Search

Abstract Background Ondansetron is a selective 5-hydroxytryptamine type 3 serotonin-receptor antagonist with antiemetic properties used inadvertently in the emergency department for controlling nausea. However, ondansetron is linked with a number of adverse effects, including prolongation of the QT interval. Therefore, the purpose of this meta-analysis was to assess the occurrence of QT prolongation in pediatric, adult, and elderly patients receiving oral or intravenously administered ondansetron. Methods A thorough electronic search was conducted on PubMed (Medline) and Cochrane Library from the databases' inception to August 10, 2022. Only those studies were considered in which ondansetron was administered orally or intravenously to participants for the treatment of nausea and vomiting. The prevalence of QT prolongation in multiple predefined age groups was the outcome variable. Analyses were conducted using Review manager 5.4 (Cochrane collaboration, 2020). Results A total of 10 studies involving 687 ondansetron group participants were statistically analyzed. The administration of ondansetron was associated with a statistically significant prevalence of QT prolongation in all age groups. An age-wise subgroup analysis was conducted which revealed that the prevalence of QT prolongation among participants younger than 18 years was not statistically significant, whereas it was statistically significant among participants aged 18–50 years and among patients older than 50 years. Conclusions The present meta-analysis provides further evidence that oral or intravenous administration of Ondansetron may lead to QT prolongation, particularly among patients older than 18 years of age.

Mammals have 6 highly conserved actin isoforms with nonredundant biological functions. The molecular basis of isoform specificity, however, remains elusive due to a lack of tools. Here, we describe the development of IntAct, an internal tagging strategy to study actin isoforms in fixed and living cells. We identified a residue pair in β-actin that permits tag integration and used knock-in cell lines to demonstrate that IntAct β-actin expression and filament incorporation is indistinguishable from wild type. Furthermore, IntAct β-actin remains associated with common actin-binding proteins (ABPs) and can be targeted in living cells. We demonstrate the usability of IntAct for actin isoform investigations by showing that actin isoform-specific distribution is maintained in human cells. Lastly, we observed a variant-dependent incorporation of tagged actin variants into yeast actin patches, cables, and cytokinetic rings demonstrating cross species applicability. Together, our data indicate that IntAct is a versatile tool to study actin isoform localization, dynamics, and molecular interactions.

This research addresses the challenge of automating skin disease diagnosis using dermatoscopic images. The primary issue lies in accurately classifying pigmented skin lesions, which traditionally rely on manual assessment by dermatologists and are prone to subjectivity and time consumption. By integrating a hybrid CNN-DenseNet model, this study aimed to overcome the complexities of differentiating various skin diseases and automating the diagnostic process effectively. Our methodology involved rigorous data preprocessing, exploratory data analysis, normalization, and label encoding. Techniques such as model hybridization, batch normalization and data fitting were employed to optimize the model architecture and data fitting. Initial iterations of our convolutional neural network (CNN) model achieved an accuracy of 76.22% on the test data and 75.69% on the validation data. Recognizing the need for improvement, the model was hybridized with DenseNet architecture and ResNet architecture was implemented for feature extraction and then further trained on the HAM10000 and PAD-UFES-20 datasets. Overall, our efforts resulted in a hybrid model that demonstrated an impressive accuracy of 95.7% on the HAM10000 dataset and 91.07% on the PAD-UFES-20 dataset. In comparison to recently published works, our model stands out because of its potential to effectively diagnose skin diseases such as melanocytic nevi, melanoma, benign keratosis-like lesions, basal cell carcinoma, actinic keratoses, vascular lesions, and dermatofibroma, all of which rival the diagnostic accuracy of real-world clinical specialists but also offer customization potential for more nuanced clinical uses.

Abstract Changes in the full-field flash and flicker electroretinogram (ERG) that accompany normal aging were evaluated in mice. ERGs were recorded from a single cohort of C57BL/6J mice from 5 to 70 weeks of age using conventional techniques. Dark-adapted ERGs were recorded for flash luminances of − 3.0 to 1.5 log cd-s-m−2; a- and b-wave amplitude and implicit time (IT) were calculated from these responses. In addition, light-adapted flicker ERGs elicited by sinusoidally modulated light were measured for temporal frequencies of 2 to 31 Hz. Amplitudes and phases were extracted from the flicker responses using Fourier analysis. Linear quantile mixed models were used for statistical comparisons of the effects of age on amplitude and timing. There was a significant decrease in a-wave amplitude (p 0.06). These results indicate that age scales the single flash and flicker ERG similarly, reducing response amplitude by a factor of approximately 2, from 5 to 70 weeks, with small or no effect on response timing. These data may be useful for guiding future longitudinal pre-clinical therapeutic studies.

A sample preparation step involving dissociation of tissues into their component cells is often required to conduct analysis of nucleic acids and other constituents from tissue samples. Frequently, the extracellular matrix and cell-cell adhesions are disrupted via treatment with a chemical dissociating reagent or various mechanical forces. In this work, a new, high-throughput, multiplexed method of dissociating tissues and cellular aggregates into single cells using ultrasound frequency bath sonication is explored and characterized. Different operating parameters are evaluated, and a treatment protocol with potential for uniform, high-throughput tissue dissociation is compared to the existing best chemical and orbital plate shaking protocol. Metrics such as percent dissociation, cellular recovery, average aggregate size, proportion of various aggregate sizes, membrane circularity, and cellular viability are subsequently assessed and found to be favorable. In optimized conditions, 53 ± 8% of 1 mm biopsy cores are dissociated within 30 min using sonication alone, surpassing leading high-throughput orbital plate shaking techniques five-fold. Chemical digestion is also 2 times more effective when complexed with sonication rather than orbital plate shaking. RNA content, quality, and expression are found to be superior to the standard protocol in terms of transcriptional preservation.

Durable and reliable photovoltaic (PV) modules are critical to enabling an efficient transition to sustainable energy generation. The rate at which new module designs and materials are developed and deployed currently outpaces the rate at which we can identify failure mechanisms and understand degradation rates. Increasing the service life of PV modules, and our ability to predict performance over time, requires more durable materials and designs, better durability testing, more extensive material characterization, robust modeling, and methods to cross-examine historical performance data to extract meaningful results. This is a multidisciplinary challenge that requires expertise from a broad range of fields and, therefore, benefits significantly from a collaborative approach. In this Perspective, we outline the approach taken by the Durable Module Materials Consortium (DuraMAT), present a few case studies where our approach was successful, and provide an outlook on where this approach might be applied as the PV technology landscape continues to rapidly evolve.

