Ammonia Levels Research Articles

Appraisal on heavy metal contamination in tissues (gills, intestine, liver, and fillet) of <i>Parachanna obscura</i> and the physicochemical properties of Oguta Lake, South-Eastern Nigeria.

The aim of this study is to provide baseline data on the investigation of concentrations of copper (Cu), lead (Pb), iron (Fe), manganese (Mn), and zinc (Zn) in various tissues (gills, intestine, liver, and fillet) of Parachanna obscura in Oguta Lake, and to assess physicochemical properties of Oguta lake to determine level of pollution and contamination. Twenty fish samples in total were collected at the fishermen landing site of the lake and analyzed using the Atomic Absorption Spectroscopy (AAS). Dissolved oxygen and temperature were measured on site using dissolved Oxygen meter (model 5509) and Mercury-in-glass thermometer respectively, while other parameters were analyzed in the laboratory. Results indicated Fe had the highest concentrations (1.479±0.003 mg/kg) especially in the gills, while Mn recorded least concentrations (0.001±0.000) mg/kg) of all metals analyzed. Values for Cu (0.026±0.002 mg/kg), Mn (0.001±0.000 mg/kg), Zn (.782±0.015 mg/kg), and Fe (1.479±0.030 mg/kg) levels were within FAO/WHO permissible limits in all tissues, whereas Pb (1.438±0.015 mg/kg) exceeded standard limits especially in the gills and intestines, indicating potential contamination and threats to aquatic and human health. Heavy metal concentrations in the tissues followed the order: gills > intestine > fillet > liver. The physicochemical properties assessment of Oguta Lake indicated a stable temperature with mean value of (28.02±022 C). The lake's temperature supports aquatic life, but challenges like low transparency (1.22±0.13 m), acidic pH levels (5.83±0.09), elevated ammonium levels (0.63±0.03 mg/l), low nitrate-nitrogen levels (0.0±50.00 mg/l), and fluctuating dissolved oxygen (6.50±0.29 mg/l) levels suggests pollution from agricultural runoff or sewage. The findings proffer effective management through pollution control, enhanced buffering capacity, and rigorous monitoring to safeguard biodiversity and ensure longterm ecological health.

Taurine can play a positive role in growth, liver health and resistance to Aeromonas hydrophila of yellow catfish Pelteobagrus fulvidraco exposed to ammonia stress for a long time

Ammonia is an important environmental pollutant that is toxic to most aquatic animals, and nutrient manipulation is an effective regulatory pathway. To assess the influence of taurine supplementation on growth, liver detoxification and anti-bacterial infection of yellow catfish subjected to ammonia exposure for a long time, three experiment diets with different taurine levels (0.50, 1.00, and 2.00 %) were formulated and fed to fish (7.28 ± 0.05) g under three ammonia levels (0.00, 25.00 and 50.00 mg/L total ammonia nitrogen) for 56 days. The results showed that hepatic glycogen and whole-body protein contents were reduced, suggesting that energy deficiency caused by ammonia poisoning plays an important role in growth inhibition; elevated serum alanine aminotransferase and aspartate aminotransferase levels suggest liver injury, which may be caused by oxidative stress (decreased activities of superoxide dismutase and catalase, and expressions of SOD and CAT) and inflammation (increased contents of tumor necrosis factor α, interleukin 1 and interleukin 8, and expressions of TNF α, IL 1 and IL8), analysis of tissue sections further confirmed this finding. Furthermore, after injection with Aeromonas hydrophila, cumulative mortality increased proportionally with the rise in ammonia levels, the observed decrease in serum complements C3, C4, immunoglobulin M, and antibody titer contents emerged as a crucial factor contributing to the decreased disease resistance. The exogenous taurine was found to alleviate the negative impact of the above-mentioned ammonia poisoning. This study provides valuable insights into the mechanism of ammonia-induced aquatic toxicology in fish.

