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α-Galactosidase (α-GAL) is a class of hydrolase that releases galactose from galacto-oligosaccharides and synthetic substrates such as pNPG. In this study, the production of α-GAL by Actinoplanes utahensis B1 in submerged fermentation was enhanced by using statistical methods. The effects of temperature, pH, and inoculum percentage on enzyme secretion were optimized using BBD of RSM. The optimized process was scaled up from the shake flask to the laboratory scale (5 L) and to pilot scale (30 L) using K L a based scale-up strategy. By using BBD, a maximum yield of 62.5 U/mL was obtained at a temperature of 28 °C, a pH of 6.9, and an inoculum of 6.4%. Scale-up was performed successfully and achieved a yield of 74.4 U/mL and 76.8 U/mL in laboratory scale and pilot scale fermenters. The TOST was performed to validate the scale-up strategy and the results showed a confidence level of 95% for both scales indicating the perfect execution of scale-up procedure. Through the implementation of BBD and scale-up strategy, the overall enzyme yield has been significantly increased to 76%. This is the first article to explore the scale-up of α-GAL from the A. utahensis B1 strain and provide valuable insights for industrial applications.

Pyrolysis of waste furniture wood, mixed plastics and waste tyres was examined separately and in different combinations from the perspective of improved value products and energy production. The effect of different combinations of furniture wood, plastics and tyres on the product distribution during co-pyrolysis was analyzed. The experimental work throughout this study was performed at a temperature of 500 °C. Prior to the pyrolysis experiments, thermogravimetric analysis was done to assess the thermal degradation behavior of all selected feedstocks. During individual pyrolysis, mixed plastic wastes produced 70.6 wt% of pyrolysis liquid, which is 37.9% and 33.4% more than furniture wood and waste tyres. During co-pyrolysis, a binary blend of mixed plastics and waste tyres produced 63.3 wt% of pyrolysis liquid, which is 7.65% more than the logarithmic mean value, indicating a positive synergistic interaction on liquid production. The liquid yield of the ternary blend was observed to be as low as 54.4 wt% due to the lower volatiles present in the blend. The presence of volatiles in the feedstock is correlated with the production of liquids by individual and co-pyrolysis. For feed-flexible, more efficient, and cleaner operating systems, the increased liquid production offers crucial information. With the use of Fourier transform infrared spectroscopy (FT-IR) and gas chromatography/mass spectroscopy (GC-MS), the impact of different combinations on product characterization was investigated. The characterization study of the pyrolysis liquid obtained from mixed plastics showed the presence of different aromatic and aliphatic compounds. The findings offered viable options for efficiently utilizing waste materials, particularly plastics and tyres to improve the quality and substance of products., (© 2024. The Author(s).)

Takayasu arteritis (TA) is a chronic granulomatous inflammatory disease affecting the aorta and its branches. Paediatric TA (pTA) may present from 6 months after birth till the adolescent age group. Genetics and pathogenesis of pTA are not fully understood. Earlier studies reported monogenic mutation in NOD2, XIAP, and STAT1 genes in patients with pTA. TA, a relatively rare disease, is more common in geographical pockets, including India. We hypothesized that South Asian patients with pTA, namely, those of Indian subcontinent origin, may have clinically relevant and unique pathogenic variants involving one or more genes, especially those linked to genetically driven vasculitic illnesses, including autoinflammatory pathologies. Children with pTA fulfilling EULAR/PRINTO/PReS classification criteria and presenting with clinical symptoms to the Paediatric Rheumatology clinic of Christian Medical College, Vellore, were included. Blood samples were collected after getting informed consent from parents or guardians and assent forms from children. DNA was extracted from whole blood using the Qiagen DNA extraction kit. Initially, the common variant in Indian population, namely, ADA2 c.139G > A; p.Gly47Arg, was screened, followed by whole exome sequencing. Fourteen children were recruited for the study. Median age of patients was 11 years (4 months-14 years) with a male-to-female ratio of 4:10. Distribution of angiographic subsets by Numano's classification of included children were as follows: type 5 (n = 7), type 4 (n = 5), and type 3 (n = 2). We identified novel variants in ten different genes. This include variants in genes of classical complement pathway, namely, C2, C3, C6, C7, and C9, and other genes, namely, CYBA, SH3BP2, GUCY2C, CTC1, COL5A1, and NLPR3. Two of 14 patients have heterozygous pathogenic variants; this implies that combination of heterozygous variants in C3 and COL5A1 might lead to disease development, suggesting digenic inheritance. One patient has a homozygous variant in CYBA. None of the patients were identified to have ADA2 variants. Whole exome sequencing reveals combination of rare variants in genes C3, COL5A1, and CYBA associated with disease development in children with Takayasu Arteritis. Key Points • We identified novel variants in genes of classical complement pathway, namely, C2, C3, C6, C7, and C9, and other genes, namely, CYBA, SH3BP2, GUCY2C, CTC1, COL5A1, and NLPR3. • Two of 14 patients have heterozygous pathogenic variants in C3 and COL5A1; this may have implications in disease development, suggesting digenic inheritance. • One patient has homozygous variant in CYBA. • None of the patients were identified to have ADA2 variants., (© 2024. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR).)

This work intended to improve the precision and machining efficiency of Magnesium alloy (Mg-Li-Sr) using Wire electrical discharge machining (WEDM). Mg-Li-Sr alloy is prepared through inert gas assisted stir casting route. Taguchi approach is used for experimental design for WEDM parameter such as pulse OFF time, pulse ON time, wire feed rate, servo voltage and current. L27 orthogonal array is considered to understand the influence of control parameter such as Kerf Width (KW), Roughness of the surface (Ra), Material Removal Rate (MRR). Integration of the CRITIC (Criteria Importance Through Intercriteria Correlation) -WASPAS (Weighted Aggregated Sum Product Assessment) multi-objective optimization method with Artificial Neural Network (ANN) modelling with different network structure for prediction and optimization is a novel approach that significantly improves prediction accuracy and machining outcomes. The developed ANN model with better R 2 value of 99.9 % has better ability for prediction while correlated with formulated conventional regression equation. The error percentages identified through confirmation tests for regression and ANN models are Ra - 8.5 % and 3.4 %, MRR - 5.9 % and 2.8 %, KW - 6.7 % and 2.2 % respectively. Optimal output response attained by CRITIC-WASPAS approach yields surface roughness of 4.62 μm, material removal rate of 0.073 g/min and kerf width of 0.388 μm., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

