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Risedronate-loaded mPEG-coated hydroxyapatite, thiolated chitosan-based (coated) and non-coated nanoparticles were tested for their potential effects in the treatment of osteoporosis. The prepared nanoparticles were evaluated for their bone-targeting potential by inducing osteoporosis in female Wistar rats via oral administration of Dexona (dexamethasone sodium phosphate). In vivo pharmacokinetic and pharmacodynamic studies were performed on osteoporotic rat models treated with different formulations. The osteoporotic model treated with the prepared nanoparticles indicated a significant effect on bone. The relative bioavailability was enhanced for RIS-HA-TCS-mPEG nanoparticles given orally compared to RIS-HA-TCS, marketed, and API suspension. Biochemical investigations also showed a significant change in biomarker levels, ultimately leading to bone formation/resorption. Micro-CT analysis of bone samples also demonstrated that the RIS-HA-TCS-mPEG-treated group showed the best results compared to other treatment groups. Moreover, the histology of bone treated with RIS-HA-TCS-mPEG showed a marked restoration of the architecture of trabecular bone along with a well-connected bone matrix and narrow inter-trabecular spaces compared to the toxic group. A stability analysis was also carried out according to ICH guidelines (Q1AR2), and it was found that RIS-HA-TCS-mPEG was more stable than RIS-HA-TCS at 25 °C. Thus, the results of present study indicated that mPEG-RIS-HA-TCS has excellent potential for sustained delivery of RIS for the treatment and prevention of osteoporosis, and for minimizing the adverse effects of RIS typically induced via oral administration.

Herein, we describe the synthesis and evaluation of hierarchical mesoporous orthorhombic niobium oxide (T-Nb2O5) as an anode material for rechargeable lithium-ion batteries (LIB). The as-synthesized material addresses key challenges such as beneficial porous structure, poor rate capability, and cycling performance of the anode for Li-ion devices. The physicochemical characterization results reveal hierarchical porous nanostructure morphology with agglomerated particles and a 20 to 25 nm dimension range. Moreover, the sample has a high specific surface area (~65 m2 g−1) and pore volume (0.135 cm3 g−1). As for the application in Li-ion devices, the T-Nb2O5 delivered an initial discharging capacity as high as 225 mAh g−1 at 0.1 A g−1 and higher rate capability as well as remarkable cycling features (~70% capacity retention after 300 cycles at 250 mA g−1) with 98% average Coulombic efficiency (CE). Furthermore, the scan rate-dependent charge storage mechanism of the T-Nb2O5 electrode material was described, and the findings demonstrate that the electrode shows an evident and highly effective pseudocapacitive Li intercalation behaviour, which is crucial for understanding the electrode process kinetics. The origin of the improved performance of T-Nb2O5 results from the high surface area and mesoporous structure of the nanoparticles.

Le monde entier a été touché par la pandémie de maladie à coronavirus 2019 (COVID-19), et de nombreux chercheurs se lancent dans une course pour comprendre l’évolution de la maladie et entreprendre des analyses de risque afin de formuler des stratégies de traitement efficaces. Le coronavirus du syndrome respiratoire aigu sévère 2 (SRAS-CoV-2) est très transmissible par la toux et les éternuements, ainsi que par la respiration et en parlant, ce qui peut expliquer la transmission virale à partir de porteurs asymptomatiques. Les bioaérosols produits pendant la respiration buccale, un processus expiratoire chez les personnes qui respirent habituellement par la bouche, doivent être considérés, en plus des bioparticules nasales, comme un mode de transmission potentiel de la COVID-19. Les professionnels de la santé buccodentaire craignent, à juste titre, le risque d’exposition dû à la proximité du contact direct et au mode de transmission. L’objectif de ce commentaire est de résumer les recherches menées dans ce domaine et de proposer des stratégies pour limiter la propagation de la COVID-19, notamment dans les cabinets dentaires.