The atomic structure of FLiNaK and its evolution with temperature are examined with x-ray scattering and molecular dynamics (MD) simulations in the temperature range 460–636 °C. In accord with previous studies, it’s observed that the average nearest-neighbor (NN) cation-anion coordination number increases with increasing cation size, going from ∼4 for Li-F to ∼6.4 for K-F. In addition, we find that there is a coupled change in local coordination geometry – going from tetrahedral for Li-F to octahedral for Na to very disordered quasi-cuboidal for K. The varying geometry and coordination distances for the cation-anion pairs cause a relatively constant F-F next-nearest neighbor (NNN) distance of approximately 3.1 Å. This relatively fixed distance allows the F anions to assume an overall correlated structure very similar to that of a hard-sphere liquid with an extended radius which is beyond the normal F ion size but reflects the cation-anion coordination requirements. Careful consideration of the evolution of the experimental atomic distribution functions with increasing temperature shows that the changes in correlation at each distance can be understood within the context of broadening asymmetric neighbor distributions. Within the temperature range studied, the evolution of F-F correlations with increasing temperature is consistent with changes expected in a hard-sphere liquid simply due to decreasing density.

The two-port antenna is designed for THz communication where isolation is achieved with the defective ground. The radiator of the two-port antenna is inspired by the half-cutting technology which reduces the size and makes it a compact antenna. The T-shaped stub and open-ended slot are used to modify the capacitive and inductive reactance which diminish and discontinued the surface current to improve the port isolation. The T-shaped stub improves the electric length of the ground and enhances the port isolation by up to 3.4 dB and open-ended slot in the ground is used to weaken the mutual current and create the non-uniform current which intensifications the port isolation up to 7.7 dB at 2.2 THz. The dimensions of the design is 100 µm × 105 µm and the edge distance of the antennas is only 0.20λ with maximum isolation is 30 dB at 2.2 THz. The bandwidth of the two-port antenna is 1.74 THz to 2.52 THz that can be applicable in wireless communication applications.

Food fortification can be a solution to anemia in developing countries. A previous study determined that the combination of spray drying, hydroxypropyl-methylcellulose as wall material, and maltodextrin as bulk material, encapsulated iron gluconate achieved the highest bioavailability. However, the addition of vitamin B12 to the hydroxypropyl-methylcellulose/maltodextrin capsules increased the iron cell uptake over the previously reported results. The cell viability, the number of live, healthy cells in a sample, of HepG2, human liver cancer cells, increases by about 17% for dual-encapsulated iron gluconate and vitamin b12. The cell uptake in Caco2, human colorectal adenocarcinoma cells, is higher by 25% when using encapsulated iron and vitamin b12 compared to encapsulated iron. The strength of dual-encapsulated iron and vitamin b12 is also confirmed in in-vivo studies. Once fully anemic, young female rats eating food with encapsulated iron gluconate and vitamin b12, show the fastest recovery with respect to rats eating food with encapsulated iron and pure iron. The first needed only five days for their hemoglobulin values to return to normal. The second and the third needed 15 and 21 days, respectively.

Abstract Bilateral thalamic infarction resulting from the occlusion of the artery of Percheron (AOP) is a rare cerebrovascular event with distinctive clinical presentations. This case report explores the intricate relationship between vascular anatomy, midbrain function, and clinical manifestations. A 48‐year‐old male farmer with a history of diabetes mellitus presented with sudden‐onset visual disturbances, diplopia, bilateral eyelid drooping, and loss of consciousness. Extensive evaluations, including advanced imaging techniques, led to the diagnosis of bilateral upper midbrain infarction involving AOP. This case underscores the complexity of neurovascular interactions, highlighting the importance of precise diagnosis, and tailored management in addressing rare cerebrovascular conditions.

Abstract This work shows that radio‐frequency (RF) fields can simultaneously align carbon nanotubes (CNTs) dispersed in a resin and induce Joule heating to cure the resin. The timescales of alignment and curing using RF heating are numerically computed and compared at different field strengths in order to determine a temperature where alignment happens before the matrix crosslinks. Composites are experimentally fabricated at the desired target temperature and are optically analyzed and quantified; the CNT network is successfully aligned in the direction of the applied electric field. This methodology can be used to create composites where the local alignment can be varied across the sample. Composites fabricated using RF fields have higher electrical conductivity in the direction of the aligned CNTs than an oven‐cured, randomly aligned sample. Also, RF‐cured nanocomposites exhibit higher tensile strength and modulus in the direction of alignment compared to an oven‐cured sample. Finally, it is further demonstrated how this methodology can be coupled with a direct ink writing additive manufacturing process to induce alignment in any desired direction, even orthogonal to the shear forces in the extrusion direction.

Abstract Depression is a growing global crisis, with females at a higher rate of diagnosis than males. While the percentage of patients on prescribed antidepressants have tripled over the last two decades, we are still at a crossroad where the discrepancy lies between finding a drug to suit a patient and monitoring the abundance of it in the body to prevent unwanted side effects. Liquid Chromatography tandem mass spectrometry (LC–MS/MS) has garnered the attention of clinicians as a technique to accurately monitor therapeutic drugs in human serum with high specificity and accuracy. This may be a potential solution, but the challenge persists in the realm of sample preparation, where a method is automatable. We have developed and validated an LC–MS/MS-based assay for simultaneous quantification of 4 different classes of commonly prescribed antidepressants in women that is automated using a JANUS G3 Robotic Liquid Handler. Our method utilizes a simple sample preparation technique, utilizing only 20 μL of a serum sample, to accurately measure Bupropion, Citalopram, Desipramine, Imipramine, Olanzapine, Sertraline and Vilazodone across a range of 1.0 to 230 ng/mL. Our method exhibits a linearity of R2 ≥ 0.99 when detected in MRM mode and % CV of ≤ 20% for all analytes across the board. In addition, we have designed a prototype that can be utilized at a clinical mass spectrometry lab and assessed the long-term use of this prototype using an accelerated stability study. Overall, our developed method has the potential to be translated to clinical settings to monitor postpartum depression for a large number of patient samples using automation.

Abstract Background The present study deals with the butterfly diversity in Soraipung Range of Dehing Patkai National Park. The site was chosen on the basis that it lies in between Eastern Himalaya and Indo-Burma which is acclaimed as global biodiversity hotspot. Results A total of 92 butterfly species belonging to 5 families were recorded during the study of which 13 species were listed as protected under various schedules of the Indian Wildlife (Protection) Act, 1972 and 11 species were restricted to the Eastern Himalaya, India. Members of the Nymphalidae family were found to be dominant with (41) number of species followed by Papilionidae (17), Lycaenidae (16), Hesperiidae (10) and the least Pieridae (8). The maximum diversity is obtained in Nymphalidae family: where Shannon–Wiener Diversity Index (H′) is 3.604584 and Evenness (E) is 0.970651 while the minimum diversity is in Pieridae family where Shannon–Wiener Diversity Index (H′) is 1.936217 and Evenness (E) is 0.970651. Conclusions The study reveals that Soraipung range is rich in butterfly diversity but on the contrary their study is poorly documented. During the survey 13 threatened species and 11 species restricted to the Eastern Himalaya have been also documented in the National Park, thus making it an important butterfly habitat in the state. Therefore, its necessary to conduct more study as well as research on the butterflies in Dehing Patkai National Park for effective conservation and management programs.

