Potential ecological footprints of active pharmaceutical ingredients: An examination of risk factors in low-, middle- and high-income countries

Active pharmaceutical ingredients (APIs) can enter the natural environment during manufacture, use and/or disposal, and consequently public concern about their potential adverse impacts in the environment is growing. Despite the bulk of the human population living in Asia and Africa (mostly in low- or middle-income countries), limited work relating to research, development and regulations on APIs in the environment have so far been conducted in these regions. Also, the API manufacturing sector is gradually shifting to countries with lower production costs. This paper focuses mainly on APIs for human consumption and highlights key differences between the low-, middle- and high-income countries, covering factors such as population and demographics, manufacture, prescriptions, treatment, disposal and reuse of waste and wastewater. The striking differences in populations (both human and animal), urbanization, sewer connectivity and other factors have revealed that the environmental compartments receiving the bulk of API residues differ markedly between low- and high-income countries. High sewer connectivity in developed countries allows capture and treatment of the waste stream (point-source). However, in many low- or middle-income countries, sewerage connectivity is generally low and in some areas waste is collected predominantly in septic systems. Consequently, the diffuse-source impact, such as on groundwater from leaking septic systems or on land due to disposal of raw sewage or septage, may be of greater concern. A screening level assessment of potential burdens of APIs in urban and rural environments of countries representing low- and middle-income as well as high-income has been made. Implications for ecological risks of APIs used by humans in lower income countries are discussed.Facultad de Ciencias Exacta

Pharmaceutical pollution of the world's rivers

Environmental exposure to active pharmaceutical ingredients (APIs) can have negative effects on the health of ecosystems and humans. While numerous studies have monitored APIs in rivers, these employ different analytical methods, measure different APIs, and have ignored many of the countries of the world. This makes it difficult to quantify the scale of the problem from a global perspective. Furthermore, comparison of the existing data, generated for different studies/regions/continents, is challenging due to the vast differences between the analytical methodologies employed. Here, we present a global-scale study of API pollution in 258 of the world's rivers, representing the environmental influence of 471.4 million people across 137 geographic regions. Samples were obtained from 1,052 locations in 104 countries (representing all continents and 36 countries not previously studied for API contamination) and analyzed for 61 APIs. Highest cumulative API concentrations were observed in sub-Saharan Africa, south Asia, and South America. The most contaminated sites were in low- to middle-income countries and were associated with areas with poor wastewater and waste management infrastructure and pharmaceutical manufacturing. The most frequently detected APIs were carbamazepine, metformin, and caffeine (a compound also arising from lifestyle use), which were detected at over half of the sites monitored. Concentrations of at least one API at 25.7% of the sampling sites were greater than concentrations considered safe for aquatic organisms, or which are of concern in terms of selection for antimicrobial resistance. Therefore, pharmaceutical pollution poses a global threat to environmental and human health, as well as to delivery of the United Nations Sustainable Development Goals

Varying Efficacies of Fenton's Oxidation Treatment on Pharmaceutical Industry Effluents of Contrasting Viscosity Profiles

The present study investigates the applicability of Fenton's oxidation for the treatment of a highly refractory, viscous, bulk drug industry effluent. The effluent is found to behave as a Newtonian fluid, thrice as viscous as water. Fenton's oxidation experiments on the undiluted effluent are conducted in accordance with central composite design (CCD), considering the operating factors of pH (3–11), FeSO4 dosage (3–15 g L−1), H2O2 dosage (7–19 mL L−1), and treatment time (30–150 min). The treatment yielded a maximum total organic carbon (TOC) reduction of 28% at neutral pH, FeSO4, and H2O2 dosages of 9 g L−1 and 13 mL L−1, respectively, for 150 min of operation. The maximal treatment efficacy observed at neutral pH is explained by the non-radical mechanism of Fenton's oxidation, and further correlated with viscosity and type of fluid (here, Newtonian), as judged from the generated viscosity profiles. Upon comparison with previous effluent samplings, differing treatment efficacies are observed for different fluid types, that is, Newtonian and non-Newtonian (shear thinning), with the latter obtaining twice the TOC reduction, under similar experimental conditions. Hence, the effect of viscosity and fluid type on the effectiveness of Fenton's oxidation treatment is experimentally validated and discussed

