Search

Background: Coronal fractures of distal end femur, referred as Hoffa’s fracture are not uncommon, yet easily missed injuries lacking proper classification system and consensus for ideal treatment. While most trauma surgeons adopt different strategies based on the fracture configuration and their own experience, there are no set ways to classify these based on the most appropriate treatment strategy. Methods: Thirty cases of Hoffa fracture from tertiary care centres were studied for the fracture pattern, fragment size, comminution and possible variations to formulate a radiological classification and treatment guidelines. Additionally, a literature search was used to analyze 77 case studies based on Hoffa fracture to find out the common fracture patterns and treatment modalities adopted for varying fracture patterns in these studies. Six independent observers participated in testing the inter-observer reliability of the proposed classification. Results: A new proposed radiological classification for Hoffa fracture consists of four main types. Type 1 is with fracture fragment >2.5 cm, Type 2 with fragment

Glucuronoxylan is present mainly in the dicot of the secondary cell walls, often O‐acetylated, which stabilizes cell structure by maintaining interaction with cellulose and other cell wall components. Some members of the Golgi localized Trichome Birefringence‐Like (TBL) family function as xylan O‐acetyl transferase (XOAT). The primary XOAT in the stem of Arabidopsis is ESKIMO1/TBL29, and its disruption results in decreased xylan acetylation, stunted plant growth, and collapsed xylem vessels. To elucidate the effect on metabolic reprogramming and identify the underlying cause of the stunted growth in eskimo1, we performed transcriptomic, targeted, and untargeted metabolome analysis, mainly in the inflorescence stem tissue. RNA sequencing analysis revealed that the genes involved in the biosynthesis, regulation, and transport of aliphatic glucosinolates (GSLs) were upregulated, whereas those responsible for indolic GSL metabolism were unaffected in the eskimo1 inflorescence stem. Consistently, aliphatic GSLs, such as 4‐methylsulfinylbutyl (4MSOB), were increased in stem tissues and seeds. This shift in the profile of aliphatic GSLs in eskimo1 was further supported by the quantification of the soluble acetate, decrease in accumulation of GSL precursor, i.e., methionine, and increase in the level of jasmonic acid. [ABSTRACT FROM AUTHOR]

Background: Radiation Heart Disease (RHD) results from thoracic radiotherapy and often necessitates Cardiothoracic Surgery (CTS). This study investigates the Long-Term Survival (LTS) of cardiac surgery patients with RHD. Objective: To evaluate the LTS outcomes for patients with RHD who have undergone cardiac surgery. Materials and Methods: This cohort study involved 268 RHD patients and 400 control patients, matched by age, gender, and type/time of CTS. Most RHD patients had a history of Hodgkin lymphoma or breast cancer, with an average of 20 years to 22 years since radiation therapy. Mortality was analyzed using Multivariate Cox Proportional Hazard Analysis (MCPHA). Results: Clinical and surgical parameters, including all-cause mortality and preoperative STS score, were assessed. The mean STS score was comparable between RHD and control groups. RHD patients had a higher incidence of proximal coronary artery disease but lower rates of redo CTS compared to controls. Approximately two-thirds of patients in both groups underwent combined surgical procedures. Over an average follow-up period of 8 years, the RHD group had a significantly higher mortality rate compared to the control group. Higher mortality was linked to the absence of ß-blockers, a higher STS score, and RHD status in the MCPHA. Conclusions: RHD patients undergoing CTS have reduced LTS compared to non-RHD patients. Improved therapeutic strategies can be needed to enhance survival outcomes for RHD patients. [ABSTRACT FROM AUTHOR]

Introduction: Guillain-Barré syndrome (GBS) is a very rare immune mediated disorder which is associated with demyelination of peripheral nervous system and progressive muscle weakness that occurs mostly in previously healthy individuals. It usually presents with ascending paralysis and is severe enough to warrant hospital admission for its management. Methodology: The current study is a retrospective, observational study was conducted for the assessment of clinical profile data and treatment pattern of Guillain-Barré syndrome. Result: According to our data, we observe that treatment like IVIG, Plasmapheresis, Nutrition therapy; Analgesic etc. are the common medication prescribed by the physicians as per patient condition. AIDP is the most common sub-type of GBS was observed in patients, with about 60% AIDP, 20%AMAN, 20% MFS patients were observed. The mostly observed symptoms in the GBS are weakness of limbs, bifacial weakness, slurring of speech and fever. As per our data about 72% of males and 28% of females were diagnosed with GBS. Conclusion: Both IVIG and Plasmapheresis treatment showed significant improvement within our study setting IVIG was the preferred treatment option due to low side effect profile and ease of administration however cost of treatment is higher compared to Plasmapheresis. [ABSTRACT FROM AUTHOR]