Clinical characteristics and molecular genetic analysis of ten cases of ornithine carbamoyltransferase deficiency in southeastern China

BackgroundThis study aimed to investigate the clinical and molecular genetic characteristics of ten children with ornithine carbamoyltransferase deficiency (OTCD) in southeastern China, as well as the correlation between the genotype and phenotype of OTCD.MethodsA retrospective analysis was performed on the clinical manifestations, laboratory testing, and genetic test findings of ten children with OTCD admitted between August 2015 and October 2021 at Quanzhou Maternity and Children’s Hospital of Fujian Province in China.ResultsFive boys presented with early-onset symptoms, including poor appetite, drowsiness, groaning, seizures, and liver failure. In contrast, five patients (one boy and four girls) had late-onset gastrointestinal symptoms as the primary clinical manifestation, all presenting with hepatic impairment, and four with hepatic failure.Nine distinct variants of the OTC gene were identified, including two novel mutations: c.1033del(p.Y345Tfs*50) and c.167T > A(p.M56K). Of seven patients who died, five had early-onset disease despite active treatment. Three patients survived, and two of them underwent liver transplantation.ConclusionsThe clinical manifestations of OTCD lack specificity. However, elevated blood ammonia levels serve as a crucial diagnostic clue for OTCD. Genetic testing aids in more accurate diagnosis and prognosis assessment by clinicians. In addition, we identified two novel pathogenic variants and expand the mutational spectrum of the gene OTC, which may contribute to a better understanding of the clinical and genetic characteristics of OTCD patients.

Ammonia exposure impairs bone mineralization in zebrafish (Danio rerio) larvae

Ammonia is a major pollutant of freshwater environments. Previous studies have indicated that ammonia exposure adversely affects the physiology of freshwater fish. However, its effect on bone mineralization in freshwater fish larvae remains unclear. In this study, zebrafish larvae were used as a model to investigate the effects of different ammonia levels (0, 2.5, 5, and 10 mM NH4Cl) on the survival rate, body length, and bone mineralization of fish. The survival rate of zebrafish embryos exposed to different NH4Cl concentrations for 8 days was not affected. In contrast, the body length and bone mineralization of zebrafish larvae at 8 days post fertilization (dpf) were significantly reduced at 5 and 10 mM NH4Cl exposure. Further investigations revealed that ammonia exposure decreased the mRNA expression of osteoblast-related genes and increased that of osteoclast-related genes. Additionally, exposure to 5 mM and 10 mM NH4Cl induced the production of reactive oxygen species (ROS). 10 mM—but not 5 mM—NH4Cl exposure reduced the calcium and phosphorus content in 8 dpf zebrafish larvae. In conclusion, ammonia exposure induces bone resorption, while decreasing the calcium and phosphorus content of the whole body and bone formation, resulting in impaired bone mineralization in fish larvae.

Impact of Dolomite Liming on Ammonia-Oxidizing Microbial Populations and Soil Biochemistry in Acidic Rice Paddy Soils

Background and Aims: Over the last few decades, rampant nitrogen fertilization has exacerbated soil acidification in agricultural ecosystems. To counteract this, liming has become an essential technique for rehabilitating fertility in acid-degraded agricultural soils. Our research aimed to shed light on the response of ammonia oxidizers to liming in acidic soils within a controlled rice paddy experiment. We conducted a pot experiment with rice, featuring three different treatments: a control with only soil, a low dolomite dose (LD), and a high dolomite dose (HD). Various soil properties were investigated throughout the study. Under flooding, soil pH values rose across the treatments, from 5.4 in the control to 6.8 in HD. Ammonium and nitrate levels peaked in the HD treatment, reaching 30 and 22 mg kg−1, respectively. Similarly, dissolved organic carbon and microbial biomass carbon surged at mid-season aeration, hitting highs of 101 and 30 mg kg−1, respectively, in the HD treatment. Ammonia-oxidizing bacteria (AOB) and archaea (AOA) were responsive to dolomite-lime application, with distinct reactions; AOB abundance and potential nitrification rates were positively affected by higher lime doses, whereas AOA numbers decreased over time and with dolomite application. Additionally, soil enzymes such as urease, catalase, invertase, phenol oxidase, and phosphatase also increased progressively, mirroring the rise in soil pH. This study identified increased soil pH as the critical factor influencing various soil parameters, especially the balance between AOA and AOB populations. Both AOB and AOA were sensitive to liming; AOA decreased while liming stimulated AOB abundance.

