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Abstract Mechanically rechargeable zinc-air batteries are considered promising for powering electric vehicles due to their high theoretical energy density, but a few practical hurdles impede their implementation. Understanding the key technical blockades that restrict their implementation will enable quick deployment of these batteries in electric vehicles. This Review analyzes the performance of various on-road electric vehicle segments powered by lithium-ion batteries and compares this with the current rechargeable zinc-air battery development. We discuss the theoretical limits and vehicle-specific blockades involved in achieving the performance of mechanically rechargeable zinc-air battery-powered electric vehicles, equivalent to those powered by lithium-ion batteries. Based on the identified blockades, we present ideas on future research direction on positive and negative electrodes, and battery operation and architecture. Finally, we discuss the conditions under which these batteries can be implemented in various electric vehicle segments.

Purpose Evaluation of the efficacy of two novel formulations of arginine and theobromine in remineralizing artificial enamel defects using in vitro testing techniques- Microhardness and SEMMaterials and methods Enamel slabs measuring 3 mm by 3 mm by 1.5 mm were created using 11 healthy premolars that were excised for orthodontic treatment. Group 1 (control, treated with merely a remineralization solution), Group 2 (0.05% arginine in 10 ml distilled water), and Group 3 (2% theobromine in 10 ml distilled water) were the three groups to which the slabs were randomly allocated (n = 7 per group). The pH cycle was run for 14 days, starting with a 72-h demineralization period and ending with 11 days of remineralization in the corresponding solutions. Prior to and during remineralization, microhardness was measured, and surface features were assessed using scanning electron microscopy (SEM). Statistical analysis, including Paired T Test, one-way ANOVA, and post hoc Tukey tests, determined that the mean values were significant at the 0.05 level.Results The control group showed a mean microhardness increase from 192.09 ± 19.30 to 208.58 ± 5.76. The arginine group increased significantly from 217.20 ± 4.24 to 304.00 ± 15.96, and the theobromine group from 214.09 ± 7.67 to 283.14 ± 10.91. Statistical analysis indicated that both arginine and theobromine groups had significantly greater microhardness improvements compared to the control (p

BackgroundEpilepsy is a chronic neurological disorder affecting individuals globally, marked by recurrent and apparently unpredictable seizures that pose significant challenges, including increased mortality, injuries, and diminished quality of life. Despite advancements in treatments, a significant proportion of people with epilepsy continue to experience uncontrolled seizures. The apparent unpredictability of these events has been identified as a major concern for people with epilepsy, highlighting the need for innovative seizure forecasting technologies. ObjectiveThe ATMOSPHERE study aimed to develop and evaluate a digital intervention, using wearable technology and data science, that provides real-time, individualized seizure forecasting for individuals living with epilepsy. This paper reports the protocol for one of the workstreams focusing on the design and testing of a prototype to capture real-time input data needed for predictive modeling. The first aim was to collaboratively design the prototype (work completed). The second aim is to conduct an “in-the-wild” study to assess usability and refine the prototype (planned research). MethodsThis study uses a person-based approach to design and test the usability of a prototype for real-time seizure precipitant data capture. Phase 1 (work completed) involved co-design with individuals living with epilepsy and health care professionals. Sessions explored users’ requirements for the prototype, followed by iterative design of low-fidelity, static prototypes. Phase 2 (planned research) will be an “in-the-wild” usability study involving the deployment of a mid-fidelity, functional prototype for 4 weeks, with the collection of mixed methods usability data to assess the prototype’s real-world application, feasibility, acceptability, and engagement. This phase involves primary participants (adults diagnosed with epilepsy) and, optionally, their nominated significant other. The usability study will run in 3 rounds of deployment and data collection, aiming to recruit 5 participants per round, with prototype refinement between rounds. ResultsThe phase-1 co-design study engaged 22 individuals, resulting in the development of a mid-fidelity, functional prototype based on identified requirements, including the tracking of evidence-based and personalized seizure precipitants. The upcoming phase-2 usability study is expected to provide insights into the prototype’s real-world usability, identify areas for improvement, and refine the technology for future development. The estimated completion date of phase 2 is the last quarter of 2024. ConclusionsThe ATMOSPHERE study aims to make a significant step forward in epilepsy management, focusing on the development of a user-centered, noninvasive wearable device for seizure forecasting. Through a collaborative design process and comprehensive usability testing, this research aims to address the critical need for predictive seizure forecasting technologies, offering a promising approach to improving the lives of individuals with epilepsy. By leveraging predictive analytics and personalized machine learning models, this technology seeks to offer a novel approach to managing epilepsy, potentially improving clinical outcomes, including quality of life, through increased predictability and seizure management. International Registered Report Identifier (IRRID)DERR1-10.2196/60129

In this study, a packed-bed reactor was used to produce biodiesel from disposed soybean oil using a lipase-nanoparticle bio composite catalyst. During the transesterification process of the ‘disposed of/used soybean oil’, different nano catalysts were employed such as nanoparticles of Ni-doped ZnO, Fe3O4, Alkylcelite, Poly-acrylonitrile fibres and Poly-acrylonitrile nanofibrous membrane and they were abbreviated as CI, CII, CIII, CIV and CIV respectively. In each case of biodiesel production, there were two levels of process parameters like flow velocity (such as 0.25 mL/min-1.25 mL/min) and the reaction time (20 and 100 h) were considered for analyses. From the derived biofuel, the biodiesel blends were prepared as B50 (50% diesel and 50% biodiesel) and B75 (25% diesel and 75% biodiesel). The synthesis of biofuel results, in the biodiesel conversion of cepacia lipase with Poly-acrylonitrile nanofibrous membrane nanoparticles being recorded at about 85% at a 1.25 mL/min flow rate, which is the maximum biodiesel conversion among five grades. The shortlisted biodiesel performances were analyzed by varying the engine speed, grade and kind of biodiesel, The observed results were analyzed. The B50CIV and B75CIV blends recorded the maximum BSFC at 1800 rpm engine speed. CO2 emission by diesel is about 2.3 vol% was recorded. It is the highest value compared to biodiesel blends (B50 and B75). The emission of NOx with the B50CII blend was 220 ppm at the engine speed of 1800 rpm. Based on the experimental results, B50CIV serves affordable fuel and is recommended among those tested in this investigation for CI engines.