Introduction: Young adults with Visual impairment (VI) challenge the dentists' skills and knowledge due to a higher risk of developing oral diseases due to difficulty in attaining good oral hygiene (OH). Aims: To assess the effectiveness of ATP (Audio‐Tactile Performance) technique and braille versus braille alone in improving OH status of young adults with VI. Methods and material: A parallel arm, randomized controlled trial was conducted among 70 young adults with VI. Participants were randomly allocated to either test group (braille combined with ATP) or control group (braille alone). A pre‐validated braille questionnaire was used to obtain the baseline data followed by clinical examination. OH status assessment was recorded through Gingival Index (GI) and Plaque Index (PI) proforma followed by a thorough ultrasonic oral prophylaxis. Periodic reinforcement was carried out on the 7th day, after 1 month and 3 months. The outcomes were assessed at the end of 3rd and 6th month. Results: There was an increase in the knowledge scores after 3 and 6 months and attitude scores, GI scores and PI scores after 6 months in the test group compared to the control group and this difference was found to be statistically significant. Conclusions: The findings of this study showed that a combination of ATP and braille proved to be more effective than braille alone in improving the knowledge and OH status of young adults with VI. [ABSTRACT FROM AUTHOR]

Background: Human antibiotic formulations in animal feed for therapeutic and non-therapeutic purposes have contributed to antimicrobial resistance worldwide; however, little evidence is available in low- and middle-income countries. We aimed to generate evidence of antibiotic use across the human and animal health sectors by investigating the overlap in antibiotic use in community settings in rural blocks of Pune District, India, following the World Health Organization's (WHO) Access, Watch, Reserve (AWaRe) classification. Materials and Methods: An exploratory pilot study using a cross-sectional design in two randomly selected rural blocks of the Pune district included 138 interviews with general physicians (GPs, n = 62), pharmacists (n = 60), and veterinary practitioners (n = 16) using semi-structured interview schedules and the WHO AWaRe classification. IBM-Statistical Package for the Social Sciences, Version 21.0 software was used for descriptive statistics and to calculate the proportions of the different antibiotic groups. The WHO AWaRe classification was used to describe antibiotic use by the study participants and to assess the overlap in antibiotic use. Results: Our study provides evidence of an overlap in human and animal antibiotic use in rural community settings across the human and animal health sectors. Amoxicillin (access group), penicillin (access group), and ofloxacin (watch group) were used in both human and animal health. Amoxicillin and penicillin were used to treat common bacterial infections, ofloxacin was used to treat skin infections in humans and animals, and ofloxacin was used to treat pneumonia in animals and urinary bladder infections in humans. In contrast, azithromycin (watch group), cefixime (watch group), and amoxicillin (Access Group), with or without other antibiotics, were the most commonly used antibiotics by GPs in humans. Conclusion: We confirmed the overlap in antibiotic use across the human and animal health sectors in rural community settings, suggesting the need for interventions following the One Health approach. Further, research is required to assess the patterns of this overlap, as well as behavior, knowledge, and potential solutions to help avoid this overlap and prevent the rampant use of antibiotics in the animal and human health sectors in rural community settings. [ABSTRACT FROM AUTHOR]

The paper aims to provide a comprehensive review of pertinent literature on the impact of motivation on student learning. Motivation is a key factor in determining students’ engagement, effort and achievement in educational settings. With an exploration of various theoretical frameworks, empirical studies as well as practical applications, this paper seeks to shed light on the multifaceted relationship between motivation and student learning outcomes. The findings will contribute to a deeper understanding of how motivation can be effectively harnessed to enhance educational practices and promote optimal student learning experiences. [ABSTRACT FROM AUTHOR]