Abstract Background With the increasing number of genomic sequencing studies, hundreds of genes have been implicated in neurodevelopmental disorders (NDDs). The rate of gene discovery far outpaces our understanding of genotype–phenotype correlations, with clinical characterization remaining a bottleneck for understanding NDDs. Most disease-associated Mendelian genes are members of gene families, and we hypothesize that those with related molecular function share clinical presentations. Methods We tested our hypothesis by considering gene families that have multiple members with an enrichment of de novo variants among NDDs, as determined by previous meta-analyses. One of these gene families is the heterogeneous nuclear ribonucleoproteins (hnRNPs), which has 33 members, five of which have been recently identified as NDD genes (HNRNPK, HNRNPU, HNRNPH1, HNRNPH2, and HNRNPR) and two of which have significant enrichment in our previous meta-analysis of probands with NDDs (HNRNPU and SYNCRIP). Utilizing protein homology, mutation analyses, gene expression analyses, and phenotypic characterization, we provide evidence for variation in 12 HNRNP genes as candidates for NDDs. Seven are potentially novel while the remaining genes in the family likely do not significantly contribute to NDD risk. Results We report 119 new NDD cases (64 de novo variants) through sequencing and international collaborations and combined with published clinical case reports. We consider 235 cases with gene-disruptive single-nucleotide variants or indels and 15 cases with small copy number variants. Three hnRNP-encoding genes reach nominal or exome-wide significance for de novo variant enrichment, while nine are candidates for pathogenic mutations. Comparison of HNRNP gene expression shows a pattern consistent with a role in cerebral cortical development with enriched expression among radial glial progenitors. Clinical assessment of probands (n = 188–221) expands the phenotypes associated with HNRNP rare variants, and phenotypes associated with variation in the HNRNP genes distinguishes them as a subgroup of NDDs. Conclusions Overall, our novel approach of exploiting gene families in NDDs identifies new HNRNP-related disorders, expands the phenotypes of known HNRNP-related disorders, strongly implicates disruption of the hnRNPs as a whole in NDDs, and supports that NDD subtypes likely have shared molecular pathogenesis. To date, this is the first study to identify novel genetic disorders based on the presence of disorders in related genes. We also perform the first phenotypic analyses focusing on related genes. Finally, we show that radial glial expression of these genes is likely critical during neurodevelopment. This is important for diagnostics, as well as developing strategies to best study these genes for the development of therapeutics.

Himalayan mountain forests have been a potential candidate for the investigation of perturbations due to the complex geography in which they sustain and the sensitivity of the species toward human disturbance and climate change. Among various tree species, brown oak (Quercus semecarpifolia), a very important component of the Himalayan mountains, has been identified as a keystone species due to its substantial economic and ecological benefits. Maintenance of microclimate and suitable habitats with a rich source of natural resources makes Q. semecarpifolia the most preferred forest for luxuriant growth of ground flora, shelter for fauna, and multipurpose uses by the local people. In a climax community, it plays a critical role in environmental balance both at the local and regional levels. Unfortunately, it has become one of the most overexploited tree species of the Himalayan region over the last few decades due to its high demand for dry season fodder and firewood. The wide range of seedling distribution 348–4,663 individuals ha–1 is evidence of the disturbance accompanied by poor regeneration in Q. semecarpifolia forests. Moreover, litter accumulation and grass cover adversely affect seed germination. The ecological cost of oak forest degradation is perhaps more important and damage is irreversible. Thus, continuous demand and extensive threats accompanied by poor regeneration have drawn the attention of stakeholders to conserve this species. However, propagation protocol, especially the pre-sowing treatment of the species, has not been impressive for large-scale multiplication. This review is comprehensive information on distribution, phenology, regeneration pattern, human threat, conservation approaches, and management of Q. semecarpifolia in the Himalayan region.

In addition to playing a major role in tumor cell biology, p53 generates a microenvironment that promotes antitumor immune surveillance via tumor-associated macrophages. We examined whether increasing p53 signaling in the tumor microenvironment influences antitumor T cell immunity. Our findings indicate that increased p53 signaling induced either pharmacologically with APR-246 (eprenetapopt) or in p53-overexpressing transgenic mice can disinhibit antitumor T cell immunity and augment the efficacy of immune checkpoint blockade. We demonstrated that increased p53 expression in tumor-associated macrophages induces canonical p53-associated functions such as senescence and activation of a p53-dependent senescence-associated secretory phenotype. This was linked with decreased expression of proteins associated with M2 polarization by tumor-associated macrophages. Our preclinical data led to the development of a clinical trial in patients with solid tumors combining APR-246 with pembrolizumab. Biospecimens from select patients participating in this ongoing trial showed that there was a suppression of M2-polarized myeloid cells and increase in T cell proliferation with therapy in those who responded to the therapy. Our findings, based on both genetic and a small molecule–based pharmacological approach, suggest that increasing p53 expression in tumor-associated macrophages reprograms the tumor microenvironment to augment the response to immune checkpoint blockade.

Optical coherence tomography (OCT) images of ex vivo human brain tissue are corrupted by multiplicative speckle noise that degrades the contrast to noise ratio (CNR) of microstructural compartments. This work proposes a novel algorithm to reduce noise corruption in OCT images that minimizes the penalized negative log likelihood of gamma distributed speckle noise. The proposed method is formulated as a majorize-minimize problem that reduces to solving an iterative regularized least squares optimization. We demonstrate the usefulness of the proposed method by removing speckle in simulated data, phantom data and real OCT images of human brain tissue. We compare the proposed method with state of the art filtering and non-local means based denoising methods. We demonstrate that our approach removes speckle accurately, improves CNR between different tissue types and better preserves small features and edges in human brain tissue.