Chronic kidney disease (CKD) is a complex disease that is asymptomatic in its early stages. Its delayed recognition may predispose patients to adverse outcomes. Early detection and management of kidney disease through screening programs is widely recommended. In the present study, we conducted a screening program at a hospital set up on World Kidney Day for 10 years to detect patients with CKD. The current study constituted 1324 apparently healthy adults, aged >18 years. Information on age, sex, height, weight, history of diabetes mellitus (DM) and hypertension (HTN), and familial history of kidney disease was recorded. Systolic and diastolic blood pressure, random blood sugar; urinalysis, and serum creatinine (Cr) levels were measured. The study outcome was the presence of CKD. Binary logistic regression analysis was applied to find the predictors of CKD. The median age of the study subjects was 40 years. CKD was found in 35.6% of subjects. Age, DM, HTN, and abnormal Cr levels were associated with increasing risk of CKD. The main objective of the present study was to identify the extent of risk relative to the co-factors of CKD and thereby target those who are potentially modifiable, like DM, to intervene at the earliest possible stage to treat the current disease condition and prevent the future health impairment.

It is noted that fire without smoke smokeless tobacco is one of the major scourges in the South-east Asia subcontinent, particularly India. It not only includes adult men and women users but a sizeable chunk entails Indian teenagers. What is worrying though, the models attempting to capture the global usage does not really has much to offer due to paucity of global data. That said, World Health Organization (WHO) has been at the forefront foreshadowing trends and using myriad policy initiatives to help developing countries combat the malaise. Mpower is one such policy framework by the WHO to help countries implement and manage tobacco control, the success of this country-tailored demand reduction interventionist program has lifted a country like Turkey from being one of the highest puffers to drastically reducing its tobacco usage and free smoking indoors by 100%. MPOWER has shown a stellar performance in averting 7.4 million deaths, 30 countries with more than 1 billion people have best pictorially represented health warnings and labels, smoke-free laws and appropriate taxation rules to curb the menace. Aim: In light of aforementioned, the aim of this study was to perform the quantitative analysis of WHO report on tobacco control and to get an insight to what extend the program has been successful and the best practices that could potentially be replicated. Methodology: The MPOWER composite score was built by employing 6 MPOWER scores using the validated checklist outlined by Iranian and international tobacco control specialists in their study on tobacco control. The independent scores and cutoffs thereof were set in consonance with the key sections of the MPOWER 2011 report. Results: MPOWER composite scores that measured policy implementation were then linked to cigarette smoking prevalence and consumption data. An encouraging trend was observed, for example, the highest scores were observable in 2019 and there was noticeable increase in scores of adult daily smoking prevalence (

Increasing greenhouse gases & air pollution are a global threat. Global forums are aggressively emphasizing on reducing the dependence on non-renewable resources. Battery Electric vehicle are among the initial initiative to reduce dependency on fossil fuels, and this demands more research to understand the energy requirements of a vehicle under different driving conditions. The performance of an Electric Vehicle depends on varying drive conditions and the Power Electronic Controller is primarily responsible for its sustainable operation. In this paper, a novel mathematical model is proposed to analyze the performance of an electric vehicle under different driving conditions. The model is simulated at different driving speeds keeping other longitudinal, lateral, and vertical parameters fixed. Rolling resistance forces, aerodynamic drag force, gradient force, total driving force, driving torque, and power requirements at different speeds have been calculated under standard driving conditions. The rolling resistance increases by 2.16 times with a change in the vehicle speed from 40 kmph to 120 kmph. The aerodynamic drag force increases ten times with a 10-degree gradient. The battery operating temperature is critical in vehicular performance, a hybrid Pneumatic-Liquid Thermal Management System is proposed to maintain battery operating temperature. Performance of the proposed model is simulated and found to be in line with the existing standards. This study concludes that road conditions, tyre pressure, velocity of travel, wind velocity, and temperature significantly influence the performance of an electric vehicle.

The current study unveils an analytical dynamic model of a parabolic trough solar collector (PTSC) and subsequently presents the process to derive the transfer function of the PTSC system. For any PTSC module, output temperature can be related to various operating parameters using the generalized transfer function derivation that has been presented here. Presented model and derivation are applied on a PTSC module tested by Sandia National Laboratory, USA and a transfer function relating the outlet temperature of heat transfer fluid (HTF) with flowrate is derived. PID controller is designed to maintain the HTF outlet temperature by manipulating the flowrate. Natural-inspired algorithms (NIAs), which are uncommon in the context of control systems for PTSCs, are used to tune controllers. Two NIAs, namely Self-adaptive Differential Evolution (SaDE) and African Vultures Optimization Algorithm (AVOA), were used for tuning with minimization of integral of time-weighted absolute error (ITAE) as an objective. It is concluded that SaDE-PID tuned controller outperforms AVOA-PID tuned controller with lower ITAE and other controller characteristics. Also, the designed controller is examined on various grounds as transient response characteristics and performance indexes. This completes the investigation of the integrity of the presented model, process, and controller.

Determination of health hazards of noise pollution is a challenge for any developing city intersection. The people working at roadside open-air shops or near the congested roads of any intersection face intense noise pollution. It becomes very difficult to efficiently determine the hazards of noise on the health of people living near the intersection. An attempt was made to determine the noise-induced health hazards of the developing city of Bahadurpur, UP, India. The noise levels were monitored over 17 station points of the intersection for three months at different times of the day. Equivalent noise level (Leq) maps were determined within an accuracy of ±4dB. Areas adjacent to intersections indicated noise exposure levels close to 100 dB. Health hazards for the people of the intersection were determined through the testing of auditory and non-auditory health parameters for 100 people. A total of 75–92% of the people who work/live near the noisy intersection were found to be suffering from hearing impairment, tinnitus, sleep disturbance, cardiovascular diseases, hypertension, etc. Whether the recorded health hazards were indeed related to noise exposure was confirmed by testing the health parameters of people from the nearby and less noisy area of Pure Ganga. The nearby site reported mild hazards to the health of the population. An alarming level of hearing impairment was prevalent in the noisy Bahadurpur intersection (79–95%) compared to the same in Pure Ganga (13–30%). The estimated noise-induced health hazards were also compared for noisy and less-noisy study sites using ANOVA statistics. The results suggested that the health hazards reported in the two sites are not similar. Further, the severe hazards to people’s health at the underdeveloped intersection were found to be primarily caused by the intense exposure to noise.