Sexual Dysfunction in Women with Nonpsychotic Disorders: A Cross-sectional Hospital-based Study

Background: Sexual dysfunction among female psychiatric patients is zcommon and can be affected by various bio-psycho-social factors. The clinician’s or patient’s reluctance to actively inquire or spontaneously report these sexual difficulties creates a lacuna in our understanding of this association. This study aimed to assess the proportion of women with nonpsychotic psychiatric disorders reporting sexual dysfunction and evaluate its association with sociodemographic and clinical variables. Methods: This cross-sectional study conducted over six months included 113 women attending the psychiatry outpatient department of a tertiary care hospital. Sociodemographic and clinical variables, including diagnosis based on International Classification of Diseases 10th version (ICD 10) criteria, were assessed using a specially designed proforma. Sexual functioning was measured by Female Sexual Functioning Index (FSFI) and the Change in Sexual Functioning Questionnaire-Female Version (CSFQ-FV). Results: Sexual dysfunction was reported by 67.3% of patients. Among patients on psychotropics, 49% reported worsening of sexual dysfunction after treatment initiation. Sexual dysfunction was associated with increasing age (χ2 = 7.86, P = 0.04), lower educational qualification (χ2 =3.41, P = 0.04), skilled occupation (χ2 = 4.49, P = 0.03), lower socioeconomic status (χ2 = 4.27, P = 0.03) and presence of ongoing psychosocial stressor (χ2 = 4.49, P = 0.03). Conclusions: Difficulties in different domains of sexual functioning are prevalent among women with nonpsychotic disorders. Sociodemographic and relational factors, along with treatment status, can influence sexual dysfunction in these patients. Clinicians should be vigilant of this association and should plan treatment to enhance compliance and outcome. </jats:sec

RESILIENT: A robust statistical method for estimating multiple VOC sources from limited field measurements

Air pollution due to haphazard industrialization has become a major concern in developing countries. Yet, enforcement of related norms remains problematic because violators cannot easily be pinpointed among closely situated industrial units. Accordingly, it has become imperative to equip regulatory authorities with an economical yet accurate tool that quickly locates emission sources and estimates emission rates. Against this backdrop, we propose RESILIENT, a method for Robust Estimation of Source Information from LImited field measuremENTs, which exhibits significant statistical robustness and accuracy even when the data are collected using a low-cost error-prone sensor. In our field experiment, where ground truth was unavailable, the sources estimated to be inactive based on the complete set of measurements were found inactive (up to three decimal places of accuracy) at least 72% of the time even when estimated using just 54% of random measurements. In that setting, rate estimates of active sources were also found to be statistically robust. For direct validation of RESILIENT, we considered a separate public dataset involving 10 tracer experiments, and obtained a significant correlation coefficient of 0.89 between estimated and recorded emission rates, and that of 0.99 between predicted and measured concentration levels at sensor locations

An Investigation of Ti-6Al-4V Brake Disc Using Ansys Simulation

The objective of this research is to investigate the disc brake performance by comparing two different types of materials like Ti6Al4V (An alloy of Titanium, Aluminium, and Vanadium) and convectional grey cast iron. The comparison of disc brake material is done on the basis of thermal and structural analysis, using Ansys simulation software which will help in the computational dynamics of disk brake in terms of Total heat Flux, Temperature variation, deformation and Stress. The heat-dissipating property reduces brake fade, which is the phenomenon where braking performance is influenced by the heat that’s why Thermal analysis is being carried out to dissipate the heat efficiently and hence increase the life span of the disk brake. From the simulation results, the change in geometry affects the thermal properties significantly. By performing Topology Optimization in disc brake and by comparing between conventional grey cast iron with Ti-6Al-4V materials in disc brake.</jats:p