A dynamic model for predicting biomass and phycocyanin yields in Arthrospira (Spirulina) platensis: A guidance for effective batch cultivation

C-phycocyanin (C-PC) is a highly valuable bioproduct from the cyanobacterium Arthrospira platensis. A crucial factor affecting growth and C-PC production yield is nitrogen nutrients. In this work, an ODE-based dynamic model was constructed to simulate the effect of ammonium concentrations in a batch system on cyanobacterial growth and C-PC production. The model included dynamic regulation of the ammonium transporter and key enzymes involved in the nitrogen assimilation pathway. The prediction of C-PC production, cyanobacterial growth, and remaining ammonium concentration over 24 h strongly correlated with experimental data. Furthermore, the model was able to capture the response of genes involved in ammonium assimilation and C-PC production, as well as the primary metabolites. The dynamic interplay among ammonium, glutamine, and glutamate levels reflects the complexity of nitrogen metabolism in regulating the transcription of genes involved in ammonium uptake, assimilation, and C-PC synthesis and degradation, thus highlighting the cellular response to nitrogen stress. These findings provide a foundation for understanding these biological processes and offer a potential tool for further exploring the complex relationship between nitrogen availability and C-PC accumulation in A. platensis C1 using ammonium as a nitrogen source.

Ammonia-induced stress response in liver disease progression and hepatic encephalopathy.

Ammonia levels are orchestrated by a series of complex interrelated pathways in which the urea cycle has a central role. Liver dysfunction leads to an accumulation of ammonia, which is toxic and is strongly associated with disruption of potassium homeostasis, mitochondrial dysfunction, oxidative stress, inflammation, hypoxaemia and dysregulation of neurotransmission. Hyperammonaemia is a hallmark of hepatic encephalopathy and has been strongly associated with liver-related outcomes in patients with cirrhosis and liver failure. In addition to the established role of ammonia as a neurotoxin in the pathogenesis of hepatic encephalopathy, an increasing number of studies suggest that it can lead to hepatic fibrosis progression, sarcopenia, immune dysfunction and cancer. However, elevated systemic ammonia levels are uncommon in patients with metabolic dysfunction-associated steatotic liver disease. A clear causal relationship between ammonia-induced immune dysfunction and risk of infection has not yet been definitively proven. In this Review, we discuss the mechanisms by which ammonia produces its diverse deleterious effects and their clinical relevance in liver diseases, the importance of measuring ammonia levels for the diagnosis of hepatic encephalopathy, the prognosis of patients with cirrhosis and liver failure, and how our knowledge of inter-organ ammonia metabolism is leading to the development of novel therapeutic approaches.

Ammonia inhibition in anaerobic digestion of organic waste: a review

AbstractAnaerobic digestion (AD) has become the technology of choice for organic waste treatment as an environmentally beneficial and sustainable waste treatment technology. However, the nitrogen content of these organic waste streams is generally high. Ammonia is produced in the biodegradation of nitrogenous organic matter. Low concentrations of ammonia favour AD, but high concentrations can lead to digestive system failure. To address the issue of ammonia inhibition and ensure the stability of the digestive system, numerous physical, chemical, and biologicalmethods aimed at controlling ammonia levels and/or strengthening the biological processes have been proposedand developed. Literature evidence suggests that differences in AD reaction conditions and microbial sources result in different tolerances of the digestive system to ammonia and nitrogen. This paper summarises and compares the inhibitory effects of ammonia nitrogen under different conditions and the existing regulatory measures to alleviate ammonia nitrogen inhibition. In addition, since the core of the digestive system is microorganisms, this paper explains the mechanism of ammonia stress especially at the microbial level, and in this way, it explores the future direction of research using biofortification. This review provides a theoretical reference for solving the problem of ammonia nitrogen inhibition.

Changes in Plasma Concentration of Free Proteinogenic and Non-Proteinogenic Amino Acids in High-Performance Sprinters over a 6-Month Training Cycle.

