Search Results (916)

Neuroinvasive free-living amoebae (FLA), particularly Naegleria fowleri and Acanthamoeba spp., are responsible for rare but devastating infections of the central nervous system (CNS). Approximately 480 cases of primary amoebic meningoencephalitis (PAM) and fewer than 200 well-documented cases of Acanthamoeba-associated granulomatous amoebic encephalitis (GAE) have been reported worldwide. Mortality rates frequently exceed 90%. PAM typically develops following exposure to warm freshwater contaminated with N. fowleri and progresses rapidly in otherwise healthy individuals. In contrast, GAE usually follows a more indolent course and occurs predominantly in immunocompromised hosts. Despite their distinct clinical courses, both infections are characterized by CNS invasion, amoeba-mediated tissue destruction, blood–brain barrier (BBB) disruption, and host inflammatory responses. These processes drive neuroinflammation, neuronal injury, and neurological deterioration. Early diagnosis remains challenging because clinical manifestations are nonspecific and disease progression can be either fulminant or initially subtle. Therapeutic management is hindered by poor CNS drug penetration, limited efficacy of currently available therapies, treatment-related toxicity, and the absence of standardized treatment protocols or controlled clinical trials. This narrative review critically synthesizes current evidence on CNS invasion, neuroinflammation, neuropathology, diagnostic challenges, and therapeutic strategies in neuroinvasive FLA infections. It also highlights key translational priorities, including earlier diagnosis, standardized treatment protocols, stronger clinical evidence, and improved CNS-targeted drug delivery. Full article

Drug recall is a critical regulatory mechanism implemented to protect public health by removing defective, unsafe, or non-compliant pharmaceutical products from the market. Despite stringent regulatory approval processes, issues related to manufacturing defects, contamination, labeling errors, stability failures, and post-marketing safety concerns may lead to drug recalls. Regulatory authorities across the world, including the Central Drugs Standard Control Organization (CDSCO), the United States Food and Drug Administration (US FDA), the European Medicines Agency (EMA), and other national agencies, have developed structured recall guidelines and rapid alert systems to ensure timely withdrawal of defective products. Drug recalls are typically classified based on the level of health risk and may be executed at different levels of the distribution chain, including wholesale, retail, and consumer levels. Effective recall management involves risk assessment, recall communication, product traceability, documentation, and recall effectiveness checks. Pharmacovigilance systems also play an important role in identifying adverse drug reactions and quality defects that may lead to product recalls. This review article provides a comprehensive overview of drug recall systems, including causes of recalls, regulatory frameworks in India and other countries, recall classification, recall procedures, rapid alert systems, and global recall trends. The article also discusses challenges in recall implementation and provides recommendations to strengthen drug recall systems and regulatory coordination worldwide. The review additionally summarizes major official sources of recall information, including recall alerts, safety communications, and regulatory databases maintained by the Food and Drug Administration (FDA), EMA, CDSCO, Medicines and Healthcare products Regulatory Agency (MHRA), and World Health Organization (WHO), and provides a comparative global perspective on contemporary pharmaceutical recall practices. Full article

Background/Objectives: Chromium contamination represents a major environmental challenge due to its detrimental effects on plant growth and agricultural productivity. Since dichromate uptake in plants occurs mainly through sulfate and phosphate transporters, identifying natural compounds capable of competitively inhibiting these transport pathways may provide an eco-friendly strategy for reducing chromium accumulation. This study aimed to investigate the inhibitory potential of phytochemicals from Djiboutian medicinal plants against sulfate and phosphate transporters using an integrated computational approach. Methods: 49 phytochemicals identified by GC–MS from ten Djiboutian medicinal plants were screened against the sulfate transporter (7LHV) and phosphate transporter (7SP5) using molecular docking. Binding interactions were compared with sulfate, phosphate, and dichromate ions to evaluate potential competitive inhibition. The most promising compounds were further assessed through ADMET prediction and 100 ns molecular dynamics simulations to evaluate their pharmacokinetic properties and complex stability. Results: Molecular docking revealed binding energies ranging from −7.04 to −2.91 kcal/mol for 7LHV and from −6.50 to −0.62 kcal/mol for 7SP5, indicating variable binding affinities among the screened phytochemicals. Several compounds exhibited favorable interactions with key amino acid residues involved in anion transport, suggesting their potential to compete with dichromate uptake. ADMET analysis identified multiple compounds with favorable toxicity and drug-likeness profiles. Among them, cyclohexanepropanoic acid from Aloe djiboutiensis demonstrated the strongest binding affinity toward both transporters. Molecular dynamics simulations confirmed the structural stability of the protein–ligand complexes throughout the 100 ns simulation. Conclusions: This study identifies naturally occurring phytochemicals, particularly cyclohexanepropanoic acid, as promising competitive inhibitors of dichromate transport in plants. These findings provide a theoretical foundation for developing sustainable phytochemical-based strategies to mitigate chromium accumulation in crops and support future experimental validation. Full article

