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Major rivers in India are subject to ongoing impacts from urban drain discharges, most of which contain high levels of domestic and industrial wastewater and stormwater. The aim of the present study was to determine the levels of bioactive organic micropollutants at the discharge points of major urban drains in comparison to upstream and downstream sites. To achieve this, we employed a panel of in vitro bioanalytical tools to quantify estrogenic, androgenic, progestogenic, glucocorticoid and peroxisome proliferator-like activity in water extracts collected from two Indian cities in the Ganga Basin. Cytotoxicity of the water extracts in a human-derived cell line and the potential to cause oxidative stress in a fish cell line were also investigated. We found high levels of activity for all endpoints in samples directly receiving urban drain discharge and low levels at sites upstream from drain discharges. Estrogenicity was detected at levels equivalent to 10 ng/L 17β-estradiol, representing a high likelihood of biomarker effects in fish. Sites located downstream from drain discharges exhibited low to intermediate activity in all assays. This study demonstrates the importance of managing urban drain discharges and the utility of applying bioanalytical tools to assess water quality.
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http://dx.doi.org/10.1016/j.jhazmat.2020.124135 | DOI Listing |
J Surg Case Rep
September 2025
Department of Hepato-Pancreato-Biliary Surgery, Clinic for General, Visceral and Vascular Surgery, Ernst von Bergmann Klinikum, Charlottenstraße 72, 14467 Potsdam, Germany.
We describe a case of a 64-year-old obese woman with a history of severe acute cholecystitis and choledocholithias who underwent laparoscopic cholecystectomy in our clinic after endoscopic treatment by sphincterotomy and stent insertion. On the first operative day, a significant bile leakage of 400 ml appeared in the drainage. An immediate surgical revision was performed, starting by laparoscopy with conversion to open surgery.
View Article and Find Full Text PDFAesthet Surg J
September 2025
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Background: Patient electronic communication (PEC) via secure messaging is important for patient engagement. While PEC has been studied in primary care, data on surgical specialties, particularly plastic surgery, remain limited.
Objectives: This study assessed the volume and content of post-discharge PECs among patients undergoing post-mastectomy autologous breast reconstruction.
Front Med (Lausanne)
August 2025
Department of Radiology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Background: Abernethy malformation is a rare condition in which the portomesenteric blood drains into systemic circulation, bypassing the liver. With advancements in imaging techniques and increased awareness of this malformation, there has been a growing number of reported cases in recent years. We present a case report and literature review in an effort to further the understanding of Abernethy malformation.
View Article and Find Full Text PDFJ Am Med Dir Assoc
September 2025
Department of Epidemiology, Center of Molecular and Clinical Epidemiology of Infectious Diseases, University of Michigan School of Public Health, Ann Arbor, MI, USA. Electronic address:
Objectives: Skilled nursing facilities (SNFs) offer short-term, subacute care following injury or hospitalization, with Medicare fully covering stays ≤20 days. As the US population ages, SNF demand is increasing, yet this population remains poorly characterized. Prolonged stays increase pathogen exposure, with shared spaces and visitors potentially elevating viral transmission.
View Article and Find Full Text PDFEur Heart J Case Rep
September 2025
Division of Cardiovascular Medicine, Department of Internal Medicine, Hyogo Prefectural Tamba Medical Centre, 2002-7, Isou, Hikami-cho, Tamba, Hyogo 669-3495, Japan.
Background: Traumatic mitral regurgitation (MR) is an exceptionally rare complication associated with blunt chest trauma, particularly following relatively low-impact injuries. In the critical and chaotic settings of polytrauma, its diagnosis is often delayed and can easily be overlooked. This oversight can lead to progressive haemodynamic deterioration and, ultimately, fatal outcomes.
View Article and Find Full Text PDF