Background: COVID-19 has become a global pandemic, prompting lockdowns in practically every country. To prevent the spread of the disease, India has enforced a rigorous nationwide lockdown that commenced in March 2020. The lockdown imposed amid the pandemic ensured that most commercial activities and vehicle transportation ceased, resulting in a significant reduction in air pollution levels. Material and Methods: The value of air pollutants PM10, PM2.5, NO2, and SO2 from January to May 2020 was obtained from the Indian Central Pollution Control Board. Before lockdown and during lockdown, relative fluctuations in ambient concentrations of four air contaminants were investigated. The Box–Jenkins approach was used to estimate future air pollution data points using time series data analysis. Results: The PM10 level reduced by 61%, 30%, 68%, 37%, and 43% in the selected cities, respectively. Comparison of other pollutant concentrations before and after the lockdown also found a reduction in ambient pollutant concentrations, resulting in improved air quality. Inference of predicted model values to observed values revealed a significant increase in the concentrations of all pollutants. The percentage increases in AQImean from predicted to observed values were 206% in Ghaziabad, 148% in Delhi, 59% in Hyderabad, and 160% in Cochin. Conclusion: The strict lockdown has resulted in a significant drop in air pollutant levels. Upgrading present technologies could help keep pollution to a minimum of 37% under control. The findings would prompt the government to consider how to strictly reduce vehicle and industrial pollution to improve air quality and maintain improved public health.

Abstract Therapy resistance and recurrence are irrefutably ascribed to the unique attributes of the cancer stem cell (CSC) population. Therefore, discerning the underlying mechanism is imperative in arbitrating a strategic therapeutic approach. In this study, we have observed the coexistence of neuron‐like cell (NLC) subpopulations in different cancer cell lines. The NLC subset was further validated by transfection studies and was found to be positive for PSD‐95. As a proof of concept, we have also demonstrated the transpiration of neurological phenomena such as long‐term potentiation (LTP) and long‐term depression (LTD) in cancer. We have utilized PMA drug and IL‐13 cytokine to study LTD and LTP, respectively, and observed a correlation between the memory marker (GLUN2B) and stemness markers (CD95 and CD58). Moreover, the transcriptional protein pCREB, which plays a crucial role in memory formation, was found to influence CD44 protein levels. These findings suggest that the instigation of LTD can impair cellular memory and sensitize CSC to the metabolic inhibitor, 3Bromopyruvate. Furthermore, this study interfaces the neurobiology of cancer and nanomedicine, wherein we have used biomimetic nanocarriers for the active targeting of drugs and demonstrate their ability to augment therapeutic efficiency.

The need for Electric Vehicles (EVs) has grown as a result of the issues brought on by fossil fuels. To keep up with the rising demand for electricity, the power source is equipped with additional renewable energy sources (RES). In order to meet the demand for energy, the solar photovoltaic (PV) system is deployed in this work. The novel contribution of this paper is the design and development of unique converter and regulating models to improve the overall power tracking performance, voltage gain, power quality, motor performance and efficiency of the PV-EV system. Here, a cutting-edge MPPT controlling model known as, Skill Optimized Power Tracker (SOPT) is developed in this work to maximize the quantity of electrical energy generated by solar panels in the context of changing temperature and irradiance. This work effectively increases PV output by adopting an innovative Ultra high gain converter, which increases voltage gain efficiency with less switching stress and power loss. In particular, this endeavor develops a unique Inimitable Elman Network based Fire Hawk Controller (IEFC) to improve the power quality and motor performance of EVs. Moreover, the simulation results of the proposed SOPT-IEFC controlling model and Ultra-high gain converter are validated through an array of performance measures including overall efficiency (99%), THD (1.05%), and motor speed (1200 rpm).

Opportunistic pathogenic microbial infections pose a significant danger to human health, which forces people to use riskier, more expensive, and less effective drugs compared to traditional treatments. These may be attributed to several factors, such as overusing antibiotics in medicine and lack of sanitization in hospital settings. In this context, researchers are looking for new options to combat this worrying condition and find a solution. Nanoparticles are currently being utilized in the pharmaceutical sector; however, there is a persistent worry regarding their potential danger to human health due to the usage of toxic chemicals, which makes the utilization of nanoparticles highly hazardous to eukaryotic cells. Multiple nanoparticle-based techniques are now being developed, offering essential understanding regarding the synthesis of components that play a crucial role in producing anti-microbial nanotherapeutic pharmaceuticals. In this regard, green nanoparticles are considered less hazardous than other forms, providing potential options for avoiding the extensive harm to the human microbiome that is prevalent with existing procedures. This review article aims to comprehensively assess the current state of knowledge on green nanoparticles related to antibiotic activity as well as their potential to assist antibiotics in treating opportunistic clinical phytopathogenic illnesses.

Abstract In this research work, carbon dots (CDs) were synthesized from the renewable leaves of an indigenous medicinal plant by the one-pot sand bath method, Azadirachta indica. The synthesized CDs were characterized for its optical properties using UV–Vis, Fluorescence and Fourier transform infrared (FT-IR) spectrophotometry and for structural properties using dynamic light scattering (DLS), X-ray Diffraction (XRD) and high resolution Transmission electron microscopy (HR-TEM). The synthesized CDs exhibited concentration dependent biocompatibility when tested in mouse fibroblast L929 cell line. The EC50 values of biomedical studies, free radical scavenging activity (13.87 μgmL−1), and total antioxidant capacity (38 μgmL−1) proved CDs were exceptionally good. These CDs showed an appreciable zone of inhibition when examined on four bacterial (two gram-positive and gram-negative) and two fungal strains at minimum concentrations. Cellular internalisation studies performed on human breast cancer cells (MCF 7- bioimaging) revealed the applicability of CDs in bioimaging, wherein the inherent fluorescence of CDs were utilised. Thus, the CDs developed are potential as bioimaging, antioxidants and antimicrobial agents.

