported. Meta-analysis revealed a pooled Hispanic prevalence of 24.3% (95% confidence interval 16.6-32.0, I2 94.6%) among studies documenting Hispanic enrollment. Hispanic enrollment increased over time from 15% from 2005-2014 to 37% from 2015-2019. CONCLUSION In a meta-analysis of NAFLD trials, documentation of racial/ethnic demographic data occurred in less than half of studies. Standardization of reporting of race/ethnicity and targeted interventions toward minority recruitment are needed to improve diversity of enrollment.

Spices are used to flavor food and are a common ingredient of cooking. But adulteration by some people have led these spices to not increase the aroma of food but to convert it into a food item unfit for human consumption. This study is based on detection of food adulterants in various samples of turmeric powder using various analytical methods. It was found from the results that branded turmeric powder contains different adulterants like yellow lead, metanil yellow which are toxic for human health.

Lipase is one of the well-known industrially useful enzymes, as it can catalyze different reactions including hydrolysis of triglycerides. Lipases perform essential roles in digestion and process and transport of dietary lipids in most living organisms. So, to solve the issue of high fat in human body, we came up with a solution by studying the lipase activity of the most commonly available food to us, that is, nuts, to find which nut shows better lipase activity, for providing an easy and organic solution to obesity.In our current study, we have found the lipase activity at different temperatures in three of the most common and available nuts in the market to find their optimum temperature range for lipase activity. We have also conducted an overall study to find which of the sample nuts have better lipase activity overall in comparison to the other samples.

Plant propagation through cuttings has been practiced for a long time by plant enthusiasts. It is rapid, simple, and cheaper than other asexual or sexual methods (seeds) of plant propagation. One gets greater uniformity (clones) of plants and desired traits are not lost. Also, the plant reaches maturity at an earlier age. Several rooting hormones and media have been tested for effective propagation of plant cuttings. The development of quick roots without infection and necrosis in the plant cuttings is the key to success for propagation. In our experiments, we tested raw, unpasteurized honey and store bought pasteurized honey as growth media to support rooting in different plant specimens. Raw, unpasteurized honey solution proved to be an inexpensive and successful medium to propagate plants from cuttings.

Present study is a maiden attempt to assess net ecosystem exchange (NEE) of carbon dioxide (CO

Euphorbia hirta is used traditionally for medicinal purposes. A vast stretch of land in West Bengal is arsenic affected, where agricultural activities present the hazard of arsenic entering the food chain putting the entire community at health risk. The present work tried to study if these areas could be safely utilized to grow this medicinal plant. In this study, the medicinal plant Euphorbia hirta and a known hyperaccumulator Brassica juncea were exposed to a high level of arsenic, and after a certain span of time, arsenic translocation in both the plants was checked. The data revealed that Euphorbia hirta is not a hyperaccumulator and does not translocate high levels of arsenic to the aerial parts of the plant as compared to Brassica juncea. It was also found that the biochemical and genetic effects of arsenic stress were enhanced significantly more in Brassica juncea than in Euphorbia hirta. Thus, the present study points to the growth potential of the common medicinal weed Euphorbia hirta in the arsenic-affected areas without being a cause of human health concern.

Each hepatitis virus-Hepatitis A, B, C, D, E, and G-poses a distinct scenario to the patient and clinician alike. Since the discovery of each virus, extensive knowledge regarding epidemiology, virologic properties, and the natural clinical and immunologic history of acute and chronic infections has been generated. Basic discoveries about host immunologic responses to acute and chronic viral infections, combined with virologic data, has led to vaccines to prevent Hepatitis A, B, and E and highly efficacious antivirals for Hepatitis B and C. These therapeutic breakthroughs are transforming the fields of hepatology, transplant medicine in general, and public and global health. Most notably, there is even an ambitious global effort to eliminate chronic viral hepatitis within the next decade. While attainable, there are many barriers to this goal that are being actively investigated in basic and clinical labs on the local, national, and international scales. Herein, we discuss pertinent clinical information and recent organizational guidelines for each of the individual hepatitis viruses while also synthesizing this information with the latest research to focus on exciting future directions for each virus.

Highly effective direct-acting antiviral (DAA) therapy has transformed outcomes of liver transplantation in hepatitis C virus (HCV) patients. We examined longer-term outcomes in HCV-positive recipients in the DAA era and analyzed the Scientific Registry of Transplant Recipients for primary adult, single-organ, nonfulminant liver transplant recipients in the United States from January 1, 2008 to June 30, 2018. Graft loss was compared among HCV-positive liver transplant recipients who received either an HCV-negative or HCV-positive donor (donor [D]-/recipient [R]+; D+/R+) and HCV-negative liver transplant recipients who received a HCV-negative donor (D-/R-). The groups were further divided between the pre-DAA and DAA eras. There were 52,526 patients included: 31,193 were D-/R- patients; 18,746 were D-/R+ patients; and 2587 were D+/R+ patients. The number of D-/R+ transplants decreased from 2010 in 2008 to 1334 in 2017, with this decline particularly noticeable since 2015. D-/R+ patients in the DAA era (n = 7107) were older, had higher rates of hepatocellular carcinoma, and lower Model for End-Stage Liver Disease scores than those in the pre-DAA era. Graft survival improved for all recipients in the DAA era but improved most dramatically in HCV-positive recipients: D-/R+ 1-year survival was 92.4% versus 88.7% and 3-year survival was 83.7% versus 77.7% (DAA versus pre-DAA era, respectively) compared with D-/R- 1-year survival of 92.7% versus 91.0% and 3-year survival of 85.7% versus 84.0% (DAA versus pre-DAA era, respectively). The magnitude of improvement in 3-year graft survival was almost 4-fold greater for D-/R+ patients. The 3-year survival for D+/R+ patients was similar to HCV-negative patients. In conclusion, the number of liver transplants for HCV has decreased by more than one-third over the past decade. Graft survival among HCV-positive recipients has increased disproportionately in the DAA era with HCV-positive recipients now achieving similar outcomes to non-HCV recipients.