A novel endophytic Streptomyces griseorubens CIBA-NS1 was isolated from a salt marsh plant Salicornia sp. The antagonistic effect of S. griseorubens against Vibrio campbellii, was studied both in vitro and in vivo. The strain was validated for its endophytic nature and characterized through scanning electron microscopy, morphological and biochemical studies and 16SrDNA sequencing. The salinity tolerance experiment has shown that highest antibacterial activity was at 40‰ (16 ± 1.4 mm) and lowest was at 10 ‰ salinity (6.94 ± 0.51 mm). In vivo exclusion of Vibrio by S. griseorubens CIBA-NS1 was studied in Penaeus indicus post larvae and evaluated for its ability to improve growth and survival of P. indicus. After 20 days administration of S. griseorubens CIBA-NS1, shrimps were challenged with V. campbellii. The S. griseorubens CIBA-NS1 reduced Vibrio population in test group when compared to control, improved survival (60.5 ± 6.4%) and growth, as indicated by weight gain (1.8 ± 0.05g). In control group survival and growth were 48.4 ± 3.5% and 1.4 ± 0.03 g respectively. On challenge with V. campbellii, the S. griseorubens CIBA-NS1 administered group showed better survival (85.6 ± 10%) than positive control (64.3 ± 10%). The results suggested that S. griseorubens CIBA-NS1 is antagonistic to V. campbellii, reduce Vibrio population in the culture system and improve growth and survival. This is the first report on antagonistic activity of S. griseorubens isolated from salt marsh plant Salicornia sp, as a probiotic candidate to prevent V. campbellii infection in shrimps., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Objective: Monitoring trends in key population health indicators is important for informing health policies. The aim of this study was to examine population health trends in Canada over the past 30 years in relation to other countries., Methods: We used data on disability-adjusted life years (DALYs), years of life lost (YLL), years lived with disability, life expectancy (LE), and child mortality for Canada and other countries between 1990 and 2019 provided by the Global Burden of Disease Study., Results: Life expectancy, age-standardized YLL, and age-standardized DALYs all improved in Canada between 1990 and 2019, although the rate of improvement has leveled off since 2011. The top five causes of all-age DALYs in Canada in 2019 were neoplasms, cardiovascular diseases, musculoskeletal disorders, neurological disorders, and mental disorders. The greatest increases in all-age DALYs since 1990 were observed for substance use, diabetes and chronic kidney disease, and sense organ disorders. Age-standardized DALYs declined for most conditions, except for substance use, diabetes and chronic kidney disease, and musculoskeletal disorders, which increased by 94.6%, 14.6%, and 7.3% respectively since 1990. Canada's world ranking for age-standardized DALYs declined from 9th place in 1990 to 24th in 2019., Conclusion: Canadians are healthier today than in 1990, but progress has slowed in Canada in recent years in comparison with other high-income countries. The growing burden of substance abuse, diabetes/chronic kidney disease, and musculoskeletal diseases will require continued action to improve population health., (© 2024. The Author(s) under exclusive license to The Canadian Public Health Association.)

All the countries in the world are now searching for renewable, environmentally friendly alternative fuels due to the shortage and environmental problems related with the usage of conventional fuels. The cultivation of cereal and noncereal crops through agricultural activities produces waste biomasses, which are being evaluated as renewable and viable fossil fuel substitutes. The thermochemical properties and thermal degradation behavior of Sesbania grandiflora residues were investigated for this work. A fluidized bed reactor was used for fast pyrolysis in order to produce pyrolysis oil, char and gas. Investigations were done to analyze the effect of operating parameters such as temperature (350-550 °C), particle size (0.5-2.0 mm), sweeping gas flow rate (1.5-2.25 m 3 /h). The maximum of pyrolysis oil (44.7 wt%), was obtained at 425 °C for 1.5 mm particle size at the sweep gas flow rate of 2.0 m 3 /h. Fourier transform infrared spectroscopy and gas chromatography-mass spectrometry methods were used to examine the composition of the pyrolysis oil. The pyrolysis oil is rich with aliphatic, aromatic, phenolic, and some acidic chemicals. The physical characteristics of pyrolysis oil showed higher heating value of 19.76 MJ/kg. The char and gaseous components were also analyzed to find its suitability as a fuel., (© 2024. The Author(s).)

A sustainable method to reduce the use of natural resources and the negative effects of the concrete industry on the environment is to use waste lateritic aggregate in self-compacting concrete and evaluate its fresh, mechanical and durability characteristics. Using RSM's central composite design (CCD), Thirteen different SCC mixtures have been designed with varying input factor combinations (LA: 0-100%, PPF: 0-2%) and tested for eight responses (rheological properties, like slump flow, V-funnel time, and T500; mechanical properties, like compressive, split-tensile, and flexural strengths, and durability properties like drying shrinkage and rapid chloride penetration test). The analysis of variance (ANOVA) test was performed to determine the accuracy of the mathematical models developed following the experimental results. ANOVA was used to verify eight response models (seven quadratic and one linear). The inclusion of laterite aggregate has been found to linearly reduce the workability of fresh concrete. Self-compacting concrete will have a lower V-funnel value if any combination of components falls below these two limit values (31% LA and 1.12% PPF). The area bounded by the 760-mm contour line and the graph axes recorded the highest slump flow at (28% LA and 1.26% PPF). Similarly, SCC with a lower T500 value will be produced by any combination of components below these two limit values (25% LA and 1.11% PPF). By replacing 28.5% of the granite aggregate with laterite aggregate and adding 1.24% polypropylene fiber, the compressive strength of M30 grade self-compacting concrete increased by 12.33% after 28 days. A similar strength gain of 7.89% was seen in the splitting tensile by replacing 28% of the granite aggregate with laterite aggregate and adding 1.46% polypropylene fiber over the control mix, and a flexural strength gain of 14.46% was seen by replacing 31.4% of laterite aggregate and adding 1.2% polypropylene fiber, respectively. The low drying shrinkage values are related to a combination of LA concentration (34.4% replacement) and PPF (1.31%) and minimum chloride ingress is located in the region with a LA concentration (30.5% replacement) and a PPF content (1.26%), The projected optimal data were verified experimentally with an error rate of less than 5%. Thus, it is highly recommended that the created model be adequate and capable of optimizing both the experimental and analytical values. It is recommended that the utilization of 25% LA and 1% PPF in lateritic self-compacting concrete provides optimum outcomes for the construction industry in the field of civil engineering., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

This article explores the use of phase change materials (PCMs) derived from waste, in energy storage systems. It emphasizes the potential of these PCMs in addressing concerns related to fossil fuel usage and environmental impact. This article also highlights the aspects of these PCMs including reduced reliance on renewable resources minimized greenhouse gas emissions and waste reduction. The study also discusses approaches such as integrating nanotechnology to enhance thermal conductivity and utilizing machine learning and deep learning techniques for predicting dynamic behavior. The article provides an overall view of research on biodegradable waste-based PCMs and how they can play a promising role in achieving energy-efficient and sustainable thermal storage systems. However, specific conclusions drawn from the presented results are not explicitly outlined, leaving room, for investigation and exploration in this evolving field. Artificial neural network (ANN) predictive models for thermal energy storage devices perform differently. With a 4% adjusted mean absolute error, the Gaussian radial basis function kernel Support Vector Regression (SVR) model captured heat-related charging and discharging issues. The ANN model predicted finned tube heat and heat flux better than the numerical model. SVM models outperformed ANN and ANFIS in some datasets. Material property predictions favored gradient boosting, but Linear Regression and SVR models performed better, emphasizing application- and dataset-specific model selection. These predictive models provide insights into the complex thermal performance of building structures, aiding in the design and operation of energy-efficient systems. Biodegradable waste-based PCMs' sustainability includes carbon footprint, waste reduction, biodegradability, and circular economy alignment. Nanotechnology, machine learning, and deep learning improve thermal conductivity and prediction. Circular economy principles include waste reduction and carbon footprint reduction. Specific results-based conclusions are not stated. Presenting a comprehensive overview of current research highlights biodegradable waste-based PCMs' potential for energy-efficient and sustainable thermal storage systems., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors. Published by Elsevier Ltd.)