Abstract The growing need for innovative drug delivery systems has led to extensive research to address the limitations associated with conventional dosage forms. Lipid nanoparticles have become prominent as frontline nanocarriers for the delivery of drugs and vaccine formulations. However, the pursuit of new materials and modifications to improve lipid nanocarrier properties remains ongoing. In this context, transethosomes have gained attention as a promising solution, offering distinct advantages over traditional formulations. Transethosomes minimize plasma fluctuations, first‐pass metabolism, organ toxicity, and poor bioavailability. This comprehensive review provides an in‐depth exploration of transethosomes, starting with an overview of the impact of formulation components on their properties and effective targeting. This article delves into the production techniques and evaluation properties employed to ensure efficient drug delivery. A significant contribution of this review lies in the analysis of various routes of administration for transethosomes, including transdermal, transvaginal, pulmonary, and ocular delivery, showcasing the versatility of transethosome‐loaded with drugs and their potential to target specific tissues to achieve controlled release. Furthermore, the potential of functionalization and photodynamic therapy approaches to enhance drug delivery efficacy are explored. Overall, this review emphasizes the significant potentiality of transethosomes as a promising drug delivery system addressing the challenges associated with conventional drug delivery approaches.

Urine is a highly advantageous biological specimen for biomarker research and is a non-invasive source. Most of the urinary biomarkers are non-specific, volatile and need extensive validation before clinical adoption. Extracellular vesicles are secreted by almost all cells and are involved in homoeostasis, intercellular communication, and cellular processes in healthy and pathophysiological states. Urinary extracellular vesicles (UEVs) are released from the urogenital system and mirror the molecular processes of physiological and pathological states of their source cells. Therefore, UEVs serve as a valuable source of biomarkers for the non-invasive diagnosis of various pathologies. They hold a promising source of multiplex biomarkers suitable for prognosis, diagnosis, and therapy monitoring. UEVs are easily accessible, non-invasive, and suited for longitudinal sampling. Although various techniques are available for isolating UEVs, there is yet to be a consensus on a standard and ideal protocol. We have optimized an efficient, reliable, and easily adoptable polyethylene glycol (PEG) based UEV isolation technique following MISEV guidelines. The method is suitable for various downstream applications of UEVs. This could be a cost-effective, consistent, and accessible procedure for many clinical labs and is most suited for longitudinal analysis. Adopting the protocol will pave the way for establishing UEVs as the ideal biomarker source. • Urine can be collected non-invasively and repeatedly, hence a very useful specimen for biomarker discovery. Urinary EVs (UEVs), derived from urine, offer a stable diagnostic tool, but standardised isolation and analysis approaches are warranted. • To have enough UEVs for any study, large volumes of urine sample are necessary, which limits different isolation methods by cost, yield, and time. • The protocol developed could help researchers by offering a cost-effective and dependable UEV isolation method and may lay the foundation for UEVs adoption in clinical space.

Abstract The evolution of digital health care system in medical imaging has become a contemporary area. Human eye contain numerous nerves and sensitive tissues in it which are highly prone to eye diseases like hemorrhage, exudates, micro aneurysms etc. These eye diseases may affect blood vessels of retina to a greater extent. There are different research contributions made in this research work. They are (i) Identification of OD/OS (Right eye / Left eye) using DWT. (ii) A clip limit estimation technique which identifies the suitable clip limit value for enhancement. (iii) A framework for blood vessel extraction using estimated clip limit value and thresholding technique. Using DWT the localization of optic disc is done. The clip limit estimation technique involves various analysis to estimate the suitable clip limit for enhancement namely qualitative analysis, quantitative analysis, intensity distribution analysis and statistical analysis. A framework is proposed for retina blood vessel segmentation using clip limit estimation technique. The performance of the proposed methods are measured in terms of classification accuracy, sensitivity, specificity. The framework is tested on different datasets which produced an accuracy of 96.87% on DRIVE dataset, 96.89% on HRF dataset, 97.34% on STARE dataset, and 97.52% on DIARETDB1 dataset respectively.

Abstract Cancer is one of the most prevailing causes of mortality worldwide. Standard therapies for cancer patients include surgical intervention, chemotherapy, and radiotherapy. Nevertheless, chemoresistance and toxicity are clinical implications of advanced disease. New treatments are obliged to overcome these challenges. According to clinical investigations, melatonin (MLT) has the potential to prevent and cure cancer. It is nontoxic and has a plethora of anticancer properties including apoptosis, antiangiogenic, antiproliferative, and metastasis‐inhibitory mechanisms. It enhances the therapeutic sensitivity of malignancies when coupled with conventional medications. The investigations that demonstrate how MLT possesses antitumor characteristics are reviewed in this manuscript. We provided an overview of recent research on the etiology, factors associated, therapeutic property of MLT on various cancer types. We discussed the clinical implications of MLT alone or in conjunction with chemotherapeutic drugs or radiation therapy. Furthermore, we have addressed the mechanisms of its anticancer activities against several types of cancers along with research findings of various investigations done by researchers and advancements in the field of nanotechnology for efficient delivery of MLT. The recent clinical investigations of MLT in various cancer types are reported in this review.

A worldwide issue affecting the world is waste disposal; hence, the need to construct a waste detection system that is based on deep learning. Ten wastes are evaluated in this article with a view of providing an integrated framework for measurement and evaluation. It also offers a comprehensive account of the wastes studied further by looking at its detail finding and the challenges they pose as well as views associated with waste detection. Recycling both has economical and ecological benefits which help to eliminate pollution. Technology can now be used to turn waste into resource materials thus recycling more than before especially through the use of deep learning among other technologies.