Background: Epithelial-mesenchymal transition (EMT) plays an important role in bladder carcinoma (BC) invasiveness and metastasis. Studies have shown that muscle-invasive BC (MIBC) and non-MIBC (NMIBC) are different at the molecular level owing to different EMT-related programming. Recent studies suggest that dysregulation of specific miRNAs is linked to EMT in BC. With this background, we aimed to study the immunoexpression of EMT-markers and its correlation with miRNA-200c expression in a series of MIBCs and NMIBCs. Materials and Methods: Quantitative real-time-polymerase chain reaction for the quantification of miR-200c expression was performed on 50 cases of urinary BC obtained from transurethral resection of bladder tumor (TURBT), cystectomy specimens, and ten peritumoral bladder tissue. Immunohistochemistry for ZEB1, ZEB2, TWIST, E-cadherin, and β-catenin was performed on tumor and peritumoral bladder tissue. Results: Thirty-five TURBT and 15 cystectomy specimens were assessed. Among MIBC, loss of expression of E-cadherin (72.3%), β-catenin (66.7%), and ZEB1, ZEB2, and TWIST2 immunoreactivity was noted in 53.3%, 86.7%, and 73.3% of cases, respectively. Among NMIBC, loss of expression of E-cadherin (22.5%), β-catenin (17.1%) and ZEB1, ZEB2, and TWIST immunoreactivity was noted in 11.5%, 51.4%, and 91.4% of cases, respectively. Upregulation of miRNA-200c was noted in cases with retained E-cadherin and negative TWIST expression. Downregulation of miRNA-200c expression was noted in all the cases showing loss of E-cadherin, β-catenin, and in cases immunoreactive for ZEB1, ZEB2, and TWIST in MIBC. Downregulation of miRNA-200c expression was also noted in cases of MIBC with retained β-catenin and those immunonegative for ZEB1 and ZEB2. A similar trend was noted in NMIBC. Median miRNA-200c expression was low in both high-grade and low-grade NMIBC compared to peritumoral bladder tissue and was not statistically significant. Conclusion: This study for the first time explores the relation of miR200C with E-cadherin, b-catenin, and its direct transcriptional regulators, namely Zeb1, Zeb2, and Twist in the same cohort of BC. We observed that miRNA-200c is downregulated in both MIBC and NMIBC. We identified novel expression of TWIST in cases of BC showing downregulation of miR200Cs suggesting that it is one of the protein targets of altered miRNA-200c expression contributing to EMT and can serve as a promising diagnostic marker and therapeutic target. Loss of E-cadherin and ZEB1 immunoexpression in high-grade NMIBC suggests an aggressive clinical behavior. However, ZEB2 heterogeneous expression in BC limits its diagnostic and prognostic utility.

Background: Acute upper gastrointestinal bleeding is one of the common and life threatening condition presenting in emergency. The aim of the present study was to determine the clinical profile and in-hospital outcomes in these patients admitted at a tertiary care center in Kathmandu, Nepal. Materials and Methods: This is a descriptive, observational study conducted over 9 months (October 2021– July 2022). All consecutive patients aged 16 years and above admitted in the hospital ward with the history of acute bleeding were included in the study after informed consent. Demographic data, clinical, laboratory and endoscopic data were noted during the hospital stay. Statistical analysis was done used SPSS v.24. Results: The mean age of our study population (N = 132) was 46.92 years. Among 132 patients who underwent endoscopy, 43.9% had portal hypertension related bleeding, 41.7% had ulcer related bleeding, 5.3% had malignancies, 3% had corrosive intake. No etiology was found in 3 patients. Hematemesis with melena was the most common mode (53.8%) of presentation to the hospital.Shock was preset in 25% of patients at presentation to the hospital. In-hospital re-bleeding rate and mortality were 12.7% and 9.8% respectively. Conclusion: Portal hypertension related bleeding followed by ulcers related bleeding is the common cause of acute upper gastrointestinal bleeding. In-hospital mortality was 9.8%.

Abstract Background Alterations in mitochondrial signatures such as mitochondrial DNA (mtDNA) content in maternal blood have been linked to pregnancy-related complications. However, changes in maternal mtDNA content, their distribution and associated signaling during normal pregnancies are not clear; which could suggest their physiological role in maternal adaptation to pregnancy related changes and a reference threshold. The aim of this study: to assess the distribution of mtDNA in peripheral blood and their association with circulatory ROS levels across different trimesters of healthy pregnancy. Methods In this pilot cross sectional study, blood samples of normal pregnant women from each trimester (total = 60) and age-matched non-pregnant (NP) women as control group (n = 20) were analyzed for a) the relative distribution of mtDNA content in cellular and cell free (plasma) fractions using relative quantitative polymerase chain reaction (qPCR) and b) the levels of circulating reactive oxygen species (ROS) by measurement of plasma H2O2. The results were compared between pregnant and NP groups and within trimesters for significant differences, and were also analyzed for their correlation between groups using statistical methods. Results While, we observed a significant decline in cellular mtDNA; plasma mtDNA was significant increased across all trimesters compared to NP. However, from comparisons within trimesters; only cellular mtDNA content in 3rd trimester was significantly reduced compared to 1st trimester, and plasma mtDNA did not differ significantly among different trimesters. A significantly higher level of plasma H2O2 was also observed during 3rd trimester compared to NP and to 1st trimester. Correlation analysis showed that, while cellular mtDNA content was negatively correlated to plasma mtDNA and to plasma H2O2 levels; plasma mtDNA was positively correlated with plasma H2O2 content. Conclusions This study suggested that normal pregnancy is associated with an opposing trend of reduced cellular mtDNA with increased circulatory mtDNA and H2O2 levels, which may contribute to maternal adaptation, required during different stages of pregnancy. Estimation of mtDNA distribution and ROS level in maternal blood could show mitochondrial functionality during normal pregnancy, and could be exploited to identify their prognostic/ diagnostic potential in pregnancy complications.

Abstract Background Prompt and accurate staging of pancreatic cancer is essential to distinguish patients to benefit from resection with curative intent and those with unresectable disease. A staging laparoscopy is used preoperatively to identify macroscopic or occult metastases not identified on imaging. This single-institution study aims to evaluate the role of staging laparoscopy in patients with pancreatic adenocarcinoma and its effect on overall survival. Method Clinicopathologic data were evaluated for all patients undergoing staging laparoscopy for pancreatic adenocarcinoma from July 2014 to December 2019. The study identified 155 patients eligible for analysis. All patients were followed for at least 2 years. Clinical backgrounds, survival curves and prognostic factors were investigated. Results Resectability status among the cohort was 62 (40%) upfront resectable, 53 (34%) borderline resectable and 40 (26%) locally advanced disease. The median age was 69, with 44% male patients. Median CA19-9 value was 125 kU/L, and median CA125 value was 22 kU/L. Staging laparoscopy resulted in upstaging nine (15%) upfront resectable patients, five (9%) borderline resectable patients and ten (25%) locally advanced patients. There was positive cytology in 19 (12%), peritoneal deposits in six (4%) and peritoneal liver deposits in seven (5%) patients. Overall, the number needed to treat (NNT) to avoid an unnecessary laparotomy was eight patients. Conclusion Staging laparoscopy continues to be a valuable investigation of pancreatic adenocarcinoma. In this institution, one in every eight patients undergoing a staging laparoscopy was upstaged to metastatic disease, thus avoiding an unnecessary laparotomy or a non-curative resection.