Mesoporous silica nanoparticles (MSNs) are promising nanomaterials for many applications, including water remediation, owing to their high surface area, tunable mesoporosity, and modifiable silanol-rich surfaces. However, their conventional synthesis often relies on costly tetraethyl orthosilicate (TEOS), cationic surfactants, organic solvents, and energy-intensive hydrothermal processing. Herein, a facile sustainable room-temperature sol–gel route is reported using inexpensive sodium silicate as the silica source, L-ascorbic acid as a mild biodegradable acid catalyst, and a binary nonionic surfactant system, Triton X-100/polysorbate 80, as the structure-directing template. The method replaces alkoxysilanes and hazardous cationic templates and eliminates external heating. It enables the production of uniform spherical MSNs with a locally ordered mesoporous structure, high specific surface area up to 551.5 m² g⁻¹, and large pore volume up to 1.98 cm³ g⁻¹. The adsorption capability of the optimized MSNs as nano-adsorbents was demonstrated using amoxicillin (AMX) as a model pharmaceutical contaminant. The optimized sample showed maximum AMX uptake at pH 5.0, followed pseudo-second-order kinetics, and fitted the Langmuir isotherm with a monolayer capacity of 91.3 mg g⁻¹. In spiked water matrices, the optimized MSNs recovered 88.5% and 84.4% of AMX from tap water spiked at 10 and 50 mg L⁻¹, respectively, and 83.5% and 81.0% from synthetic municipal wastewater spiked at the same concentrations, with RSD values below 5%. The adsorbent further retained 94% of its initial capacity after five adsorption–desorption cycles. This work establishes a scalable green route for producing high-quality MSNs and demonstrates the feasibility of the resulting silanol-rich mesoporous nano-adsorbents for pharmaceutical micropollutant removal, while also indicating their potential suitability as carrier platforms for drug-delivery applications. Full article

Buffalo meat is widely consumed in Egypt; however, it may pose serious food safety risks due to microbial contamination during handling, preparation, and processing. This study investigated the prevalence and characterization of multidrug-resistant (MDR) enterotoxigenic Staphylococcus aureus in raw ground buffalo meat and ready-to-eat (RTE) kofta and liver sandwiches marketed in Mansoura, Egypt. S. aureus was detected in 62% (62/100) of raw buffalo ground meat, 41% (41/100) of RTE kofta, and 60% (60/100) of RTE liver samples, with an overall prevalence of 54.3% (163/300). All 660 isolates were confirmed as S. aureus via nuc gene detection, among which 46.8% (309/660) were mecA-positive and verified as methicillin-resistant (MRSA), and 21.8% (144/660) were vanA-positive and verified as vancomycin-resistant (VRSA). Enterotoxigenic strains were identified in 42.7% (282/660) of isolates, with the sea gene being most prevalent (67.7%; 191/282), followed by seb (58.2%; 164/282) and sec (39.7%; 112/282). The highest frequency of enterotoxigenic strains occurred in raw ground meat (47.2%), followed by kofta (45.1%) and liver (36%). Antimicrobial susceptibility testing against 15 antibiotics revealed that 7.6% (50/660) of isolates were extensively drug-resistant (XDR) with a MAR index of 0.9, while 82.9% (547/660) were MDR with MAR values between 0.3 and 0.7, indicating exposure to environments of intensive antibiotic use. The present findings highlight a high contamination level of buffalo meat products with MDR enterotoxigenic MRSA and VRSA, representing a significant public health hazard. Implementation of strict hygiene measures, wise antibiotic usage, and continuous surveillance is essential to control their dissemination through the food chain. Full article