Human body is highly sensitive and repairing often incurs pain and expenses. Strength of the materials degraded by poor joint (either weld or link). New material technology is proposed many biomaterials for repairing bone and tissue and also many bio-implantation applications. Especially bioactive material like bioactive glass is used for biomedical applications for replacement and repairing organs in human body. This research work focuses on suggesting material of S53P4 bioactive glass Nano-coated Zirconium dioxide for manufacturing artificial knee implant for fixing in human body. The substrate of Zirconium dioxide is Nano-coated with S53P4 bioactive glass by means of laser cladding process. The laser cladding process parameters were optimized by Taguchi method to enhance mechanical properties like compressive strength, wear resistance and microhardness of Zirconium dioxide implant material. The key parameters like Laser Power (1 kW, 2 kW, 3 kW and 4 kW), beam diameter (2 mm, 3 mm, 4 mm and 5 mm), powder feed rate (10 g/min, 15 g/min, 20 g/min and 25 g/min) and scanning speed (3 mm/s, 4 mm/s, 5 mm/s and 6 mm/s) were considered. The optimal parameters result the higher compressive strength and microhardness are obtained as 373 MPa and 898.37 HV0.2 and minimum wear volume is attained as 0.148 mm 3 in the Nano-coated implant material., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

The present work aims to capture the influence of the inclination of the return bend on flow patterns and pressure drop during oil-water flow. The experiments were carried out for different inclinations (0°, 15°, 30°, and 45°) of return bend for various superficial velocity combinations of oil (kerosene) and water ranging from 0.07 to 0.66 m/s. The experiments showed that pressure drop increases with the increase in inclination. However, the pressure drop at a fixed inclination (say 15°) decreases with the increase in the superficial velocity of the water. Distinct flow patterns observed in the return bend were droplet flow, film inversion, slug flow, plug flow and large slug flow. Droplet flow dominates at the lower range of kerosene (i.e., U sk  = 0.07-0.2 m/s) and higher range of water superficial velocity (i.e., U sw  = 0.40-0.66 m/s) at all the inclinations considered in this study. Additionally, comparisons between the experimental and numerical simulation results were made. The numerical solution utilized the Euler-Euler approach, considering the different phases as interpenetrating continua. The Volume of Fluid (VOF) model was used within this approach, monitoring the volume fraction of each phase over the domain while calculating one set of momentum equations for each phase. To capture the turbulent effects accurately, the k-ε turbulence model was incorporated. It happened to be found that the numerical findings showed remarkable agreement with the experimental data., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests:Mukesh Sharma reports financial support was provided by Birla Institute of Technology., (© 2024 The Authors.)

Competing Interests: There are no conflicts of interest.

Objective: To examine whether the effect of conventional lifestyle interventions on type 2 diabetes incidence differs by glucose-defined prediabetes phenotype., Research Design and Methods: We searched multiple databases until 1 April 2023 for randomized controlled trials that recruited people with isolated impaired fasting glucose (i-IFG), isolated impaired glucose tolerance (i-IGT), and impaired fasting glucose plus impaired glucose tolerance (IFG+IGT). Individual participant data were pooled from relevant trials and analyzed through random-effects models with use of the within-trial interactions approach., Results: Four trials with 2,794 participants (mean age 53.0 years, 60.7% men) were included: 1,240 (44.4%), 796 (28.5%), and 758 (27.1%) had i-IFG, i-IGT, and IFG+IGT, respectively. After a median of 2.5 years, the pooled hazard ratio for diabetes incidence in i-IFG was 0.97 (95% CI 0.66, 1.44), i-IGT 0.65 (0.44, 0.96), and IFG+IGT 0.51 (0.38, 0.68; Pinteraction = 0.01)., Conclusions: Conventional lifestyle interventions reduced diabetes incidence in people with IGT (with or without IFG) but not in those with i-IFG., (© 2023 by the American Diabetes Association.)

One of the environmental pollution is happened by the discharge of industrial wastewater that needs to be adequately filtered. Given that the effluent from the leather industry contains high levels of chromium, heavy metals, lipids, and Sulphur, it is one of the wastewater disposals that are most damaging. This experimental study focuses on reverse osmosis and hybrid organic polyimide membrane for nanofiltration for sustainable wastewater treatment. In the RO and organic polyamide Nano-porous membranes, a thin film of polyamide membrane was used for efficient filtration. Taguchi analysis optimized process parameters such as pressure, temperature, pH, and volume reduction factor. The outcome shows an 89% reduction in total wastewater hardness, an 88% reduction in sulfate, and an 89% efficiency reduction in COD. As a result, the proposed technology significantly increased filtration efficiency., Competing Interests: Declaration of competing interest Current paper has no conflict of interests., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Polymer Matrix Composite (PMC/Plastic Composite) often referred to as Plastic Composite with Natural fibre reinforcement has a huge interest in industries to manufacture components for various applications including medical, transportation, sports equipment etc. In the universe, different types of natural fibres are available which can be used for the reinforcement in PMC/Plastic Composite. So, the selection of appropriate fibre for the PMC/Plastic Composite/Plastic composite is a challenging task, but it can be done using an effective metaheuristic or optimization techniques. But in this type of optimal reinforcement fibre or matrix material selection, the optimization is formulated based on any one of the parameters of the composition. Hence to analyse the various parameter of any PMC/Plastic Composite/Plastic Composite without real manufacturing, a machine learning technique is recommended. The conventional simple or single-layer machine learning techniques were not sufficient to emulate the exact real-time performance of the PMC/Plastic Composite. Thus, a deep multi-layer perceptron (Deep MLP) algorithm is proposed to analyse the various parameter of PMC/Plastic Composite with natural fibre reinforcement. In the proposed technique the MLP is modified by including around 50 hidden layers to enhance its performance. In every hidden layer, the basis function is evaluated and subsequently, the sigmodal function-based activation is calculated. The proposed Deep MLP is utilized to evaluate the various parameters of PMC/Plastic Composite Tensile Strength, Tensile Modulus, Flexural Yield Strength, Flexural Yield Modulus, Young's Modulus, Elastic Modulus and Density. Then the obtained parameter is compared with the actual value and the performance of the proposed Deep MLP is evaluated based on the accuracy, precision, and recall. The proposed Deep MLP attained 87.2%, 87.18%, and 87.22% of accuracy, precision, and recall. Ultimately the proposed system proves that the proposed Deep MLP can perform better for the prediction of various parameters of PMC/Plastic Composite with natural fibre reinforcement., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

Recently, South Eastern Arabian Sea (SEAS) experiences recurrent winter blooms of green Noctiluca scintillans with serious ecological consequences. Here, the analysis of green N. scintillans blooms in SEAS for the past three consecutive years (2018-2021) is presented. The daily monitoring showed intense winter blooms during November with stable sea surface temperatures, high nitrate-phosphate concentrations and relatively lower pH levels. Dissolved oxygen concentration decreased to near hypoxia in the later stages of the bloom. Our analysis finds that the increased occurrence of N. scintillans blooms along SEAS is driven by the coastal currents (EICC), which transport the bloom species from the east coast (south west Bay of Bengal) to west coast of India. Therefore, the N. scintillans seeding from the South west Bay of Bengal intensifies winter blooms in SEAS, thus unveils the influence of oceanic currents in deciding the phytoplankton blooms across the coastal regions of north Indian Ocean., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Twinkle Sathish reports financial support was provided by Cochin University of Science and Technology., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