Apraxia of speech is a persistent speech motor disorder that affects speech intelligibility. Studies on speech motor disorders with transcranial Direct Current Stimulation (tDCS) have been mostly directed toward examining post-stroke aphasia. Only a few tDCS studies have focused on apraxia of speech or childhood apraxia of speech (CAS), and no study has investigated individuals with CAS and Trisomy 21 (T21, Down syndrome). This N-of-1 randomized trial examined the effects of tDCS combined with a motor learning task in developmental apraxia of speech co-existing with T21 (ReBEC RBR-5435x9). The accuracy of speech sound production of nonsense words (NSWs) during Rapid Syllable Transition Training (ReST) over 10 sessions of anodal tDCS (1.5 mA, 25 cm) over Broca’s area with the cathode over the contralateral region was compared to 10 sessions of sham-tDCS and four control sessions in a 20-year-old male individual with T21 presenting moderate–severe childhood apraxia of speech (CAS). The accuracy for NSW production progressively improved (gain of 40%) under tDCS (sham-tDCS and control sessions showed < 20% gain). A decrease in speech severity from moderate–severe to mild–moderate indicated transfer effects in speech production. Speech accuracy under tDCS was correlated with Wernicke’s area activation (P3 current source density), which in turn was correlated with the activation of the left supramarginal gyrus and the Sylvian parietal–temporal junction. Repetitive bihemispheric tDCS paired with ReST may have facilitated speech sound acquisition in a young adult with T21 and CAS, possibly through activating brain regions required for phonological working memory.

Urinary tract infection (UTI) is a common in children presenting with non-specific symptoms, often undiagnosed and managed with indiscriminate antibiotics. We made an attempt to study the clinico-epidemiological and microbiological profile in children presenting with UTI. Aim of the study was to analyze the clinico-epidemiological and microbiological profile in children upto 5 years of age presenting with UTI. In this prospective study, we analyzed the clinical presentation, antibiotic sensitivity pattern and outcome of children with UTI. Children of age group up to 5 years, with culture positive UTI was taken. Total of 101 children presented with culture positive UTI. 47 were males and 54 females. 21 were neonates and 80 were older children. Neonates mainly presented with failure to thrive, prolonged jaundice and lethargy with poor suck whereas older children presented mainly with fever, dysuria, abdominal pain and vomiting. E coli was the commonest offending agent followed by Klebsiella pneumoniae and Proteus mirabilis. Antibiotic resistance was least with Amikacin, followed by Colistin, Iimipenem, Meropenem, Levofloxacin, Piperacillin/Tazobactum and Ceftriaxone. Vesico-ureteric reflux (03) and Pelvi-ureteric junction obstruction (03) were the structural renal anomaly detected on further evaluation of these babies. Hence, to conclude, UTI in children is not uncommon. Children often present with non-specific symptoms, and a high index of suspicion is warranted for its diagnosis. Urine culture is the gold standard of diagnosis. All children must further be evaluated for associated structural renal anomaly and provided appropriate therapy so as to prevent long term renal scarring. [J Med Allied Sci. 2022; 12(2):38-42]

Introduction: Orthodontics apart from correcting the malocclusions provide an invariably indirect effects on surrounding musculature and airway by means of creating room for proper tongue posture which helps in improvement of oropharyngeal airway dimensions along with dentoalveolar corrections which in this study was experimented with two different bracket systems- MBT and Damon self-ligating systems. Aim: To assess the adaptation of tongue and oropharyngeal airway changes following treatment with two different bracket systems. Materials and Methods: This randomised clinical trial was conducted in the Department of Orthodontics, Saveetha Dental College and Hospital, Chennai, Tamil Nadu, India, and included 20 participants and categorised into two groups: Group 1 and group 2 included participants who underwent orthodontic treatment with Damon appliance therapy with Damon Copper NiTi (CuNiTi) wires and MBT prescription with Damon CuNiTi wires. Lateral cephalogram and intraoral scanning was done at the start of orthodontic treatment (T0) and after one year (T1). Cephalometric and occlusal model assessment to determine the adaptation of tongue and Oropharyngeal Dimensions (OD) were determined (T0-T1) using the Facad® and 3-shape software. Independent t-tests and paired t-tests were done to compare T0 and T1 for both the groups were done using Statistical Package for the Social Sciences (SPSS) software. Results: Results of paired t-tests showed a statistically significant difference at the Interpremolar distance (IPM1) region of both groups 1 and 2 between T0 and T1 (p=0.034, p=0.011), Intercanine distance (IC) of group 2 upper (p=0.043) and IPM2 of both the groups in the upper arch (p=0.042, p=0.022). Cephalometric results showed a significant increase in all the assessed parameters within the groups between T0 and T1 (p

Rice is a highly consumed staple cereal cultivated predominantly in Asian countries, which share 90% of global rice production. Rice is a primary calorie provider for more than 3.5 billion people across the world. Preference and consumption of polished rice have increased manifold, which resulted in the loss of inherent nutrition. The prevalence of micronutrient deficiencies (Zn and Fe) are major human health challenges in the 21st century. Biofortification of staples is a sustainable approach to alleviating malnutrition. Globally, significant progress has been made in rice for enhancing grain Zn, Fe, and protein. To date, 37 biofortified Fe, Zn, Protein and Provitamin A rich rice varieties are available for commercial cultivation (16 from India and 21 from the rest of the world; Fe > 10 mg/kg, Zn > 24 mg/kg, protein > 10% in polished rice as India target while Zn > 28 mg/kg in polished rice as international target). However, understanding the micronutrient genetics, mechanisms of uptake, translocation, and bioavailability are the prime areas that need to be strengthened. The successful development of these lines through integrated-genomic technologies can accelerate deployment and scaling in future breeding programs to address the key challenges of malnutrition and hidden hunger.

Cancer is characterized by the uncontrolled growth of cells that also metastasis, owing to the mutation in p53 (tumor suppressor gene), making cancer a deadly disease. Though Chemotherapy, Photothermal therapy (PTT), and Photodynamic therapy (PDT) have promising results, acute side effects such as light sensitivity, immune system suppression, and weakness associated with these treatments demand a new strategy that can ameliorate the drawbacks associated with the same. In this regard, Nanobubble therapy (NBT) plays a vital role in plasmonic nanoparticles killing cancer cells by disrupting the cancer cell membrane. As NBT targets only the cancer cells, the side effects associated are almost nil or significantly less compared with Chemotherapy, PTT, and PDT. This article reviews the rationale and significance of NBT over other therapies while providing insight into the metal-based nanobubble systems and their biological applications.