Chemical contaminants in food pose a serious threat to public health, driving the need for sensitive, rapid, and on-site screening methods. Lateral flow immunoassay (LFIA) is rapid and portable but suffers from single-signal readout and insufficient label stability. Nanozymes, nanomaterials with enzyme-like catalytic activity and excellent stability, have emerged as promising signal labels to address these limitations. Moreover, their diverse physiochemical properties enable multiplex signal readout, where two or more complementary signals (e.g., colorimetric, fluorescent, chemiluminescent, photothermal, and surface-enhanced Raman scattering) are generated simultaneously from a single test line. This multiplex strategy significantly enhances detection sensitivity, accuracy, and reliability through signal amplification and self-calibration. This review provides a systematic overview of the catalytic properties and their major types used in multiplex signal LFIA. The signal combination strategies employed in nanozyme-based multiplex signal LFIA were also summarized, and their applications in detecting veterinary drugs, mycotoxins, pesticides, and other food chemical contaminants are highlighted. Ultimately, current challenges and future prospectives in this field are discussed. This review offers guidance for designing high-performance, nanozyme-based multiplex signal LFIA platforms for food safety monitoring. Full article

Antimicrobial resistance and biofilm-associated contamination continue to pose critical challenges in food safety and biomedical applications, necessitating the development of advanced antimicrobial materials with enhanced efficacy, safety, and functional adaptability. Antimicrobial nanomaterials offer versatile solutions due to their tunable physicochemical properties, surface engineering capabilities, and controlled release behaviors, enabling improved antimicrobial and antibiofilm performance across diverse systems. This review highlights the main advancements in AI-assisted design of antimicrobial nanomaterials, demonstrating how data-driven approaches are increasingly used to predict antimicrobial activity, optimize synthesis parameters, model nanotoxicity, integrate multimodal datasets, and improve interpretability through explainable AI frameworks. Key findings indicate that machine learning-guided strategies and autonomous experimental platforms significantly accelerate material optimization while reducing reliance on traditional trial-and-error methods. The review further summarizes the performance and mechanisms of major antimicrobial nanomaterial systems, including metal and metal oxide nanoparticles, metal–organic frameworks, polymeric nanocarriers, nanoemulsions, and hybrid nanostructures, with emphasis on their translational applications in food preservation, antimicrobial coatings, wound healing, implant protection, and drug delivery. Despite these advances, challenges remain in data quality, model generalizability, toxicity prediction, reproducibility, and regulatory translation. AI-enabled and data-driven frameworks provide a powerful pathway for accelerating the rational design and practical implementation of next-generation antimicrobial nanomaterials. Full article

Edible insects have emerged as a promising alternative to conventional livestock as the global demand for sustainable protein sources rises. Ensuring the safety of insect-based foods is crucial for consumer acceptance and regulatory approval. This review provides a comprehensive overview of the primary chemical and microbiological contaminants associated with edible insects, including heavy metals, pesticides, veterinary drugs, persistent organic pollutants (POPs), mycotoxins, microbiological hazards, and allergenic risks. Current evidence indicates that, when insects are farmed and processed under controlled conditions and in compliance with existing European Union regulations, contaminant levels are generally low and within the range of those found in traditional animal-derived foods. Most studies report that current risks are primarily linked to substrate quality and storage practices. Allergenic risks, particularly cross-reactivity with crustacean and mite allergens, remain a crucial consideration for individuals with sensitivities. Despite these reassuring findings, knowledge gaps persist regarding insect-specific contaminant limits, the metabolic fate of toxins, and the long-term safety of consuming novel insect-derived products. Continued research, targeted monitoring, and regulatory adaptation will be essential to ensure the safe and sustainable integration of insect-based foods into the human diet. Full article