The study of flow and mixing dynamics for conventional micromixers as well as micromixers with split and recombine (SAR) units has been carried out using laminar and transport diluted physics modules. Initially, a pilot numerical analysis was done for the basic Y-shaped curved, rectangular and triangular serpentine micromixers. Later, SAR units have been added to these basic designs and the effect of SAR units on the performance characteristics viz., mixing index, pressure drop, performance index and pumping power has been studied. In-depth qualitative analysis was also carried out to visualize the flow and mixing dynamics for the Reynolds number in the range from 0.1–50. The study results revealed that the square shaped chambers and circular obstacle based rectangular serpentine micromixer (SCCO-RSM) demonstrated better performance as compared to the other designs. The proposed micromixer is the better candidate for microfluidics applications such as Lab-On-a-Chip (LOC), Micro-Total-Analysis-Systems (µTAS) and Point of Care Testing (POCT), etc. [ABSTRACT FROM AUTHOR]

The seed size and shape in lentil (Lens culinaris Medik.) are important quality traits as these influences the milled grain yield, cooking time, and market class of the grains. Linkage analysis was done for seed size in a RIL (F5:6) population derived by crossing L830 (20.9 g/1000 seeds) with L4602 (42.13 g/1000 seeds) which consisted of 188 lines (15.0 to 40.5 g/1000 seeds). Parental polymorphism survey using 394 SSRs identified 31 polymorphic primers, which were used for the bulked segregant analysis (BSA). Marker PBALC449 differentiated the parents and small seed size bulk only, whereas large seeded bulk or the individual plants constituting the largeseeded bulk could not be differentiated. Single plant analysis identified only six recombinant and 13 heterozygotes, of 93 small-seeded RILs (<24.0 g/1000 seed). This clearly showed that the small seed size trait is very strongly regulated by the locus near PBLAC449; whereas, large seed size trait seems governed by more than one locus. The PCR amplified products from the PBLAC449 marker (149bp from L4602 and 131bp from L830) were cloned, sequenced and BLAST searched using the lentil reference genome and was found amplified from chromosome 03. Afterward, the nearby region on chromosome 3 was searched, and a few candidate genes like ubiquitin carboxyl-terminal hydrolase, E3 ubiquitin ligase, TIFY-like protein, and hexosyltransferase having a role in seed size determination were identified. Validation study in another RIL mapping population which is differing for seed size, showed a number of SNPs and InDels among these genes when studied using whole genome resequencing (WGRS) approach. Biochemical parameters like cellulose, lignin, and xylose content showed no significant differences between parents and the extreme RILs, at maturity. Various seed morphological traits like area, length, width, compactness, volume, perimeter, etc., when measured using VideometerLab 4.0 showed significant differences for the parents and RILs. The results have ultimately helped in better understanding the region regulating the seed size trait in genomically less explored crops like lentils. [ABSTRACT FROM AUTHOR]

Microfluidic devices/systems, including Micro-Total-Analysis-System (µTAS), Point of Care Testing (POCT) and Lab-On-a-Chip (LOC) are used in many chemical and biological assays applications. Among the vital tasks that these microfluidic devices must achieve essentially include a high degree of mixing and accordingly, micromixers are being used for the same purpose. The design depends on the yield required in particular application. In the proposed study, the four kinds of heart-shaped micromixers with different obstacles have been studied through simulations. The influence of the shape and size of different obstacles viz., circular shape, diamond shape, teardrop shape, and heart shape obstacles on the performance characteristics has been studied. The performance characteristics namely, the mixing index and pressure drop have been used. In accordance with the study, a heart-shaped micromixer with heart shape obstacles (HSM-HSO) has come out to be the most efficient micromixer due to the significant chaotic convection effect. The heart-shaped micromixer with heart shape obstacles (HSM-HSO) of size 0.350 µm × 0.350 µm has shown better performance for a wider range of Reynolds number (Re), i.e., mixing index of Re > 0.99, for Re of 0.1 and Re in the range of 15–45. [ABSTRACT FROM AUTHOR]

Nowadays, organizations look for candidates who possess future skills. Students and instructors from Higher Education Institutions (HEIs) in India participated in this study to find the skill level required for being considered for employment. The results of the study show that employability skills include future skills like communication skills, digital skills, entrepreneurship skills, personal and interpersonal skills, and ethical-cum-critical thinking skills. The study finds no significant difference in the views of students and teachers regarding the implementation/imbibing of future skills required for employment. The study recommends that HEIs should partner with the industry to train students so that they have the relevant skills to be employable. [ABSTRACT FROM AUTHOR]