Abstract Aims We hypothesized that left atrial (LA) remodelling and function are associated with poor exercise capacity as prognostic marker in chronic heart failure (CHF) across a broad range of left ventricular ejection fraction (LVEF). Methods and results One hundred seventy‐one patients with CHF were analysed [age 65 ± 11 years, 136 males (80%); 86 heart failure with reduced ejection fraction (HFrEF), 27 heart failure with mid‐range ejection fraction (HFmrEF), 58 heart failure with preserved ejection fraction (HFpEF)]. All patients underwent echocardiography and maximal cardiopulmonary exercise testing and were classified according to a prognostic cut‐off of peak VO2 (pVO2; 14 mL/kg/min). Seventy‐seven (45%) patients reached pVO2

Introduction: One-and-a-half syndrome is a condition characterized by horizontal gaze palsy and internuclear ophthalmoplegia. Its risk factors include conditions that predispose to pontine lesions and demyelinating conditions. The symptoms include blurred vision, diplopia, and oscillopsia. Management is addressing the underlying symptom and relieving the symptoms. The case of a 46-year-old hypertensive male who was diagnosed with one-and-a-half syndrome and who underwent inpatient management at an allopathic hospital is presented here. He initially approached Sreedhareeyam's OP division and was prescribed medicine and inpatient management. Main Clinical Findings: On examination, he had blurred vision, diplopia, and one-and-a-half syndrome. Intervention: He underwent an inpatient Ayurvedic protocol comprising of oral medicines, external therapies, and eye exercises. Outcome: Results at discharge and at three subsequent follow-ups demonstrated gradually improved ocular movements and relief of symptoms. Conclusion: This case illustrates that Ayurveda treatments may be explored for this condition.

The viral infection spreads with the assistance of a host. Traditional antiviral therapies cannot provide long-term immunity against emerging and drug-resistant viral infections. Immunotherapy has evolved as an efficient approach for disease prevention and treatment, which include cancer, infections, inflammatory, and immune disorders. Immunomodulatory nanosystems can dramatically enhance therapeutic outcomes by combating many therapeutic challenges, such as poor immune stimulation and off-target adverse effects. Recently, immunomodulatory nanosystems have emerged as a potent antiviral strategy to intercept viral infections effectively. This review introduces major viral infections with their primary symptoms, route of transmission & targeted organ, and different stages of the viral life cycle with respective traditional blockers. The IMNs have an exceptional capacity for precisely modulating the immune system for therapeutic applications. The nano sized immunomodulatory systems permit the immune cells to interact with infectious agents enhancing lymphatic drainage and endocytosis by the over-reactive immune cells in the infected areas. Immune cells that can be modulated upon viral infection via various immunomodulatory nanosystems have been discussed. Advancement in theranostics can yield an accurate diagnosis, adequate treatment, and real-time screening of viral infections. Nanosystem-based drug delivery can continue to thrive in diagnosing, treating, and preventing viral infections. The curative medicine for remerging and drug-resistant viruses remains challenging, though certain systems have expanded our perception and initiated a new research domain in antiviral treatments.

Abstract In this work, osmium‐based vacancy‐ordered double perovskites Cs2OsX6 (X = Cl−, Br−, I−) are reported and the role of halides on stability, optical and photoelectrochemical properties is investigated. All these three materials crystallize in a cubic phase like Cs2SnX6 or Cs2PtX6 and possess extraordinary stability in ambient conditions and remain stable in strong acids and bases (from pH 1 to 11). One of the unique properties of these materials is that they show panchromatic visible and NIR absorption (up to 1200 nm) through ligand‐to‐metal [X (Cl−/Br−/I−) to Os] charge transfer and another NIR absorption between 1800 and 2500 nm due to Os d‐d transition. Their pH stability and panchromatic light absorption properties enabled them to be employed as photoanodes in PEC water‐splitting devices.

Study Design Retrospective cohort study. Purpose To study the incidence, onset, underlying mechanism, clinical course, and factors leading to asymptomatic construct failure (AsCF) after metastatic spinal tumor surgery (MSTS). Overview of Literature The reported incidence rates for implant and/or construct failure after MSTS are low (1.9%–16%) and based on clinical presentations and revisions required for symptomatic failures (SFs). AsCF after MSTS has not been reported. Methods We conducted a retrospective analysis of 288 patients (246 for final analysis) who underwent MSTS between 2005–2015. Data collected were demographics and peri/postoperative clinical and radiological features. Early and late radiological AsCF were defined as presentation before and after 3 months, respectively. We analyzed patients with AsCF for risk factors and survival duration by performing competing risk regression analyses where AsCF was the event of interest, with SF and death as competing events. Results We observed AsCF in 41/246 patients (16.7%). The mean time to onset of AsCF after MSTS was 2 months (range, 1–9 months). Median survival of patients with AsCF was 20 and 41 months for early and late failures, respectively. Early AsCF accounted for 80.5% of cases, while late AsCF accounted for 19.5%. The commonest radiologically detectable AsCF mechanism was angular deformity (increase in kyphus) in 29 patients. Increasing age (p

Composite Electrolytes (1-x)CsH2PO4/xTiO2(0≤x≤0.4) were prepared and analyzed the structural, thermal, and transport properties. We have investigated the ionic conductivity of composite electrolytes highly pressurized pellets and found that the conductivity of pure CsH2PO4 (CDP) increased three orders of magnitude at the transition temperature. The conductivity value of the composites is greater than pure CDP after 250°C. Arrhenius plots have confirmed the conductive nature of ionic conduction. The dehydration behavior and thermal stability of the materials were observed in terms of differential scanning calorimetry, thermogravimetric analysis, and differential thermal analysis, and found that the minimum weight loss for the composite 0.6CDP/0.4TiO2. The electrodes were prepared with the technique of vapor deposition.