Pharmaceutical and microbial pollution in urban rivers is an emerging concern, particularly in developing regions with limited wastewater treatment capacity, posing risks to human health and ecosystems. This study evaluated the risk profiles of selected pharmaceutical compounds and bacterial indicators in the Sand River, South Africa, and computed their ecological risks, antimicrobial resistance (AMR), and human health risk assessment. Surface water samples were collected from three sites during the wet season and analyzed for target antibiotics and non-steroidal anti-inflammatory drugs (NSAIDs) using High-Performance Liquid Chromatography (HPLC) with a photodiode array (PDA) detector, while total coliforms (TCs) and Escherichia coli (E. coli) were enumerated using the Colilert system. Ciprofloxacin, sulfamethoxazole, and erythromycin were the most abundant pharmaceuticals, with maximum concentrations of 2.50 µg/L, 2.76 µg/L, and 2.53 µg/L, respectively. TC and E. coli levels exceeded regulatory thresholds, indicating severe microbial contamination. Risk quotient analysis identified ciprofloxacin, erythromycin, and trimethoprim as high-risk compounds for potential resistance selection (RQ ≥ 1), while ciprofloxacin and erythromycin posed significant ecological risks to fish. Although non-carcinogenic health risk assessment remained below concern (HI < 1), children showed higher exposure levels. These findings underscore the urgent need for improved pharmaceutical waste management and wastewater treatment infrastructure. Full article

The increasing presence of pharmaceutical compounds in aquatic environments poses a significant challenge for wastewater treatment systems worldwide. Among these emerging contaminants, bicyclic non-steroidal anti-inflammatory drugs (NSAIDs) are particularly concerning due to their high consumption, partial metabolism, and long-lasting persistence in wastewater. This review was prepared critically based on popular databases such as PubMed and the Google Scholar website, and using the modern Nested Knowledge platform. The bibliometric analysis was performed using the VosViewer program with the keywords co-occurrence method. The review aims to systematically compile and synthesize current knowledge on the impact of bicyclic non-steroidal anti-inflammatory drugs (NSAIDs) on biological wastewater treatment systems, with particular emphasis on activated sludge. It discusses how these compounds influence microbial community composition, metabolic activity, sludge structure, and overall treatment performance. Furthermore, the distribution of these contaminants in the environment and their degradation efficiency were analyzed. By integrating evidence from both laboratory and industrial studies, this article provides a comprehensive perspective on the environmental risks posed by bicyclic NSAIDs. Our findings also underscore the urgent need for systematic monitoring and adaptive management to mitigate the ecological impact of these widely used pharmaceuticals in the future. Full article

Pre-made dishes have drawn growing attention because of their convenience and rapid market expansion. Their food safety risks, however, are shaped not only by products themselves, but also by the gap between public perception, reported incidents, and inspection records. This study develops a three-stage analytical approach by combining Weibo public opinion data, news media reports, and food inspection records from Gansu Province. First, ERNIE and BERTopic are used to identify public sentiment and discussion topics. The results show that negative sentiment slightly exceeds positive sentiment, with school meals, additives, and food safety as the main concerns. Second, 11,110 pre-made dish-related food safety reports from Food Partner Network are clustered and assessed for incident severity. The results point to drug residues in aquatic products, microbial contamination in egg products, authenticity disputes over meat ingredients, and quality issues in frozen composite foods. Third, based on the 2024 official definition, 12,121 inspection records are screened, and 2783 definition-constrained pre-made dish-associated products are retained. Six imbalanced classification models are then constructed. The Weight + RF model performs relatively well for starch and starch products, with a Precision of 0.7857, an AUC-ROC of 0.7778, and an MCC of 0.4429. The study provides a reference for risk identification and inspection resource optimization under limited pre-made dish inspection data. Full article

The pharmaceutical industry is a major source of pollution in wastewater effluents, characterized by chemical residues that are complex and difficult to degrade. Naproxen, a commonly detected drug in sewage effluents, exceeds safe concentrations for aquifers and is highly persistent, posing significant risks to aquatic life and ecosystems. This drug is known to cause long-term side effects in humans, such as gastrointestinal ulcers and nephrosis, associated with frequent and prolonged use. Additionally, the recent pandemic has led to a marked increase in drug consumption over a short period, exacerbating environmental contamination. Titanium dioxide has been extensively used as a photocatalyst in recent decades, proving effective in reducing these emerging pollutants. In this study, TiO₂ doped with cerium was synthesized using the sol–gel method, with cerium concentrations varied at 1, 3, 5, and 10% by weight. The resulting nanocatalysts were characterized through nitrogen physisorption, scanning electron microscopy (SEM), X-ray diffraction (XRD), and UV-Vis diffuse reflectance spectroscopy. Photocatalytic activity was assessed using a UV-Vis spectrophotometer to monitor the degradation of the drugs. XRD analysis confirmed the crystallinity and anatase phase of TiO₂. UV-Vis diffuse reflectance spectra indicated a decrease in bandgap energy of up to 3.00 eV compared to pure TiO₂. The materials demonstrated significant degradation of naproxen (NPX) and acetaminophen (ACTP), both prepared at 30 ppm, over a 6 h reaction period. Full article