The entire human race is struggling with the spread of COVID-19. Worldwide, the wearing of face masks is indispensable to prevent such spread. Despite numerous studies reporting on the fabrication of face masks and surgical masks to reduce spread and thus human deaths, this novel work is considered the marine waste of microplastics, namely Polypropylene (PP) polymer, used to fabricate non-woven fabric masks through the melt-blown process. This experimental work aims to maximize the mask's quality and minimize its fabrication cost by optimizing the melt-blown process parameters and using microplastics. The melt-blown process was used to make masks. Parameters such as extruder temperature, hot air temperature, melt flow rate, and die-to-collector distance (DCD) were investigated as independent variables. The quality of the mask was investigated in terms of bacterial filtration efficiency (BFE), particle filtration efficiency (PFE), and differential pressure. The Taguchi L16 orthogonal array and Taguchi analysis were employed for experimental design and statistical optimization, respectively. The results reveal that the higher BFE and PFE are recorded at 96.7 % and 98.6 %, respectively. The surface morphological investigation on different layers ensured the fine and uniform porosity of the layers and exhibited minimum breath resistance (a low differential pressure of 0.00152 kPa/cm 2 ). Hence the chemically treated marine waste microplastics improved the masks' performance., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)

There is a need for a modified Global Physical Activity Questionnaire (GPAQ) to estimate physical activity levels more accurately in populations. We aimed to develop a modified GPAQ and examine its construct validity among adults in Kerala, India. We incorporated locality-specific, metabolic equivalent task (MET)-based activities into the original GPAQ and administered this modified GPAQ among randomly selected 451 individuals (age ≥ 20 years) residing in the Trivandrum district of Kerala. Construct validity of the modified GPAQ was assessed using generalized linear models by examining the association of total moderate-to-vigorous physical activity (MVPA) MET-minutes per week with clinical measures. The mean age of participants was 45.4 (SD: 14.1) years, and 52.6% were female. Increasing total MVPA MET-minutes per week was associated with decreasing weight (β = - 0.011 kg, 95% CI: -0.020, -0.002), waist circumference (β = -0.013 cm, 95% CI: -0.023, -0.004), and systolic blood pressure (β = -0.009 mmHg, 95% CI: -0.015, -0.002), independent of age, sex, education, occupation, current smoking, current alcohol use, and fruit and vegetable intake. The validity coefficients and associations between total MVPA MET-minutes per week and theoretical constructs of physical activity agreed with those predicted, providing evidence of construct validity for the modified GPAQ., Competing Interests: Conflicts of Interest: The authors declare no conflict of interest.

Background: Peer support programs are promising approaches to diabetes prevention. However, there is still limited evidence on the health benefits of peer support programs for lay peer leaders., Purpose: To examine whether a peer support program designed for diabetes prevention resulted in greater improvements in health behaviors and outcomes for peer leaders as compared to other participants., Methods: 51 lay peer leaders and 437 participants from the Kerala Diabetes Prevention Program were included. Data were collected at baseline, 12 months, and 24 months. We compared behavioral, clinical, biochemical, and health-related quality of life parameters between peer leaders and their peers at the three time-points., Results: After 12 months, peer leaders showed significant improvements in leisure time physical activity (+ 17.7% vs. + 3.4%, P = 0.001) and health-related quality of life (0.0 vs. + 0.1, P = 0.004); and a significant reduction in alcohol use (-13.6% vs. -6.6%, P = 0.012) and 2-hour plasma glucose (-4.1 vs. + 9.9, P = 0.006), as compared to participants. After 24 months, relative to baseline, peer leaders had significant improvements in fruit and vegetable intake (+ 34.5% vs. + 26.5%, P = 0.017) and leisure time physical activity (+ 7.9% vs. -0.9%, P = 0.009); and a greater reduction in alcohol use (-13.6% vs. -4.9%, P = 0.008), and waist-to-hip ratio (-0.04 vs. -0.02, P = 0.014), as compared to participants. However, only the changes in fruit and vegetable intake and waist-to-hip ratio were maintained between 12 and 24 months., Conclusion: Being a peer leader in a diabetes prevention program was associated with greater health benefits during and after the intervention period. Further studies are needed to examine the long-term sustainability of these benefits., (© 2023. The Author(s).)

Introduction: Tobacco smoking is a leading preventable cause of premature death globally. Urinary thiocyanate is a biomarker of cyanide exposure from tobacco smoke; however, few studies have evaluated its utility in diverse populations of smokers., Aims and Methods: We examined the associations between urinary thiocyanate and self-reported never and current smokers among 1000 participants from 14 countries in the Prospective Urban and Rural Epidemiological study. We analyzed urinary thiocyanate in light and heavy smokers as compared to never-smokers from high- (HICs), middle- (MICs), and low-income countries (LICs) using a validated capillary electrophoresis method in conjunction with standardized questionnaires., Results: The median urinary thiocyanate concentration was 31 μM, which ranged from 8.6 μM to 52 μM for never-smokers (n = 335) and current smokers (n = 660), respectively. Urinary thiocyanate was correlated with daily cigarette consumption (r = 0.621) and total nicotine equivalents (r = 0.514). Thiocyanate also displayed a better dose-response than urinary cotinine. A moderate association of urinary thiocyanate was found in biochemically verified never-smokers (r ~0.38) because of intake of vegetables, fruits, and dairy. Receiver-operating characteristic curves established cutoff values for urinary thiocyanate to differentiate current from never-smokers with an optimal threshold of 23.9 μM (Area Under the Curve or AUC = 0.861), which lowered progressively from HICs, MICs, and LICs., Conclusions: Elevated thiocyanate was evident in current smokers from high-income countries likely reflecting differences in smoking topography and greater toxicant burden. Background urinary thiocyanate in never-smokers was associated with goitrogenic food intake that obscured detection of secondhand smoke exposure., Implications: Urinary thiocyanate is a sensitive biomarker of active tobacco smoking relative to cotinine that can be measured by an inexpensive capillary electrophoresis assay. Regional cutoff values are demonstrated to improve discrimination of smoking status in developing countries because of differences in smoking habits and cigarette products consumed, as well as intake of goitrogenic foods. Urinary thiocyanate may allow for more reliable estimates of the hazards of tobacco smoking between countries with varying socioeconomic development as compared to self-reports., (© The Author(s) 2023. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

Considering the unique properties of magnesium and its alloy, it has a vast demand in biomedical applications, particularly the implant material in tissue engineering due to its biodegradability. But the fixing spares must hold such implants till the end of the biodegradation of implant material. The composite technology will offer the added benefits of altering the material properties to match the requirements of the desired applications. Hence, this experimental investigation is aimed at developing a composite material for manufacturing fixing spares like a screw for implants in biomedical applications. The matrix of AZ63 magnesium alloy is reinforced with nanoparticles of zirconium (Zr) and titanium (Ti) through the stir casting-type synthesis method. The samples were prepared with equal contributions of zirconium (Zr) and titanium (Ti) nanoparticles in the total reinforcement percentage (3%, 6%, 9%, and 12%). The corrosive and tribological studies were done. In the corrosive study, the process parameters like NaCl concentration, pH value, and exposure time were varied at three levels. In the wear study, the applied Load, speed of sliding, and the distance of the slide were considered at four levels. Taguchi analysis was employed in this investigation to optimize the reinforcement and independent factors to minimize the wear and corrosive losses. The minimum wear rate was achieved in the 12% reinforced sample with the input factor levels of 60 N of load on the pin, 1 m/s of disc speed at a sliding distance was 1500 m, and the 12% reinforce samples also recorded a minimum corrosive rate of 0.0076 mm/year at the operating environment of 5% NaCl-concentrated solution with the pH value of 9 for 24 hrs of exposure. The prediction model was developed based on the experimental results., Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this paper. This study was performed as a part of the authors' employment at Hawassa University, Ethiopia., (Copyright © 2023 T. Sathish et al.)