Halide perovskites recently attracted wide attention for light emitting applications. Here, octahedral distortion in halide double perovskites Cs2AgMCl6, induced by the mixture of trivalent M-cations Bi3+, In3+, and Sb3+, gives rise to enhanced white light emissivity and longer photoluminescence lifetimes.

This paper reports the colorimetric analysis of cervical-cancer-affected clinical samples by the in situ formation of gold nanoparticles (AuNPs) formed with cervico-vaginal fluids collected from healthy and cancer-affected patients in a clinical setup, termed “C-ColAur”. We evaluated the efficacy of the colorimetric technique against the clinical analysis (biopsy/Pap smear) and reported the sensitivity and specificity. We investigated if the aggregation coefficient and size of the nanoparticles responsible for the change in color of the AuNPs (formed with clinical samples) could also be used as a measure of detecting malignancy. We estimated the protein and lipid concentrations in the clinical samples and attempted to investigate if either of these components was solely responsible for the color change, enabling their colorimetric detection. We also propose a self-sampling device, CerviSelf, that could enable the rapid frequency of screening. We discuss two of the designs in detail and demonstrate the 3D-printed prototypes. These devices, in conjugation with the colorimetric technique C-ColAur, have the potential to be self-screening techniques, enabling women to undergo rapid and frequent screening in the comfort and privacy of their homes, allowing a chance at an early diagnosis and improved survival rates.

Abstract Aims Exercise intolerance is the leading manifestation of heart failure with preserved or mid‐range ejection fraction (HFpEF or HFmrEF), and left atrial (LA) function might contribute to modulating left ventricular filling and pulmonary venous pressures. We aim to assess the association between LA function and maximal exercise capacity in patients with HFpEF or HFmrEF. Methods and results Sixty‐five patients, prospectively enrolled in the German HFpEF Registry, were analysed. Inclusion criteria were New York Heart Association functional class ≥ II, left ventricular ejection fraction > 40%, structural heart disease or diastolic dysfunction, and elevated levels of N terminal pro brain natriuretic peptide (NT‐proBNP). LA function was evaluated through speckle‐tracking echocardiography by central reading in the Charité Academic Echocardiography core lab. All patients underwent maximal cardiopulmonary exercise test and were classified according to a peak VO2 cut‐off of prognostic value (14 mL/kg/min). NT‐pro‐BNP was measured. Twenty‐nine patients (45%) reached a peak VO2

Treatment of retinoblastoma is limited due to its delayed detection and inaccesbility of drugs to reach the retina crossing the blood-retinal barrier. With the advancements in nanotechnology, photothermal therapy (PTT) employing plasmonic nanomaterials and/or NIR dyes have emerged as an affordable alternative owing to the spatial control that is offered by the modality leading to localized and enhanced therapeutic efficacy with minimal invasiveness. However, the modality is limited in its clinical application owing to the increased heat shock resistance of the tumor cells in response to the heat that is generated via PTT. Hence, in this study, we explore the role of novel biomolecular fraction of Moringa oleifera (DFM) encapsulated within a polymeric nanosystem, for its anti-heat shock protein (HSP) activity. The MO extract was co-encapsulated with NIR sensitizing dye, IR820 into a biodegradable polycaprolactone (PCL) nano-delivery system (PMIR NPs). The photothermal transduction efficacy of PMIR NPs was validated in vitro against retinoblastoma cell lines. The inherent fluorescence of DFM was utilized to evaluate the cellular internalization of the PMIR NPs using fluorescence microscopy and flow cytometry. The overall oxidative protein damage and downregulation of HSP70 expression upon treatment with PMIR NPs and NIR laser irradiation was evaluated using densiometric protein analysis and Western blotting. Overall, the PMIR NPs exhibited excellent anti-cancer activity when combined with PTT with downregulated HSP70 expression against retinoblastoma cells.

Understanding various responses of cells towards change in their external environment, presence of other species and is important in identifying and correlating the mechanisms leading to malignant transformations and cancer development. Although uncovering and comprehending the association between bacteria and cancer is highly challenging, it promises excellent perspectives and approaches for successful cancer therapy. This review introduces various bacterial species, their virulence factors, and their role in cell transformations leading to cancer (particularly gastric, oral, colon, and breast cancer). Bacterial dysbiosis permutates host cells, causes inflammation, and results in tumorigenesis. This review explored bacterial-mediated host cell transformation causing chronic inflammation, immune receptor hyperactivation/absconding immune recognition, and genomic instability. Bacterial infections downregulate E-cadherin, leading to loosening of epithelial tight junction polarity and triggers metastasis. In addition to understanding the role of bacterial infections in cancer development, we have also reviewed the application of bacteria for cancer therapy. The emergence of bacteriotherapy combined with conventional therapies led to new and effective ways of overcoming challenges associated with available treatments. This review discusses the application of bacterial minicells, microswimmers, and outer cell membrane vesicles (OMV) for drug delivery applications.

Axial suspension plasma spraying (ASPS) is an alternative technique to atmospheric plasma spraying (APS), which uses a suspension of much finer powders (

One of the most effective cancer therapies, cancer immunotherapy has produced outstanding outcomes in the field of cancer treatment. However, the cost is excessive, which limits its applicability. A smart way to address this issue would be to apply the knowledge gained through immunotherapy to develop strategies for the immunoprevention of cancer. The use of cancer vaccines is one of the most popular methods of immunoprevention. This paper reviews the technologies and processes that support the advantages of cancer immunoprevention over traditional cancer immunotherapies. Nanoparticle drug delivery systems and nanoparticle-based nano-vaccines have been employed in the past for cancer immunotherapy. This paper outlines numerous immunoprevention strategies and how nanotechnology can be applied in immunoprevention. To comprehend the non-clinical and clinical evaluation of these cancer vaccines through clinical studies is essential for acceptance of the vaccines.

