Chromium poisoning in buffaloes in the vicinity of contaminated pastureland, Punjab, Pakistan

This article focuses on the toxic element chromium (Cr) in wastewater, its incorporation into soil plant systems, and its relevant toxicity in the food chain as assessed by a health risk assessment from dietary intake. The Nili Ravi buffalo is an important cattle inhabiting Sargodha, Punjab, Pakistan, and forage crops grown on soils contaminated with Cr might cause toxicity in the food chain by local inhabitants eating meat. The soil, forage and animal blood samples were collected from five different locations in Tehsil Sahiwal (Chak Dhool, Bagabalocha, Chandia, Dhool Bala and Kakrani) twice at six-month intervals. A total of 30 samples from each ecological zone were collected from the soil and forage crops (Zea mays, Sorghum bicolor, Trifolium alexandrinum). The samples from zone-V and zone-IV showed the maximum concentration of Cr because these areas receive highly contaminated water for irrigation. The Cr was greater than the permissible limits. Environmental indices for all samples ranged below 1. The bioaccumulation and pollution load of Cr in soil and forage crops due to wastewater irrigation can contaminate the whole food chain via the soil, forages and animals. The health risk index (HRI) and a high value of enrichment factor were found for Cr in some sites. The Cr concentration was higher during the summer season than winter. Fodder crops with different concentrations and an elevated level of Cr were observed in maize. Attention should be paid when wastewater is used for fodder crop irrigation and its potential risks to human health following dairy product (milk, meat) entry into the food chain.Department of Botany, University of Sargodha, Sargodha, PakistanHigher Education Commission of Pakistan | Ref. #2484/13Princess Nourah bint Abdulrahman University | Ref. PNURSP2022R7

Application of algal nanotechnology for leather wastewater treatment and heavy metal removal efficiency

Wastewater from tanneries may ruin agricultural fields by polluting them with trace metals. The synthesis of nanoparticles (NPs) from algal sources and their application could help in decreasing hazardous materials, for environmental safety. The potential of zinc oxide nanoparticles made from Oedogonium sp. was evaluated for removal of heavy metals from leather industrial wastewater. Synthesized algal nanoparticles (0 (control), 0.1, 0.5, and 1 mg) were applied to treat wastewater by using different concentrations of leather industrial effluents (0%, 5%, 10%, 15%, and 100%) for 15, 30, and 45 d. The wastewater collected was dark brown to black in color with very high pH (8.21), EC (23.08 μs/cm), and TDS, (11.54 mg/L), while the chloride content was 6750 mg/L. The values of biological oxygen demand (BOD) and chemical oxygen demand (COD) ranged between 420 mg/L and 1123 mg/L in the current study. Prior to the application of nanoparticles, Cr (310.1), Cd (210.5), and Pb (75.5 mg/L) contents were higher in the leather effluents. The removal efficiency of TDS, chlorides, Cr, Cd, and Pb was improved by 46.5%, 43.5%, 54%, 57.6%, and 59.3%, respectively, following treatment with 1 mg of nanoparticles after 45 d. Our results suggested that the green synthesis of ZnO nanoparticles is a useful and ecofriendly biotechnological tool for treating tannery effluents, before they are discharged into water bodies, thus making the soil environment clean.Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia | Ref. PNURSP2022R7

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Novel Gallium(III), Germanium(IV), and Hafnium(IV) Folate Complexes and Their Spectroscopic, Thermal Decomposition, Morphological, and Biological Characteristics

In this study, we describe novel gallium(III), germanium(IV), and hafnium(IV) folate complexes, including their synthesis and analyses. The synthesized folate complexes were also subject to thermal analysis (TGA) to better examine their thermal degradation and kinetic properties. The folate complexes had high stability and were nonspontaneous. The Coats–Redfern and Horowitz–Metzger equations were used to determine thermodynamic parameters and describe the kinetic properties. These complexes were synthesized through the chemical interactions in neutralized media between the folic acid drug ligand (FAH2) with GaCl3, GeCl4, and HfCl4 metal salts at 1 : 2 (metal : ligand) molar ratio. The conductance measurements have low values due to their nonelectrolytic behavior. The X-ray powder diffraction solid powder pattern revealed a semicrystalline nature. In vitro, we screened the synthesized folate chelates for antibacterial and antifungal activities. The inhibition of four bacterial and two fungi pathogens (E. coli, B. subtilis, P. aeruginosa, S. aureus, A. flavus, and Candida albicans) was improved using a folic acid drug relative to the control drug

Preparation and Characterization of Modified Polysulfone with Crosslinked Chitosan–Glutaraldehyde MWCNT Nanofiltration Membranes, and Evaluation of Their Capability for Salt Rejection

Nanofiltration membranes were successfully created using multi-walled carbon nanotubes (MWCNTs) and MWCNTs modified with amine (MWCNT-NH2) and carboxylic groups (MWCNT-COOH). Chitosan (CHIT) and chitosan–glutaraldehyde (CHIT-G) were utilized as dispersants. Sonication, SEM, and contact angle were used to characterize the as-prepared membranes. The results revealed that the type of multi-walled carbon nanotubes (MWCNT, MWCNT-COOH and MWCNT-NH2) used as the top layer had a significant impact on membrane characteristics. The lowest contact angle was 38.6 ± 8.5 for the chitosan-G/MWCNT-COOH membrane. The surface morphology of membranes changed when carbon with carboxylic or amine groups was introduced. In addition, water permeability was greater for CHIT-G/MWCNT-COOH and CHIT-G/MWCNT-NH2 membranes. The CHIT-G/MWCNT-COOH membrane had the highest water permeability (5.64 ± 0.27 L m−2 h−1 bar−1). The findings also revealed that for all membranes, the rejection of inorganic salts was in the order R(NaCl) > R(MgSO4)