Due to the ongoing demand for alternative fuels for CI engines, biodiesel-based research has received support globally. In this study, soapberry seed oil produced by transesterification process to creates biodiesel. It is referred to as BDSS (Biodiesel of Soapberry Seed). According to criteria, the oil qualities are recognized, hence, three different blends and pure diesel were tested in CRDI (Common Rail Direct Injection) engines. The blends descriptions are: 10BDSS (10% BDSS + 90% diesel), 20BDSS (20% BDSS + 80% diesel), and 30BDSS (30% BDSS + 70% diesel). The outcomes of the related tests for combustion, performance, and pollution were contrasted with those achieved using 100% diesel fuel. In this case, the mixing has resulted in worse braking thermal efficiency than diesel and lower residual emissions with greater NOx emissions. The superior results were obtained by 30BDSS, which had BTE of 27.82%, NOx emissions of 1348 ppm, peak pressure of 78.93 bar, heat release rate (HRR) of 61.15 J/deg, emissions of CO (0.81%), HC (11 ppm), and smoke opacity of 15.38%., (© 2023. The Author(s).)

Large quantities of vegetable biowaste are generated at marketplaces, usually in highly populated locations. On the other hand, nearby markets, hotels, and street shops generate much cooking oil waste and dispose of them in the sewage. Environmental remediation is mandatory at these places. Hence, this experimental work concentrated on preparing biodiesel using green plant wastes and cooking oil. Biowaste catalysts were produced from vegetable wastes and biofuel generated from waste cooking oil using biowaste catalysts to support diesel demand and Environmental remediation. Other organic plant wastes such as bagasse, papaya stem, banana peduncle and moringa oleifera are used as heterogeneous catalysts of this research work. Initially, the plant wastes are independently considered for the catalyst for biodiesel production; secondary, all plant wastes are mixed to form a single catalyst and used to prepare the biodiesel. In the maximum biodiesel yield analysis, the calcination temperature, reaction temperature, methanol/oil ratio, catalyst loading and mixing speed were considered to control the biodiesel production. The results reveal that the catalyst loading of 4.5 wt% with mixed plant waste catalyst offered a maximum biodiesel yield of 95%., (© 2023. The Author(s).)

Introduction: India currently has more than 74.2 million people with Type 2 Diabetes Mellitus (T2DM). This is predicted to increase to 124.9 million by 2045. In combination with controlling blood glucose levels among those with T2DM, preventing the onset of diabetes among those at high risk of developing it is essential. Although many diabetes prevention interventions have been implemented in resource-limited settings in recent years, there is limited evidence about their long-term effectiveness, cost-effectiveness, and sustainability. Moreover, evidence on the impact of a diabetes prevention program on cardiovascular risk over time is limited., Objectives: The overall aim of this study is to evaluate the long-term cardiometabolic effects of the Kerala Diabetes Prevention Program (K-DPP). Specific aims are 1) to measure the long-term effectiveness of K-DPP on diabetes incidence and cardiometabolic risk after nine years from participant recruitment; 2) to assess retinal microvasculature, microalbuminuria, and ECG abnormalities and their association with cardiometabolic risk factors over nine years of the intervention; 3) to evaluate the long-term cost-effectiveness and return on investment of the K-DPP; and 4) to assess the sustainability of community engagement, peer-support, and other related community activities after nine years., Methods: The nine-year follow-up study aims to reach all 1007 study participants (500 intervention and 507 control) from 60 randomized polling areas recruited to the original trial. Data are being collected in two phases. In phase 1 (Survey), we are admintsering a structured questionnaire, undertake physical measurements, and collect blood and urine samples for biochemical analysis. In phase II, we are inviting participants to undergo retinal imaging, body composition measurements, and ECG. All data collection is being conducted by trained Nurses. The primary outcome is the incidence of T2DM. Secondary outcomes include behavioral, psychosocial, clinical, biochemical, and retinal vasculature measures. Data analysis strategies include a comparison of outcome indicators with baseline, and follow-up measurements conducted at 12 and 24 months. Analysis of the long-term cost-effectiveness of the intervention is planned., Discussion: Findings from this follow-up study will contribute to improved policy and practice regarding the long-term effects of lifestyle interventions for diabetes prevention in India and other resource-limited settings., Trial Registration: Australia and New Zealand Clinical Trials Registry-(updated from the original trial)ACTRN12611000262909; India: CTRI/2021/10/037191., (© 2023. The Author(s).)

Biowaste generation is considerably increasing multiple times recently due to various social and environmental changes like population growth, economic prosperity, globalisation etc. they contain different composition and generated at different stages of their life cycle. Though studies reported for recycle, reproduce and reuse of them, this investigation is unique by focussing to investigate the ideal circumstances for the production of biogas and methane from anaerobic digestion of vegetable waste using response surface methods and artificial neural networks with thermophilic temperature range. Thermophilic temperature of 20.78, organic loading rate of 0.2, pH of 8.81, agitation time of 5.8 and hydro retention time of 3 are the ideal input parameter values for the generation of biogas 3.03 m3 and methane% 186.08 with a desirability of 1. The Response surface model was surpassed by the Artificial Neural Network model., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Nowadays, scarcity arises in almost all our basic needs, including water, fuel, and food. Recycling used and scrapped things for a valuable commodity is highly appreciable for compensating for the globally fast-growing demand. This paper aims to investigate waste tyre oil for preparing biodiesel for CI engines by enhancing their performance with hybrid nanoparticles for preparing nanofuel and hybrid nanofuel. The nanoparticles (30-40 nm) of MWCNT and TiO 2 were utilized to prepare nanofuels with nanoparticle concentrations of MWCNT (300 ppm) and TiO 2 (300 ppm), respectively. In the case of hybrid nanofuel, the nanoparticle concentration of MWCNT (150 ppm) and TiO 2 (150 ppm) was preferred. The performance of the proposed nanofuel and hybrid nanofuel with pure diesel was evaluated. The proposed fuel performance outperforms the combustion performance, has higher engine efficiency, and has fewer emissions. The best performances were noticed in hybrid nanofuel that has 32% higher brake thermal efficiency than diesel and 24% and 4% lower BSFC and peak pressure than diesel, respectively. The emission performance is also 29%, 50%, and 13% lower in CO, HC, and CO 2 emissions than that in pure diesel., Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this article., (Copyright © 2023 T. Sathish et al.)

Competing Interests: Competing interestsThe authors declare no competing interests.