Introduction: Intimate partner violence (IPV) is a significant public health concern in Nepal and its prevalence has increased during the COVID-19 pandemic. This study aimed to assess the prevalence of IPV among married women of reproductive age in Nepal during the pandemic. Methods: A web-based survey was conducted with 420 participants using a validated questionnaire adopted from the World Health Organization. Descriptive and inferential statistical analyses were performed. Results: Our study found that 52.62% of participants experienced IPV during the COVID-19 pandemic with economic violence being the most prevalent type (38.81%) and followed by behavioral control (37.14%), emotional violence (26.20%), physical violence (21.43%), and sexual violence (14.05%). Despite the high level of IPV, only 14% of participants sought help and only 6% reported the violence to the police. Univariate analyses showed that factors such as the husband's level of education and occupation, number of children, property ownership, husband's alcohol use, relationship and quarrels with the husband, fear of the husband, and participation in decision-making were associated with an increased risk of IPV. Multivariate analysis revealed that women involved in decision-making faced a 2.52 times higher risk of violence, that women who reported daily quarrels had a risk 5.47 times that of women who did not endorse fights, and that women who were afraid of their husbands had a risk 16 times that of women who did not report fear. Conclusion: This study reveals a concerning prevalence of IPV among married women in Nepal during the COVID-19 pandemic. Our findings emphasize the low reporting rates and help-seeking behavior among IPV victims. They also highlight the significant influence of factors such as participation in decision-making, frequent quarrels, and fear. These findings underscore the urgent need to establish support systems for IPV victims and develop targeted interventions tailored to the local context. Furthermore, conducting comprehensive research and understanding the interplay of contributing factors can guide the formulation of effective strategies to combat this pervasive societal problem.

Abstract The renin-angiotensin-aldosterone system (RAAS) plays a key role in diabetic nephropathy (DN). Angiotensin-II secreted during the RAAS pathway increases nephropathy. It stimulates oxidative stress which can quench nitric oxide. Reduced nitric oxide level aggravates Ang-II-induced vasoconstriction. Ang-II has also emerged as a central mediator of the glomerular hemodynamic changes that are associated with renal injury. Deletion of ACE2 is also noted due to increased Ang-II level which leads to the development of DN. We hypothesize that nephropathy caused by Ang-II in the periphery may be controlled by brain RAAS. ACE inhibitors and ARBs may show the renoprotective effect when administered through ICV without crossing the blood-brain barrier. DN was observed after 8 weeks of diabetes induction through alloxan. Administration of captopril and valsartan once and in combined therapy for 2 weeks, significantly reduced urine output, blood urea nitrogen, total protein in the urine, serum cholesterol, serum creatinine, serum triglycerides, and kidney/body weight ratio as compared to diabetic control rats. Further, combination therapy significantly increased the body weight and serum nitrate level as compared to diabetic control animals. However, increased ACE2 levels in the brain may reduce the sympathetic outflow and might have decreased the peripheral activity of Ang-II which shows beneficial effects in DN.

In this paper, renewable resources and co-generation units are grouped together to perform optimized operational scheduling in a virtual power plant (VPP) system. Renewable sources consist of solar photovoltaic, wind, and fuel cell units that are equipped together with a cogenerating unit to intensify the system's dependency in case of power shortage from renewable sources. The uncertainty aspect is investigated for the developed system as renewables are associated, and its impact on network operation is discussed. Storage provision is facilitated in the form of flexible and spinning reserves in which electric vehicle (EV) and energy storage systems (ESS) increase the system reliability by ensuring continuity of power supply. Optimal scheduling is carried out from both economic and environmental perspectives in which the net profit of the system is improved and the generated emissions are reduced by considering dual scheduling i.e., day-ahead (DA) and proposed 15 min interval. Moreover, a nature-inspired metaheuristic red fox optimization (RFO) is employed to handle the VPP problem and the results with the context to net profit and emission are also compared with work available in the literature. Finally, the proposed approach is promising in terms of higher computational efficacy and reveals the suitability of the VPP system.

One of the most significant areas of local government in the world is the municipality sector. It provides various services to the residents and businesses in their areas, such as water supply, sewage disposal, healthcare, education, housing, and transport. Municipalities also promote social and economic development and ensure democratic and accountable governance. It also helps in encouraging the involvement of communities in local matters. Workers of Municipalities need to maintain their services regularly to the public. The productivity of the employees is just one of the main important factors that influence the overall organizational performance. This article compares various machine learning algorithms such as XG Boost, Random Forest (RF), Histogram Gradient Boosting Regressor, LGBM Regressor, Ada Boost Regressor, and Gradient Boosting Regressor on the dataset of municipality workers. The study aims to propose a machine learning approach to predict and evaluate the productivity of municipality workers. The evaluation of the overall targeted and actual productivity of each department shows that out of 12 different departments, only 5 departments were able to meet their targeted productivity. A 3D Scatter plot visually displays the incentive given by the department to each worker based on their productivity. The results show that XG Boost performs best in comparison with the other five algorithms, as the value of R Squared is 0.71 and MSE (Mean Squared Error) is 0.01.

Abstract Computational materials discovery efforts are enabled by large databases of properties derived from high-throughput density functional theory (DFT), which now contain millions of calculations at the generalized gradient approximation (GGA) level of theory. It is now feasible to carry out high-throughput calculations using more accurate methods, such as meta-GGA DFT; however recomputing an entire database with a higher-fidelity method would not effectively leverage the enormous investment of computational resources embodied in existing (GGA) calculations. Instead, we propose here a general procedure by which higher-fidelity, low-coverage calculations (e.g., meta-GGA calculations for selected chemical systems) can be combined with lower-fidelity, high-coverage calculations (e.g., an existing database of GGA calculations) in a robust and scalable manner. We then use legacy PBE(+U) GGA calculations and new r2SCAN meta-GGA calculations from the Materials Project database to demonstrate that our scheme improves solid and aqueous phase stability predictions, and discuss practical considerations for its implementation.

Measurement(s) optical emissivity • device design Technology Type(s) Fourier transform infrared microscopy • text mining

Abstract Increase in water induced risks are realized with marginal settlements being more vulnerable due to limited adaptive capacity. The challenge put forward by climate change, in absence of adequate formal strategies, has forced the dwellers of marginal settlements, over the years, to adopt local adaptation strategies to survive the risk and live in harmony with water. The highly diverse characteristics based on livelihoods and social networks provide for adaptive capacity of the dwellers. The objective of the paper is to identify these strategies based on livelihoods or the daily activities of the dwellers within the marginal settlements in different territories. Rural marginal communities in Northern Mozambique and urban in Mumbai are assessed by direct observations, interpretation from collected images and literature review to present a framework of strategies based on livelihoods. Result provides for holistic findings that contribute to the lexicon of water-risk adaptation for marginal settlements in developing countries.