Background/Objectives: Free amino acids substantially contribute to energy metabolism. Also, their profile may identify (over)training status and effectiveness. The long-term effects of speed-power training on plasma free amino acid (PFAA) profiles are not known. We aimed to observe variations in PFAA levels in high-performance sprinters in a six-month training cycle. Methods: Ten male athletes (24.6 ± 3.3 years) were examined during four training phases: transition (1 month), general preparation (2 months), specific preparation (1 month), and pre-competition/competition (2 months). Venous blood was collected at rest, after exhaustive exercise, and recovery. Forty-two PFAAs were analyzed by the LC-ESI-MS/MS method. Results: Significant decreases in resting concentrations were observed between the transition and competition phases for glutamine (762 ± 117 vs. 623 ± 53 μmol∙L-1; p < 0.001, η2 = 0.47) and histidine (89 ± 15 vs. 75 ± 10 μmol∙L-1; p = 0.010, η2 = 0.27), whereas β-alanine (30 ± 7 vs. 41 ± 9 μmol∙L-1; p = 0.024, η2 = 016) and sarcosine (3.6 ± 0.4 vs. 4.8 ± 0.6 μmol∙L-1; p = 0.006, η2 = 0.188) levels increased. Between the specific and competition phases, significant decreases in the resting levels of 1-methylhistidine (22.1 ± 19.4 vs. 9.6 ± 8.8 μmol∙L-1; p = 0.14, η2 = 0.19), 3-methylhistidine (7.1 ± 1.5 vs. 6.5 ± 1.6 μmol∙L-1; p = 0.009, η2 = 0.18), citrulline (40 ± 10 vs. 29 ± 4 μmol∙L-1; p = 0.05, η2 = 0.29), and ornithine (74 ± 15 vs. 56 ± 10 μmol∙L-1; p = 0.015, η2 = 185) were noticed. Also, for β-alanine and sarcosine, the pattern of response to exercise strongly changed between the training phases. Blood ammonia levels at exhaustion decreased between the transition and competition phases (32 ± 4 vs. 23 ± 5 μmol∙L-1; p < 0.001, η2 = 0.67), while lactate, the phenylalanine-tyrosine ratio, the glutamine-glutamate ratio, hematological parameters, and cardiorespiratory indices remained at similar levels. Conclusions: Speed-power training seems to affect PFAAs involved in skeletal muscle metabolic pathways responsible for neutralizing toxic ammonia (glutamine, arginine, citrulline, ornithine), attenuating the deleterious effects of H+ ions (histidine, β-alanine), and reducing exercise-induced protein breakdown (1- and 3-methylhistidine). Our findings suggest that sprint-oriented training supports metabolic pathways that are responsible for the removal of harmful metabolites produced during exercise.

Molecular Characterization, Evolution and Expression Analysis of Ammonium Transporter from Four Closely Related Bactrocera Species (Tephritidae).

Numerous insects are attracted to low levels of ammonia, utilizing it as a cue to locate food sources. The Ammonium Transporter (Amt), a highly conserved, atypical olfactory receptor, has been shown to mediate the detection of ammonia in insects. While the attraction of Tephritidae to ammonia is well established, knowledge about the Amt in this family is limited. The species Bactrocera dorsalis (Hendel 1912), Bactrocera cucurbitae (Coquillett 1899), Bactrocera correcta Bezzi 1916 and Bactrocera tau (Walker 1849), which are common agricultural pests within Tephritidae, exhibit numerous ecological similarities, offering a solid foundation for studying Amt characteristics in this family. In this study, we elucidated the sequences, evolutionary relationships, and expression patterns of Amt in these four species. The results indicated that these Amts share the same open reading frame, containing 1770 bp that encode a protein of 589 amino acid residues. These Amt proteins exhibit the typical structural characteristics of Amts, including an 11-transmembrane domain with an extracellular N-terminus and an intracellular C-terminus. They also have the ability to form trimers in the membrane. Additionally, they contain three conserved amino acid residues essential for ammonia transport: A189, H195, and H352. Phylogenetic and expression pattern analyses showed that they are highly conserved in Diptera and are significantly expressed in antennae. This study is the first report characterizing the Amt gene in four Tephritidae species. These findings provide a foundation for further exploration into the roles of these genes in their particular biological contexts.

Assembly process and co-occurrence network of microbial community in response to free ammonia gradient distribution.

The research presented in this paper explores how varying concentrations of free ammonia impact microbial communities in aquatic ecosystems. By employing advanced gene sequencing techniques, the study reveals significant changes in microbial diversity and network structures in response to increased ammonia levels. Key findings indicate that high ammonia concentrations lead to a decrease in microbial richness and diversity while increasing community dissimilarity. Notably, certain microbial groups, like Actinobacteria, show resilience to ammonia stress. This research enhances our understanding of how pollution affects microbial ecosystems and underscores the importance of maintaining balanced ammonia levels to preserve microbial diversity and ecosystem health.