Covalent organic frameworks (COFs) have emerged as promising materials for the capture and photoluminescent detection of pharmaceutical contaminants in aquatic environments due to their tunable porosity, high surface area, and structural versatility. This review summarizes recent advances in pristine COFs and COF-based hybrid materials for water treatment, focusing on both the adsorption and photoluminescent sensing of pharmaceutical pollutants. The influence of framework design, linkage type, and functionalization on adsorption performance and selectivity is discussed, together with the main interaction mechanisms involved. In addition, recent developments in photoluminescent COFs for sensitive and rapid drug detection are highlighted. Attention is given to dual-function materials capable of simultaneous capture and detection, which represent an emerging strategy for efficient water remediation. Finally, current challenges related to stability, selectivity, and real-world applicability are outlined, providing perspectives for the design of next-generation COF-based systems. Full article

Because of their special optical and electrochemical characteristics, superior biocompatibility, adjustable surface chemistry, and inexpensive, scalable synthesis, carbon dots (CDs), including carbon quantum dots and graphene quantum dots, have become powerful and adaptable nanomaterials for advanced pharmaceutical analysis and other toxicants. The sensitive and selective detection of active pharmaceutical substances, degradation products, contaminants, biomarkers, and therapeutic medication levels in complex matrices has shown great promise in recent years with CD-based nanobiosensors. The development of various sensing platforms, such as electrochemical, optical, and dual-mode biosensors, as well as integration into microfluidic, paper-based, and wearable point-of-care (POC) devices, is made possible by their intrinsic fluorescence, effective electron transfer capacity, and ease of functionalization. With an emphasis on sensing mechanisms, biorecognition techniques, and analytical performance, this study critically reviews current developments in CD-based nanobio/chemosensors for pharmaceutical analysis. It includes a thorough discussion of important applications in drug development, stability research, therapeutic drug monitoring, and drug quality control. Along with new developments like green synthesis, AI-assisted signal processing, and smart sensing platforms, current issues with reproducibility, standardization, biocompatibility, and regulatory validation are highlighted. Lastly, prospects for the industrial application and clinical translation of CD-based nanobiosensors are discussed. Full article

The increasing prevalence of cancer in Thailand over the past decade has resulted in a substantial rise in the use of anticancer drugs, which are eventually discharged into municipal wastewater through hospital and domestic effluents. The inability of conventional wastewater treatment systems to completely remove these pharmaceuticals has been widely reported. The continuous release of these emerging anticancer agents into aquatic environments reduces water quality and threatens biodiversity. Even at trace levels, these compounds may act as persistent pollutants capable of impairing ecosystem. This study investigated the occurrence and concentration levels of three widely used chemotherapeutic agents including cyclophosphamide (COP), doxorubicin (DOX), and vincristine (VIN) in Bangkok’s municipal wastewater to evaluate their potential environmental risks. Thirty-two influent and effluent wastewater samples were collected from eight large-scale wastewater treatment plants (WWTPs) from October 2024 to January 2025. Samples were processed using solid-phase extraction (SPE) and analyzed by liquid chromatography–triple quadrupole mass spectrometry (LC–MS/MS). The analytical method demonstrated high precision and reproducibility, with relative standard deviations (%RSD) below the 20% acceptance limit for all compounds. Method accuracy ranged from 81.84% to 107.21%. Results showed the presence of only COP in almost influent and effluent at levels ranging from 0.26 to 2.06 µg/L. In contrast, DOX and VIN levels remained consistently below the limits of quantitation (LOQ) in all WWTP samples. This study establishes the first baseline for COP, DOX, and VIN contamination in Bangkok’s municipal wastewater. Notably, the residue of COP in wastewater suggests that current wastewater treatment facilities in Thailand are insufficient for its removal, posing a potential long-term risk to local aquatic ecosystems. Full article