Blueberry consumption has been a burgeoning interest attributed to their nutritional and health benefits. However, the main limitation to blueberry marketability is their perishability due to water loss, fungal, and mechanical damage during post-harvest preservation. In this study, pulsed light (PL) treatments with doses of 3, 6 and 9 J cm-2 were applied in the 6-week storage of highbush blueberry (cv. Draper) at 0.5°C under 90-95% relative humidity (RH) conditions. The quality changes of berry were assessed by using physicochemical attributes and antioxidant activity bi-weekly at week 0, 2, 4, 6. The results show that in spite of the partial loss of the antioxidant activity and total soluble solids (TSS), PL at dose of 6 J cm-2 was found to increase firmness and titratable acidity (TA), and decrease weight loss, rot incidence, and pH during post-harvest storage, which lead to a better maintenance of blueberry quality and shelf-life extension.

Introduction: Leptin is secreted in concentrations proportional to body fat mass. The anthropometric parameter among Sagittal Abdominal Diameter (SAD), Body Mass Index (BMI), Hip Circumference (HC), Waist Circumference (WC), Waist-Hip Ratio (WHR), and Waist-Height Ratio (WHtR) that correlates maximally with serum leptin levels could be used preferably to assess adiposity. Aim: The present study aims to correlate serum leptin levels with SAD, BMI, HC, WC, WHR and WHtR in young and healthy North Indian adults. Materials and Methods: The present cross-sectional study was conducted jointly in the Department of Physiology and Biochemistry at the King George’s Medical University, Lucknow, Uttar Pradesh, India from September 2015 to August 2016 and it included apparently healthy individuals, aged 18-25 years, native to North India, after obtaining an informed consent. A convenient sample size of 100 was taken. One investigator took all anthropometric measurements. (SAD, BMI, HC, WC, WHR and WHtR) RayBio human leptin ELISA kit was used for the estimation of leptin level. For statistical analysis, Pearson’s correlation coefficient was used. P

Abstract Single-Cell Analysis is a growing field that endeavors to obtain genetic profiles of individual cells. Disruption of cell–cell junctions and digestion of extracellular matrix in tissues requires tissue-specific mechanical and chemical dissociation protocols. Here, a new approach for dissociating tissues into constituent cells is described. Placing a tissue biopsy core within a liquid-filled cavity and applying an electric field between two parallel plate electrodes facilitates rapid dissociation of complex tissues into single cells. Different solution compositions, electric field strengths, and oscillation frequencies are investigated experimentally and with COMSOL Multiphysics. The method is compared with standard chemical and mechanical approaches for tissue dissociation. Treatment of tissue samples at 100 V/cm 1 kHz facilitated dissociation of 95 ± 4% of biopsy tissue sections in as little as 5 min, threefold faster than conventional chemical–mechanical techniques. The approach affords good dissociation of tissues into single cells while preserving cell viability, morphology, and cell cycle progression, suggesting utility for sample preparation of tissue specimens for direct Single-Cell Analysis.

Abstract Background The aim of this study is to assess the burden of AF-related hospitalizations inclusive of inflation-adjusted cost-of-care and length-of-stay (LOS) among cancer patients and the impact of direct current cardioversion (DCCV) on these outcomes. Methods Using the National Inpatient Sample (NIS), patients hospitalized with either a primary or secondary diagnosis of AF and comorbid cancer were identified and both cost of hospitalization and LOS were evaluated for each group. Subgroup analyses were performed for specific cancer types (breast, lung, colon, prostate and lymphoma), and those receiving DCCV. Results The prevalence of co-morbid AF was 8.2 million (16%) and 35.5 million (10%) among those with vs. those without cancer, respectively (odds ratio = 1.6, 95% confidence interval = 1.5–1.7; P

Abstract Insulin nanoparticles (NPs) with high loading content have found diverse applications in different dosage forms. This work aimed to evaluate the impact of freeze-drying and spray drying process on the structures of insulin-loaded chitosan nanoparticles, with or without mannitol as cryoprotectants. We also assessed the quality of these nanoparticles by redissolving them. Before dehydration, the chitosan/sodium tripolyphosphate/insulin crosslinked nanoparticles were optimized to 318 nm of particle size, 0.18 of PDI, 99.4% of entrapment efficiency, and 25.01% of loading content. After reconstitution, all nanoparticles, except the one produced by the freeze-drying method without using mannitol, maintained their spherical particle structure. The nanoparticles dehydrated by spray drying without mannitol also showed the smallest mean particle size (376 nm) and highest loading content (25.02%) with similar entrapment efficiency (98.7%) and PDI (0.20) compared to mannitol-containing nanoparticles dehydrated by either spray drying or freeze-drying techniques. The nanoparticles dried by spray drying without mannitol also resulted in the fastest release and highest cellular uptake efficacy of insulin. This work shows that spray drying can dehydrate insulin nanoparticles without the need for cryoprotectants, creating a significant advantage in terms of greater loading capacity with lower additive requirements and operating costs as compared to conventional freeze drying approaches.

Abstract Tirabrutinib (TIRA), a potent and nonreversible oral Bruton tyrosine kinase inhibitor, is evaluated for treatment of certain hematological malignancies and inflammatory diseases. A drug–drug interaction study to evaluate the effect of TIRA on the pharmacokinetics of the oral contraceptive levonorgestrel (LEVO)/ethinyl estradiol (EE) was conducted in healthy female participants (N = 26). Participants received a single dose of LEVO (150 mcg)/EE (30 mcg) alone (reference), and on day 12 of a 15‐day regimen of TIRA 160 mg once‐daily (test). Intensive blood sampling for determination of LEVO, EE, and TIRA plasma concentrations was conducted, and safety was assessed throughout the study. Pharmacokinetic interactions were evaluated using 90% confidence intervals (CIs) of the geometric least squares mean (GLSM) ratios of the test versus reference treatments. The GLSM (90% CI) ratios of area under the concentration‐time curve from zero to infinity (AUCinf; LEVO: 0.95, 95% CI: 0.88–1.03, EE: 1.10, 95% CI: 1.05–1.16) and maximum plasma concentration (Cmax; LEVO: 0.85, 95% CI: 0.74–0.98, EE: 1.07, 95% CI: 0.98–1.18) were within the prespecified 0.70 to 1.43 no effect bounds; and the AUC ratios met the stricter 0.80 to 1.25 equivalence bounds. Study treatments were generally well‐tolerated. In conclusion, co‐administration with TIRA did not alter the exposure of LEVO/EE, and accordingly LEVO/EE containing oral contraceptives can serve as a contraception method for participants on TIRA 160 mg (or lower) daily doses.