Water treatment is as much important as it is to satisfying 11 worldwide sustainable development goals out of 17. The removal of Azo is much important as they are toxic and their existence in water, air and food can easily affect humans by triggering allergies, forming tumours etc. Azo contained Dyes Production was banned in many countries. This research aims to synthesize composite Nanorods and Nanospheres and characterize and test to remove Azo dyes from the wastewater. This research used a previously reported method to rapidly synthesize chitin magnetite nanocomposites (ChM) by co-precipitation while irradiating with ultrasound (US). Detailed structural characterization of ChM revealed a crystalline phase analogous to magnetite and spherical morphologies; extending the reaction time to 8 min yielded a "nanorod" type morphology. Both the morphologies displayed a nanoscale limit with particles averaging between 5 and 30 nm in size, resulting the superparamagnetic performance and saturation magnetization values between 45 and 58 emu/g. The nitrogen adsorption-desorption isotherms showed that the surface modification of ChMs resulted in a rise of specific surface area and pore size. Anionic azo dyes (methyl orange (MO) and reactive black 5 (RB5)) adsorption on the surface of nanocomposites was also demonstrated to be pH-dependent, with the reaction favoured for surface-modified samples at pH 4 and unmodified samples at pH 8. Adsorption capacity studies showed that molecule size effect and electrostatic attraction were two distinct adsorption processes for unmodified and modified ChMs. Chitin Magnetite nanoparticles appear to be a substitute for traditional anionic dye adsorbents. Additionally, the two key materials sources, chitin, and magnetite are inexpensive and easily accessible., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper, (Copyright © 2022 Elsevier Inc. All rights reserved.)

Phenols are of much toxicological and they must be effectively removed from the wastewater from industries as well as sewage treatment. Such removal demands a special and strong composite. So, this piece of research aims to activate Potassium peroxymonosulfate (PPMS) with the large surface area of magnetite nitrogen-fixed porous carbon nanotube composites (Co/CoOx@NCNT). Increases in the graphitization degree and structural control brought about by the incorporation of reduced Graphite oxide (rGO) significantly increased the catalyst activity of Co/CoOx@NCNT. It was found that PPMS activation for phenol removal by Co/CoOx@NCNT was nearly as effective as by homogeneous Co 2+ , with nearly 100% removal efficiency in 10 min. Both high reusability and high recycling of Co/CoOx@NCNT were accomplished simultaneously by proving the technology of viability in practical applications. The PPMS activation mechanism in the Co/CoOx@NCNT/PPMS system was driven by the electron transmission from contaminants to PPMS through the sp 2- hybrid carbon nanotubes and nitrogen system. The selectivity of the Co/CoOx@NCNT/PPMS system to remove diverse organic compounds was determined by batch experiments. Due to the insignificant impact of radicals reactive on pollutant breakdown, the ability to inhibit species (such as Cl - and natural organic materials) from a minor role was significantly decreased. These results not only shed light on the process of PPMS heterogeneous activation but also provided a framework for the balanced project of highly effective nanocarbon-based catalysts for PPMS activation., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)

A 4-year-old boy with extensive papules and nodules with arthritis was evaluated and followed up. In spite of the initial worrisome presentation, the lesions showed near-complete resolution over a 2-year follow-up period. Click here for the corresponding questions to this CME article., (© 2022 British Association of Dermatologists.)

Enterocytozoon hepatopenaei (EHP), is an emerging microsporidian pathogen responsible for hepatopancreatic microsporidiasis (HPM) in shrimps and is associated with severe growth retardation. The disease causes economic losses in shrimp aquaculture. In this study, EHP spore germination was induced and demonstrated with a scanning electron microscope (SEM). The ions (cations and anions) generated by high-energy electrons during frozen water radiolysis in the SEM specimen chamber induce EHP spore germination. This study is the first to demonstrate the induction of a microsporidian spore germination by ions generated under SEM. This study will enhance our understanding of EHP biology, life cycle and lead to the development of prophylactics and therapeutics for EHP control. Also, this method will help standardize the study of germination in other microsporidians., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)

The impact of lifestyle interventions on diabetes and mental health conditions have been documented among people with diabetes. However, the mental health benefits of lifestyle interventions designed for diabetes prevention have not been systematically investigated among people at high risk of diabetes, particularly in low- and middle-income countries. We examined the effects of a 12-month peer support lifestyle intervention designed for diabetes prevention on depression and anxiety symptomology in the sample population of the Kerala Diabetes Prevention Program. Mixed-effects linear regression models were used to examine the effect of the intervention on depression and anxiety scores at 12 and 24 months in the total sample of 1007 adults at risk for diabetes and among those with mild-severe depressive or anxiety symptoms at baseline (n = 326 for depression; n = 203 for anxiety). Among all participants, the intervention group had a significantly higher reduction of depressive symptoms as compared to the control group at 12 months (mean diff score = -0.51; 95% CI: -0.95, -0.07; P = 0.02). This effect was not sustained at 24 months. There were no significant intervention effects for anxiety. Among those with mild-severe symptoms at baseline, the intervention group had a significantly higher reduction of depressive symptoms (mean diff score = -1.55; 95% CI -2.50, -0.6; P = 0.001) and anxiety symptoms (mean diff score = -1.64; 95% CI -2.76, -0.52; P = 0.004) at 12 months. The effect was sustained at 24 months for depression, but not anxiety. Lifestyle interventions designed for prevention of diabetes might improve depressive and anxiety symptoms in the short-term, particularly among those with mild-severe symptoms., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Occupancy of waste micro plastic particles in the beach sand is found hazardous sea livings as well as creates the environmental issues. Many research attempts have been made to short out them. This investigation focuses on utilizing such micro plastic to produce cost effective ABS plasticproducts including toys manufacturing. The screened out micro plastic particles were chemically refined to obtain the pro form of Polypropylene (PP) and Polystyrene (PS) and then they used (10 wt%, 15 wt%, 20 wt%and 25 wt%) with raw ABS plastic and prepared billets by injection moulding. The moulding parameters like melting temperature (230 °C, 240 °C, 250 °C and 260 °C), injection pressure (1300 bar, 1400 bar, 1500 bar and 1600 bar) and injection time (0.4s, 0.8s, 1.2s and 1.6s) to maximize the Impact, tensile and flexural strengths of proposed plastic with Taguchi method. The results reveal that 25% micro plastic reinforced specimen prepared at 250 °C, 1400 bar and 1.6s, is outperformed., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Alternate fuels are in great need as the world's natural resources are depleting with continuous consumption. Furthermore, with a continuous increase in the use of conventional fuel which emits a large number of harmful pollutants to the environment and thus increasing global warming, the need for alternative fuel is in great need. This investigation thus focused on the impact identification on the use of biodiesel from fish waste-based biodiesel [BDWFO (Bio-Diesel of Waste Fish Oil)] with Nanoparticles in single cylinder water cooled IC engine. The fish wastes in fish processing industries/fish markets are used to produce oil and its biodiesel is produced by the transesterification method. The individual BDWFO, Diesel, and blends of 20% of BDWFO were tested with the engine. Then another two combinations of fuel created 200 ppm of 40 nm Aluminium Oxide nanoparticles (AN) mixed with BDWFO, blends of 20% of BDWFO. These five fuels were considered to study the engine performance, combustion, and emissions from the exhaust. The experimental results confirmed the presence of aluminium oxide nanoparticles in BDWFO provides improved engine performance and reduced emissions from exhaust gas except for CO 2 ., (© 2022. The Author(s).)