BackgroundDiabetic osteoporosis is a poorly managed serious skeletal complication, characterized by high fracture risk, increased bone resorption, reduced bone formation, and disrupted bone architecture. There is a need to investigate drugs that can improve bone health along with managing glycemic control. DPP-4 inhibitors and metformin have proven benefits in improving bone health. Here, we investigated the effects of linagliptin, a DPP inhibitor, and metformin alone and in combination to treat diabetic osteoporosis in high-fat-fed mice.MethodsC57BL/6 mice were kept on the high-fat diet (HFD) for 22 weeks to induce diabetic osteoporosis. Linagliptin (10mg/Kg), metformin (150mg/Kg), and their combination were orally administered to the diabetic mice from the 18th-22nd week. Femur and tibial bone microarchitecture together with bone mineral density (BMD) were evaluated using µCT and histopathological changes were assessed. Further, bone turnover biomarkers namely bone morphogenetic protein-2 (BMP-2), sclerostin, tartrate-resistant acid phosphatase (TRAP), osteocalcin, alkaline phosphatase (ALP), calcium, and pro-inflammatory cytokines were assessed. Additionally, metabolic parameters including body weight, fasting blood glucose (FBG), glucose & insulin tolerance, lipids profile, and leptin were measured.ResultsHFD feeding resulted in impaired bone microarchitecture, reduced BMD, distorted bone histology, and altered bone turnover biomarkers as indicated by the significant reduction in bone ALP, BMP-2, osteocalcin, and an increase in sclerostin, TRAP, and serum calcium. Interestingly, treatment with linagliptin and its combination with metformin significantly reverted the impaired bone architecture, BMD, and positively modulated bone turnover biomarkers, while metformin alone did not exhibit any significant improvement. Further, HFD induced diabetes and metabolic abnormalities (including an increase in body weight, FBG, impaired glucose and insulin tolerance, leptin, triglycerides, cholesterol), and pro-inflammatory cytokines (TNF-alpha and IL-1β) were successfully reversed by treatment with linagliptin, metformin, and their combination.ConclusionLinagliptin and its combination with metformin successfully ameliorated diabetic osteoporosis in HFD-fed mice possibly through modulation of BMP-2 and sclerostin. The study provides the first evidence for the possible use of linagliptin and metformin combination for managing diabetic osteoporosis.

Tagetes erectus (family: Asteraceae), commonly known as 'African marigold', is an ornamental plant widely distributed in India. The plant has been used in traditional medicines in India and elsewhere in the treatment of cold, bronchitis, rheumatism and inflammation. The flavonoid quercetin has been isolated from the methanol extract of the plant by column chromatography and identified by co-TLC, comparison of its melting point, UV, IR and NMR spectra. Quercetin content has been estimated as 1.22 (±0.26) % in the methanol extract of Tageteserectus whole plant based on HPTLC method using the solvent system chloroform: methanol (8.5:1.5). The essential oil was isolated by hydrodistillation (oil yield 0.04% v/w) and 25 compounds comprising 93.9% of the constituents were identified by GC-MS analysis. Monoterpenoids Predominated the oil (78.5%), with piperitone as the major compound (40.1%) followed by terpinolene (12.7%) and limonene (12.0%). The in vitro antioxidant assays of the methanol extract showed moderate activity with IC50 values 109.45 (±1.22) µg/ml for DPPH radical scavenging assay and 201.53 (±4.48) µg/ml for superoxide scavenging assay and the marker compound quercetin showed IC50 values 26.40(±1.75) and 13.87 (±0.54) µg/ml respectively. Reducing power assay also showed moderate activity. Antibacterial activity of the methanol extract and the essential oil against gram positive and gram-negative bacteria were done using disc diffusion method. The essential oil showed remarkable activity against the tested organisms, while the extract showed only moderate activity. [ABSTRACT FROM AUTHOR]