Measurement(s) gold nanoparticle morphology • gold nanoparticle size • gold nanoparticle synthesis data Technology Type(s) natural language processing

Constitutions tend to regulate the relationship between religious and state authorities. Before the rise of the modern state, it was difficult to make proper distinctions between law, religion and morality. With the emergence of Western liberalism, the concept of democracy and secularism gained newfound attention, becoming ingrained and in tune with modern constitutional frameworks. Establishing the relationship between state and religion is a thorny issue for constitution-makers. Opponents of constitutional recognition of religion view religion as a private matter, relating to personal beliefs and conscience. This paper studies the comparative constitutional frameworks of India and Indonesia in relation to the right to religious freedom. As vibrant democracies comprised of ethnically diverse populations, both India and Indonesia grapple with issues concerning religious majorities and minorities. In India, Hindus are the majority, then Muslims, Christians, Sikhs and Buddhists; whereas in Indonesia, Muslims are the majority, then Christians, Hindus and Buddhists. Both India and Indonesia have ratified the International Covenant on Civil and Political Rights. The judgments of the constitutional courts in these countries have prompted constitutional law scholars to analyze the status of constitutionally recognized freedom of religion and its enforceability. This article first studies the relationship between state and religion in the contemporary sphere, thereby engaging in a comparative study of the formation of constitutional provisions in relation to religious freedom in India and Indonesia. Second, it aims to establish the importance of religious freedom within a constitutional framework. Third, it will discuss the issues surrounding recognition and enforcement of religious freedom in India and Indonesia, as well as providing an analysis from the perspective of majoritarianism and religious intolerance. Fourth, it will analyze landmark judgments of the constitutional courts of India and Indonesia in formulating and establishing the basic tenets of religious freedoms in the two nations. The role of the judiciary and governmental institutions in dealing with issues of religious freedom remains a central question in democratic countries such as India and Indonesia. Keeping in mind the need for a more holistic study and contributing to the literature in this area, the authors will present a comparative analysis of religious freedom in both these nations for nuanced understanding of religious rights and their interplay with the respective constitutions.

The prevailing view of the constitutional framework in South Asia is seen as secondary and subsidiary to developed constitutional systems worldwide. Meanwhile, South Asian countries have merely re-produced the constitutional framework of developed nations. The emergence and development of South Asian constitutionalism present a range of perspectives and methodological approaches that contribute to comparative constitutional law scholarship in South Asia. The overt attention toward the Western notion of liberalism has often led to an incomplete and unclear approach to South Asian constitutionalism. The paper aimed to explore the elements of South Asian constitutionalism alongside underlying socio-economic and political discourse surrounding its contemporary understanding. It also analyzed the role of courts in affirming and transforming South Asian constitutionalism. Instead of reviving interest in South Asia and Third World Approach to International Law, this paper showed that it is only practical and pragmatic to study constitutionalism with specific reference to the modern discourse of democracy, judicial review, separation of power, and human rights enshrined in their respective constitutions. In terms of its emergence from the colonial history and other prevalent forms of distinct cultural, social, and political practices, South Asia presented a heterogeneous experience in the light of recognition and enforcement of socio-economic rights and transformations and deviations from its past experiences. KEYWORDS: Comparative Constitutional Law, Constitutionalism, South Asia.

Abstract Deep learning (DL) is one of the fastest-growing topics in materials data science, with rapidly emerging applications spanning atomistic, image-based, spectral, and textual data modalities. DL allows analysis of unstructured data and automated identification of features. The recent development of large materials databases has fueled the application of DL methods in atomistic prediction in particular. In contrast, advances in image and spectral data have largely leveraged synthetic data enabled by high-quality forward models as well as by generative unsupervised DL methods. In this article, we present a high-level overview of deep learning methods followed by a detailed discussion of recent developments of deep learning in atomistic simulation, materials imaging, spectral analysis, and natural language processing. For each modality we discuss applications involving both theoretical and experimental data, typical modeling approaches with their strengths and limitations, and relevant publicly available software and datasets. We conclude the review with a discussion of recent cross-cutting work related to uncertainty quantification in this field and a brief perspective on limitations, challenges, and potential growth areas for DL methods in materials science.

We introduce a semidefinite programming algorithm to find the minimal quantum Fisher information compatible with an arbitrary dataset of mean values. This certification task allows one to quantify the resource content of a quantum system for metrology applications without complete knowledge of the quantum state. We implement the algorithm to study quantum spin ensembles. We first focus on Dicke states, where our findings challenge and complement previous results in the literature. We then investigate states generated during the one-axis twisting dynamics, where in particular we find that the metrological power of the so-called multi-headed cat states can be certified using simple collective spin observables, such as fourth-order moments for small systems, and parity measurements for arbitrary system sizes.

The awareness of making decisions in an imprecise environment has resulted in considering the inventory system under a fuzzy approach. The effects of uncertain demand have been finding increased application in many inventory systems. Uncertainty creates complicated situations for the manufacturer in making decisions. Markets have become more competitive as a result of technological advancements. The effect of inflation on the overall cost of the inventory system is useful in providing a tool for the analysis of inventory decisions. This study intended to estimate the effect of different fuzzy numbers on a manufacturer's annual joint expected total cost. The comparative study of this proposed model has been considered for two different fuzzy numbers with the defuzzification technique as the centroid method. The optimization technique has been used to minimize the producer's joint expected total cost under the condition mentioned earlier, and the model is validated numerically. (original abstract)

Background and Aims: Fascia iliaca compartment block (FICB) is increasingly being used for anaesthesia and analgesia of the hip, knee and thigh. It can be administered via two ultrasound-guided approaches, suprainguinal and infrainguinal. This study aimed to compare the analgesic efficacy of the suprainguinal approach of FICB with infrainguinal approach of FICB in patients undergoing above knee orthopaedic surgeries. Methods: In this single-centre, double-blinded randomised trial, 32 patients undergoing above knee lower limb orthopaedic surgery under spinal anaesthesia were randomised into group I (infrainguinal FICB) and S (suprainguinal FICB). They were given ultrasound-guided FICB with 30 mL 0.2% ropivacaine for postoperative analgesia using the respective approaches. Injection tramadol was administered as a rescue analgesic when Numeric Rating Scale (NRS) ≥4. A blinded observer recorded pain score (NRS) from the initiation of the block every 2 h for 24 h. Time to first rescue analgesia, total duration of analgesia and analgesic consumption, and patient satisfaction score were noted. Results: The mean pain scores were comparable between the two groups at all time intervals till 24 h except at 12 h and 20 h, when pain intensity was significantly less in group S than in group I. Total tramadol consumption was also significantly less in group S. There was no significant difference in time to first rescue analgesia and total duration of analgesia between the two groups. At 24 h, the patient satisfaction score was significantly better in group S. Conclusion: Suprainguinal FICB has superior analgesic efficacy over infrainguinal FICB in terms of reduced pain intensity, reduced 24-h tramadol consumption and better patient satisfaction.