Correlation of ammonia and blood laboratory parameters with hepatic encephalopathy: A systematic review and meta-analysis.

Emerging research suggests that hyperammonemia may enhance the probability of hepatic encephalopathy (HE), a condition associated with elevated levels of circulating ammonia in patients with cirrhosis. However, some studies indicate that blood ammonia levels may not consistently correlate with the severity of HE, highlighting the complex pathophysiology of this condition. A systematic review and meta-analysis through PubMed, Scopus, Embase, Web of Science, and Virtual Health Library were conducted to address this complexity, analyzing and comparing published data on various laboratory parameters, including circulating ammonia, blood creatinine, albumin, sodium, and inflammation markers in cirrhotic patients, both with and without HE. This comprehensive review, which included 81 studies from five reputable databases until June 2024, revealed a significant increase in circulating ammonia levels in cirrhotic patients with HE, particularly those with overt HE. Notably, significant alterations were observed in the circulating creatinine, albumin, sodium, interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNFα) in HE patients. These findings suggest an association between ammonia and HE and underscore the importance of considering other blood parameters such as creatinine, albumin, sodium, and pro-inflammatory cytokines when devising new treatment strategies for HE.

Effects of settleable versus unsettled biofloc removal strategy on aquaculture system performance and microbial community

The management of biofloc quality and quantity is critical in biofloc-based aquaculture systems. This research explores the effects of the selective removal of settleable and unsettled bioflocs on biofloc quality, fish growth, nitrogen transformation and bacterial community dynamics in these systems. Nile tilapia (Oreochromis niloticus) was reared at a density of 2.7 kg/m3 in nine 250-L conical breeding tanks over a 47-day period. Systems where unsettled bioflocs were removed outperformed others, achieving a 26 % higher weight gain in tilapia and maintaining more stable and lower levels of total ammonia (0.45 mg-N/L) and nitrite (0.35 mg-N/L). Additionally, these systems maintained a healthier bacterial environment, evidenced by a 27 % increase in beneficial bacterial populations and a 30 % reduction in harmful bacteria. Conversely, tanks removing settleable bioflocs showed a 19 % higher microbial diversity but experienced fluctuations in nitrogen levels. Notably, the intestinal bacterial community in tilapia from the unsettled biofloc group closely mirrored (87 % similarity) that of their corresponding bioflocs, with significant pathogenic symptoms observed (p < 0.05). These findings suggest the importance of implementing precise biofloc management strategies, highlighting that the selective removal of unsettled bioflocs enhances fish growth and improves overall system health. Future research should explore the mechanistic relationships between settleable and unsettled bioflocs to refine management strategies that bolster sustainability and economic benefits.

Splenic spread and hepatic encephalopathy in metastatic malignant melanoma.

An older adult patient was admitted with epigastric pain and vomiting and found to have an abdominal mass, increased cholestatic liver enzymes and markedly elevated serum lactate dehydrogenase (LDH). Imaging revealed extensive liver metastases of unknown primary but also an unusual splenic metastasis diagnosed by liver biopsy as malignant melanoma. The patient became lethargic and developed mental status changes associated with asterixis, abnormal EEG, and increased serum ammonia levels. All reversed with high-dose lactulose and had no alternative explanation other than an unusual hepatic encephalopathy secondary to portosystemic shunts bypassing the extensively metastatic liver.

Role of Nitrifiers Associated with Mangrove clam Polymesoda Erosa in Bioremediation.

Polymesoda erosa is a mangrove clam known for its water filtration ability. This clam was investigated for its bioremediation potential and growth in synthetic wastewater during 40 days of incubation. Variation in the nutrient composition of water, biochemical composition of the clams, and metagenomic analysis of the microorganisms associated with clam tissue were carried out. Significant differences in the concentration of ammonia (p ≤ 0.01), nitrite (p ≤ 0.001), and nitrate (p ≤ 0.05) in the wastewater were observed between day 0 and day 40. A reduction of approximately 89% in ammonia concentration at the end of the experiment was recorded indicating nitrification activity. However, biochemical parameters showed negligible differences before and after the incubation experiment. Thus suggesting that the chemosynthetic-based nutrition aids in the survival of the clam as no organic matter was added to the medium. The substantial decline in levels of ammonia in the presence of clams as compared to its absence suggests the significant role of clams in improving the water quality. Furthermore, the metagenomic analysis of the gill tissue of P. erosa revealed ~ 50% of the microbial population to consist of nitrifiers. The study highlights the contribution by the nitrifers associated with the clams not only to its growth and resilience but also to bioremediation.