Migraine is an abnormal headache which usually occurs on one side of head. Even though the causes are not yet known, hence It does not have any accurate treatment and diagnosis. Different methods of treatment and diagnosis are still in progress. Migraine a common and incapacitate condition affect around 28 million of Americans. Nearly 18% of women suffer from migraine, while 6% of men in the United States are suffering from migraine. There are possibilities to have a migraine in myocardial infraction and Stroke cases. Migraine is serious cause in teenagers and commonly in women who employing oral contraceptive frequently. Migraine is a major cause of absenteeism from and decrease productivity at work and reduces health related quality of life according to 1989. Our aim is to issue drug information and relation to other disease like stroke and myocardial infraction. Our purpose of study is to issue treatment and its relation to other disease. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to assess the effect of sodium hypochlorite and sterilization on the cyclic fatigue resistance of two reciprocating nickel‑titanium files using a rotary and a reciprocating motor. Materials and Methods: Totally, 160 Reciproc and Wave One files were tested. The eighty files of the same brand were assigned into four groups (n = 20). These four groups were further divided into two subgroups, 1a and 1b, 2a and 2b, 3a and 3b, 4a and 4b consisting of ten files in each group. 2.5% NaOCl for 5 min, 2.5% NaOCl for 5 min + 1 cycle of autoclave sterilization, 2.5% NaOCl for 5 min + 5 cycles of autoclave sterilization, no sterilization (control). Groups 1a, 2a, 3a, and 4a were subjected to 30° and Groups 1b, 2b, 3b, and 4b were subjected to 60° canal curvature. Results: Intergroup comparison reveals that there is an increase in cyclic fatigue resistance from the first cycle to the fifth cycle of autoclave which is statistically significant. Conclusion: Reciproc and Wave One showed reduced cyclic fatigue resistance on immersion in NaOCl for 5 min. Multiple autoclaving cycles significantly increased the cyclic fatigue resistance of Reciproc file system in both the curvatures. There was a decrease in cyclic fatigue resistance for Wave One after multiple autoclaving at 60° curvature which was statistically significant. [ABSTRACT FROM AUTHOR]

Nanocomposites of high-density polyethylene along with ultrafine fly ash and acid-functionalized multiwalled carbon nanotubes have been developed. To enhance the interfacial adhesion, an epoxy-functionalized high-density polyethylene has been added, while the ultrafine fly ash has been surface modified using aminosilane-coupling agent. Improvement in mechanical properties using both ultrafine fly ash/multiwalled carbon nanotubes was seen and was further analyzed using micromechanical models. The addition of ultrafine fly ash and multiwalled carbon nanotubes together exhibited synergism leading to lowering of peak heat release rate. The nanocomposites showed enhanced thermal stability and lowered crystallinity percentage values of the high-density polyethylene phase due to improved interfacial interactions. [ABSTRACT FROM AUTHOR]

Biologically relevant metal ions play a critical role in environmental and biological systems and are indispensable in various vital biochemical processes. Concomitantly, toxic metal ions are dangerous for humans and aquatic life when present in excess of permissible limits. Therefore, the sensitive and selective detection of these metal ions is of paramount importance. Due to their remarkable photophysical properties, luminescent probes derived from lanthanide molecular materials have recently provided an excellent platform for the detection of a wide range of toxic and biologically important metal species. This review focuses on the latest developments in lanthanide-based luminescent molecular probes, including lanthanide coordination complexes and lanthanide coordination polymers, that have been utilized for the detection of toxic metal ions. Emphasis is given to describing the general design features and range of mechanisms by which such sensors are able to elicit a luminescent response upon exposure to an analyte. • Review focusses on lanthanide molecular materials as probes for a variety of important cations. • Toxic and biologically relevant metal ions play a critical role in environment and health sectors. • Various mechanisms involved in the detection of metal ions are highlighted. • Lanthanide molecular material probes have also showed potential for bioimaging applications. [ABSTRACT FROM AUTHOR]

Abstract Background Falls incidence rate and comprehensive data on factors that predict occasional and repeated falls from large population-based studies are scarce. In this study, we aimed to determine the incidence of falls and identify predictors of occasional and recurrent falls. This was done in the social, medical, physical, nutritional, biochemical, cognitive dimensions among community-dwelling older Malaysians. Methods Data from 1,763 Malaysian community-dwelling older persons aged ≥ 60 years were obtained from the LRGS-TUA longitudinal study. Participants were categorized into three groups according to the presence of a single fall (occasional fallers), ≥two falls (recurrent fallers), or absence of falls (non-fallers) at an 18-month follow-up. Results Three hundred and nine (17.53 %) participants reported fall occurrences at an 18-month follow-up, of whom 85 (27.51 %) had two or more falls. The incidence rate for occasional and recurrent falls was 8.47 and 3.21 per 100 person-years, respectively. Following multifactorial adjustments, being female (OR: 1.57; 95 % CI: 1.04–2.36), being single (OR: 5.31; 95 % CI: 3.36–37.48), having history of fall (OR: 1.86; 95 % CI: 1.19–2.92) higher depression scale score (OR: 1.10; 95 % CI: 1.02–1.20), lower hemoglobin levels (OR: 0.90; 95 % CI: 0.81-1.00) and lower chair stand test score (OR: 0.93; 95 % CI: 0.87-1.00) remained independent predictors of occasional falls. While, having history of falls (OR: 2.74; 95 % CI: 1.45–5.19), being a stroke survivor (OR: 8.57; 95 % CI: 2.12–34.65), higher percentage of body fat (OR: 1.04; 95 % CI: 1.01–1.08) and lower chair stand test score (OR: 0.87; 95 % CI: 0.77–0.97) appeared as recurrent falls predictors. Conclusions Having history of falls and lower muscle strength were predictors for both occasional and recurrent falls among Malaysian community-dwelling older persons. Modifying these predictors may be beneficial in falls prevention and management strategies among older persons.