Background: Delayed diagnosis and treatment of sight threatening diabetic retinopathy (STDR) is a common cause of visual impairment in people with Type 2 diabetes. Therefore, systematic regular retinal screening is recommended, but global coverage of such services is challenging. We aimed to develop and validate predictive models for STDR to identify 'at-risk' population for retinal screening., Methods: Models were developed using datasets obtained from general practices in inner London, United Kingdom (UK) on adults with type 2 Diabetes during the period 2007-2017. Three models were developed using Cox regression and model performance was assessed using C statistic, calibration slope and observed to expected ratio measures. Models were externally validated in cohorts from Wales, UK and India., Findings: A total of 40,334 people were included in the model development phase of which 1427 (3·54%) people developed STDR. Age, gender, diabetes duration, antidiabetic medication history, glycated haemoglobin (HbA1c), and history of retinopathy were included as predictors in the Model 1, Model 2 excluded retinopathy status, and Model 3 further excluded HbA1c. All three models attained strong discrimination performance in the model development dataset with C statistics ranging from 0·778 to 0·832, and in the external validation datasets (C statistic 0·685 - 0·823) with calibration slopes closer to 1 following re-calibration of the baseline survival., Interpretation: We have developed new risk prediction equations to identify those at risk of STDR in people with type 2 diabetes in any resource-setting so that they can be screened and treated early. Future testing, and piloting is required before implementation., Funding: This study was funded by the GCRF UKRI (MR/P207881/1) and supported by the NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology., Competing Interests: SS reports personal fees from Novartis, personal fees from Bayer, grants from Boehringer Ingleheim, grants and personal fees from Allergan, personal fees from Oxurion, personal fees from Apellis, personal fees from Roche, outside the submitted work; ATP reports grants from UKRI to employer King's College London, during the conduct of the study; personal fees from Roche and a grant from Wellcome Trust, outside the submitted work. RM reports personal fees from AMGEN, outside the submitted work. None of the other authors declare that they have any competing interests related to the submitted work., (© 2022 The Author(s).)

Most of the 'oil refineries' severally pollutes the water resources by depleting their untreated waste water like cooling water, storm water and unsanitary sewage water. These wastewaters are to be treated with high care to protect the human, pebbles, plants, fish and other water animals and from harmful effects. The present study focused to treat the oil refinery wastewater by means of Multi wall carbon nanotube (MWCNT) coated Polyvinylidene Fluoride (PVDF) membrane. The main objectives are: to increases the life of filter, reduce the percolation flux and reduce the formation of antifouling in the filter by using MWCNT composite membrane in it. Different process parameters of the proposed water treatment process, like diameter of MWCNT (15 nm, 20 nm, 25 nm and 30 nm), operating pressure (3 bar, 4 bar, 5 bar and 6 bar), pH value (3, 5, 7 and 9) and temperature (25 °C, 30 °C, 35 °C and 40 °C) temperature. Taguchi statistical technique is employed for designing experiments and for optimizing the process parameters of wastewater treatment process of an oil refinery. The proposed filter for wastewater treatment exhibited appreciable performance in removal rate of Percolation flux, percentage of chemical oxygen demand removal and percentage of total carbolic rejection as 27.2 kg/m 2 h, 78.51% and 95.33% respectively., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Aluminum, magnesium, and copper materials must have increased mechanical strength with enhanced wear and corrosion resistance. Substantial research focused on reinforcing hard particles into low-strength materials using stir casting or powder metallurgy. This work is intended to develop the magnesium hybrid matrix with the dispersion of boron carbide (B 4 C) and multiwall carbon nanotubes (MWCNTs). Hybrid magnesium composites are prepared, although the powder metallurgy route considers different process parameters. Statistical analysis such as Taguchi L16 orthogonal array is involved in this work. It is used to find the magnesium hybrid samples' minimum and maximum wear, corrosion, and microhardness levels. Powder metallurgy parameters are B 4 C (3%, 6%, 9%, and 12%), MWCNT (0.2%, 0.4%, 0.6%, and 0.8%), ball milling (1, 2, 3, and 4 h), and sintering (3, 4, 5, and 6 h). The ball milling parameters are extremely influenced in the wear test analysis. Minimum wear losses are obtained as 0.008 g by influencing the 4 h ball milling process. Similarly, 3 h of sintering time offered a minimum corrosion rate of 0.00078 mm/yr. In microhardness analysis, the percentage of MWCNTs is highly implicated in narrow hardness resulting in the hardness value of 181. The hardness value is recorded using 0.2% MWCNTs in the magnesium alloy AZ80., Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this article., (Copyright © 2022 T. Sathish et al.)

In this work, copper (Cu) matrix composite reinforced with titanium carbide (TiC) was fabricated by powder metallurgy (PM) method with the varying TiC content from 0% to 12% by weight in the step of 4%. The required weight percentage of powders was milled in an indigenously developed ball milling setup. Green compacts were made using a computer-controlled hydraulic press (400 kN) and sintered in a muffle furnace at a temperature of 950°C. Scanning electron microscope (SEM) was used to analyze the distribution of TiC particles in Cu matrix in as-sintered conditions. X-ray diffraction (XRD) analysis resulted in the existence of respective phases in the produced composites. The structural characteristics such as stress, strain, dislocation density, and grain size of the milled composites were evaluated. Cold upsetting was conducted for the sintered composites at room temperature to evaluate the axial ( σ z ), hoop ( σ ө ), hydrostatic ( σ m ), and effective ( σ eff ) true stresses. These stresses were analyzed against true axial strain ( ε z ). Results showed that the increase in the inclusion of weight percentage of TiC into the Cu matrix increases density, hardness, ( σ z ), ( σ ө ), ( σ m ), ( σ eff ), and stress ratio parameters such as ( σ z / σ eff ), ( σ θ / σ eff ), ( σ m / σ eff ), and ( σ z / σ θ ) of the composites., Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this article., (Copyright © 2022 V. Mohanavel et al.)

The purpose of this study was to examine the determinants of health service utilization in a population at high risk of developing type 2 diabetes mellitus in India. Using Andersen's behavioral model of healthcare utilization, multivariate logistic regression analysis was performed on baseline data of the Kerala Diabetes Prevention Program. We examined the association between predisposing, enabling, and need factors with outpatient health service use in the past four weeks and inpatient health service use in the past 12 months. More than a quarter (27.9%) and 12.9% of 1007 participants used outpatient services and inpatient services, respectively. Men were less likely to use outpatient services (odds ratio [OR] = 0.56). Outpatient service utilization was positively associated with low social support (OR = 1.69), low general health status (OR = 5.71), and time off from work due to illness (OR = 8.01). Higher educational status (OR = 0.63), low general health status (OR = 3.59), and time off from work due to illness (OR = 1.21) were associated with increased utilization of inpatient services. Although gender, educational status, and social support had important roles, health service utilization in this study population was largely dependent on general health status and presence of illness.

Background: Isolated impaired fasting glucose (i-IFG) constitutes a major group in the prediabetic spectrum among Indians, and thus it is imperative to identify effective diabetes prevention strategies. This study aims to evaluate the effects of an intensive community-based lifestyle modification program on regression to normoglycemia among women with i-IFG, compared to a control group at 24 months. The study also aims to evaluate the implementation of the intervention, via both process and implementation outcomes. Methods: We will use a hybrid design (Effectiveness-implementation hybrid type 2 trial) to test the effectiveness and implementation of the lifestyle modification intervention. Effectiveness is evaluated using a randomized controlled trial among 950 overweight or obese women, aged 30 to 60 years, with i-IFG on an oral glucose tolerance test in the Indian state of Kerala. The intervention involves an intensive lifestyle modification program through group and individually mentored sessions using behavioural determinants and behavioural change techniques.  The intervention group will receive the intervention for a period of 12 months and the control group will receive general health advice through a health education booklet. Data on behavioural, clinical, and biochemical measures will be collected using standard methods at 12 and 24 months. The primary outcome will be regression to normoglycemia at 24 months, as defined by the American Diabetes Association criteria. Discussion : This study will provide the first evidence on the effects of lifestyle interventions on regression to normoglycemia in people with i-IFG among Indians. CTRI registration: CTRI/2021/07/035289 (30/07/2021)., Competing Interests: No competing interests were disclosed., (Copyright: © 2022 Mathews E et al.)