Background and Objectives: Red blood cell (RBC) transfusion continues to be administered on the basis of conventional wisdom and the notion of an average benefit per unit. The present study was aimed at estimating the hemoglobin (Hb) content in packed red blood cell (PRBC) units in three types of blood donors: Replacement blood donor (RD), First time voluntary blood donors (FTVD), and Regular/Repeat voluntary blood donors (RTVD). Methods: A total of 900 blood donors were divided equally into three groups of blood donors. Within each group, 100 collections were done in Double 350 ml, Triple 450 ml and quadruple 450 ml blood bags, respectively. The Hb concentration of the PRBC unit was done after the collection of representative samples from the PRBC unit. The volume of the PRBC unit was estimated by the formula: Weight of PRBC divided by its specific gravity. The net Hb content in the PRBC unit was calculated by the formula: Hb of PRBC multiply by its volume. Results: Net Hb content of 900 PRBC units were in the range of 30.77–87.36 g; mean was 52.91 ± 9.99 g. Net Hb content of PRBC bag was lower in PRBC prepared from RD as compared to FTVD and RTVD. We observed a range of net Hb content in the PRBC units and Hb content strongly correlated with the volume of PRBC. Conclusion: The present study shows that there is a range of Hb content of PRBC units. Adopting a policy of optimizing the dosage of RBC transfusion could have the potential to significantly improve RBC use and decrease patient exposure to allogeneic blood.

Background: Social media is frolicking as an utmost priority in today's livelihood, and it is such a milieu today to see people browsing and surfing social networking sites, reading blogs, or chatting by using laptops, mobile phones, or other sophisticated devices anywhere and at any time and enjoying with their favorite social apps – Facebook, WhatsApp, YouTube, etc., Aim: The aim of the study is to assess the knowledge, attitude, and practices of social media usage and addiction among dental students. Materials and Methods: A cross-sectional study was done among 360 students of a dental teaching institute in Uttar Pradesh, India. A questionnaire was prepared which had three sections - related to demographic details and usage and frequency of social media apps based on “Social Media Addiction Scale,” developed by Arslan A and Kırık. These were used as the data collection tool to measure social media addiction among dental students. Responses were recorded in 5-point Likert scale – strongly agree, agree, neutral, disagree, and strongly disagree. Data were analyzed by SPSS version 23. Results: Out of total 360 participants, 276 (76.70%) were female while 84 (23.30%) were male. 238 (66.11%) were undergraduates (UGs) followed by 122 (33.89%) postgraduates (PGs). A significantly higher number of UGs were engaged with their patients in personal conversation on social media platform, while a significantly higher number of PGs believed that social media had a positive effect on dentistry. Questions on social media addiction scale by Arslan A and Kırık revealed that out of total study participants, 48.7% of UGs agree on the belief that new media technologies change human life, whereas 39.4% of PGs agree on the same and the result was statistically significant (P ≤ 0.05). Conclusion: Social media networking sites and apps have attracted students in its digital web and hold strong position with new horizons whether in comprehensive or educational, interacting, entertainment, or spending leisure time.

Lead (Pb2+), a ubiquitously present heavy metal toxin, has various detrimental effects on memory and cognition. However, the molecular processes affected by Pb2+ causing structural and functional anomalies are still unclear. To explore this, we employed behavioral and proteomic approaches using rat pups exposed to lead acetate through maternal lactation from postnatal day 0 (P0) until weaning. Behavioral results from three-month-old rats clearly emphasized the early life Pb2+ exposure induced impairments in spatial cognition. Further, proteomic analysis of synaptosomal fractions revealed differential alteration of 289 proteins, which shows functional significance in elucidating Pb2+ induced physiological changes. Focusing on the association of Small Ubiquitin-like MOdifier (SUMO), a post-translational modification, with Pb2+ induced cognitive abnormalities, we identified 45 key SUMO target proteins. The significant downregulation of SUMO target proteins such as metabotropic glutamate receptor 3 (GRM3), glutamate receptor isoforms 2 and 3 (GRIA 2 and GRIA3) and flotilin-1 (FLOT1) indicates SUMOylation at the synapses could contribute to and drive Pb2+ induced physiological imbalance. These findings identify SUMOylation as a vital protein modifier with potential roles in hippocampal memory consolidation and regulation of cognition. Data availbility: The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE partner repository with the dataset identifier PXD034212&#34.

Background: In developing countries, pediatric dermatoses cause significant morbidity and are a major public health problem. Parental socioeconomic status (SES) is an important underlying factor. Aim: The aim of the study is to estimate the prevalence and disease characteristics of pediatric dermatoses at a tertiary care center in Eastern India. Materials and Methods: Patients aged 19 years and below, presenting with at least one skin disorder were included in this cross-sectional study. All patients were subjected to detailed history including parental SES and clinical examination. Results: We evaluated 525 subjects (mean age 9.9 ± 6.2 years; M:F 1:1.1), majority being adolescents (>12–19 years) (40.6%) and belonging to upper-lower socioeconomic class (69.3%). Infections and infestations were most frequent (56.6%), followed by skin appendageal disorders (22.7%), eczema and dermatitis (8.8%), miscellaneous disorders (6.9%), pigmentary and nevoid disorders (3.4%), and papulo-squamous disorders (1.7%). Among infections, dermatophytosis was most common, followed by scabies and impetigo; while acne vulgaris was the most frequent noninfectious disorder followed by seborrhoeic dermatitis. Skin disorders were significantly associated with parental SES (P = 0.04). Infections showed a significant inverse association with parental SES (P = 0.003) while eczematous disorders demonstrated a positive dose-response association (P = 0.005). Higher parental SES increased the risk of acne vulgaris but reduced the risk of impetigo. Conclusion: Infectious diseases occurred most frequently, followed by pilosebaceous disorders. Parental SES is a significant determinant of pediatric dermatoses. Increased awareness is needed to prevent and treat these disorders.

Introduction: Thalassaemia is one of the most common genetic disorders. Iron overload due to repeated blood transfusions and chelating therapy leads to oxidative stress and possible irreversible brain tissue damage, causing cognitive impairment in these children. Aim: To study cognitive impairment in children with beta thalassaemia major in a tertiary care centre in Bikaner, Rajasthan, India. Materials and Methods: This was a hospital-based cross-sectional observational study conducted in the Department of Paediatrics, Sardar Patel Medical College, Bikaner, Rajasthan, India from September 2019 to August 2020. Sixty-five children with thalassaemia and 65 children without thalassaemia (as controls) were recruited and assessed using modified Mini-Mental State Examination (MMSE) for cognitive impairment. Results: Majority of children belonged to age group 6-11 years (67.7% in cases and 68.8% in controls). The mean MMSE scores were significantly lower among children with thalassaemia (26.82±6.45) compared to the controls (29.08±5.71). There was a significantly higher prevalence of cognitive dysfunction in thalassaemia children (72.3%) as compared to controls (33.8%). Children who were compliant with chelation medications (n=30) were found to have a lesser prevalence of cognitive dysfunction (60%) than those who were not compliant (n=35) with medications (82.86%) (p-value=0.013). Among cases, the mean ferritin levels were higher in children with cognitive dysfunction (3399.00±1489.18) compared to those with normal cognitive function (2412.38±1117.26) (p-value=0.046). There was moderate positive correlation between thalassaemia child’s Body Mass Index (BMI) and modified MMSE score. Conclusion: This study highlights the higher prevalence of cognitive impairment in children with thalassaemia (72.3%). The key contributing factors were- lack of compliance to chelation therapy, higher serum ferritin levels and low BMI.