Abstract Octanoic acid is a medium-chained saturated fatty acid found abundantly in the ketogenic dietary supplements containing medium chained triglycerides (MCT) along with decanoic acid. The MCT ketogenic diet is commonly consumed for weight loss but has also showcased neuroprotective potential against neurodegenerative disorders. However, recent clinical findings have reported a critical disadvantage with the long-term consumption of ketogenic diet i.e. bone loss. The following study was employed to investigate whether the two major components of MCT diet also possess bone loss potential as observed with classical ketogenic diet. Swiss albino mice aged between 10 and 12 weeks, were divided into 3 treatment groups that were administered with oral suspensions of octanoic acid, decanoic acid and a combination of both for 4 weeks. Bone specific markers, microarchitectural parameters, using micro computed tomography, and biomechanical strength were analyzed. Remarkably deleterious alterations in the trabecular bone microarchitecture, and on bone markers were observed in the octanoic acid treated groups. Our results suggest significant negative effects on bone health by octanoic acid. These findings require further investigation and validation in order to provide significant clinically relevant data to possibly modify dietary composition of the MCT ketogenic diet.

Introduction: Due to the high prevalence of diabetes mellitus, it is pertinent to educate and inform diabetes patients about their self-management. It can be done effectively using innovative methods like mobile health (mHealth), which includes mobile applications, phone calls, and text messages. Thus, this meta-analysis was conducted to summarize the effectiveness of mHealth interventions for the management of diabetes compared with usual care in the Asian population. Materials and Methods: Searches were performed in electronic databases, namely PubMed, Scopus, Embase, and Cochrane Library, in August and September 2020. Search terms used were “Diabetes Mellitus,” “mHealth,” “glycemic control”, “HbA1c levels,” and “Blood glucose levels.” The primary outcome was glycated hemoglobin and blood glucose levels. Trials were pooled, and heterogeneity was quantified using the I2 statistic. Results: The search yielded 3980 abstracts, of which 18 trials met the inclusion criteria. Lowering of Hba1c levels was reported in the majority of trials, which aided in Glycemic control. For post prandial blood glucose (PPBG) levels, a statistically significant reduction of value –20.13 (95%CI –35.16 to –5.10, P = 0.009, I2 = 59%) was seen in the mean in the intervention group, whereas for HbA1c levels the mean reduction in the intervention group was –0.44 (95%CI, –0.79 to 0.10, P = 0.01, I2 = 87%). Although these interventions proved beneficial for these outcomes, there was a difference in the amount of effects caused by different mHealth interventions. Conclusion: This study acknowledged the effects of different mHealth interventions as per their accessibility and availability in recent years. There is a need to include more studies in future reviews to generate a larger body of evidence for the reported outcomes. The researchers should give the utmost priority to the transparency while reporting the interventions for effective interpretation of the retrieved data.

Hemophilia A is an X-linked recessive bleeding disorder occurs due to deficiency of factor VIII (FVIII). The disease manifests exclusively in males though it rarely occurs in females due to complex pathophysiological mechanisms. We present a rare case of female hemophilia due to skewed X-inactivation which adversely affected the quality of patient life. She presented with recurrent abdominal pain and was diagnosed with severe endometriosis and underwent total abdominal hysterectomy with left salpingo-oophorectomy and appendicectomy. She was infused recombinant factor VIII both prophylactically and postoperatively as per the World Federation of Hemophilia guidelines. Recombinant Factor VIII was supplemented every 12th hourly and Factor VIII activity levels were monitored daily. She was discharged uneventfully on the postoperative day 21 after screened negative for acquired inhibitors.

Abstract Background Subjective cognitive decline (SCD) is recognized as a risk stage for Alzheimer’s disease (AD) and other dementias, but its prevalence is not well known. We aimed to use uniform criteria to better estimate SCD prevalence across international cohorts. Methods We combined individual participant data for 16 cohorts from 15 countries (members of the COSMIC consortium) and used qualitative and quantitative (Item Response Theory/IRT) harmonization techniques to estimate SCD prevalence. Results The sample comprised 39,387 cognitively unimpaired individuals above age 60. The prevalence of SCD across studies was around one quarter with both qualitative harmonization/QH (23.8%, 95%CI = 23.3–24.4%) and IRT (25.6%, 95%CI = 25.1–26.1%); however, prevalence estimates varied largely between studies (QH 6.1%, 95%CI = 5.1–7.0%, to 52.7%, 95%CI = 47.4–58.0%; IRT: 7.8%, 95%CI = 6.8–8.9%, to 52.7%, 95%CI = 47.4–58.0%). Across studies, SCD prevalence was higher in men than women, in lower levels of education, in Asian and Black African people compared to White people, in lower- and middle-income countries compared to high-income countries, and in studies conducted in later decades. Conclusions SCD is frequent in old age. Having a quarter of older individuals with SCD warrants further investigation of its significance, as a risk stage for AD and other dementias, and of ways to help individuals with SCD who seek medical advice. Moreover, a standardized instrument to measure SCD is needed to overcome the measurement variability currently dominant in the field.