Hepato-splanchnic fluxes during exercise in patients with cirrhosis-a pilot study.

In cirrhotic patients, compromised hepatocyte function combined with disturbed hepatic blood flow could affect hepato-splanchnic substrate and metabolite fluxes and exacerbate fatigue during exercise. Eight cirrhotic patients performed incremental cycling trials (3 × 10 min; at light (28 [19-37] W; median with range), moderate (55 [41-69] W), and vigorous (76 [50-102] W) intensity). Heart rate increased from 68 (62-74) at rest to 95 (90-100), 114 (108-120), and 140 (134-146) beats/min (P < 0.05), respectively. The hepatic blood flow, as determined by constant infusion of indocyanine green with arterial and hepatic venous sampling, declined from 1.01 (0.75-1.27) to 0.69 (0.47-0.91) L/min (P < 0.05). Hepatic glucose output increased from 0.6 (0.5-0.7) to 1.5 (1.3-1.7) mmol/min, while arterial lactate increased from 0.8 (0.7-0.9) to 9.0 (8.1-9.9) mmol/L (P < 0.05) despite a rise in hepatic lactate uptake. Arterial ammonia increased in parallel to lactate from 47.3 (40.1-54.5) to 144.4 (120.5-168.3) μmol/L (P < 0.05), although hepatic ammonia uptake increased from 19.5 (12.4-26.6) to 69.5 (46.5-92.5) μmol/min (P < 0.05). Among the 14 amino acids measured, glutamate was released in the liver, while the uptake of free fatty acids decreased. During exercise at relatively low workloads, arterial lactate and ammonia levels were comparable to those seen in healthy subjects at higher workloads, while euglycemia was maintained due to sufficient hepatic glucose production. The accumulation of lactate and ammonia may contribute to exercise intolerance in patients with cirrhosis.

Impact of climatic factors on water quality parameters in tilapia broodfish ponds and predictive modeling of pond water temperature with ARIMAX

Climate change represents a considerable threat to aquatic ecosystems, potentially affecting various water quality parameters.The study aims to assess the impacts climatic factors on the water quality parameters in tilapia broodfish pond and forecasting of water temperature in a tilapia broodfish pond using the ARIMAX model. Daily longitudinal time series data on water quality parameters were collected from the pond, while monthly climatic data were obtained from the Bangladesh Meteorological Department. Water temperature exhibited seasonal variation, peaking at 31.23 °C in October and dropping to 20.8 °C in December. pH levels ranged from 7.36 to 10.32, with the lowest recorded in December and the highest in August. Dissolved oxygen levels varied from 7.09 mg/L to 10.65 mg/L, with the lowest in September and the highest in January. Ammonia levels were highest in February at 0.33 mg/L. Water transparency ranged from 15.37 to 28 inches, with the highest in January and the lowest in June. Climatic factors significantly influenced these variations, as specified by Canonical correlation analysis (CCA). The best-fitting model, ARIMAX (1, 0, 1), indicated a fluctuating trend influenced by important exogenous factors like air temperature and solar intensity. By the end January 2025, the water temperature is expected to rise to 27.93 °C. This is a noticeable increase started from November to January. These higher temperatures may improve tilapia broodfish growth and development earlier. But the temperatures are predicted to drop started from February to March, which could negatively affect tilapia growth and development. A clear seasonal fluctuating pattern is exhibited in the future. These findings provide important insights for researchers, policymakers, academics, and those involved in tilapia farming. By considering air temperature and solar intensity in planning, stakeholders can better anticipate future pond conditions. Developing adaptive management strategies to reduce negative impacts and make the most of favorable conditions will be essential for sustainable tilapia production in the context of climate change.

