A lowered salt intake does not compromise iodine status in Cape Town,South Africa,where salt iodization is mandatory

ObjectiveUniversal salt iodization is an effective strategy to optimize population-level iodine. At the same time as salt-lowering initiatives are encouraged globally, there is concern about compromised iodine intakes. This study investigated whether salt intakes at recommended levels resulted in a suboptimal iodine status in a country where salt is the vehicle for iodine fortification.MethodsThree 24-h urine samples were collected for the assessment of urinary sodium and one sample was taken for urinary iodine concentrations (UICs) in a convenience sample of 262 adult men and women in Cape Town, South Africa. Median UIC was compared across categories of sodium excretion equivalent to salt intakes lower than 5, 5 to 9, and greater than or equal to 9 g/d.ResultsThe median UIC was 120 μg/L (interquartile range 75.3–196.3), indicating iodine sufficiency. Less one-fourth (23.2%) of subjects had urinary sodium excretion values within the desirable range (salt <5 g/d), 50.7% had high values (5–9 g/d), and 22.8% had very high values (≥9 g/d). No association between urinary iodine and mean 3 × 24-h urinary sodium concentration was found (r = 0.087, P = 0.198) and UIC status did not differ according to urinary sodium categories (P = 0.804).ConclusionIn a country with mandatory universal salt iodization, consumers with salt intakes within the recommended range (<5 g/d) are iodine replete, and median UIC does not differ across categories of salt intake. This indicates that much of the dietary salt is provided from non-iodinated sources, presumably added to processed foods.     

Serum placental growth factor as a predictor of early onset preeclampsia in overweight/obese pregnant women

The purpose of this study was to analyze whether maternal serum placental growth factor (PlGF) could predict early onset preeclampsia (<32 weeks of gestation) in overweight/obese pregnant women, and whether it could do it more effectively than in normal/underweight pregnant women. A prospective cohort study was conducted on 1678 pregnant women with singleton pregnancies, who were grouped as underweight, normal, overweight, and obese on the basis of body mass index, followed by serum PlGF estimation at 20 to 22 weeks of gestation. A cut-off value of <144 pg/mL for PlGF was determined by Receiver Operating Characteristic curve analysis to identify risk of early onset preeclampsia. Univariate logistic regression analysis revealed significantly stronger association between PlGF <144 pg/mL and early onset preeclampsia in overweight/obese pregnant women (odds ratio 7.64; 95% confidence interval 5.34–10.12; P = .000) than in normal/underweight pregnant women (odds ratio 2.95; 95% confidence interval 1.74–4.26; P = .007). Weight and PlGF levels in study women had a significant negative correlation (r = 0.663; P = .002). Serum PlGF in early second trimester could be an effective predictor of early onset preeclampsia in overweight/obese pregnant women and may be more effective than in normal/underweight pregnant women.     

Adsorptive removal of Safranin-O dye from aqueous medium using coconut coir and its acid-treated forms: Adsorption study,scale-up design,MPR and GA-ANN modeling

Coconut coir (Cocos nucifera L.), particle size 300–850 μm, has been identified as an adsorbent for safranin-O dye removal from aqueous solution. Bioadsorption efficiency is improved by modifying untreated coconut coir (UCC) with 1 N phosphoric acid (PCC) and 1 N sulphuric acid (SCC). The acid treatment enhances the surface area of adsorbents and accelerates more dye uptake. The adsorption process is optimized by varying the physicochemical conditions like initial pH, adsorbent amount, contact time, initial dye concentration, and temperatures. The adsorption process's optimum pH is 4, 6, and 6, respectively, using UCC, PCC, and SCC adsorbents.In contrast, more than 98% of dye removal has been observed at the lower concentration of dyes up to 200 mg/L at 303 K. Maximum dye removal is possible at 75 mg/L of dye concentration. UCC, PCC, and SCC adsorbents’ adsorption capacity is 80.32 mg/g, 96.81 mg/g, and 89.53 mg/g, respectively, at 303 K temperature. Langmuir and Tempkin model and the pseudo-second-order model are the best-fitted models for isotherm and kinetic study. Thermodynamic parameters indicate the adsorption process is viable, spontaneous, exothermic. 75% glacial acetic acid is the most potent solvent for safranin-O dye extraction from dye loaded biomass. The functional groups and different interactions are identified to establish the adsorption mechanism. The PCC adsorbent has been used for scale-up design. The multiple polynomial regression (MPR) successfully predicts the dye removal efficiency for individual adsorbents. The modeling of the Genetic Algorithm has also been done successfully.     

Vertebral Venous Air Embolism: An Unusual Complication Following Colonoscopy

Although fiberoptic colonoscopy has gained wide popularity as a diagnostic and therapeutic tool, there remains an inherent complication rate following colonoscopic evaluation. Endoscopically induced bowel perforation and uncontrolled bleeding often necessitate immediate surgical intervention. Another often-unrecognized complication is the introduction of air into the vertebral venous system. A case of vertebral venous air embolism after routine diagnostic colonoscopy is reported with a review of current literature.