Background: Mentoring programs that include simulation, bedside mentoring, and didactic components are becoming increasingly popular to improve quality. These programs are designed with little evidence to inform the optimal composition of mentoring activities that would yield the greatest impact on provider skills and patient outcomes. We examined the association of number of maternal and neonatal emergency simulations performed in trainings with the diagnosis of postpartum hemorrhage (PPH) and intrapartum asphyxia in real patients. Methods: We used a prospective cohort and births were compared between- and within-facility over time. Setting included 320 public facilities in the state of Bihar, India May 2015 – 2017. The participants were Deliveries and livebirths. The interventions carried out were mobile nurse-mentoring program with simulations, teamwork and communication activities, didactic teaching, demonstrations of clinical procedures and bedside mentoring including conducting deliveries. Nurse mentor pairs visited each facility for one week, covering four facilities over a four-week period, for seven to nine consecutive months. The outcome measures were diagnosis of PPH and intrapartum asphyxia. Results: Relative to the bottom one-third facilities that performed the fewest maternal simulations, facilities in the middle one-third group diagnosed 26% (incidence rate ratio [IRR] = 1.26, 95% confidence interval [CI]: 1.00, 1.59) more cases of PPH in real patients. Similarly, facilities in the middle one-third group, diagnosed 25% (IRR = 1.25, 95% CI: 1.04, 1.50) more cases of intrapartum asphyxia relative to the bottom third group that did the fewest neonatal simulations. Facilities in the top one-third group (i.e., performed the most simulations) did not have a significant difference in diagnosis relative the bottom one-third group. Conclusions: Findings suggest a complex relationship between performing simulations and opportunities for direct practice with patients, and there may be an optimal balance in performing the two that would maximize diagnosis of PPH and intrapartum asphyxia.

Autonomous grounded vehicle-based social assistance/service robot parking in an indoor environment is an exciting challenge in urban cities. There are few efficient methods for parking multi-robot/agent teams in an unknown indoor environment. The primary objective of autonomous multi-robot/agent teams is to establish synchronization between them and to stay in behavioral control when static and when in motion. In this regard, the proposed hardware-efficient algorithm addresses the parking of a trailer (follower) robot in indoor environments by a truck (leader) robot with a rendezvous approach. In the process of parking, initial rendezvous behavioral control between the truck and trailer robots is established. Next, the parking space in the environment is estimated by the truck robot, and the trailer robot parks under the supervision of the truck robot. The proposed behavioral control mechanisms were executed between heterogenous-type computational-based robots. Optimized sensors were used for traversing and the execution of the parking methods. The truck robot leads, and the trailer robot mimics the actions in the execution of path planning and parking. The truck robot was integrated with FPGA (Xilinx Zynq XC7Z020-CLG484-1), and the trailer was integrated with Arduino UNO computing devices; this heterogenous modeling is adequate in the execution of trailer parking by a truck. The hardware schemes were developed using Verilog HDL for the FPGA (truck)-based robot and Python for the Arduino (trailer)-based robot.

Green synthesis of nanoparticles is regarded as a safe and non-toxic process over conventional synthesis. Owing to the medicinal value of biologically derived biomolecules and utilizing them in synergy with nanoscience to offer more accurate therapeutic options to various diseases is an emerging field. One such study we present here with highlights of the synthesis and efficacy of biogenic silver nanoparticles produced from the extract of Aspergillus niger SAP2211 (accession number: MK503444.1) as an antimicrobial, anti-cancerous and anti-angiogenic agent. The synthesized Ag-NPs were characterized following UV–vis, FTIR, XRD, SEM and TEM, and were found to possess bactericidal activity against the selected pathogenic microbes, such as Staphylococcus aureus, Escherichia coli, and Salmonella typhi. Further, we evaluated cytotoxicity effect of this biogenic Ag-NPs using MMT assay on normal cardio myoblast (H9C2) and cancerous human cervical carcinoma (HeLa) cells. Doxorubicin used as positive control. This Ag-NPs have shown trivial cytotoxicity at the IC50 concentration on normal cells (IC50 = 47.17 µg/ml) over the cancer cells (IC50 = 8.609 µg/ml) with nearly 7 fold difference, indicating it as a selective anti-cancerous agent in contrast to standard drug doxorubicin (IC50 = 6.338 µg/ml). Further in-vitro assessment of wound healing capability by scratch wound healing assay, invasion by transwell matrigel invasion assay, and apoptosis via DAPI and annexin V-FITC assays were studied in HeLa cells. Synthesized biogenic Ag-NPs have shown to be anti-angiogenic in nature, which was established by in-vivo chick chorioallantois membrane assay. Overall, in vitro studies revealed that biogenic Ag-NPs positively inhibited migration, invasion, and induced apoptosis, and in-vivo CAM assay revealed that intercapillary network was reduced and the angiogenesis was inhibited.