Cancer metastasis remains the major cause of global cancer deaths. Radiation therapy remains one of the golden standards for cancer treatment. Nanomedicine based strategies have been designed and developed in order to improve the clinical outcomes of cancer therapy and diagnosis at molecular levels. Over the years, several researchers have shown their interest in using radiosensitizers made of high Z elements. Metal-based nanosystems also play a dual role by enhancing the synergistic effect of cell killing via various biological immune responses. This review summarizes the role of Nano-sensitizers in boosting radiation (ionizing/non-ionizing radiations) induced biological responses in treatment of metastatic cancer models.

In the Southeast Asian region, various policies have been advocated by health regulatory bodies that entail protective measures such as face masks, gloves, maintaining distance in public areas, and more. These protective measures are aimed at helping reverse the growth rate of the coronavirus. Dentists in this region have incorporated several changes to their practices to help minimize risks of person-to-person transmission inside dental offices. This narrative review aimed to provide an in-depth overview of the current situation in the Southeast Asian region regarding the use of teledentistry during the pandemic. Teledentistry involves the transfer of patient information across remote distances for online consultation and treatment planning. A few years back, it used to be a lesser-known entity but has seen an exponential rise in its incorporation into dental practices all around the Association of Southeast Nations (ASEAN) region. Many clinics in the Southeast Asian region have started using online consultations to ensure that patients can be diagnosed or followed up during their treatment. Teledentistry is the clear answer in the coming months as it will help reduce the risk of virus transmission and help patients get access to oral healthcare and dentists to see their patients. This article reviews the current pandemic situation in the ASEAN region, the recent evidence, and the scope of teledentistry. It also provides recommendations for the future and sheds light on the different types of teledentistry and how it can be incorporated into practices by regulatory authorities in this region.

Background. The quantity and quality of the etching pattern produced by acids play a significant role in the wettability and contact angle of the adhesive with the enamel surface in orthodontics. The better the etch pattern, the more the surface energy of the enamel, better the penetration of the adhesive, which ultimately results in better bond strength. The present study aimed to evaluate the contact angle of the bonding agent with the enamel surface etched by five commercially available etchants and check if any difference existed between the five. Materials and Methods. Twenty-five human maxillary and mandibular central incisors and premolars extracted for orthodontic or dental purposes were used in this study as samples. The teeth were allocated into five groups based upon the etchant used to etch the enamel surface. After the samples were etched, a hard tissue microtome was used to create thin slices of the enamel surface. The samples were then exposed to bonding agent Ormco Enlight. The bonding agent was released in the form of droplets onto the enamel slices mounted on a contact angle goniometer. The contact angle values were tabulated, and statistical analysis using the one-way ANOVA test was carried out. Results. The contact angle measurements of the etchant group, DPI, were the lowest, while D-tech has the highest contact angle values. However, statistical analysis revealed no statistically significant difference between the contact angle measurements of the five groups included in the study. Conclusion. No statistically significant difference existed between the five etchant groups included in the study. However, commercially available etchant DPI showed lesser contact angle and thus better wettability in comparison to other groups. Further elemental analysis and surface analysis are required to validate these results.

Speech Sound Disorders (SSDs) is a generic term used to describe a range of difficulties producing speech sounds in children (McLeod and Baker, 2017). The foundations of clinical assessment, classification and intervention for children with SSD have been heavily influenced by psycholinguistic theory and procedures, which largely posit a firm boundary between phonological processes and phonetics/articulation (Shriberg, 2010). Thus, in many current SSD classification systems the complex relationships between the etiology (distal), processing deficits (proximal) and the behavioral levels (speech symptoms) is under-specified (Terband et al., 2019a). It is critical to understand the complex interactions between these levels as they have implications for differential diagnosis and treatment planning (Terband et al., 2019a). There have been some theoretical attempts made towards understanding these interactions (e.g., McAllister Byun and Tessier, 2016) and characterizing speech patterns in children either solely as the product of speech motor performance limitations or purely as a consequence of phonological/grammatical competence has been challenged (Inkelas and Rose, 2007; McAllister Byun, 2012). In the present paper, we intend to reconcile the phonetic-phonology dichotomy and discuss the interconnectedness between these levels and the nature of SSDs using an alternative perspective based on the notion of an articulatory “gesture” within the broader concepts of the Articulatory Phonology model (AP; Browman and Goldstein, 1992). The articulatory “gesture” serves as a unit of phonological contrast and characterization of the resulting articulatory movements (Browman and Goldstein, 1992; van Lieshout and Goldstein, 2008). We present evidence supporting the notion of articulatory gestures at the level of speech production and as reflected in control processes in the brain and discuss how an articulatory “gesture”-based approach can account for articulatory behaviors in typical and disordered speech production (van Lieshout, 2004; Pouplier and van Lieshout, 2016). Specifically, we discuss how the AP model can provide an explanatory framework for understanding SSDs in children. Although other theories may be able to provide alternate explanations for some of the issues we will discuss, the AP framework in our view generates a unique scope that covers linguistic (phonology) and motor processes in a unified manner.

Major biotic stresses viz., bacterial blight (BB) and blast and brown plant hopper (BPH) coupled with abiotic stresses like drought stress, significantly affect rice yields. To address this, marker-assisted intercross (IC) breeding involving multiple donors was used to combine three BB resistance genes—xa5, xa13 and Xa21, two blast resistance genes—Pi9 and Pi54, two BPH resistance genes—Bph20 and Bph21, and four drought tolerant quantitative trait loci (QTL)—qDTY1.1, qDTY2.1, qDTY3.1 and qDTY12.1—in the genetic background of the elite Indian rice cultivar ‘Krishna Hamsa’. Three cycles of selective intercrossing followed by selfing coupled with foreground selection and phenotyping for the target traits resulted in the development of 196 introgression lines (ILs) with a myriad of gene/QTL combinations. Based on the phenotypic reaction, the ILs were classified into seven phenotypic classes of resistance/tolerance to the following: (1) BB, blast and drought—5 ILs; (2) BB and blast—10 ILs; (3) BB and drought—9 ILs; (4) blast and drought—42 ILs; (5) BB—3 ILs; (6) blast—84 ILs; and (7) drought—43 ILs; none of the ILs were resistant to BPH. Positive phenotypic response (resistance) was observed to both BB and blast in 2 ILs, BB in 9 ILs and blast in 64 ILs despite the absence of corresponding R genes. Inheritance of resistance to BB and/or blast in such ILs could be due to the unknown genes from other parents used in the breeding scheme. Negative phenotypic response (susceptibility) was observed in 67 ILs possessing BB-R genes, 9 ILs with blast-R genes and 9 ILs harboring QTLs for drought tolerance. Complex genic interactions and recombination events due to the involvement of multiple donors explain susceptibility in some of the marker positive ILs. The present investigation successfully demonstrates the possibility of rapid development of multiple stress-tolerant/resistant ILs in the elite cultivar background involving multiple donors through selective intercrossing and stringent phenotyping. The 196 ILs in seven phenotypic classes with myriad of gene/QTL combinations will serve as a useful genetic resource in combining multiple biotic and abiotic stress resistance in future breeding programs.