Clinical outcomes and predictors in patients with acute on chronic liver failure in Southern Taiwan

Background/aimsThe study is to analyze the clinical characteristics and identify prognostic factors as well as evaluate predictive models in patients with acute-on-chronic liver failure (ACLF) from Southern Taiwan. MethodsThe cohort study was conducted using the Chang Gung Research Database. We included patients with ACLF based on the definition provided by the Asian-Pacific Association for the Study of the Liver ACLF Research Consortium (AARC). ResultsA total of 231 patients diagnosed with ACLF were included in this study, out of which 26 patients underwent liver transplantation (LT). The primary cause of ACLF was acute exacerbation of hepatitis B virus (HBV) in 68.4% of cases and followed by severe alcoholic hepatitis (20.8%). Among LT-free patients, the 28-day mortality rate was observed to be 31%. Older age, higher INR and ammonia levels, and the presence of severe hepatic encephalopathy on 3–6 days of treatment were independent predictors of 28-day mortality. The CLIF-C ACLF and COSSH-ACLF scores, evaluated on 3–6 days, demonstrated the highest predictive performance for 28-day mortality. The optimal cut-off values for the CLIF-C ACLF and COSSH-ACLF scores were determined to be 47 and 6.3, respectively. Patients with CLIF-C ACLF score >63 or COSSH-ACLF score >8.1 experienced 100% mortality by day 28. ConclusionsThe CLIF-C ACLF and COSSH-ACLF scores, evaluated within one week after treatment, exhibit strong predictive capabilities for short-term mortality in ACLF patients. These models are valuable tools for guiding timely decision-making, including the consideration of liver transplantation or withdrawal from treatment.

Using continuous online monitoring measurements to determine the Serayu River’s water quality status

Abstract The Serayu River is a national strategic river that provides essential water to local water companies, industrial operations, agriculture, and household irrigation in the surrounding community. The Serayu River’s condition is currently deteriorating due to erosion and pollution. The primary goal of this investigation is to quantify the Serayu River’s water pollution. Data from continuous online monitoring stations at Wanganaji Dam (upstream) and Gerak Serayu Dam (downstream) will be used to assess temperature, DO, pH, TDS, DHL), turbidity, and ammonia levels. The research methodology for this study included descriptive statistical analysis and the STORET method, which is based on the regulatory framework established in the Republic of Indonesia by Ministerial Decree Number 115 of 2003 and Government Regulation Number 22 of 2021. The results show that the water quality upstream of the Serayu River (Wanganaji Dam Station) partially meets most of the measured parameters while still meeting the required quality standards. Meanwhile, the water quality in the downstream part of the Serayu River (Gerak Serayu Dam Station) has DO values (3.68-4.98 mg/L), turbidity (36.78-95.48 mg/L) that exceed the required quality standards. The water quality at the Serayu River’s two dams ranges from moderate to heavily polluted.

Composition and Characteristics of Faecal Sludge from Various Onsite Pit Technologies and User Categories in Dar es Salaam, Tanzania

This study investigates the composition and characteristics of faecal sludge (FS) from different pit technologies (cesspits, pit latrines, septic tanks) and user categories (commercial, industrial, institutional, and residential) in Dar es Salaam, Tanzania, with a view for informed treatment and resource recovery strategies. FS samples exhibited varying concentrations of pH, electrical conductivity (EC), total solids (TS), and volatile solids (VS), COD and nutrients. pH values ranged from 2.83 to 8.41, with no statistically significant differences based on pit technology type or user category. However, the extremely low pH observed in samples from industrial pits suggests possible disposal of industrial chemicals in these sanitation systems. EC levels were notably higher in pit latrines and residential areas, likely due to waste disposal practices in homes, with concentrations 3-5 times above regulatory limits, raising concerns about their impact on treatment effectiveness and re-use potential. TS and VS concentrations also varied, with cesspits showing the highest TS levels and pit latrines exhibiting higher VS, indicating fresher sludge and potential for biogas production, as reflected by a VS/TS ratio ranging from 53.32% to 70.42%. Nutrient analysis revealed elevated levels of phosphate, nitrate and ammonia, particularly in pit latrines and residential pits, highlighting both resource recovery opportunities and challenges for treatment processes. While FS generally fell into the dilute category (TS &lt; 3%), the high concentrations of other parameters underscore the need for a larger treatment footprint per unit volume of FS. The VS/TS ratio suggests that FS is not fully stabilized, indicating potential for further degradation and resource recovery. Additionally, the characteristics of FS suggest potential opportunities for deriving fertilizer and solid fuel. However, ensuring the hygiene of the sludge is crucial for its safe use, particularly in agricultural applications, and further studies are needed to confirm its sanitation.