Sexual relations suffered from a drastic change because of the pandemic of the COVID-19 and its controlling measures. We performed a bibliometric review of articles conducted on sexual behavior through this COVID-19 pandemic. We performed a search in the Scopus database on August 14, 2021. The search was carried out by the mentioned search terms: “sex* act*” OR “Sex* Behav*” AND “COVID-19.” A total of 230 published articles was identified in the Scopus database, out of which 130 research works were funded and 23.91% (n = 55) articles had international collaborations. R Stephenson published the highest number of papers (n = 4) whilst SK Kar had the maximum number of citations (n = 39) and the highest number of citations per article (13). Universidade de São Paulo and the University of California were the most productive organizations whilst the USA outnumbered the other countries. Sexually Transmitted Infections (n = 13) and Elsevier (61) published the highest number of papers as a journal and publisher, respectively. It is the first bibliometric review on studies that assessed impact of the COVID-19 pandemic on human sexual activities during which identified that more than half of the articles were funded which is a promising sign for the researchers from this field and for those who are keen to work in this field.

Objective To estimate the cost of maternal morbidity for all 2019 pregnancies and births in the United States. Methods Using data from 2010 to 2020, we developed a cost analysis model that calculated the excess cases of outcomes attributed to nine maternal morbidity conditions with evidence of outcomes in the literature. We then modeled the associated medical and nonmedical costs of each outcome incurred by birthing people and their children in 2019, projected through five years postpartum. Results We estimated that the total cost of nine maternal morbidity conditions for all pregnancies and births in 2019 was $32.3 billion from conception to five years postpartum, amounting to $8,624 in societal costs per birthing person. Conclusion We found only nine maternal morbidity conditions with sufficient supporting evidence of linkages to outcomes and costs. The lack of comprehensive data for other conditions suggests that maternal morbidity exacts a higher toll on society than we found. Policy implications Although this study likely provides lower bound cost estimates, it establishes the substantial adverse societal impact of maternal morbidity and suggests further opportunities to invest in maternal health.

IntroductionFear of falling has serious implications for health and is an important threat to autonomy. The purpose of this cross-sectional study was to investigate risk factors for fear of falling among Palestinian older adults in Hebron district.MethodsA cross-sectional study was conducted among Palestinians > 60 years living in Hebron, West Bank. The Falls Efficacy Scale-International was used to predict falls among Palestinian older adults. Moreover, socio-demographic data, medical history, lifestyle habits, body composition, nutritional status, cognitive status (using the Montreal cognitive assessment tool), and functional status (using activities of daily living and instrumental activities of daily living scale), the presence of depressive symptoms (using geriatric depression scale), and physical fitness performance (using senior fitness test) were collected through an interview-based questionnaire. Data were analyzed using univariate and multivariate approach.ResultsA total of 200 participants were included in the study; 137 (68.5%) females and 63 (31.5%) males. Mean age was 70.5 ± 5.7 years, ranged from 65 to 98 years old. Fear of falling was significantly higher among older adults with advanced aged, living in villages or camps, low educational level, and being married (p < 0.05). Functional status (ADL and IADL), physical fitness status (timed up and go), and depression symptoms were significantly related to fear of falling (p < 0.05).ConclusionHigh concern of falling is significantly associated with advanced age, low education level, being married, and living in villages or camps. ADLs were among the factors that had a significant relationship with increased fear of falling. Predictors of fear of falling among Palestinian older adults were IADL scores, body fat percentage, rapid gait speed, timed up and go test. Future studies could investigate further correlates of fear of falling among older adults.

Innate lymphoid cells have the capability to communicate with other immune cell types to coordinate the immune system functioning during homeostasis and inflammation. However, these cells behave differently at the functional level, unlike T cells, these cells do not need antigen receptors for activation because they are activated by the interaction of their receptor ligation. In hematopoietic stem cell transplantation (HSCT), T cells and NK cells have been extensively studied but very few studies are available on ILCs. In this review, an attempt has been made to provide current information related to NK and ILCs cell-based stem cell therapies and role of the stem cells in the regulation of ILCs as well. Also, the latest information on the differentiation of NK cells and ILCs from CD34+ hematopoietic stem cells is covered in the article.