Naturally obtained materials are preferable for the production of biomedicine in biomedical applications. Acacia gum is has recently become a hopeful one in the biomedicine production due to its excellent properties, namely, emulsifier, stabilizing mediator, suspending agent, etc. In this novel work, we synthesised and characterized the deesterified Acacia gum-alginate nanohydrogel (DEA-AG NPs) as a carrier for amethopterin (ATN) delivery. This combination is used in the drug effectiveness and tissue engineering. In this work, the Taguchi route is implemented for estimating of particle size and zeta potential (mV) through optimization. Following three parameters are considered for this work: DEA solution concentration (0.008, 0.016, 0.024, and 0.032 w/v %), alginate molecular weight (3, 6, 9, and 12 MW), and ATN/DEA ratio (1 : 4, 1 : 8, 1 : 12, and 1 : 16 w/w %). In particle size analysis and zeta potential analysis, the DEA solution concentration is highly influenced. Minimum particle size is found as 148.50 nm. Similarly, maximum zeta potential is identified as 29.5 mV., Competing Interests: The authors declare that there are no conflicts of interest., (Copyright © 2022 T. Sathish et al.)

Clean technology-based natural fiber composite fabrication is the prime aim of this piece of research. Natural fibers highly replace metal usage in industries and automobile, marine, medical applications, and so on. Vast amounts of natural fibers are freely available in all areas. In this research, work nanofiller material such as nano form waste coir fiber is collected from used car seat. The 10 wt.% of nanofiller material is added to the preparation of natural nanocomposites (ramie and abaca fiber). Hybrid composites are fabricated with the influence of different process parameters, namely, fiber weight percentage (20 wt.%, 30 wt.%, 40 wt.%, and 50 wt.%), NaOH action % (4%, 6%, 8%, and 10%), compression pressure (9 MPa, 12 MPa, 15 MPa, and 18 MPa), and temperature (100°C, 120°C, 140°C, and 160°C). Furthermore, the strength of this hybrid composite has analyzed by conducting flexural, impact, and shore hardness tests. These tests have provided the influence of selected parameters and their effects on the results of experimental work. In the flexural analysis, 6% of NaOH action has offered maximum flexural strength of the specimens. Correspondingly in the impact test, 30 wt.% of fiber is produced higher impact strength. Finally, applying 15 Mpa of compression pressure records the maximum shore hardness., Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this article., (Copyright © 2022 T. Sathish et al.)

The association between dietary patterns and cardiometabolic risk factors is not well understood among adults in India, particularly among those at high risk for diabetes. For this study, we analyzed the data of 1007 participants (age 30-60 years) from baseline and year one and two follow-ups from the Kerala Diabetes Prevention Program using multi-level mixed effects modelling. Dietary intake was measured using a quantitative food frequency questionnaire, and dietary patterns were identified using principal component analysis. Two dietary patterns were identified: a "snack-fruit" pattern (highly loaded with fats and oils, snacks, and fruits) and a "rice-meat-refined wheat" pattern (highly loaded with meat, rice, and refined wheat). The "snack-fruit" pattern was associated with increased triglycerides (mg/dL) (β = 6.76, 95% CI 2.63-10.89), while the "rice-meat-refined wheat" pattern was associated with elevated Hb1Ac (percentage) (β = 0.04, 95% CI 0.01, 0.07) and central obesity (OR 1.16, 95% CI 1.01, 1.34). These findings may help inform designing dietary interventions for the prevention of diabetes and improving cardiometabolic risk factors in high-diabetes-risk individuals in the Indian setting.

Background: Separate studies suggest that the risks from smoking might vary between high-income (HICs), middle-income (MICs), and low-income (LICs) countries, but this has not yet been systematically examined within a single study using standardised approaches. We examined the variations in risks from smoking across different country income groups and some of their potential reasons., Methods: We analysed data from 134 909 participants from 21 countries followed up for a median of 11·3 years in the Prospective Urban Rural Epidemiology (PURE) cohort study; 9711 participants with myocardial infarction and 11 362 controls from 52 countries in the INTERHEART case-control study; and 11 580 participants with stroke and 11 331 controls from 32 countries in the INTERSTROKE case-control study. In PURE, all-cause mortality, major cardiovascular disease, cancers, respiratory diseases, and their composite were the primary outcomes for this analysis. Biochemical verification of urinary total nicotine equivalent was done in a substudy of 1000 participants in PURE., Findings: In PURE, the adjusted hazard ratio (HR) for the composite outcome in current smokers (vs never smokers) was higher in HICs (HR 1·87, 95% CI 1·65-2·12) than in MICs (1·41, 1·34-1·49) and LICs (1·35, 1·25-1·46; interaction p<0·0001). Similar patterns were observed for each component of the composite outcome in PURE, myocardial infarction in INTERHEART, and stroke in INTERSTROKE. The median levels of tar, nicotine, and carbon monoxide displayed on the cigarette packs from PURE HICs were higher than those on the packs from MICs. In PURE, the proportion of never smokers reporting high second-hand smoke exposure (≥1 times/day) was 6·3% in HICs, 23·2% in MICs, and 14·0% in LICs. The adjusted geometric mean total nicotine equivalent was higher among current smokers in HICs (47·2 μM) than in MICs (31·1 μM) and LICs (25·2 μM; ANCOVA p<0·0001). By contrast, it was higher among never smokers in LICs (18·8 μM) and MICs (11·3 μM) than in HICs (5·0 μM; ANCOVA p=0·0001)., Interpretation: The variations in risks from smoking between country income groups are probably related to the higher exposure of tobacco-derived toxicants among smokers in HICs and higher rates of high second-hand smoke exposure among never smokers in MICs and LICs., Funding: Full funding sources are listed at the end of the paper (see Acknowledgments)., Competing Interests: Declaration of interests We declare no competing interests., (Copyright © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd.. All rights reserved.)

In the current research, AA6082 aluminium alloy matrix composites (AAMCs) incorporated with various weight fractions of titanium diboride (0, 3, 6, and 9 wt%) were prepared via an in situ casting technique. The exothermic reaction between inorganic powders like dipotassium hexafluorotitanate (K2TiF6) and potassium tetrafluoroborate (KBF4) in molten Al metal contributes to the development of titanium diboride content. The manufactured AA6082-TiB2 AAMCs were evaluated using a scanning electron microscope (SEM) and X-ray diffraction (XRD). The mechanical properties and wear rate (WR) of the AAMCs were investigated. XRD guarantees the creation of TiB2 phases and proves the nonappearance of reaction products in the AMCs. SEM studies depict the even dispersion of TiB2 in the matrix alloy. The mechanical and tribological properties (MTP) of the AAMCs showed improvement by the dispersion of TiB2 particles. The WR decreases steadily with TiB2 and the least WR is seen at nine weight concentrations of TiB2/AA6082 AAMCs. Fabricated composites revealed 47.9% higher flexural strength and 14.2% superior compression strength than the base AA6082 alloy., Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this article., (Copyright © 2022 Vinayagam Mohanavel et al.)