Food security concerns and the scarcity of new productive land have put productivity enhancement of degraded lands back on the political agenda. In such a context, salt-affected lands are a valuable resource that cannot be neglected nor easily abandoned even with their lower crop yields, especially in areas where significant investments have already been made in irrigation and drainage infrastructure. A review of previous studies shows a very limited number of highly variable estimates of the costs of salt-induced land degradation combined with methodological and contextual differences. Simple extrapolation suggests that the global annual cost of salt-induced land degradation in irrigated areas could be US$ 27.3 billion because of lost crop production. We present selected case studies that highlight the potential for economic and environmental benefits of taking action to remediate salt-affected lands. The findings indicate that it can be cost-effective to invest in sustainable land management in countries confronting salt-induced land degradation. Such investments in effective remediation of salt-affected lands should form part of a broader strategy for food security and be defined in national action plans. This broader strategy is required to ensure the identification and effective removal of barriers to the adoption of sustainable land management, such as perverse subsidies. Whereas reversing salt-induced land degradation would require several years, interim salinity management strategies could provide a pathway for effective remediation and further showcase the importance of reversing land degradation and the rewards of investing in sustainable land management
Currently, the clinical use of sweat as biofluid is limited. The collection of sweat and its analysis for determining ethanol, drugs, ions, and metals have been encompassed in this review article to assess the merits of sweat compared to other biofluids, for example, blood or urine. Moreover, sweat comprises various biomarkers of different diseases including cystic fibrosis and diabetes. Additionally, the normalization of sampled volume of sweat is also necessary for getting efficient and useful results.
Drug-drug interactions (DDIs) may result in the alteration of therapeutic response. Sometimes they may increase the untoward effects of many drugs. Hospitalized cardiac patients need more attention regarding drug-drug interactions due to complexity of their disease and therapeutic regimen. This research was performed to find out types, prevalence and association between various predictors of potential drug-drug interactions (pDDIs) in the Department of Cardiology and to report common interactions. This study was performed in the hospitalized cardiac patients at Ayub Teaching Hospital, Abbottabad, Pakistan. Patient charts of 2342 patients were assessed for pDDIs using Micromedex® Drug Information. Logistic regression was applied to find predictors of pDDIs. The main outcome measure in the study was the association of the potential drug-drug interactions with various factors such as age, gender, polypharmacy, and hospital stay of the patients. We identified 53 interacting-combinations that were present in total 5109 pDDIs with median number of 02 pDDIs per patient. Overall, 91.6% patients had at least one pDDI; 86.3% were having at least one major pDDI, and 84.5% patients had at least one moderate pDDI. Among 5109 identified pDDIs, most were of moderate (55%) or major severity (45%); established (24.2%), theoretical (18.8%) or probable (57%) type of scientific evidence. Top 10 common pDDIs included 3 major and 7 moderate interactions. Results obtained by multivariate logistic regression revealed a significant association of the occurrence of pDDIs in patient with age of 60 years or more (p < 0.001), hospital stay of 7 days or longer (p < 0.001) and taking 7 or more drugs (p < 0.001). We found a high prevalence for pDDIs in the Department of Cardiology, most of which were of moderate severity. Older patients, patients with longer hospital stay and with elevated number of prescribed drugs were at higher risk of pDDIs.
Trace heavy metals, such as arsenic, cadmium, lead, chromium, nickel, and mercury, are important environmental pollutants, particularly in areas with high anthropogenic pressure. In addition to these metals, copper, manganese, iron, and zinc are also important trace micronutrients. The presence of trace heavy metals in the atmosphere, soil, and water can cause serious problems to all organisms, and the ubiquitous bioavailability of these heavy metal can result in bioaccumulation in the food chain which especially can be highly dangerous to human health. This study reviews the heavy metal contamination in several areas of Pakistan over the past few years, particularly to assess the heavy metal contamination in water (ground water, surface water, and waste water), soil, sediments, particulate matter, and vegetables. The listed contaminations affect the drinking water quality, ecological environment, and food chain. Moreover, the toxicity induced by contaminated water, soil, and vegetables poses serious threat to human health.
Caffeic acid phenethyl ester (CAPE) is a bioactive compound of propolis extract. The literature search elaborates that CAPE possesses antimicrobial, antioxidant, anti-inflammatory, and cytotoxic properties. The principal objective of this review article is to sum up and critically assess the existing data about therapeutic effects of CAPE in different disorders. The findings elaborate that CAPE is a versatile therapeutically active polyphenol and an effective adjuvant of chemotherapy for enhancing therapeutic efficacy and diminishing chemotherapy-induced toxicities.
Sodic soils are characterized by the occurrence of excess sodium (Na ) to levels that can adversely affect soil structure and disturb availability of some nutrients to plants. Such changes ultimately affect crop growth and yield. There are large areas of the world that exist under sodic soils and need attention for ef®cient, inexpensive and environmentally feasible amelioration. Sodic soil amelioration involves increase in calcium (Ca 2 ) on the cation exchange sites at the expense of Na . The replaced Na together with excess soluble salts, if present, is removed from the root zone through in®ltrating water as a result of excessive irrigations. Record nearly a century old reveal the use of water, crop, chemical amendment, electric current, and tillage as amelioration tools for such soils. Among the amelioration strategies, chemical amendments have an extensive usage. Owing to gradual increases in amendment cost in some parts of the world during the last two decades, this amelioration strategy has become cost-intensive, particularly for the subsistence farmers in developing countries. In the meantime, phytoremediation with low initial investment has emerged as a potential substitute of chemical amelioration. Phytoremediation works through plant root action that helps dissolve native soil calcite (CaCO 3 ) of low solubility to supply adequate levels of Ca 2 for an effective Na À Ca 2 exchange without the application of an amendment. Although signi®cant progress has been achieved in improving amelioration methods, a great deal of work remains to analyse the economics of such methods with focus on (1) the long-term sustainability of the amelioration projects and (2) the consequences of amelioration for the farmer himself, other growers and society as a whole. Computer modelling may help assess economic viability of different soil amelioration methods to extend results broadly to other similar locations. In addition, computer modelling to stimulate movement and reactions of salts in sodic soils has been a potentially useful complement to experimental data. However, such models need evaluation under ®eld conditions.
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