The whole world has been affected by the coronavirus disease 2019 (COVID-19) pandemic, and many researchers are racing to understand the disease course and to undertake risk analyses to formulate effective treatment strategies. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is highly transmissible through coughing and sneezing, and through breathing and talking which may account for viral transmission from asymptomatic carriers. Bioaerosols produced during mouth-breathing, an expiratory process in habitual mouth breathers, should be considered in addition to nasal bioparticles as a potential transmissible mode in COVID-19. Oral health professionals are justifiably apprehensive about the exposure risk due to close face-to-face contact and the mode of transmission. The aim of this commentary is to summarize the research conducted in this area and suggested strategies to limit the spread of COVID-19, especially in dental offices.

Tuberculosis (TB) is a serious infectious disease caused by Mycobacterium tuberculosis (MTB) and a significant health concern worldwide. The main threat to the elimination of TB is the development of resistance by MTB to the currently used antibiotics and more extended treatment methods, which is a massive burden on the health care system. As a result, there is an urgent need to identify new, effective therapeutic strategies with fewer adverse effects. The traditional medicines found in South Asia and Africa have a reservoir of medicinal plants and plant-based compounds that are considered another reliable option for human beings to treat various diseases. Abundant research is available for the biotherapeutic potential of naturally occurring compounds in various diseases but has been lagging in the area of TB. Plant-based compounds, or phytoproducts, are being investigated as potential anti-mycobacterial agents by reducing bacterial burden or modulating the immune system, thereby minimizing adverse effects. The efficacy of these phytochemicals has been evaluated through drug delivery using nanoformulations. This review aims to emphasize the value of anti-TB compounds derived from plants and provide a summary of current research on phytochemicals with potential anti-mycobacterial activity against MTB. This article aims to inform readers about the numerous potential herbal treatment options available for combatting TB.

BACKGROUND: Covid-19 lockdown had caused lifestyle changes especially in sleep, physical activity, and body weight. Thus, this study aimed to determine the weight changes before and after the lockdown period and further assessed the association between sleep quality, physical activity, and body mass index (BMI). MATERIAL AND METHODS: This was a retrospective cross-sectional study involving 107 undergraduate students in Universiti Sains Malaysia. Subjects recalled information during the first lockdown implemented in Malaysia from early March 2020 to July 2020. The questionnaire consisted of socio-demography, anthropometry, and physical activity using International Physical Activity Questionnaire and sleep quality using Pittsburgh Sleep Quality Index. Chi-square analysis was used to determine the association between the variables using Statistical Package for Social Sciences software version 26.0. RESULTS: There was a significant increase of 1.8 kg in weight before and after the lockdown period. The majority of respondents had poor sleep quality (80.4%) and low physical activity (60.2%), respectively. Almost 29% of the subjects had sleep latency of more than 30 min while 69.1% of them had sleep duration of

This paper deals with the study of natural convection cooling of a discrete heater array in Cu-EG-water nanofluid filled rectangular enclosure. A 3 × 3 array of non-protruding heat sources is embedded on one of the vertical walls of the enclosure while the top horizontal and opposite vertical walls are assumed to be isothermally cold. The remaining portions in which the heaters are mounted and all other walls are insulated. The above setup is modeled into a system of partial differential equations which are solved numerically using finite volume method based on the Semi-Implicit Method for Pressure Linked Equation (SIMPLE) algorithm and power law scheme. The wide range of parameters for computation are the aspect ratio of the enclosure, the mixture proportion of Ethylene glycol-water, the solid volume fraction of the nanoparticle along with two different thermal conductivity models. It is observed that the proper choice of the computation parameters and thermal conductivity models could be able to maximize the heat transfer rate from the heater array. Also, the results obtained in this study will provide new guidelines in the field of electronic equipment cooling. [ABSTRACT FROM AUTHOR]

In this study, the influence of surfactant on the specific capacitance of nickel oxide nanoparticles (NiO NPs) for supercapacitor applications is studied. We synthesized nickel oxide (NiO) and nickel oxide with sodium dodecyl sulphate (NiO/SDS) NPs using solution combustion synthesis SDS is significant in synthesizing nanomaterials that allow control over particle size, shape and stability. They can enhance the performance of nanoscale materials as energy storage materials by improving their electrochemical activity and charge transfer kinetics. The synthesized material’s performance was further characterized using X-ray diffraction (XRD), UV–vis spectroscopy, Fourier transform infrared spectroscopy, scanning electron microscope, energy dispersive spectroscopy and transmission electron microscopy. The typical crystalline sizes of NiO and NiO/SDS nanomaterials were 28 and 22 nm, respectively. XRD analysis reveals that the structure of NiO is FCC. In addition, the electrochemical performance of the active material was investigated in the electrolyte 6M with potassium hydroxide. Accordingly, specific capacitances of NiO and NiO/SDS are observed as 955 and 1024 F g–1 at a 2 mV s–1 scan rate. It was established that NiO/SDS NPs offer considerably superior electrochemical performance due to the surfactant SDS’s inclusion in contrast to NiO NPs. [ABSTRACT FROM AUTHOR]