In the field of periodontology, the success of any treatment is based on the accuracy of the initial diagnosis. Traditional clinical measurements used for periodontal diagnosis are often of limited usefulness as they are indicators of previous periodontal disease rather than the present disease activity. Many of the biochemical, microbiological, gingival crevicular fluid, and salivary diagnostic tests are commercially available chairside tests Offers, that make the monitoring of periodontal disease activity more efficient. Chairside diagnostic kits offer rapid, reproducible mode of diagnosis and the results can be used for patient motivation as well. This review highlights various chairside diagnostic kits that facilitate diagnosis and improve prognosis.

Proliferative Diabetic Retinopathy (PDR) occurs in 50% of cases of diabetic retinopathy after 25 years of onset of diabetes. Neovascularization associated with diabetic retinopathy stimulates scar formation, which leads to retinal detachment, the separation of the neuro-sensory retina proper from the retinal pigment epithelium. Management options, which include pars plana vitrectomy, anti-Vascular Endothelial Growth Factor (anti-VEGF) injections, and pan-retinal LASER photocoagulation, are not always effective. Here, the present authors report a case of 41-year-old male who presented with foreign-body sensation for 1 year, photophobia for 8 months, and distorted image perception for 6 months. The patient was diagnosed as having Kacha (diminished vision) according to Ayurveda. He was managed using oral medications, viz., Samirapancakam Kashaya, Cirivilvadi Kashaya, and Laksha Jala, and external therapy, which comprised of local therapies for both the eyes and head. Assessment at discharge by fundus photography demonstrated reduction in retinal haemorrhages, and optical coherence tomography showed reduction in macular oedema and vitreo-macular traction.

Central Retinal Vein Occlusion (CRVO) is divided into ischaemic and non-ischaemic varieties and are differentially diagnosed based on characteristic symptoms and signs. Treatment modalities include pan-retinal LASER photocoagulation, intra-vitreal antiVascular Endothelial Growth Factor (anti-VEGF) injections, and pars plana vitrectomy in advanced cases. A case of a 53-year-old male who presented with a 1-month history of foggy vision and inability to see in the morning hours is presented here. He was provisionally diagnosed with CRVO. Assessment using Ayurvedic diagnostics revealed that he had Timira or blurring of vision. He underwent five courses of outpatient management. He was prescribed Kashaya (decoction), Gutika (tablet), and Lepa (pastes). He was assessed using Visual Acuity (VA), posterior segment examination and Optical Coherence Tomography (OCT) scanning. VA showed improvement at the second consultation and was maintained through the final three consultations. Posterior segment examination and OCT scanning showed gradual improvement over the course of the consultations and ended up as an almostnormal appearance at the fifth consultation. This case illustrates that prompt diagnosis and intervention brought about a maintained visual acuity and almost near-normal results for the retina.

Restaurant owners and indeed all the personnel need to create a pleasant servicescape and provide service quality excellence in all their encounters with their customers. Servicescape is the physical environment of a service business where service is delivered to paying or non-paying customers. Servicescape has a very strong effect on all consumption experiences where service is delivered. In India the service sector contributes nearly half of the GDP. Restaurant owners, managers and all the personnel need to be servicescape oriented in order to increase a restaurant’s performance and improve its sustainability prospects. Servicescape is thus the physical facility and services which are considered to enhance customer satisfaction and sustain business. The purpose of the present study was to establish the relationship between Servicescape and customer’s loyalty towards fine dine restaurants in Jaipur. A total of 436 subjects who visited fine dining restaurant of Jaipur, age from 21 to 60 years of age, were selected for the study. To measure the servicescape parameters, a scale established by Mehrabian and Russell (1974) was adopted. To find out the relation between servicescape and customers’ loyalty, the Pearson product minute correlation was used. To develop a model for customers’ loyalty, linear regression was employed. Results revealed that there was a strong relationship between servicescape and customer’s loyalty and this allowed a significant model for customer’s loyalty to be developed. Hence, it is concluded that the loyalty of the customers can be predicted by using the proposed model.

Central Retinal Vein Occlusion (CRVO) is classified based on aetiology into ischaemic and non-ischaemic varieties. Treatment modalities of CRVO include intra-vitreal anti-Vascular Endothelial Growth Factor (anti-VEGF) injections, pan-retinal LASER photocoagulation, and pars plana vitrectomy. The case of a 31-year-old female with a two-month history of blurring and fogginess of vision in her left eye (OS) and who were diagnosed previously with CRVO is presented here. Analysis of her symptoms using Ayurvedic diagnostics showed that she suffered from Timiraor blurring of vision. She underwent inpatient treatment in October 2014 and January 2015. Oral medicines such as Kashaya (decoctions), tablets, and Sattva (starch extract) were administered. External treatment included Pancakarma therapy and local therapies for the head and eye (Kriyakalpa). The Assessment was done using Distant Visual Acuity (DVA), posterior segment examination, and Optical Coherence Tomography (OCT), which showed improvement both at discharge and 2 subsequent follow-ups. This case illustrates that prompt and timely consultation and management brought about significant improvement in both her vision and well-being.